Obesity

Setmelanotide in Bardet‐Biedl Syndrome: A 52‐Week Comparison of Phase 3 Trial Participants With a Matched Registry Cohort

Obesity (Silver Spring)Published Comparison of phase 3 trial participants with a matched external registry cohort

An erratum to this article was published (Obesity (Silver Spring), Jun 2026 ↗)

Authors' conclusion

This indirect comparison provides additional strong evidence that setmelanotide significantly improves weight outcomes in patients with BBS. These findings further support its clinical benefit over 52 weeks in managing obesity associated with BBS.

Study context

Population
Patients with Bardet-Biedl syndrome (BBS) ≥ 6 years of age
Participants
29 vs 58
Exposure
Setmelanotide vs matched CRIBBS registry controls
  • Setmelanotiden = 29
  • Controln = 58reference
Outcome
Responder rate
Follow-up
Week 52
Methodological detailspropensity-score matched, external natural history control, indirect comparison
  • Propensity-score matched
  • External natural history control
  • Indirect comparison

Main finding

As reported in the abstract

P < 0.001

Observational data: associations, not effects.

Secondary outcomes

Responder rate, pediatric patients · week 52

P < 0.001

Responder rate, adults · week 52

P = 0.001

Changes in BMI, BMI z-score and body weight

Secondary outcomes demonstrated consistent benefits of setmelanotide treatment

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Setmelanotide in Bardet‐Biedl Syndrome: A 52‐Week Comparison of Phase 3 Trial Participants With a Matched Registry Cohort. Obesity (Silver Spring). Published 17 February 2026. doi:10.1002/oby.70125

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