← Trials/Trial dossier/NCT06565611

BMT-801

Active not recruitingPhase 2

A Phase 2 Study Evaluating the Co-Administration of Bremelanotide With Tirzepatide for the Treatment of Obesity

A Phase II, Randomized, Double-Blind, Placebo-Controlled, Clinical Study Investigating the Safety, Tolerability, and Effectiveness of the Co-Administration of Bremelanotide With Tirzepatide (GLP-1/GIP) for the Treatment of Obesity

Asset

Tirzepatide

Subcutaneous · GLP-1 / GIP dual

Listed sites

4

Recruiting sites

Enrollment

108

estimated

Study population

Obesity / overweight

Key I/E criterion

BMI 30-45

Primary endpoint

Body weight, % change

Footprint

Where this trial recruits

Site locations as reported to ClinicalTrials.gov. Site count is not enrollment count; per-site enrollment is not available from source.

Identifiers

Registered as

NCT IDNCT06565611
Org study IDBMT-801

Timeline

Milestones

Study start2024-08-05actual
Study first posted2024-08-22actual
Primary completion2025-02-05actual
Last update posted2025-03-06actual
Study completion2025-03-31estimated

Assets

Investigational agents

Study populations

Who this study enrolls

Obesity / overweight

Eligibility

Who can enroll

Minimum age18 Years
Maximum age65 Years
SexAll
Healthy volunteersNot accepted

Inclusion criteria

1. Male or female aged between 18-65 years of age, inclusive at the time of consent.

2. Have a body mass index (BMI) of 30.0 to 45.0 kg/m^2 (inclusive) at screening.

3. Female subjects must have a negative urine pregnancy test at screening, if of childbearing potential or be of non-childbearing potential. If the urine test is positive or cannot be confirmed as negative, then the subject must have a negative serum pregnancy test (hCG). Non-childbearing potential is defined as (by other than medical reasons):

1. Age ≥ 50 years, no menses for at least one year, per subject self-report.

2. Documented hysterectomy, bilateral tubal ligation, or bilateral oophorectomy.

4. For female subjects who are Women of childbearing potential (WOCBP), subject must agree to abstain from heterosexual intercourse or use a highly effective contraceptive(s) (with a failure rate of <1% per year), as described in the protocol, during the treatment and follow-up and for at least 90 days after the last dose of bremelanotide. Hormonal-based contraception is to be employed for a minimum of 28 days prior to Day 0. Oral hormonal contraceptives should be combined estrogen and progesterone. If a progesterone-only oral contraceptive is used, then a second method of birth control should be used as well. Acceptable forms of contraception include:

Surgical sterilization of the subject or male partner;
FDA- or Health Canada-approved female hormonal contraceptives;
An IUD;
Essure® (transcervical sterilization);
"Double-barrier" contraception defined as:
condom + spermicide, or
condom + diaphragm (which is used with a spermicide).

5. Female subjects must agree not to donate eggs (ova, oocytes) for any purpose during the treatment and follow-up and for at least 30 days after the last dose of BMT.

6. Male subjects must agree to abstain from heterosexual intercourse or use double barrier protection with condom and spermicide with any WOCBP sexual partner from screening and continuing for at least 30 days after the last dose of BMT:

a. Alternatively, documented sterilization confirmed by the absence of sperm in the ejaculate or ≥ one-year post-operative from vasectomy.

7. Male subjects must agree not to donate sperm for at least 30 days after the last dose of BMT.

8. Subjects must be willing to self-inject.

9. Subjects must have the ability to complete the study in compliance with the protocol and all instructions.

10. Subjects must have the ability to understand and provide written informed consent.

Exclusion criteria

1. Females who are pregnant, breastfeeding or plan to become pregnant.

2. Have a known allergy or intolerance to Melanocortin peptides.

3. Subjects with a positive Serum Antigen/Antibody Hepatitis Panel (Hep B and C) and HIV antibody test Human Immunodeficiency Virus (HIV) antibody.

Note: subject with positive hepatitis C antibody but negative PCR test for active Hepatitis C viral shedding will be allowed to participate in the study. Subjects with a positive Hepatitis B surface antigen antibody or core antigen antibody will be allowed to participate in the study. Subjects with circulating hepatitis B surface antigen or have a positive PCR test for active hepatitis B virus will NOT be allowed to participate in the study.

4. Subjects with active alcohol dependence and/or drug use (with Cannabis exception) as assessed by the Investigator will be excluded from the study.

5. Have significant medical illnesses that cannot be adequately controlled with appropriate therapy and may obscure toxicity, dangerously alter drug metabolism, or compromise the subject's ability to participate in the trial, as determined by the Investigator, such as endocrinologic disorders accounting for obesity such as Cushing Disease, syndrome or monogenic obesity and exclusions of organ transplant recipients, those on wait lists, or those on anti-rejection medication as the potential effect on gastric emptying effecting pharmacokinetics.

6. Has been on bremelanotide therapy (Vyleesi) within the past 6 months prior to screening date.

7. Within the past three month, has used cyclosporine A, adrenocorticotropic hormones, long-term corticosteroids (> 20 mg qd or its equivalent for > 3 months), or cytotoxic agents.

8. Has had clinically significant body weight change (≥5%) or dieting attempts in the prior 90 days (per subject reported information) and Treatment Period 1.

