Melanotan II Research, Specifications & Scientific Information

Melanotan II is a synthetic cyclic heptapeptide analogue of alpha-melanocyte-stimulating hormone and a non-selective melanocortin receptor agonist. It has never been approved in any jurisdiction, and its indexed human research record consists of four small studies published between 1996 and 2000.

Category: Melanocortin receptor peptides

Introduction

Melanotan II came out of the same University of Arizona programme that produced Melanotan I, and it is the more chemically interesting of the two: a ring, closed by a lactam bridge, holding the melanocortin message sequence in a fixed conformation. That constraint is what made it, in the words of its first clinical report, a superpotent melanotropic peptide [1].

It is also a compound whose development stopped. Its indexed human record is four small studies published between 1996 and 2000, involving fewer than fifty people in total, from one research group [1, 2, 3, 4]. No trial of it is registered on ClinicalTrials.gov. It has never been approved in any jurisdiction. The molecular scaffold went on to a different compound — PT-141, bremelanotide — which was developed through phase 3 and approved; this one was not.

What appeared in the literature afterwards is of a different kind: dermatology case reports describing people who obtained unlicensed material sold under the name, in which the substance administered was never characterised [6, 7]. This page reports the trial record and the case-report record as the separate things they are.

What Is Melanotan II?

Melanotan II is a synthetic cyclic heptapeptide. The structure recorded in its first clinical report is Ac-Nle4-Asp5-His6-D-Phe7-Arg8-Trp9-Lys10 alpha-MSH(4-10)-NH2 [1] — that is, the 4–10 fragment of alpha-melanocyte-stimulating hormone with three modifications:

  • A lactam bridge between the aspartate side chain at position 5 and the lysine side chain at position 10, closing the molecule into a ring.
  • Norleucine at position 4 in place of methionine, removing the residue most readily oxidised in the native hormone.
  • D-phenylalanine at position 7, inverting the stereochemistry inside the His-Phe-Arg-Trp message sequence that every melanocortin shares.

The ring is the defining feature. A short linear peptide samples many conformations; a cyclised one samples few, and if the constrained conformation is the binding one, potency rises sharply. That is the design logic, and the in vitro potency reported for this molecule is the result of it.

PubChem carries it under compound identifier 92432, with CAS registry number 121062-08-6 and FDA/NCATS UNII code UPF5CJ93X7.

It has never held a marketing authorisation anywhere. It is not approved by the U.S. Food and Drug Administration for any indication, and no marketing application for it is on record in the United States.

Melanotan II Specifications

Compound name
Melanotan II
Full chemical name
Not publicly characterised
Aliases
MT-II, MT-2, Melanotan-II, cyclic alpha-MSH analogue
Development code
Not publicly characterised
CAS number
121062-08-6
PubChem CID
92432
UNII
UPF5CJ93X7
Compound type
Synthetic cyclic heptapeptide — a lactam-bridged analogue of the alpha-MSH 4-10 fragment
Peptide family
Melanocortins (alpha-MSH analogues)
Amino acid sequence
Ac-Nle-cyclo(Asp-His-D-Phe-Arg-Trp-Lys)-NH2
Sequence length
7 residues
Molecular formula
C50H69N15O9
Molecular weight
1024.2 g/mol
Primary target
Melanocortin receptors, non-selectively
Secondary targets
Melanocortin 1 receptor (MC1R), the pigmentation receptor on melanocytes, Melanocortin 4 receptor (MC4R), expressed on neurons of the central nervous system
Receptor family
Class A G protein-coupled receptors — the melanocortin receptor family (MC1R to MC5R)
Agonist / antagonist status
Non-selective agonist

The structure recorded in the first clinical report is Ac-Nle4-Asp5-His6-D-Phe7-Arg8-Trp9-Lys10 alpha-MSH(4-10)-NH2, a cyclic heptapeptide in which a lactam bridge between the aspartate at position 5 and the lysine at position 10 closes a ring around the melanocortin message sequence. Three features distinguish it from the native hormone fragment: the ring itself, the norleucine substitution that removes the oxidation-labile methionine, and the D configuration at phenylalanine. PubChem carries it under compound identifier 92432 with CAS registry number 121062-08-6 and the FDA/NCATS UNII code UPF5CJ93X7; an acetate salt form carries a separate UNII, WYE6CXB7CH, and reagent material is commonly an acetate whose mass differs from the free-peptide figure. Neither the D configuration at phenylalanine nor the lactam ring can be confirmed by mass alone: the all-L linear peptide of the same composition would give the same nominal mass, and the two are different pharmacological entities.

Values that a public register does not carry are shown as not publicly characterised rather than estimated. Identifiers are reference values; the certificate of analysis supplied with a laboratory order is the record for a given lot.

How Does Melanotan II Work?

