Cellular Peptide · Checked
PT-141
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About PT-141
Acetate salt
Some suppliers list the acetate form, C52H72N14O12 — the free peptide plus one equivalent of acetic acid. This is a different figure for the same compound in salt form, not a competing value for the free peptide.
Storage and handling
- Appearance
- white to off-white lyophilized powder
- Solubility
- water and aqueous laboratory buffers
- Melting point
- not applicable, decomposes before melting
- Storage, lyophilized
- −20 °C long-term; 2–8 °C short-term, protected from light and moisture
- Shelf life
- approximately 2 years unopened under recommended conditions Reconstituted stability: up to 28 days at 2–8 °C under sterile conditions
Relationship to Melanotan II
PT-141 differs from Melanotan II at exactly one position: the C-terminus.
Melanotan II Ac-Nle-cyclo[Asp-His-D-Phe-Arg-Trp-Lys]-NH2 C50H69N15O9 1024.18 g/mol
PT-141 Ac-Nle-cyclo[Asp-His-D-Phe-Arg-Trp-Lys]-OH C50H68N14O10 1025.16 g/mol
The seven residues, the acetyl cap, and the Asp–Lys lactam bridge are identical. PT-141 carries a free carboxylic acid where Melanotan II carries a carboxamide. Converting the amide to the acid removes one nitrogen and one hydrogen and adds one oxygen — a net difference of approximately 0.98 Da.
That single change is the entire structural distinction, and it is why PT-141 is described as the deamidated active metabolite of Melanotan II. Bremelanotide was identified during Melanotan II research when investigators observed that the erectile and arousal effects tracked with the metabolite rather than the parent compound. Palatin Technologies then developed it specifically for that activity.
Practical consequence: Melanotan II has never been submitted for regulatory approval anywhere, while PT-141 completed a full Phase 3 programme and holds FDA approval. Two compounds one oxygen apart, with entirely different regulatory standing.
Receptor pharmacology
PT-141 is a melanocortin receptor agonist. The receptors emphasised in the sexual-function literature are MC3R and MC4R, with MC4R the primary target discussed in relation to central arousal pathways.
Mechanism as described in the literature
Activation of melanocortin receptors in the central nervous system, particularly within the hypothalamus, initiates neural signalling associated with sexual desire and arousal. The compound acts on the central pathway rather than on peripheral vasculature.
Contrast with PDE5 inhibitors
This distinction is the defining feature of the compound and the reason it occupies a separate therapeutic category.
PDE5 inhibitors (sildenafil, tadalafil)
Act peripherally on vascular smooth muscle to permit erection.
Address the mechanics of the response.
PT-141
Acts centrally on melanocortin receptors to influence desire and arousal. Addresses the initiating signal rather than the mechanics.
The two target different stages of the sexual response cycle, which is why PT-141 has been studied in patients who respond inadequately to PDE5 inhibitors, and why co-administration has been examined.
Pharmacokinetics
Peak plasma concentration reported at approximately 30 minutes after administration. Elimination half-life reported in the range of 2.5 to 3 hours.
RECONNECT (Phase 3)
Two randomized, double-blind, placebo-controlled trials in premenopausal women with acquired, generalized hypoactive sexual desire disorder. Subcutaneous bremelanotide at 1.75 mg, taken on demand, produced statistically significant improvements in sexual desire and reductions in associated distress relative to placebo.
These trials formed the basis of the FDA approval.
(Kingsberg et al., Obstetrics & Gynecology, 2019)
Female sexual arousal disorder — earlier work A study in premenopausal women with sexual arousal disorder examined subjective sexual response following bremelanotide administration.
(Diamond et al., Journal of Sexual Medicine, 2006)
Male erectile dysfunction — investigational
Subcutaneous administration was evaluated in healthy male subjects and in patients with inadequate response to sildenafil, with erectile responses reported at doses of 1 mg and above and onset within approximately 30 minutes.
(Rosen et al., International Journal of Impotence Research, 2004)
Intranasal administration was evaluated in healthy males and patients with mild-to-moderate erectile dysfunction.
(Diamond et al., International Journal of Impotence Research, 2004)
Co-administration of low-dose intranasal bremelanotide with sildenafil produced an enhanced erectile response relative to sildenafil alone.
(Diamond et al., Urology, 2005)
Male use is not an approved indication. This body of work is investigational.
Body weight and appetite — exploratory
As an MC4R agonist, bremelanotide has been examined for effects on satiety and energy intake. Two Phase 1 randomized controlled trials in obese women reported reductions in body weight of up to 1.7 kg and in daily caloric intake of approximately 400 kcal/day relative to placebo.
(Spana et al., Diabetes Obesity & Metabolism, 2022)
Safety profile as reported
Most frequent adverse event is nausea, followed by flushing, injection-site reactions, and headache. A transient increase in blood pressure with a corresponding decrease in heart rate occurs following dosing. The approved product is not recommended for individuals with uncontrolled hypertension or established cardiovascular disease.
Regulatory status
Bremelanotide is FDA-approved as Vyleesi, granted June 21, 2019, for acquired, generalized hypoactive sexual desire disorder in premenopausal women. Developed by Palatin Technologies; commercialised by AMAG Pharmaceuticals.
The approved product is a subcutaneous auto-injector, taken on demand at least 45 minutes before anticipated activity, with a defined maximum dosing frequency specified in the labelling.
The approval is specific to that indication and population. Use in men, and use for erectile dysfunction, is not approved.
Material supplied for laboratory use is a research chemical, not the approved pharmaceutical product. It is not a drug, food, cosmetic, or dietary supplement as supplied, has not been evaluated by the FDA in that form, and is not intended for human or veterinary use.
Structure cyclic 7-residue cyclic 7-residue linear lactam, C-term lactam, C-term 13-residue acid amide CAS 189691-06-3 121062-08-6 75921-69-6 Formula C50H68N14O10 C50H69N15O9 C78H111N21O19 Molecular weight 1025.16 g/mol 1024.18 g/mol 1646.87 g/mol Receptor emphasis MC3R / MC4R non-selective MC1R-preferring central arousal MC1/3/4/5R Regulatory status FDA approved 2019 never submitted FDA and EMA anywhere approved 2019 Approved use HSDD in none erythropoietic premenopausal protoporphyria women
All three derive from α-MSH research at the University of Arizona. PT-141 and Melanotan II differ by a single oxygen atom; Melanotan I is a structurally distinct linear peptide. Literature on one does not transfer to the others.
Specifications
| Attribute | Value |
|---|---|
| Molecular formula | C50H68N14O10 |
| Molecular weight | 1025.16 g/mol |
| CAS Number | 189691-06-3 |
| PubChem CID | 9941379 ↗ |
| Residue count | 7 |
| Structure class | cyclic heptapeptide, lactam-bridged |
| Sequence | Ac-Nle-cyclo[Asp-His-D-Phe-Arg-Trp-Lys]-OH |
| IUPAC condensed | Ac-Nle-Asp(1)-His-D-Phe-Arg-Trp-Lys(1)-OH |
| Cyclization | side-chain lactam bridge, Asp–Lys |
| INN | bremelanotide |
| Trade name | Vyleesi |