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Details

Stereochemistry ABSOLUTE
Molecular Formula C78H111N21O19
Molecular Weight 1646.8452
Optical Activity UNSPECIFIED
Defined Stereocenters 12 / 12
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of AFAMELANOTIDE

SMILES

CCCC[C@H](NC(=O)[C@H](CO)NC(=O)[C@H](CC1=CC=C(O)C=C1)NC(=O)[C@H](CO)NC(C)=O)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC2=CNC=N2)C(=O)N[C@H](CC3=CC=CC=C3)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC4=CNC5=CC=CC=C45)C(=O)NCC(=O)N[C@@H](CCCCN)C(=O)N6CCC[C@H]6C(=O)N[C@@H](C(C)C)C(N)=O

InChI

InChIKey=UAHFGYDRQSXQEB-LEBBXHLNSA-N
InChI=1S/C78H111N21O19/c1-5-6-19-52(91-75(116)61(41-101)97-72(113)57(34-46-24-26-49(103)27-25-46)94-74(115)60(40-100)88-44(4)102)68(109)92-54(28-29-64(105)106)70(111)96-59(36-48-38-83-42-87-48)73(114)93-56(33-45-16-8-7-9-17-45)71(112)90-53(22-14-31-84-78(81)82)69(110)95-58(35-47-37-85-51-20-11-10-18-50(47)51)67(108)86-39-63(104)89-55(21-12-13-30-79)77(118)99-32-15-23-62(99)76(117)98-65(43(2)3)66(80)107/h7-11,16-18,20,24-27,37-38,42-43,52-62,65,85,100-101,103H,5-6,12-15,19,21-23,28-36,39-41,79H2,1-4H3,(H2,80,107)(H,83,87)(H,86,108)(H,88,102)(H,89,104)(H,90,112)(H,91,116)(H,92,109)(H,93,114)(H,94,115)(H,95,110)(H,96,111)(H,97,113)(H,98,117)(H,105,106)(H4,81,82,84)/t52-,53-,54-,55-,56+,57-,58-,59-,60-,61-,62-,65-/m0/s1

HIDE SMILES / InChI
Afamelanotide (SCENESSE) is a synthetic α-melanocyte stimulating hormone analog and first-in-class melanocortin-1 receptor agonist that is approved in the EU for the prevention of phototoxicity in adults with erythropoietic protoporphyria. Afamelanotide differs from endogenous α-melanocyte stimulating hormone at the fourth and seventh amino acid residues, increasing its resistance to immediate degradation and increasing its binding time to melanocortin-1 receptor. Afamelanotide is mimic the pharmacological activity of α-melanocyte stimulating hormone by binding to the melanocortin-1 receptor on melanocytes and activating the synthesis of eumelanin. Eumelanin provides photoprotection through mechanisms including, but not limited to, the absorption and scattering of visible and UV light and antioxidant activity. Afamelanotide increases eumelanin density in healthy volunteers and patients with erythropoietic protoporphyria. In healthy, fair-skinned volunteers, a significant increase in melanin density and skin darkening in both sun-exposed and non-sun-exposed sites was seen with subcutaneous injections of afamelanotide. The most common afamelanotide adverse events included headache and nausea. Common adverse effects include back pain, upper respiratory tract infections, decreased appetite, migraine, and dizziness.

