How did IMCIVREE help reduce measures of weight and hunger in the BBS trial?

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IMCIVREE reduced BMI Z-scores in children over the course of the 1-year clinical trial*

A BMI Z-score was used to measure the reduction in BMI in children. BMI Z-scores are reliable measures of weight in children who are still growing because they take into account height, age, and gender.

of children had a meaningful reduction in BMI Z-score

In the clinical trial, people were not required to change their diet or exercise routine.

*N=14. N is the number of people evaluated. Children were 6 to 17 years of age.

Child with obesity
Child with obesityActor portrayal.

IMCIVREE is the first and only treatment to significantly reduce BMI Z-score in children with obesity and a clinical diagnosis of BBS

In a long-term study, children who continued taking IMCIVREE maintained reductions in BMI Z-scores

Some people chose to continue taking IMCIVREE in a separate long-term clinical trial. After they received 2 years of treatment, their results were analyzed.

of patients (N=12) at 2 years had a meaningful reduction in BMI Z-score

  • There was a 0.72 average reduction in BMI Z-score

Children who continued IMCIVREE for 2 years maintained meaningful reductions in BMI Z-score

A clinically meaningful reduction is generally defined as a reduction of greater than or equal to 0.2 in BMI Z-score.

Change in BMI Z-score could not be calculated for one 20-year-old person who was 17 years old at the beginning of the original trial.

IMCIVREE reduced the severity of obesity in children living with BBS

You may be more familiar with viewing a child's growth as a percentile on a chart from the doctor. These same charts can be used for BMI. This growth chart represents what a hypothetical child with BBS who started IMCIVREE at age 12§ may experience in BMI reduction after 1 and 2 years, based on results from the clinical trials.

  • At the start of the 1-year clinical trial, average BMI was 145% of the 95th percentile
  • At the end of the 1-year clinical trial, average BMI was 127% of the 95th percentile
    • 17-percentage-point reduction

Figure modeled after Gulati AK, Kaplan DW, Daniels SR. Clinical tracking of severely obese children: a new growth chart. Pediatrics. 2012;130(6):1136-1140.

§Growth chart above is based on females 2 to 20 years of age and is for illustrative purposes only.

IMCIVREE showed early, significant, and continued weight reduction

Average reductions in weight over the course of the 1-year clinical trial*

Average reduction in weight in adults over the course of clinical trial

In the clinical trial, people were not required to change their diet or exercise routine.

*Adults were 18 years of age or older.

14 weeks: n=10; 1 year: n=12.

In a long-term study, adults who continued taking IMCIVREE for a total of 2 years lost even more weight

Average reduction in weight at 2 years in the long-term study

15% average reduction at 2 years

At the end of a clinical trial for IMCIVREE, 19 people continued in a long-term study. 6 of these people were adults. People are being assessed every 3 months until the end of the study (up to 5 years or study withdrawal).

n=6.

IMCIVREE reduced the severity of obesity in adults living with BBS

This growth chart represents what a hypothetical adult with BBS§ who started IMCIVREE at 20 years of age may experience in BMI reduction after 1 and 2 years, based on results from the clinical trials||

Clinical trial results showing adult BMI reduction after 1 and 2 years

Chart is for illustrative purposes only.

§Not an actual patient.

||Patients with data after 1 year of treatment.

IMCIVREE has mainly helped me lose and control my weight. I know I couldn't have done it without this medication.

— Adult patient enrolled in the IMCIVREE clinical trial

IMCIVREE reduced weight early and continuously over the course of 2 years of treatment

IMCIVREE provided reduction in hunger scores early and continuously throughout treatment

The effect of IMCIVREE on reducing hunger was studied in people 12 years and older living with BBS who could self-report their hunger.

  • They completed a questionnaire every day for 1 year to determine changes in their hunger
  • People scored their hunger on a daily basis using a scale from 0 to 10

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Hunger Scale

IMCIVREE reduced the most severe feelings of hunger

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IMCIVREE average hunger score

A majority of people experienced a reduction in hunger score within 2 weeks of taking IMCIVREE

Person living with BBS

Before IMCIVREE, I didn’t realize how much time I spent focusing on food, and how much that was affecting my day-to-day and the other things I could be accomplishing.

— Kathryn, a person living with BBS

The change in Reed's hunger has cascaded into many positive life changes for all of us. There's less agitation and anxiety over hunger or family meals. This is simple normalcy for many families, but for us, they're moments I'll never take for granted.

— Kat, caregiver of a child living with BBS

Caregiver of a child living with BBS
Caregiver of a child living with BBS

He is no longer digging through the fridge or garbage, so we do not lock them anymore. He isn’t asking for food constantly between meals and snacks, and I sometimes find myself realizing it’s been a few hours and asking him if he’s ready for a snack.

— Rachel, caregiver of a child living with BBS

Important Safety Information

What is IMCIVREE?

IMCIVREE is a prescription medicine used in adults and children 6 years of age and older with obesity due to Bardet-Biedl syndrome (BBS) to help them lose weight and keep the weight off.

IMCIVREE is not for use in people with the following conditions because it may not work:

  • Other types of obesity not related to BBS or other FDA-approved uses of IMCIVREE, including obesity associated with other genetic conditions and general obesity

It is not known if IMCIVREE is safe and effective in children under 6 years of age.

Do not use IMCIVREE if you have had a serious allergic reaction to it or any of its ingredients. Serious allergic reactions, including anaphylaxis, can happen.