9. Use of Anti-Obesity Medication (AOM) within a 90-day period prior to screening (Note: subjects who have taken or are still taking tirzepatide may participate in study if exclusion criteria #8 has not been met. AOM medications will also include medications that are being used off-label for weight loss).

10. Prior obesity or weight loss surgery or presence of gastrointestinal implant or bariatric surgery or other weight loss procedures within 2 years of screening (i.e. liposuction, abdominoplasty, intragastric balloon, cholecystectomy, etc.)

11. Has HbA1c ≥ 6.5 % or fasting glucose ≥126.0 mg/dL. (either test can be used to establish eligibility).

12. Has type 1 diabetes.

13. Has taken any experimental drug or therapy within 28 days / 5 half-lives of trial treatment or concurrently participating in another clinical trial.

14. Has a history of clinically significant bradycardia and/or a heart rate less than 50 bpm at screening.

15. Has multiple endocrine neoplasia syndrome type 2.

16. Plan for blood donations during the study and within 30 days following completion of or early discontinuation from the trial.

17. Planned bariatric surgery or planned major surgeries during the study time period.

18. Has personal or family history of MEN 2 syndromes or Medullary Thyroid Cancer.

19. Prior hypersensitivity to tirzepatide component.

20. Has hypertension (by medical history or by screening vital signs) and/or known cardiovascular disease.

Note: If subject presents at screening with elevated blood pressure and no supporting evidence of hypertension; subject may wait approximately 1 hour to have blood pressure rechecked; if readings are still elevated, subject may return to the site approximately 24 hours later to have blood pressure rechecked.

21. Is taking concomitant oral drugs that are dependent on threshold concentrations for efficacy (e.g., antibiotics) since bremelanotide slows gastric emptying and thus has the potential to reduce the rate and extent of absorption of concomitantly administered oral medications

22. Has a diagnosis of type 2 diabetes

23. Has Clinically significant ECG abnormalities on ECG at Screening

Endpoints (12)

What's being measured

Protocol endpoints and posted registry outcome measures, grouped into outcome categories. Composite endpoints show their component event types. Standard codes (LOINC, SNOMED CT) are shown where available.

Coverage by outcome category

Weight & body composition
7
Patient-reported / QoL
4
Safety / tolerability / PK
1

Weight & body composition

7 endpoints
Primary/protocol endpoint

Percent change in body weight between treatment arms

Time frame:Change from the baseline (Visit 2/Day 1) to Visit 10 (Day 57)

Body weight, % change

percent change from baseline, improvement

Other/protocol endpoint

Change in Body Weight

Time frame:Change from the Visit 2 baseline and Treatment Period 2 baseline (Day 29) to Visit 10 (Day 57)

Body weight, absolute change (kg)

change from baseline, improvement

Other/protocol endpoint

Change in Percent Body Fat

Time frame:Change from the Visit 2 baseline and Treatment Period 2 baseline (Day 29) to Visit 10 (Day 57)

Total fat mass

change from baseline, improvement

Other/protocol endpoint

Change in BMI

Time frame:Change from the Visit 2 baseline and Treatment Period 2 baseline (Day 29) to Visit 10 (Day 57)

BMI, change

change from baseline, improvement

Other/protocol endpoint

Change in Skeletal Muscle Mass

Time frame:Change from the Visit 2 baseline and Treatment Period 2 baseline (Day 29) to Visit 10 (Day 57)

Lean mass

change from baseline, improvement

Other/protocol endpoint

Change in Visceral Fat Level

Time frame:Change from the Visit 2 baseline and Treatment Period 2 baseline (Day 29) to Visit 10 (Day 57)

Visceral fat, change

change from baseline, improvement

Other/protocol endpoint

Change in Neck and Waist Measurements

Time frame:Change from the Visit 2 baseline and Treatment Period 2 baseline (Day 29) to Visit 10 (Day 57)

Waist circumference, change

change from baseline, improvement

Patient-reported / QoL

4 endpoints
Other/protocol endpoint

Change in Overall Appetite Suppression

Time frame:Change from the Visit 2 baseline and Treatment Period 2 baseline (Day 29) to Visit 10 (Day 57)

change from baseline, improvement

Other/protocol endpoint

Change in Appetite Suppression Subscales

Time frame:Change from the Visit 2 baseline and Treatment Period 2 baseline (Day 29) to Visit 10 (Day 57)

change from baseline, improvement

Other/protocol endpoint

Change in IIEF Domain Score

Time frame:Change from the Visit 2 baseline and Treatment Period 2 baseline (Day 29) to Visit 10 (Day 57)

change from baseline, improvement

Other/protocol endpoint

Change in EDQ Score

Time frame:Change from the Visit 2 baseline and Treatment Period 2 baseline (Day 29) to Visit 10 (Day 57)

change from baseline, improvement

Safety / tolerability / PK

1 endpoint
Other/protocol endpoint

Number of participants with abnormal laboratory tests results

Time frame:Change from the Visit 2 baseline and Treatment Period 2 baseline (Day 29) to Visit 10 (Day 57)

descriptive, event

Provenance

Sources

Trial identity, design, statusClinicalTrials.gov API v2
Snapshot dateJuly 1, 2026
Endpoint classificationDelfa endpoint taxonomy v2 (May 13, 2026)
Results tableno registry results posted yet

Trial facts come from public ClinicalTrials.gov records. Endpoint categories are Delfa's classification of those records, not a ClinicalTrials.gov field. All figures reflect the July 1, 2026 snapshot.