Melanotan I
aka Melanotan I · MT-1 · Afamelanotide · Scenesse · NDP-MSH
A synthetic analog of alpha-melanocyte-stimulating hormone (alpha-MSH) that activates MC1R for photoprotection. EMA-approved (Scenesse) for erythropoietic protoporphyria (EPP). The most regulatory-advanced melanocortin peptide.
Sequence
Mechanism of action
Melanotan I (afamelanotide) is a potent and selective MC1R agonist. It stimulates melanogenesis (eumelanin production) in melanocytes, providing photoprotection against UV radiation. Unlike Melanotan II, it has minimal activity at MC3R, MC4R, and MC5R, resulting in a cleaner side effect profile without significant appetite suppression or sexual side effects.
What the evidence actually shows
EMA-approved (Scenesse) for EPP. Phase 3 clinical trials completed. The most evidence-based melanocortin peptide with regulatory approval in Europe.
Regulatory status
Pharmacokinetics
Dosing — what backs each figure
Melanotan I is afamelanotide, an approved drug (SCENESSE, FDA 2019 / EMA 2014) with a real labelled regimen: one 16 mg subcutaneous implant every 2 months, placed by a trained clinician, for erythropoietic protoporphyria. Injectable milligram-per-day 'loading' schedules sold to consumers correspond to nothing in the approved label or the published human pharmacokinetic literature.
16 mg afamelanotide as a single subcutaneous implant inserted above the anterior supra-iliac crest, every 2 months (max 6 implants/year); administered by a trained healthcare professional
adults with erythropoietic protoporphyria (EPP) with a history of phototoxic reactions · subcutaneous implant
FDA prescribing information, SCENESSE (afamelanotide) implant, NDA 210797 (2024 revision) ↗
16 mg afamelanotide subcutaneous implant every 60 days; 5 implants (EU study) or 3 implants (US study)
EPP patients, two multicentre randomised double-blind placebo-controlled trials (74 EU, 94 US) · subcutaneous implant
Langendonk JG et al. Afamelanotide for Erythropoietic Protoporphyria. N Engl J Med 2015;373:48-59 ↗
Melanotan-I ([Nle4-D-Phe7]-alpha-MSH) 0.08-0.21 mg/kg subcutaneously, 0.16 mg/kg intravenously and 0.16 mg/kg orally, one dose daily for 10 doses over 2 weeks (crossover); oral route gave no detectable plasma levels
3 healthy male volunteers, pharmacokinetic/pigmentation crossover trial · subcutaneous / intravenous / oral
- Dose
- Research literature cites ~0.5 to 1 mg/day loading
Why this isn't evidence
No published human study or label uses a 0.5-1 mg/day loading regimen: the approved product is a 16 mg implant every 2 months, and the only published subcutaneous human dosing was 0.08-0.21 mg/kg per dose (roughly 6-15 mg for a 70 kg adult), so the ported figure matches neither and no loading phase or cycle appears in any source.
This figure is shown because it is what circulates and what people search for — not because it is supported. Cycle lengths in particular tend to be convention copied between compounds rather than anything derived from a compound's own pharmacokinetics.
Handling and storage
Safety
- ·Melanoma or atypical naevi
Nausea, flushing, darkening of naevi
References (2)
- Langendonk JG, Balwani M, Anderson KE, Bonkovsky HL, Anstey AV, Bissell DM, et al. (2015) Afamelanotide for Erythropoietic Protoporphyria ↗N Engl J MedPMID 26132941DOI
Two randomised, placebo-controlled trials of subcutaneous afamelanotide implants in erythropoietic protoporphyria; the implant increased pain-free sun exposure time versus placebo. This is the pivotal human evidence base for the approved drug.
- Wu J, Cotliar R. (2021) Afamelanotide: An Orphan Drug with Potential for Broad Dermatologic Applications ↗J Drugs DermatolPMID 33683075DOI
Review of afamelanotide covering its approved EPP indication and investigational dermatologic uses; narrative review, not primary data.
Data provenance
Chemistry and citations on this page were checked against primary sources on 2026-08-14. Values that could not be verified were left blank rather than filled with a plausible guess.
Could not verify
storage.lyophilized, storage.reconstituted, reconstitution.solvent, regulatory.wada