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

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IMCIVREE helped children reach steady and long-lasting reduction in weight measures

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

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

16 children between the ages of 6 to 17 were evaluated as part of the study.

A Body Mass Index, or 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.

No change to diet or exercise: In the clinical trial, people were not required to change their diet or exercise routine

IMCIVREE is the first and only treatment to significantly reduce BMI Z-score in children with obesity due to BBS

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

After 2 years of treatment, IMCIVREE helped children maintain meaningful reductions in BMI Z-score

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 is a hypothetical representation of what a 12 year-old female with BBS who is taking IMCIVREE may experience in BMI reduction after 1 and 2 years, based on results from the clinical study.

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

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.

Not an actual patient. Growth chart is based on females 2 to 20 years of age and is for illustrative purposes only.

  • At the start of the clinical trial, BMI was 145% of the 95th percentile
  • At the end of the clinical trial, BMI was 128% of the 95th percentile
    • 17-percentage-point reduction
  • After 2 years in a long-term extension of the clinical trial, BMI was 115% of the 95th percentile 
    • 30-percentage-point reduction

IMCIVREE helped adults reach steady and long-lasting weight reduction

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

IMCIVREE reduced body weight over the course of the 1-year clinical trial. 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).

15 adults aged 18 years or older were evaluated as part of the study.

No change to diet or exercise: In the clinical trial, people were not required to change their diet or exercise routine

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

IMCIVREE reduced the severity of obesity in adults living with BBS

This BMI chart is a hypothetical representation of the BMI reduction an adult with BBS may experience after 1 year of treatment on IMCIVREE, based on data from the clinical trial.

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

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 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
  • 14 people were studied.

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

How did people with BBS and obesity report changes to their health-related quality of life?

Quality-of-life is a measure of a person's day-to-day well-being at a point in time.

As part of this study, people with BBS were asked to evaluate aspects of their quality of life.

For children, questions in the survey measured:

  • Physical ability in daily activities
  • Emotional state
  • Social needs
  • Ability to perform at school

For adults, the questions in the survey measured:

  • Physical ability in daily activities
  • Self-esteem
  • Sexual life
  • Feelings of distress in public
  • Ability to perform at work

Higher survey scores indicated improvement to daily life. Lower scores indicated a decrease.

On average, people reported higher scores after 1 year of taking IMCIVREE.

Although general improvements were measured, there were a limited number of people to make clear conclusions. The trial was also not set up to determine whether these changes were because of IMCIVREE.

The impact of IMCIVREE

Learn more about the impact of IMCIVREE from healthcare providers and people on treatment

FPO Video

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.

Important Safety Information

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 are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Please see full prescribing information, including Patient 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.

Important Safety Information

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 are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Please see full prescribing information, including Patient Information.