It is a non-selective melanocortin receptor agonist [3], and that phrase carries most of what there is to say about its pharmacology.

The melanocortin receptors are five class A G protein-coupled receptors, MC1R through MC5R, that all signal through Gs and cyclic AMP. They sit in tissues with almost nothing in common: MC1R on melanocytes in the skin, MC2R in the adrenal cortex, MC3R and MC4R on neurons through the central nervous system, MC5R in exocrine tissue. What they share is the agonist recognition motif — the His-Phe-Arg-Trp core — which is precisely the part of the molecule this compound is built around.

The consequence is structural rather than incidental. A peptide built on the shared recognition sequence has no basis for discriminating between receptors that recognise it by that sequence, and engineering selectivity into this family has been correspondingly difficult across the whole field. Every published human observation on this compound is therefore an observation about simultaneous activation of receptors in several tissues, not about one of them.

No receptor-subtype potency ordering for this specific molecule was located in a primary source, and none is asserted here. What the literature does state is that it is non-selective [3] and that it is markedly more potent in vitro than the native hormone [1].

Melanotan II Mechanism of Action

In vitro research

Potency relative to the native hormone. The compound was characterised before its first clinical study as having superpotent melanotropic activity in cell-based assay, which is the property the cyclisation was designed to produce [1].

Non-selectivity across the receptor family. The investigators describe it as a non-selective melanocortin receptor agonist [3], which is the pharmacological premise underlying every observation in their human studies.

Where the scaffold went. Reviews of melanocortin peptide development trace the line from the native hormone through this cyclic analogue to the compounds that entered later-stage development [5]. The molecular work that produced this compound is better understood as a step in a programme than as a finished characterisation of it: the detailed receptor and structural pharmacology in this family was done later, on the compounds that were carried forward.

Findings in this section were obtained in cell-based receptor assays. Nothing in them establishes anything about intact animals or about humans.

What Is Melanotan II Being Researched For?

Nothing currently. No study of the compound is registered, and no primary research report on it has appeared since the early 2000s.

The research it was the subject of, between 1996 and 2000, covered:

  • Tolerability and pigmentary response in healthy volunteers — the pilot phase 1 study [1].
  • Erectile dysfunction — two small double-blind placebo-controlled crossover studies, in men with psychogenic and with organic causes [2, 4], reviewed together by the investigators [3].

What has appeared since is case-report literature in dermatology journals, concerning material obtained outside any regulated supply chain [6, 7]. That is a literature about a market, not about a characterised substance.

None of this research is research into, or evidence about, research-grade material supplied for laboratory use.

Human Research on Melanotan II

Human clinical research

Results from pharmaceutical clinical trials describe the investigational material and populations used in those studies and should not be interpreted as establishing the effects of research-grade materials offered for laboratory use.

Pilot phase 1 study, 1996

Design. A single-blind, alternating-day study in healthy male volunteers, beginning at 0.01 mg/kg subcutaneously and given daily Monday to Friday for two consecutive weeks. Two subjects were escalated in 0.005 mg/kg increments to 0.03 mg/kg and one to 0.025 mg/kg [1].

Result as reported. Two subjects showed increased pigmentation in the face, upper body and buttock one week after administration ended, measured both by quantitative reflectance and by visual assessment. The authors conclude that the compound has tanning activity in humans after five low amounts given every other day by subcutaneous injection [1].

Adverse effects. Mild nausea at most amounts given. At 0.03 mg/kg, grade II somnolence and fatigue in one of two subjects by World Health Organization criteria. A stretching and yawning complex appeared to correlate with the onset of spontaneous erections, which were experienced intermittently for one to five hours after administration [1].

Limitations. A pilot study in a handful of volunteers, single-blind rather than double-blind, with pigmentation assessed in two subjects. The authors' own conclusion is a recommendation for the amount to use in future phase 1 studies — the language of a programme at its beginning, not of a result.

Crossover studies in erectile dysfunction, 1998 and 2000

Population and design. Ten men with erectile dysfunction of no known organic cause in the first study, in a double-blind placebo-controlled crossover design with real-time RigiScan monitoring over six hours [2]. A companion study examined men with organic erectile dysfunction [4]. The investigators' combined review covers 20 men across the programme [3].

Result as reported. Clinically apparent erections developed in 8 of 10 men in the first study, with mean duration of tip rigidity above 80% of 38.0 minutes against 3.0 minutes on placebo (p = 0.0045) [2]. Across the 20 men, erection occurred in 17 in the absence of sexual stimulation, with a mean of 41 minutes of tip rigidity above 80%, and increased sexual desire was reported after 13 of 19 active administrations (68%) against 4 of 21 placebo administrations (19%), p < 0.01 [3].

