PT-141 Vial

Lyophilized Bremelanotide for laboratory reconstitution. The subcutaneous-injection research format mirrors the route used in the published clinical studies that led to its FDA-approved formulation (Vyleesi). HPLC-tested, third-party COA per batch.

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Description

PT-141 (also known as bremelanotide; CAS 189691-06-3) is a synthetic cyclic heptapeptide analog of the endogenous hormone α-melanocyte-stimulating hormone (α-MSH) that functions as an agonist of the melanocortin receptor system, with preferential activity at the melanocortin-4 receptor (MC4R) believed to mediate its central nervous system effects on sexual response. Bremelanotide has been the subject of multiple peer-reviewed randomized controlled trials in adult human participants, with results published in Obstetrics & Gynecology, Women’s Health, and the Journal of Sexual Medicine. It received U.S. FDA approval in 2019 (under the brand name Vyleesi) for the treatment of acquired, generalized hypoactive sexual desire disorder (HSDD) in premenopausal women.

In the pooled Phase 3 RECONNECT program (two identically designed double-blind, placebo-controlled trials enrolling 1,247 premenopausal women with HSDD), bremelanotide 1.75 mg administered subcutaneously on demand produced statistically significant improvements over placebo on both co-primary endpoints — the Female Sexual Function Index Desire Domain and the Female Sexual Distress Scale (Desire/Arousal/Orgasm) Question 13 — with P < 0.001 for both endpoints in the integrated analysis [1].

Published Research on PT-141 (Bremelanotide)

The following peer-reviewed studies are summarized below. Full citations and direct links to each publication appear in the References section. All studies described in this section were conducted in adult human participants.

Phase 3 RECONNECT Trials — Kingsberg et al., Obstetrics & Gynecology (2019)

Kingsberg and colleagues conducted the RECONNECT program: two identically designed Phase 3, randomized, double-blind, placebo-controlled, multicenter trials (Studies 301 and 302; ClinicalTrials.gov NCT02333071 and NCT02338960). The trials enrolled approximately 1,247 premenopausal women with acquired, generalized HSDD across approximately 80 sites in the United States and Canada. Participants self-administered subcutaneous bremelanotide 1.75 mg or placebo on an as-needed basis (no more than one amount per 24 hours, no more than eight amounts per month) for a 24-week core treatment phase, prior to anticipated sexual activity.

The authors reported that bremelanotide demonstrated statistically significant and clinically meaningful treatment benefit compared with placebo on both co-primary endpoints [1]. In the integrated analysis, women receiving bremelanotide showed statistically significant increases in sexual desire (FSFI-D, P < 0.001) and statistically significant reductions in distress related to low sexual desire (FSDS-DAO Q13, P < 0.001) over the 24-week treatment period. Nausea was the most common treatment-emergent adverse event.

Read the full study: Bremelanotide for the Treatment of Hypoactive Sexual Desire Disorder: Two Randomized Phase 3 Trials (Obstet Gynecol 2019).

52-Week Long-Term Extension — Simon et al., Obstetrics & Gynecology (2019)

Simon and colleagues reported the prespecified 52-week open-label extension of the RECONNECT program. Women who completed the 24-week double-blind core phase and had not experienced serious adverse events were eligible to enroll. All participants in the extension received open-label bremelanotide, with co-primary efficacy endpoints from the core phase reassessed and adverse-event monitoring conducted across the additional 52 weeks of follow-up (mean total exposure ~407–409 days).

The authors reported that efficacy gains observed during the core phase were maintained over the 52-week open-label extension, with no new safety signals identified [2]. Patients in the bremelanotide-to-bremelanotide arms received a median of 25–27 total injections over the combined core and extension phases. The data formed part of the regulatory dossier supporting the FDA approval of Vyleesi™ in 2019.

Read the full study: Long-Term Safety and Efficacy of Bremelanotide for Hypoactive Sexual Desire Disorder (Obstet Gynecol 2019).

Phase 2 Amount-finding Trial — Clayton et al., Women’s Health (2016)

Clayton and colleagues conducted a Phase 2, randomized, placebo-controlled amount-finding trial in premenopausal women with female sexual arousal disorder (FSAD) and/or hypoactive sexual desire disorder (HSDD). The trial evaluated three subcutaneous amounts (0.75 mg, 1.25 mg, and 1.75 mg) administered as needed via pre-filled syringe prior to anticipated sexual activity, with co-primary endpoints assessing change in number of satisfying sexual events and change in FSFI desire domain.

The investigators reported amount-related efficacy across the bremelanotide arms, with the 1.75 mg amount providing the most favorable benefit-risk profile and forming the basis for the amount subsequently advanced into Phase 3 testing [3]. The trial established the on-demand administration paradigm and pre-filled auto-injector delivery system used in subsequent registrational studies.

