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RM-718 is an investigational, once-weekly, highly selective melanocortin-4 receptor (MC4R) agonist developed by Rhythm Pharmaceuticals. It is designed to be MC1R-sparing, aiming to avoid the hyperpigmentation side effects seen with less selective MC4R agonists such as setmelanotide. Preclinical studies have shown that RM-718 can reduce body weight and hunger (hyperphagia), making it a promising candidate for treating severe obesity and hypothalamic obesity (HO). The drug is currently being evaluated in a Phase 1 clinical trial for safety, tolerability, pharmacokinetics, and optimal dosing in both healthy subjects with obesity and patients with HO. Administration is via weekly subcutaneous injection[1][3][5][6][7][8].
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