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RM-718 Phase 2 Obesity Topline

RYTM·RM-718·Obesity··NCT06251271
current best date
Q4
'26
QTR5 months
Takeaway

Phase 2 efficacy readout for Rhythm’s next-gen weekly MC4R agonist in adult general (not BBS-specific) obesity. Watch: % weight loss vs. placebo, dose-response, hyperpigmentation rate vs. setmelanotide.

What’s at stake

market · comparables · base rate · prior moves
Market opportunity
company filings
Peer comparables
1 readout
ClinicalTrials.gov
Stage base rate
~14%
BIO Industry Analysis 2023 (2011–2020)
Avg prior-readout move
historical price reactions
Drug
peptide
RM-718
INN
MoAweekly MC4R agonist (next-gen)

RM-718 is Rhythm Pharmaceuticals' next-generation MC4R agonist designed for once-weekly dosing, in contrast to the daily injections required by IMCIVREE (setmelanotide). Like setmelanotide, RM-718 activates the melanocortin-4 receptor in the hypothalamus to reduce hunger and improve energy expenditure, but its extended half-life supports a more convenient weekly administration schedule. Rhythm is evaluating RM-718 in adults with broader general obesity — beyond the rare genetic syndromes covered by IMCIVREE — to assess potential for a wider commercial opportunity.

Indication
Obesity / GLP-1
Obesity
MeSH · D009765

No primer in glossary yet.

Trial
recruiting
NCT06251271
STAR Phase 2 of RM-718 in Adult Obesity
Phase
Ph 2
N
220
Primary completion
Jun 30, 2026
Sector base rates · reference data
historical record · not prediction

of 4 historical Phase 2 readouts in Obesity / GLP-1: 3 positive, 1 mixed, 0 negative.

Positive
3/ 4
75%
Mixed
1/ 4
25%
Negative
0/ 4
0%
positive rate 75% · primary endpoint hit rate 100%
Reference data · comparable readouts

How Ph2 readouts in Obesity / GLP-1 have landed.

Reference, not prediction. We surface the historical record so you can read it yourself. We never extrapolate to the upcoming event.

Positive
3/4
75% in record
Primary endpoint hit
100%
across 4 readouts
Drug · sponsorPhase · yearOutcomeKey metricSource
AMG 133 (maritide)
AMGN · Obesity
Ph2 · Nov 2024mixed−20% body weight — high GI AE rate8-K
VK2735
VKTX · Obesity
Ph2 · Feb 2024positive−14.7% body weight at 13 wkPR
retatrutide
LLY · Obesity
Ph2 · Jun 2023positive−24.2% body weight at 48 wkconference
orforglipron
LLY · Obesity
Ph2 · Jun 2023positive−14.7% body weight at 36 wkconference
cagrisema
NVO · Obesity
Ph3 · Dec 2024mixed−22.7% — below internal 25% bar8-K
semaglutide 50mg oral
NVO · Obesity
Ph3 · May 2023positive−15.1% body weight at 68 wkPR
tirzepatide (SURMOUNT-1)
LLY · Obesity
Ph3 · Apr 2022positive−22.5% body weight at 72 wk vs −2.4% pboPR
sorted by phase match, then recency · sources span PR wires, CT.gov, FDA notices, and conference presentations · we never editorialize the outcome label

Competitive landscape

2 peers in Obesity / GLP-1 · ranked by indication + modality match
DrugCompanyModalityMechanismPhaseNext catalyst
dapiglutideVKTXpeptidedual GLP-1 / GIP receptor agonistCONFERENCE · May 26
IMCIVREEsetmelanotideRYTMpeptideMC4R agonistPDUFA · Aug 26

Prior RYTM reactions to Readout events

1 historical event · base rate, not prediction
Median 1W move
+28.5%
Median 1M move
+43.3%
Positive outcomes
1/ 1
100%
Negative outcomes
0/ 1
0%
DateHeadlineOutcome1W1M6M
Jul 2024RM-718 — Phase 2b Topline Met Primary Endpointpositive+28.5%+43.3%+26.0%

Historical RYTM stock reaction to past Readout catalysts. Past performance is not a forecast — base rates anchor expectations, not outcomes. Positive rate 100%.

Disclosure trail

1 observation · sorted by confidence
  1. Mar 18, 2026·1mo agopinned · highest confidence
    HIGH conf8-K
    top claim
    Q4'26
    QTR
    We expect topline Phase 2 results for RM-718 in adult obesity in the fourth quarter of 2026.
    conf 88%via llm

MethodologyEvery catalyst date is anchored to a primary source. Disclosures with confidence ≥ 0.85 auto-publish; the rest are reviewed by a human within 24 hours. We never interpret data — we organize public information.

Disclaimer·BioSight aggregates publicly available data (SEC EDGAR, ClinicalTrials.gov, FDA, company press releases) and is provided as is for informational purposes only. Nothing here is investment, financial, legal, tax, or medical advice, or an offer to buy or sell any security. We make no warranty as to accuracy, completeness, or timeliness; dates and filings may contain errors or be superseded without notice; past events do not predict future outcomes. To the maximum extent permitted by law, BioSight, its operators, contributors, and affiliates disclaim all liability for any loss or damage arising from use of or reliance on this site. You are solely responsible for your own investment decisions — consult a licensed professional before acting on any information.

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