U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ABSOLUTE
Molecular Formula C78H111N21O19.3C2H4O2
Molecular Weight 1827.0044
Optical Activity UNSPECIFIED
Defined Stereocenters 12 / 12
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of AFAMELANOTIDE ACETATE

SMILES

CC(O)=O.CC(O)=O.CC(O)=O.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=VHLLBJXKNRAYGM-BHHWPIKXSA-N
InChI=1S/C78H111N21O19.3C2H4O2/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;3*1-2(3)4/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);3*1H3,(H,3,4)/t52-,53-,54-,55-,56+,57-,58-,59-,60-,61-,62-,65-;;;/m0.../s1

HIDE SMILES / InChI

Molecular Formula C2H4O2
Molecular Weight 60.052
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C78H111N21O19
Molecular Weight 1646.8483
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 12 / 12
E/Z Centers 0
Optical Activity UNSPECIFIED

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
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer


Drug as perpetrator​Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
Substituted NDP-MSH peptides paired with mutant melanocortin-4 receptors demonstrate the role of transmembrane 6 in receptor activation.
2007-09-18
The role of melanocortins in body weight regulation: opportunities for the treatment of obesity.
2002-04-12
Molecular determinants of ligand binding to the human melanocortin-4 receptor.
2000-12-05
Pharmacologic response of a controlled-release PLGA formulation for the alpha-melanocyte stimulating hormone analog, Melanotan-I.
2000-05
Characterization of melanocortin receptor ligands on cloned brain melanocortin receptors and on grooming behavior in the rat.
1999-08-13
Skin pigmentation and pharmacokinetics of melanotan-I in humans.
1997-04
Proopiomelanocortin processing in the pituitary, central nervous system, and peripheral tissues.
1988-02
4-Norleucine, 7-D-phenylalanine-alpha-melanocyte-stimulating hormone: a highly potent alpha-melanotropin with ultralong biological activity.
1980-10

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
Substance Class Chemical
Created
by admin
on Mon Mar 31 21:25:48 GMT 2025
Edited
by admin
on Mon Mar 31 21:25:48 GMT 2025
Record UNII
1XCC161YKC
Record Status FAILED
Record Version
  • Download
Name Type Language
AFAMELANOTIDE ACETATE
USAN  
Official Name English
SCENESSE
Preferred Name English
CUV1647 ACETATE
Code English
AC-SER-TYR-SER-NLE-GLU-HIS-D-PHE-ARG-TRP-GLY-LYS-PRO-VAL-NH2.3 HOAC
Common Name English
A-MELANOTROPIN, 4(NLE)-7(D-PHE)
Common Name English
CUV-1647 ACETATE
Code English
AFAMELANOTIDE ACETATE [USAN]
Common Name English
AFAMELANOTIDE TRIACETATE
Common Name English
Afamelanotide acetate [WHO-DD]
Common Name English
Classification Tree Code System Code
EU-Orphan Drug EU/3/08/541
Created by admin on Mon Mar 31 21:25:48 GMT 2025 , Edited by admin on Mon Mar 31 21:25:48 GMT 2025
Code System Code Type Description
RXCUI
2278002
Created by admin on Mon Mar 31 21:25:48 GMT 2025 , Edited by admin on Mon Mar 31 21:25:48 GMT 2025
PRIMARY
CAS
1566590-77-9
Created by admin on Mon Mar 31 21:25:48 GMT 2025 , Edited by admin on Mon Mar 31 21:25:48 GMT 2025
NON-SPECIFIC STOICHIOMETRY
NCI_THESAURUS
C166521
Created by admin on Mon Mar 31 21:25:48 GMT 2025 , Edited by admin on Mon Mar 31 21:25:48 GMT 2025
PRIMARY
SMS_ID
300000044600
Created by admin on Mon Mar 31 21:25:48 GMT 2025 , Edited by admin on Mon Mar 31 21:25:48 GMT 2025
PRIMARY
USAN
EF-158
Created by admin on Mon Mar 31 21:25:48 GMT 2025 , Edited by admin on Mon Mar 31 21:25:48 GMT 2025
PRIMARY
CHEBI
136034
Created by admin on Mon Mar 31 21:25:48 GMT 2025 , Edited by admin on Mon Mar 31 21:25:48 GMT 2025
PRIMARY
FDA UNII
1XCC161YKC
Created by admin on Mon Mar 31 21:25:48 GMT 2025 , Edited by admin on Mon Mar 31 21:25:48 GMT 2025
PRIMARY
PUBCHEM
133083079
Created by admin on Mon Mar 31 21:25:48 GMT 2025 , Edited by admin on Mon Mar 31 21:25:48 GMT 2025
PRIMARY
Related Record Type Details
PARENT -> SALT/SOLVATE
Related Record Type Details
ACTIVE MOIETY