Approval Year

Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
3.7 ng/mL
16 mg single, subcutaneous
dose: 16 mg
route of administration: Subcutaneous
experiment type: SINGLE
co-administered:
AFAMELANOTIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
138.9 ng × h/mL
16 mg single, subcutaneous
dose: 16 mg
route of administration: Subcutaneous
experiment type: SINGLE
co-administered:
AFAMELANOTIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
15 h
16 mg single, subcutaneous
dose: 16 mg
route of administration: Subcutaneous
experiment type: SINGLE
co-administered:
AFAMELANOTIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 18 to 74 years
n = 125
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 18 to 74 years
Sex: M+F
Population Size: 125
Sources:
Other AEs: Implant site reaction, Nausea...
Other AEs:
Implant site reaction (grade 1-2, 21%)
Nausea (grade 1-2, 19%)
Oropharyngeal pain (grade 1-2, 7%)
Cough (grade 1-2, 6%)
Fatigue (grade 1-2, 6%)
Skin hyperpigmentation (grade 1-2, 4%)
Dizziness (grade 1-2, 4%)
Melanocytic nevus (grade 1-2, 4%)
Respiratory tract infection (grade 1-2, 4%)
Somnolence (grade 1-2, 2%)
Porphyria non-acute (grade 1-2, 2%)
Skin irritation (grade 1-2, 2%)
Implant site discoloration (grade 1-2, 10%)
Sources:
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Other AEs: Abdominal pain, Upper abdominal pain...
Other AEs:
Abdominal pain (grade 1-2, 11%)
Upper abdominal pain (grade 1-2, 3%)
Diarrhea (grade 1-2, 8%)
Vomiting (grade 1-2, 3%)
Fatigue (grade 1-2, 3%)
Implant site discoloration (grade 1-2, 19%)
Viral gastroenteritis (grade 1-2, 3%)
Influenza (grade 1-2, 16%)
Nasopharyngitis (grade 1-2, 21%)
Upper respiratory tract infection (grade 1-2, 8%)
Blood in urine (grade 1-2, 5%)
Back pain (grade 1-2, 5%)
Myalgia (grade 1-2, 3%)
Pain in extremity (grade 1-2, 3%)
Headache (grade 1-3, 34%)
Migraine (grade 1-2, 3%)
Cough (grade 1-2, 13%)
Oropharyngeal pain (grade 1-2, 16%)
Eczema (grade 1-2, 5%)
Pigmentation disorder (grade 1-2, 8%)
Pruritus (grade 1-2, 5%)
Nausea (grade 1-2, 18%)
Sources:
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Other AEs: Abdominal discomfort, Abdominal pain...
Other AEs:
Abdominal discomfort (grade 1-2, 2%)
Abdominal pain (grade 1-2, 2%)
Upper abdominal pain (grade 1-2, 2%)
Diarrhea (grade 1-2, 4%)
Dyspepsia (grade 1-2, 6%)
Toothache (grade 1-2, 6%)
Vomiting (grade 1-2, 2%)
Implant site discoloration (grade 1-2, 11%)
Pain (grade 1-2, 8%)
Influenza (grade 1-2, 4%)
Nasopharyngitis (grade 1-2, 12%)
Sinusitis (grade 1-2, 6%)
Upper respiratory tract infection (grade 1-2, 2%)
Arthralgia (grade 1-2, 10%)
Back pain (grade 1-2, 12%)
Musculoskeletal pain (grade 1-2, 6%)
Myalgia (grade 1-2, 6%)
Pain in extremity (grade 1-2, 4%)
Dizziness (grade 1-2, 2%)
Headache (grade 1-2, 40%)
Migraine (grade 1-2, 6%)
Sinus headache (grade 1-2, 2%)
Cough (grade 1-2, 2%)
Oropharyngeal pain (grade 1-2, 4%)
Pigmentation disorder (grade 1-2, 2%)
Pruritus (grade 1-2, 4%)
Melanocytic nevus (grade 1-2, 4%)
Nausea (grade 1-2, 19%)
Sources:
0.16 mg/kg 10 times / month multiple, subcutaneous
MTD
Dose: 0.16 mg/kg, 10 times / month
Route: subcutaneous
Route: multiple
Dose: 0.16 mg/kg, 10 times / month
Sources:
healthy, adult
Disc. AE: Nausea...
AEs leading to
discontinuation/dose reduction:
Nausea
Sources:
18 mg 1 times / 60 days multiple, subcutaneous (mean)
Studied dose
unhealthy, adult
n = 36
Disc. AE: Crohn's disease...
20 mg 1 times / 2 months multiple, subcutaneous
Highest studied dose
Dose: 20 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 20 mg, 1 times / 2 months
Sources:
unhealthy
n = 43
Health Status: unhealthy
Condition: organ transplant recipients
Population Size: 43
Sources:
40 mg 1 times / day single, subcutaneous
Highest studied dose
Dose: 40 mg, 1 times / day
Route: subcutaneous
Route: single
Dose: 40 mg, 1 times / day
Sources:
healthy
n = 6
Disc. AE: Darkened skin...
AEs leading to
discontinuation/dose reduction:
Darkened skin
Sources:
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy
n = 74
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Population Size: 74
Sources:
Disc. AE: Migraine...
AEs