Adverse effects. Nausea and yawning were frequently reported. At 0.025 mg/kg, 12.9% of subjects experienced severe nausea [3]. Transient nausea, stretching and yawning, and decreased appetite were reported more often on the active compound than on placebo in the first study, though none required treatment [2].

Limitations. Twenty men in total, from one group, with a physiological endpoint measured over six hours and no follow-up. The investigators' own conclusion was that the findings warrant further investigation of melanocortin agonists and antagonists — and the further investigation that followed was of other molecules, not this one.

The case-report literature

What it consists of. Reports in dermatology journals of pigmentary lesions in people who obtained injectable melanotropic peptides sold over the internet. A 2012 report describes melanoma in situ associated with such material and records that these compounds are unlicensed with an unproven safety record, and that reports of dysplastic naevi and melanoma associated with melanotropic peptides had already appeared [6]. A 2013 report describes atypical melanocytic naevi following injection [7].

How much weight it carries. Individual case reports establish temporal association, not causation, and the population reporting them is not a studied cohort. They carry one certainty, however: the substance in those cases was not analytically characterised, was not obtained through a regulated channel, and is not the material used in the 1990s studies above. A page that presented the trial data and the case reports as evidence about a single thing would be wrong about both.

Current Research Status

Regulatory status (United States)
Not approved, and never approved in any jurisdiction. Melanotan II has not been approved by the U.S. Food and Drug Administration for any indication, and no marketing application for it is on record in the United States. Clinical development was not carried beyond the small early-phase studies of the 1990s described on this page.
Investigational status
Not under investigation. No study of Melanotan II is registered on ClinicalTrials.gov. Its indexed human research record consists of a pilot phase 1 study and small crossover studies in erectile dysfunction, all published between 1996 and 2000. The subsequent dermatological literature on it consists of case reports concerning material obtained outside any regulated supply.
Highest research phase reached
Phase 1 pilot study and small double-blind placebo-controlled crossover studies, 1996 to 2000. Development was not continued.
Approved uses
None
Approval is compound-specific
Yes

Status as of . This block is rendered from maintained fields, not from prose, so it cannot go stale in one place and stay current in another.

Chemical & Molecular Characteristics

Melanotan II is a cyclic heptapeptide with molecular formula C50H69N15O9 and average mass 1024.2 g/mol under PubChem compound identifier 92432.

Mass cannot confirm the molecule. Three of its defining features are invisible to a mass measurement. The lactam bridge between Asp5 and Lys10 costs one molecule of water relative to the open chain — a difference of 18 daltons, which is detectable, but an incompletely cyclised preparation and a correctly cyclised one differ by exactly that and are otherwise identical in composition. The D configuration at phenylalanine is identical in mass to the L form. And the acetyl and amide caps are the only charge-state clues an ordinary method has. A certificate reporting a mass consistent with 1024.2 daltons is consistent with the intended molecule and with several related substances that are not it.

The sequence cannot be written in single-letter code. Position 4 is norleucine, which has no single-letter representation; position 7 is a D residue, which single-letter code cannot express; and the cyclisation is a connectivity, not a residue. Any listing giving this compound as a plain capital-letter string is describing something else.

Cyclisation is the hardest step to get right. Side-chain-to-side-chain lactam formation competes with intermolecular reaction, so cyclic dimers and higher oligomers are the characteristic impurity class. They differ from the target by whole multiples of its mass and are readily detected if looked for, and readily missed if the method only confirms that the expected mass is present.

One tryptophan, which is both the chromophore and the liability. The single indole gives the molecule usable absorbance at 280 nm. It is also the residue most vulnerable to oxidation and photodegradation, and its oxidation products are close in mass to the parent and often poorly resolved from it.

Salt form. An acetate form carries its own UNII, WYE6CXB7CH, and reagent material is commonly an acetate or trifluoroacetate salt. A mass or purity figure that does not state the counter-ion and water content is incomplete.

