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NCT07235917PHASE2Recruiting

A Study to Investigate Mibavademab in Adult Women With Functional Hypothalamic Amenorrhea

Regeneron Pharmaceuticals

Start Date

3/11/2026

Completion Date

12/8/2027

Summary

This study is researching an experimental drug called mibavademab (also called "study drug"). The study is focused on patients with a condition called Functional Hypothalamic Amenorrhea (FHA). FHA is a condition where a woman stops menstruating because the brain is not sending the correct hormonal signals to the ovaries, which then are not able to cycle and ovulate properly. The aim of the study is to see how well the study drug helps the body make the hormones necessary for ovulation and reproduction, and to assess its safety. The study is looking at several other research questions, including: * Whether the drug helps bone health * What side effects may happen from taking the study drug * How much study drug is in the blood at different times * Whether the body makes antibodies against the study drug (which could make the drug less effective or could lead to side effects)

Eligibility Criteria

Age Range: 18 years to 40 years

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 (or longer) 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 \<20% from rigorous exercise as determined by the investigator through Standard of Care (SoC) methods (eg, skinfold thickness, DXA, bioimpedance) within 6 months of screening, as described in the protocol 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 3. Has uterine (eg, absence of uterus, prior endometrial ablation, endometriosis, outflow tract disorders) or ovarian (eg, absence of an ovary, presence of polycystic ovaries) conditions 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) 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

Interventions

DRUG

Mibavademab

OTHER

Placebo

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Conditions

Functional Hypothalamic Amenorrhea (FHA)

Locations

Arensia Exploratory Medicine Clinic

Phoenix, Arizona 85015

United States

Focus Clinical Research

West Hills, California 91307

United States

Yale University School of Medicine

New Haven, Connecticut 06510

United States

Mayo Clinic Florida

Jacksonville, Florida 32224

United States

Oregon Health and Science University (OHSU)

Portland, Oregon 97239

United States

OBGYN Associates of Erie

Erie, Pennsylvania 16507

United States

Penn State Health Milton South Hershey Medical Center

Hershey, Pennsylvania 17033

United States

Zillan Clinical Research

Houston, Texas 77082

United States

University of Virginia School of Medicine

Charlottesville, Virginia 22908

United States

Tidewater Clinical Research - Tidewater Physicians for Women

Norfolk, Virginia 23502

United States