Testing MBX 4291 for safety and body effects in adults with obesity
Official title: A Randomized, Double-blind, Placebo-controlled First-in-human Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Single and Multiple Ascending Doses of MBX 4291 in Adult Participants With Obesity
Run by MBX Biosciences · NCT07142707 · Data updated 2026-11-12
This Phase 1 trial will test whether single and multiple under-the-skin (subcutaneous) doses of MBX 4291 are safe and well tolerated in adults with obesity.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 124 (estimated) |
| Sponsor | MBX Biosciences Industry-sponsored |
| Locations | 4 sites (Doral, Florida and 3 other locations) |
| Status | Recruiting |
| Started | September 3, 2025 |
| Main results expected | October 30, 2026 |
| Study ends | October 30, 2026 |
| Registry record updated | June 9, 2026 |
| Trial ID | NCT07142707 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18–65 years old with a BMI between 30 and <50 kg/m2 who have been weight-stable and do not have diabetes or other excluded medical conditions are ideal candidates.
✕Probably not a fit
People with type 1 or type 2 diabetes, active pancreatitis, secondary or syndromic causes of obesity, a personal or family history of medullary thyroid carcinoma or MEN2, children, older adults above 65, or those with significant active illnesses are unlikely to be eligible or to benefit from this Phase 1 safety-focused trial.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a first-in-human, double-blind, placebo-controlled Phase 1 study using single ascending dose (SAD) and multiple ascending dose (MAD) designs to characterize safety, tolerability, pharmacokinetics, and pharmacodynamics of MBX 4291. About 124 adults aged 18–65 with BMI 30 to <50 kg/m2 who are otherwise generally healthy will be enrolled. Participants will receive subcutaneous doses of MBX 4291 or placebo and undergo scheduled safety and laboratory monitoring as well as PK/PD sampling. The study excludes people with diabetes, active pancreatitis, secondary causes of obesity, and certain thyroid cancer risk factors.
Why it matters
Potential benefit: If successful, MBX 4291 could become a new medication option to help manage body weight.
How similar studies have gone: MBX 4291 is first-in-human and untested in people specifically, although other classes of weight-loss medications have shown effectiveness in prior trials.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age of \>18 to ≤65 years at the time of signing the informed consent. * Has a BMI of ≥30 to \<50 kg/m2 at screening and baseline. * Weight-stable, i.e., no more than ±5% change in body weight for at least 3 months prior to screening and between screening and baseline. Exclusion Criteria: * History of, or currently active, significant illness or medical disorders that in the opinion of the investigator may preclude participants from participating in the study. * History of currently active pancreatitis, type I and type II diabetes. * Secondary causes of obesity, including but not limited to hypothalamic, monogenic, syndromic, or endocrine causes. * A personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2.
Where it's running
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MBX Biosciences Investigational Site
Doral, Florida, United States Recruiting -
MBX Biosciences Investigational Site
Lexington, Kentucky, United States Recruiting -
MBX Biosciences Investigational Site
Kansas City, Missouri, United States Recruiting -
MBX Biosciences Investigational Site
Knoxville, Tennessee, United States Recruiting
Study contacts
- Study coordinator: Elisa Fabbrini, MD, PhD
- Email: MBX4291.Clinicaltrials@mbxbio.com
- Phone: 844-877-4473
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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.