Frequently Asked Questions

What is Melanotan II?
A synthetic cyclic heptapeptide analogue of alpha-melanocyte-stimulating hormone. Its published structure is Ac-Nle4-Asp5-His6-D-Phe7-Arg8-Trp9-Lys10 alpha-MSH(4-10)-NH2, a lactam-bridged ring closed between the aspartate and the lysine [1]. PubChem carries it under compound identifier 92432 with CAS registry number 121062-08-6 and UNII UPF5CJ93X7. It is not the same compound as Melanotan I, which is a linear thirteen-residue analogue.
Is Melanotan II FDA approved?
No, and it has never been approved anywhere. It has not been approved by the U.S. Food and Drug Administration for any indication, no marketing application for it is on record in the United States, and no study of it is registered on ClinicalTrials.gov. Its clinical development ended after the small early-phase studies described on this page, and the approval held by a different melanocortin compound confers nothing on it — regulatory approval in the United States is specific to a compound, a product and an indication.
How does Melanotan II work?
It is a non-selective agonist at the melanocortin receptor family, class A G protein-coupled receptors that signal through Gs and cyclic AMP [3]. The ring structure holds the His-Phe-Arg-Trp message sequence in a fixed conformation, which is what gives the molecule its reported in vitro potency relative to the native hormone [1]. Non-selectivity is the central pharmacological fact about it: the same molecule engages the pigmentation receptor on melanocytes and receptors in the central nervous system, and the published human studies report effects attributable to both in the same participants.
What human studies of Melanotan II exist?
Four, all small and all between 1996 and 2000. A pilot phase 1 study in healthy volunteers with escalation from 0.01 to 0.03 mg/kg [1]; a double-blind placebo-controlled crossover study in 10 men with psychogenic erectile dysfunction using RigiScan monitoring [2]; a companion study in men with organic erectile dysfunction [4]; and the investigators' combined review of 20 men studied across that programme [3]. Nothing larger, later or registered exists.
What did those studies report?
In the pilot study, measurable increases in cutaneous pigmentation by quantitative reflectance, together with nausea at most amounts given and grade II somnolence and fatigue in one of two subjects at 0.03 mg/kg [1]. In the crossover studies, erectile responses developed in 8 of 10 and subsequently in 17 of 20 men, with mean RigiScan tip rigidity above 80% lasting 38 to 41 minutes against 3 minutes on placebo, and increased sexual desire reported after 68% of active administrations against 19% of placebo [2, 3]. Nausea was frequent; 12.9% of subjects had severe nausea at 0.025 mg/kg [3]. These are results in fewer than fifty people in total, from one research group, more than twenty-five years ago.
How does Melanotan II differ from Melanotan I?
In structure and in standing. Melanotan I is afamelanotide, a linear thirteen-residue analogue of the full hormone, and a controlled-release implant containing it is an approved medicine in the United States and the European Union for one rare photodermatosis. Melanotan II is a cyclic seven-residue analogue with no approval anywhere. The shared name reflects a shared origin in the same Arizona research programme, not a shared evidence base, and statements about one should not be read across to the other.
How does Melanotan II differ from PT-141?
PT-141, bremelanotide, is a further modification of this cyclic scaffold: the C-terminal lysine amide is replaced by a free acid, which changes the receptor potency profile. That compound was developed through phase 3 trials and a finished product containing it holds a United States approval for one indication in one population. This compound was not developed further.
What do the dermatology case reports describe?
Pigmentary lesions in people who obtained unlicensed material sold under the name melanotan. A 2012 case report describes melanoma in situ associated with such material and notes that these injectable peptides are available over the internet despite being unlicensed compounds with an unproven safety record [6], and a 2013 report describes atypical melanocytic naevi following injection [7]. Individual case reports cannot establish causation. What they do establish is that the material described in them was not characterised, not regulated, and not the substance studied in the 1990s trials.

Scientific References

  1. Dorr RT, Lines R, Levine N, et al.. Evaluation of melanotan-II, a superpotent cyclic melanotropic peptide in a pilot phase-I clinical study Life sciences; 1996. PMID 8637402 doi:10.1016/0024-3205(96)00160-9
  2. Wessells H, Fuciarelli K, Hansen J, et al.. Synthetic melanotropic peptide initiates erections in men with psychogenic erectile dysfunction: double-blind, placebo controlled crossover study The Journal of urology; 1998. PMID 9679884
  3. Wessells H, Levine N, Hadley ME, et al.. Melanocortin receptor agonists, penile erection, and sexual motivation: human studies with Melanotan II International journal of impotence research; 2000. PMID 11035391 doi:10.1038/sj.ijir.3900582
  4. Wessells H, Gralnek D, Dorr R, et al.. Effect of an alpha-melanocyte stimulating hormone analog on penile erection and sexual desire in men with organic erectile dysfunction Urology; 2000. PMID 11018622 doi:10.1016/s0090-4295(00)00680-4
  5. Hadley ME, Dorr RT. Melanocortin peptide therapeutics: historical milestones, clinical studies and commercialization Peptides; 2006. PMID 16412534 doi:10.1016/j.peptides.2005.01.029
  6. Ong S, Bowling J. Melanotan-associated melanoma in situ The Australasian journal of dermatology; 2012. PMID 22724573 doi:10.1111/j.1440-0960.2012.00915.x
  7. Reid C, Fitzgerald T, Fabre A, et al.. Atypical melanocytic naevi following melanotan injection Irish medical journal; 2013. PMID 23914578

Every identifier above is resolved against PubMed, Crossref or ClinicalTrials.gov at build time, and the title returned by the register is compared with the title stored here. A page does not publish if a reference fails to resolve.

Research-Use Information