Read the full study: Bremelanotide for Female Sexual Dysfunctions in Premenopausal Women: A Randomized, Placebo-Controlled Amount-finding Trial (Womens Health 2016).

Mechanistic CNS Effects — Pfaus et al., Journal of Sexual Medicine (2007)

Pfaus and colleagues conducted a comprehensive review of the preclinical central-nervous-system pharmacology of bremelanotide, focusing on its actions in the medial preoptic area, paraventricular nucleus, and other hypothalamic regions implicated in the regulation of sexual response. The paper integrated electrophysiology, neurochemistry, and behavioral pharmacology data from animal models to characterize bremelanotide’s downstream effects on dopaminergic and oxytocinergic signaling.

The authors concluded that bremelanotide’s effects on female sexual function are mediated through central activation of melanocortin-4 receptors, with downstream modulation of dopamine release in regions associated with sexual motivation [4]. This pharmacological framework informed the subsequent Phase 2 and Phase 3 clinical development program in HSDD.

Read the full review: Bremelanotide: An Overview of Preclinical CNS Effects on Female Sexual Function (J Sex Med 2007).

About the Compound

PT-141 (bremelanotide) is a synthetic cyclic heptapeptide with the structure Ac-Nle-cyclo[Asp-His-D-Phe-Arg-Trp-Lys]-OH. It is a metabolite and structural analog of melanotan II, originally identified through analog programs at the University of Arizona in the 1990s and subsequently developed by Palatin Technologies. Unlike its parent compound, PT-141 retains agonist activity at central melanocortin receptors but does not produce significant tanning activity at the melanocortin-1 receptor on melanocytes at therapeutic amounts.

The molecule activates the melanocortin-4 receptor (MC4R) in central nervous system regions involved in the regulation of sexual response — including the medial preoptic area, paraventricular nucleus, and other hypothalamic structures — producing modulation of dopaminergic and oxytocinergic signaling pathways. This central mechanism of action is fundamentally different from that of phosphodiesterase-5 (PDE5) inhibitors such as sildenafil, which act peripherally on vascular smooth muscle. PT-141 received FDA approval in June 2019 under the brand name Vyleesi™ (Palatin Technologies / AMAG Pharmaceuticals) for the treatment of premenopausal women with acquired, generalized HSDD.

  • CAS Number: 189691-06-3
  • Molecular Formula: C50H68N14O10
  • Molecular Weight: 1025.18 g/mol
  • Sequence: Ac-Nle-cyclo[Asp-His-D-Phe-Arg-Trp-Lys]-OH
  • Synonyms: Bremelanotide, Vyleesi™, PT 141
  • Receptor target (in research literature): Melanocortin receptor agonist, with primary activity at melanocortin-4 receptor (MC4R)
  • Regulatory status (as of publication): FDA-approved 2019 under the brand name Vyleesi™ for premenopausal women with acquired, generalized HSDD.

Product Specifications

Omnix Peptides supplies PT-141 as a sterile, lyophilized (freeze-dried) powder in a sealed glass vial intended exclusively for in vitro laboratory research. Each production lot is independently characterized using high-performance liquid chromatography (HPLC) and liquid chromatography–mass spectrometry (LC–MS) protocols.

  • Format: Lyophilized powder
  • Available strengths: 10 mg per vial
  • Verified Purity: >99% (HPLC, LC–MS)
  • Container: Sterile, sealed glass vial
  • Documentation: Batch-specific Certificate of Analysis (COA) available

Storage, handling, intended-use, and regulatory information are provided in the corresponding tabs on this product page.

References

  1. Kingsberg SA, Clayton AH, Portman D, et al. Bremelanotide for the treatment of hypoactive sexual desire disorder: two randomized phase 3 trials. Obstet Gynecol. 2019;134(5):899-908. doi:10.1097/AOG.0000000000003500
  2. Simon JA, Kingsberg SA, Portman D, et al. Long-term safety and efficacy of bremelanotide for hypoactive sexual desire disorder. Obstet Gynecol. 2019;134(5):909-917. doi:10.1097/AOG.0000000000003514
  3. Clayton AH, Althof SE, Kingsberg S, et al. Bremelanotide for female sexual dysfunctions in premenopausal women: a randomized, placebo-controlled amount-finding trial. Womens Health (Lond). 2016;12(3):325-337. doi:10.2217/whe-2016-0018
  4. Pfaus J, Giuliano F, Gelez H. Bremelanotide: an overview of preclinical CNS effects on female sexual function. J Sex Med. 2007;4(Suppl 4):269-279. doi:10.1111/j.1743-6109.2007.00610.x
For research use only. Not for human consumption.