Before you use IMCIVREE, tell your healthcare provider about all your medical conditions, including if you:

  • Have or have had areas of darkened skin, including skin discoloration (hyperpigmentation)
  • Have or have had depression, or suicidal thoughts or behavior
  • Have kidney problems
  • Are pregnant or planning to become pregnant. Losing weight while pregnant may harm your unborn baby. Your healthcare provider may stop your treatment with IMCIVREE if you become pregnant. Tell your healthcare provider if you become pregnant or think you might be pregnant during treatment with IMCIVREE
  • Are breastfeeding or plan to breastfeed. It is not known if IMCIVREE passes into your breast milk. You should not breastfeed during treatment with IMCIVREE

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

See the detailed Instructions for Use that come with your IMCIVREE to learn how to prepare and inject IMCIVREE, and how to properly throw away (dispose of) used syringes and needles.

What are the possible side effects of IMCIVREE?

IMCIVREE may cause serious side effects, including:

  • Male and female sexual function problems. IMCIVREE can cause an erection that happens without any sexual activity in males (spontaneous penile erection) and unwanted sexual reactions (changes in sexual arousal that happen without any sexual activity) in females. If you have an erection lasting longer than 4 hours, get emergency medical help right away
  • Depression and suicidal thoughts or actions. You or a caregiver should call your healthcare provider right away if you have any new or worsening symptoms of depression, suicidal thoughts or behaviors, or any unusual changes in mood or behavior
  • Serious allergic reactions. Stop taking IMCIVREE and get medical help right away if you have any symptoms of a serious allergic reaction including: swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; rapid heartbeat
  • Increased skin pigmentation and darkening of skin lesions (moles or nevi) you already have. These changes happen because of how IMCIVREE works in the body and will go away when you stop using IMCIVREE. You should have a full body skin exam before starting and during treatment with IMCIVREE to check for skin changes
  • Benzyl alcohol toxicity. Benzyl alcohol is a preservative in IMCIVREE. Benzyl alcohol can cause serious side effects, including death, in premature and low-birth weight infants who have received medicines that contain benzyl alcohol. IMCIVREE should not be used in premature and low-birth weight infants

The most common side effects of IMCIVREE include darkening of the skin, injection site reactions, nausea, headache, diarrhea, stomach pain, vomiting, depression, and an erection that happens without any sexual activity in males.

These are not all the possible side effects of IMCIVREE. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or to Rhythm Pharmaceuticals at 1-833-789-6337.

Please see the full Patient Information for additional Important Safety Information.

Important Safety Information

What is IMCIVREE?

IMCIVREE is a prescription medicine used in adults and children 6 years of age and older with obesity due to Bardet-Biedl syndrome (BBS) to help them lose weight and keep the weight off.

IMCIVREE is not for use in people with the following conditions because it may not work:

  • Other types of obesity not related to BBS or other FDA-approved uses of IMCIVREE, including obesity associated with other genetic conditions and general obesity

It is not known if IMCIVREE is safe and effective in children under 6 years of age.

Do not use IMCIVREE if you have had a serious allergic reaction to it or any of its ingredients. Serious allergic reactions, including anaphylaxis, can happen.

Before you use IMCIVREE, tell your healthcare provider about all your medical conditions, including if you:

  • Have or have had areas of darkened skin, including skin discoloration (hyperpigmentation)
  • Have or have had depression, or suicidal thoughts or behavior
  • Have kidney problems
  • Are pregnant or planning to become pregnant. Losing weight while pregnant may harm your unborn baby. Your healthcare provider may stop your treatment with IMCIVREE if you become pregnant. Tell your healthcare provider if you become pregnant or think you might be pregnant during treatment with IMCIVREE
  • Are breastfeeding or plan to breastfeed. It is not known if IMCIVREE passes into your breast milk. You should not breastfeed during treatment with IMCIVREE

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements.

See the detailed Instructions for Use that come with your IMCIVREE to learn how to prepare and inject IMCIVREE, and how to properly throw away (dispose of) used syringes and needles.

What are the possible side effects of IMCIVREE?

IMCIVREE may cause serious side effects, including:

  • Male and female sexual function problems. IMCIVREE can cause an erection that happens without any sexual activity in males (spontaneous penile erection) and unwanted sexual reactions (changes in sexual arousal that happen without any sexual activity) in females. If you have an erection lasting longer than 4 hours, get emergency medical help right away
  • Depression and suicidal thoughts or actions. You or a caregiver should call your healthcare provider right away if you have any new or worsening symptoms of depression, suicidal thoughts or behaviors, or any unusual changes in mood or behavior
  • Serious allergic reactions. Stop taking IMCIVREE and get medical help right away if you have any symptoms of a serious allergic reaction including: swelling of your face, lips, tongue, or throat; problems breathing or swallowing; severe rash or itching; fainting or feeling dizzy; rapid heartbeat
  • Increased skin pigmentation and darkening of skin lesions (moles or nevi) you already have. These changes happen because of how IMCIVREE works in the body and will go away when you stop using IMCIVREE. You should have a full body skin exam before starting and during treatment with IMCIVREE to check for skin changes
  • Benzyl alcohol toxicity. Benzyl alcohol is a preservative in IMCIVREE. Benzyl alcohol can cause serious side effects, including death, in premature and low-birth weight infants who have received medicines that contain benzyl alcohol. IMCIVREE should not be used in premature and low-birth weight infants

The most common side effects of IMCIVREE include darkening of the skin, injection site reactions, nausea, headache, diarrhea, stomach pain, vomiting, depression, and an erection that happens without any sexual activity in males.

These are not all the possible side effects of IMCIVREE. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or to Rhythm Pharmaceuticals at 1-833-789-6337.

Please see the full Patient Information for additional Important Safety Information.