Clinical trial Recruiting at 10 sites Phase 2 Interventional Ages 18 to 40 Women only

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.

More Functional Hypothalamic Amenorrhea trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years to 40 Years
SexWomen only
Enrollment34 (estimated)
SponsorRegeneron Pharmaceuticals
Industry-sponsored
Drugs / interventionsmibavademab
Locations11 sites (Phoenix, Arizona and 10 other locations)
StatusRecruiting
StartedMarch 11, 2026
Main results expectedJanuary 28, 2028
Study endsMay 17, 2028
Registry record updatedNovember 4, 2026
Trial IDNCT07235917 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.