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Pro-opiomelanocortin (POMC) deficiency is a form of monogenic obesity resulting in severe early-onset obesity, adrenal insufficiency, red hair and pale skin.
Features include always present findings: Adrenocorticotropic hormone deficiency, Decreased circulating cortisol level, Obesity, and Increased adipose tissue; and very common findings: Excessive hunger (polyphagia). 24 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Hormones | 8 | Decreased growth hormone responses to growth hormone-releasing hormone challenge, Decreased circulating cortisol level, Adrenal insufficiency |
Growth and development | 4 | Decreased growth hormone responses to growth hormone-releasing hormone challenge, Decreased response to growth hormone stimulation test, Failure to thrive |
Digestive system | 2 | Cholestasis, Excessive hunger (polyphagia) |
Lab test results | 2 | Decreased circulating cortisol level, Hyperbilirubinemia |
Brain and nerves | 1 | Hypoglycemic seizures |
Skin | 1 | Hypopigmentation of the skin |
Bones and joints | 1 | Delayed skeletal maturation |
POMC function has not been fully characterized.
Obesity due to pro-opiomelanocortin deficiency is associated with mutations in the POMC gene on chromosome 2.
Genetic testing for POMC is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for obesity due to pro-opiomelanocortin deficiency has been reported in the published literature.
No approved treatments are currently available for obesity due to pro-opiomelanocortin deficiency. An additional 1 compound holds orphan drug designation.
While no drugs are FDA-approved specifically for obesity due to pro-opiomelanocortin deficiency, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for obesity due to pro-opiomelanocortin deficiency. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
Imcivree | setmelanotide | Rhythm Pharmaceuticals, Inc. | 2016 | 2027 | Designated (drug approved for other indication) |
1 trial found
Phenotype severity distribution: 4 always present features, 1 very common feature, 6 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
1 clinical trial registered. Interventions under study include other interventions. Research is primarily sponsored by academic and government institutions.
10 publications have been identified in PubMed for obesity due to pro-opiomelanocortin deficiency. Research spans Review / Meta-Analysis (30%), Clinical Trial Publication (20%), and Basic Science / Preclinical (20%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 3 | 30% |
Clinical study results | 2 | 20% |
Laboratory research | 2 | 20% |
Testing and diagnosis research | 1 | 10% |
Patient case studies | 1 | 10% |
Disease patterns and progression | 1 | 10% |
Kahveci A (2026). [PMID: 42210527](https://pubmed.ncbi.nlm.nih.gov/42210527/). *Pediatr Obes*. [Epidemiology / Natural History]
Yılmaz UC (2026). [PMID: 41848173](https://pubmed.ncbi.nlm.nih.gov/41848173/). *Journal of clinical research in pediatric endocrinology*. [Case Report / Case Series]
Wardlaw SL (2026). [PMID: 41791764](https://pubmed.ncbi.nlm.nih.gov/41791764/). *Journal of neuroendocrinology*. [Diagnostic / Biomarker]
Li Y (2026). [PMID: 41986358](https://pubmed.ncbi.nlm.nih.gov/41986358/). *Nat Commun*. [Basic Science / Preclinical]
Argente J (2025). [PMID: 39549719](https://pubmed.ncbi.nlm.nih.gov/39549719/). *The lancet. Diabetes & endocrinology*. [Clinical Trial Publication]
Subramaniyan V (2025). [PMID: 40016558](https://pubmed.ncbi.nlm.nih.gov/40016558/). *International journal of obesity (2005)*. [Review / Meta-Analysis]
Kahveci A (2025). [PMID: 39891402](https://pubmed.ncbi.nlm.nih.gov/39891402/). *European journal of endocrinology*. [Clinical Trial Publication]
Ludwik KA (2025). [PMID: 40902325](https://pubmed.ncbi.nlm.nih.gov/40902325/). *Stem cell research*. [Basic Science / Preclinical]
Collet TH (2024). [PMID: 39777073](https://pubmed.ncbi.nlm.nih.gov/39777073/). *Frontiers in nutrition*. [Review / Meta-Analysis]
Qamar S (2024). [PMID: 39526054](https://pubmed.ncbi.nlm.nih.gov/39526054/). *TouchREVIEWS in endocrinology*. [Review / Meta-Analysis]
Data assembled from 8 of 12 sources · Last updated Sep 20, 2026, 5:40 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
AI-curated news mentioning obesity due to pro-opiomelanocortin deficiency
Updated Feb 6, 2026
The biopharma industry is increasingly focused on the weight loss sector, projected to surpass $130 billion by 2035. Analysts anticipate significant developments in the oral market and novel mechanisms as 2026 approaches.
The CDC reports that the Southeast, Appalachia, and certain tribal lands have the highest rates of obesity and diabetes in the U.S. This data highlights significant health disparities that may require targeted public health interventions.