Mibavademab for adult women with functional hypothalamic amenorrhea
Official title: A Phase 2, Double-Blind, Placebo-Controlled Study to Investigate the Safety and Efficacy of Mibavademab in Adult Women With Functional Hypothalamic Amenorrhea
Run by Regeneron Pharmaceuticals · NCT07235917 · Data updated 2026-11-12
This trial tests whether the experimental drug mibavademab helps adult women with functional hypothalamic amenorrhea make the hormones needed to resume ovulation and menstrual cycles.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 40 Years |
| Sex | Women only |
| Enrollment | 34 (estimated) |
| Sponsor | Regeneron Pharmaceuticals Industry-sponsored |
| Drugs / interventions | mibavademab |
| Locations | 11 sites (Phoenix, Arizona and 10 other locations) |
| Status | Recruiting |
| Started | March 11, 2026 |
| Main results expected | January 28, 2028 |
| Study ends | May 17, 2028 |
| Registry record updated | November 4, 2026 |
| Trial ID | NCT07235917 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adult women diagnosed with functional hypothalamic amenorrhea who have had no menstrual bleeding for at least three months, meet the study's BMI and body‑fat criteria, and have had anatomic or organic causes excluded.
✕Probably not a fit
Patients with primary amenorrhea, screening estradiol ≥50 pg/mL or progesterone ≥1 ng/mL, structural uterine or ovarian conditions that affect menses, or other protocol exclusions are unlikely to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adult women with functional hypothalamic amenorrhea will receive either mibavademab or a matching placebo according to the phase 2 protocol. Investigators will measure hormone levels related to ovulation and menstruation, monitor menstrual bleeding, evaluate bone health markers, and collect safety, pharmacokinetic, and immunogenicity data. Key eligibility requires exclusion of anatomic or organic causes of amenorrhea and specific BMI/body‑fat criteria. The trial will track side effects and tolerability throughout the treatment period.
Why it matters
Potential benefit: If successful, mibavademab could help women with FHA resume ovulation and menstrual cycles and may also improve bone health.
How similar studies have gone: Hormone‑restoring approaches for FHA have shown mixed results in prior work and direct clinical data for mibavademab are limited, so this represents a relatively novel approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key Inclusion Criteria: 1. Diagnosis of FHA after exclusion of anatomic or organic causes of amenorrhea 2. Has had no menstrual bleeding episode within 3 months prior to day 1, as described in the protocol 3. Has a Body Mass Index (BMI) ≥18.5 and \<25 kg/m\^2 at screening, or BMI ≥25 to \<30 kg/m\^2 at screening AND percentage of body fat \<23% from rigorous exercise as determined by the investigator through Standard of Care (SoC) methods (eg, skinfold thickness, DXA, bioimpedance) within 6 months of screening Key Exclusion Criteria: 1. Has presence of primary amenorrhea (failure to reach menarche, first menstrual cycle) 2. Has blood estradiol ≥50 pg/mL or blood progesterone ≥1 ng/mL at screening, as described in the protocol 3. Has uterine (eg, absence of uterus, prior endometrial ablation, endometriosis, outflow tract disorders) or ovarian conditions (eg, absence of an ovary, presence of large polycystic ovaries i.e. greater than 10 cc) that impact assessment of menses or of the HPO axis 4. Has conditions other than FHA that may cause amenorrhea or menstrual cycle disturbances (eg, polycystic ovarian syndrome, hyperprolactinemia, primary ovarian insufficiency, untreated primary hypothyroidism, primary hyperthyroidism), as described in the protocol 5. Polycystic ovarian morphology with an ovarian volume \>10 cc on TransVaginal UltraSound (TVUS) \[or TransAbdominal Pelvic Ultrasound (TAPU) if applicable\] at baseline 6. Presence of follicle ≥17 mm, evidence of ruptured follicle, and/or evidence of corpus luteum on TVUS (or TAPU if applicable) at baseline NOTE: Other protocol-defined Inclusion/Exclusion criteria apply
Where it's running
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Arensia Exploratory Medicine Clinic
Phoenix, Arizona, United States Recruiting -
Focus Clinical Research
West Hills, California, United States Recruiting -
Yale University School of Medicine
New Haven, Connecticut, United States Recruiting -
Mayo Clinic Florida
Jacksonville, Florida, United States Recruiting -
Oregon Health and Science University (OHSU)
Portland, Oregon, United States Recruiting -
OBGYN Associates of Erie
Erie, Pennsylvania, United States Recruiting
Show 5 more locations
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Penn State Health Milton South Hershey Medical Center
Hershey, Pennsylvania, United States Recruiting -
University of Pittsburgh
Philadelphia, Pennsylvania, United States Recruiting -
University of Virginia School of Medicine
Charlottesville, Virginia, United States Recruiting -
Tidewater Clinical Research - Tidewater Physicians for Women
Norfolk, Virginia, United States Recruiting -
Zillan Clinical Research
Houston, Texas, United States Withdrawn
Study contacts
- Study coordinator: Clinical Trials Administrator
- Email: clinicaltrials@regeneron.com
- Phone: 844-734-6643
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Feasibility of a 10-week self-guided digital program for functional hypothalamic amenorrhea
This pilot test checks whether a 10-week, self-guided web program for FHA is doable and acceptable for women, to pave the way for a larger trial.
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Combining Chinese and Western medicine to restore menstrual cycles in hypothalamic amenorrhea
This program will try a two-step approach—Western medicine to quickly restore menstrual bleeding and traditional Chinese medicine to support long-term hormonal balance—for women with functional hypothalamic amenorrhea.
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Mibavademab for adults and children with generalized lipodystrophy
This trial will test whether mibavademab helps adults and children with generalized lipodystrophy by improving blood sugar, lowering triglycerides, and reducing liver fat while checking safety and drug levels.
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Mibavademab for obesity caused by leptin (LEP) gene mutations in children, adolescents, and adults
This trial will try mibavademab in children, adolescents, and adults with leptin gene–related obesity to help control body weight and check safety.
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Which form of estrogen best improves bone strength in women with functional hypothalamic amenorrhea?
This trial will test whether natural estrogen patches, natural estrogen pills, or a birth-control estrogen patch better improve bone strength over one year in adolescents and young women with functional hypothalamic amenorrhea.
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Using romosozumab to improve bone density in women with functional hypothalamic amenorrhea
This study is testing if a medication called romosozumab can help improve bone density in girls and women aged 14-25 who have low bone density due to functional hypothalamic amenorrhea.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.