AEs

AESignificanceDosePopulation
Implant site discoloration grade 1-2, 10%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 18 to 74 years
n = 125
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 18 to 74 years
Sex: M+F
Population Size: 125
Sources:
Nausea grade 1-2, 19%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 18 to 74 years
n = 125
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 18 to 74 years
Sex: M+F
Population Size: 125
Sources:
Porphyria non-acute grade 1-2, 2%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 18 to 74 years
n = 125
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 18 to 74 years
Sex: M+F
Population Size: 125
Sources:
Skin irritation grade 1-2, 2%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 18 to 74 years
n = 125
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 18 to 74 years
Sex: M+F
Population Size: 125
Sources:
Somnolence grade 1-2, 2%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 18 to 74 years
n = 125
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 18 to 74 years
Sex: M+F
Population Size: 125
Sources:
Implant site reaction grade 1-2, 21%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 18 to 74 years
n = 125
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 18 to 74 years
Sex: M+F
Population Size: 125
Sources:
Dizziness grade 1-2, 4%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 18 to 74 years
n = 125
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 18 to 74 years
Sex: M+F
Population Size: 125
Sources:
Melanocytic nevus grade 1-2, 4%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 18 to 74 years
n = 125
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 18 to 74 years
Sex: M+F
Population Size: 125
Sources:
Respiratory tract infection grade 1-2, 4%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 18 to 74 years
n = 125
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 18 to 74 years
Sex: M+F
Population Size: 125
Sources:
Skin hyperpigmentation grade 1-2, 4%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 18 to 74 years
n = 125
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 18 to 74 years
Sex: M+F
Population Size: 125
Sources:
Cough grade 1-2, 6%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 18 to 74 years
n = 125
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 18 to 74 years
Sex: M+F
Population Size: 125
Sources:
Fatigue grade 1-2, 6%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 18 to 74 years
n = 125
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 18 to 74 years
Sex: M+F
Population Size: 125
Sources:
Oropharyngeal pain grade 1-2, 7%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 18 to 74 years
n = 125
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 18 to 74 years
Sex: M+F
Population Size: 125
Sources:
Abdominal pain grade 1-2, 11%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Cough grade 1-2, 13%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Influenza grade 1-2, 16%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Oropharyngeal pain grade 1-2, 16%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Nausea grade 1-2, 18%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Implant site discoloration grade 1-2, 19%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Nasopharyngitis grade 1-2, 21%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Fatigue grade 1-2, 3%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Migraine grade 1-2, 3%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Myalgia grade 1-2, 3%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Pain in extremity grade 1-2, 3%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Upper abdominal pain grade 1-2, 3%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Viral gastroenteritis grade 1-2, 3%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Vomiting grade 1-2, 3%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Back pain grade 1-2, 5%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Blood in urine grade 1-2, 5%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Eczema grade 1-2, 5%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Pruritus grade 1-2, 5%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Diarrhea grade 1-2, 8%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Pigmentation disorder grade 1-2, 8%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Upper respiratory tract infection grade 1-2, 8%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Headache grade 1-3, 34%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 38.3
n = 38
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 38.3
Sex: M+F
Population Size: 38
Sources:
Arthralgia grade 1-2, 10%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Implant site discoloration grade 1-2, 11%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Back pain grade 1-2, 12%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Nasopharyngitis grade 1-2, 12%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Nausea grade 1-2, 19%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Abdominal discomfort grade 1-2, 2%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Abdominal pain grade 1-2, 2%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Cough grade 1-2, 2%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Dizziness grade 1-2, 2%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Pigmentation disorder grade 1-2, 2%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Sinus headache grade 1-2, 2%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Upper abdominal pain grade 1-2, 2%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Upper respiratory tract infection grade 1-2, 2%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Vomiting grade 1-2, 2%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Diarrhea grade 1-2, 4%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Influenza grade 1-2, 4%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Melanocytic nevus grade 1-2, 4%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Oropharyngeal pain grade 1-2, 4%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Pain in extremity grade 1-2, 4%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Pruritus grade 1-2, 4%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Headache grade 1-2, 40%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Dyspepsia grade 1-2, 6%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Migraine grade 1-2, 6%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Musculoskeletal pain grade 1-2, 6%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Myalgia grade 1-2, 6%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Sinusitis grade 1-2, 6%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Toothache grade 1-2, 6%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Pain grade 1-2, 8%
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy, 40.4
n = 48
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Age Group: 40.4
Sex: M+F
Population Size: 48
Sources:
Nausea Disc. AE
0.16 mg/kg 10 times / month multiple, subcutaneous
MTD
Dose: 0.16 mg/kg, 10 times / month
Route: subcutaneous
Route: multiple
Dose: 0.16 mg/kg, 10 times / month
Sources:
healthy, adult
Crohn's disease Disc. AE
18 mg 1 times / 60 days multiple, subcutaneous (mean)
Studied dose
unhealthy, adult
n = 36
Darkened skin Disc. AE
40 mg 1 times / day single, subcutaneous
Highest studied dose
Dose: 40 mg, 1 times / day
Route: subcutaneous
Route: single
Dose: 40 mg, 1 times / day
Sources:
healthy
n = 6
Migraine Disc. AE
16 mg 1 times / 2 months multiple, subcutaneous
Recommended
Dose: 16 mg, 1 times / 2 months
Route: subcutaneous
Route: multiple
Dose: 16 mg, 1 times / 2 months
Sources:
unhealthy
n = 74
Health Status: unhealthy
Condition: erythropoietic protoporphyria
Population Size: 74
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer


