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A Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of MBX 4291 in Adult Participants With Obesity

RecruitingPhase 1

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

Who can join

Ages 18 to 65 · All sexes

Full eligibility 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.

About the study

The purpose of this study is to evaluate the safety and tolerability of single and multiple subcutaneous (SC) doses of MBX 4291 in adults with obesity.

What is being tested

Sponsor: MBX Biosciences · Participants: 124 · Started: Sep 3, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT07142707

Locations in the U.S.

FloridaMBX Biosciences Investigational Site, Doral
KentuckyMBX Biosciences Investigational Site, Lexington
MissouriMBX Biosciences Investigational Site, Kansas City
TennesseeMBX Biosciences Investigational Site, Knoxville

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.