Drug as perpetrator​Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
4-Norleucine, 7-D-phenylalanine-alpha-melanocyte-stimulating hormone: a highly potent alpha-melanotropin with ultralong biological activity.
1980 Oct
Proopiomelanocortin processing in the pituitary, central nervous system, and peripheral tissues.
1988 Feb
Skin pigmentation and pharmacokinetics of melanotan-I in humans.
1997 Apr

Sample Use Guides

Afamelanotide is supplied in a biodegradable, controlled-release implant containing 16 mg of the active drug, which is to be administered subcutaneously in the area above the suprailiac crest using a 14-gauge catheter with needle
Route of Administration: Other
Name Type Language
AFAMELANOTIDE
INN   MI   WHO-DD  
INN   USAN  
Official Name English
.ALPHA.-MELANOTROPIN (SWINE), 4-L-NORLEUCINE-7-D-PHENYLALANINE-
Common Name English
AC-SER-TYR-SER-NLE-GLU-HIS-D-PHE-ARG-TRP-GLY-LYS-PRO-VAL-NH2
Common Name English
afamelanotide [INN]
Common Name English
ACETYL(4-(2S)-2-AMINOHEXANOIC ACID,7-D-PHENYLALANINE)HUMAN MELANOTROPIN ALPHA
Systematic Name English
CUV-1647
Code English
Afamelanotide [WHO-DD]
Common Name English
[Nle4-D-Phe7]-α-Melanocyte-stimulating hormone
Common Name English
AFAMELANOTIDE [USAN]
Common Name English
AFAMELANOTIDE [MI]
Common Name English
[Nle4,D-Phe7]-α-MSH
Common Name English
MELANOTAN-1
Common Name English
AFAMELANOTIDE [ORANGE BOOK]
Common Name English
CUV1647
Code English
MELANOTAN I
Common Name English
MELANOTAN
Common Name English
NDP-alpha-MSH
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C548
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
FDA ORPHAN DRUG 430014
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
FDA ORPHAN DRUG 292009
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
EU-Orphan Drug EU/3/09/648
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
FDA ORPHAN DRUG 263208
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
WIKIPEDIA Designer-drugs-AFAMELANOTIDE
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
WHO-ATC D02BB02
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
FDA ORPHAN DRUG 502815
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
EMA ASSESSMENT REPORTS SCENESSE (AUTHORIZED: PROTOPORPHYRIA, ERYTHROPOIETIC)
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
WHO-VATC QD02BB02
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
Code System Code Type Description
WIKIPEDIA
AFAMELANOTIDE
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
DRUG BANK
DB04931
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
MESH
C534526
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
CHEBI
136034
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
CAS
75921-69-6
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
DAILYMED
QW68W3J66U
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
USAN
EF-157
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
MERCK INDEX
m1438
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY Merck Index
ChEMBL
CHEMBL2108301
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
RXCUI
2262250
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
NCI_THESAURUS
C82655
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
PUBCHEM
16154396
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
EVMPD
SUB33758
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
FDA UNII
QW68W3J66U
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
INN
9010
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
SMS_ID
100000127697
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
DRUG CENTRAL
4836
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY
EPA CompTox
DTXSID40226843
Created by admin on Fri Dec 15 15:49:20 GMT 2023 , Edited by admin on Fri Dec 15 15:49:20 GMT 2023
PRIMARY