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Cyclic heptapeptide melanocortin receptor agonist

Bremelanotide

An approved cyclic melanocortin receptor agonist. It is the free-acid counterpart of melanotan II, which is unapproved — the two are frequently conflated.

Also listed as: PT-141, Vyleesi

Chemical identity

Compound class
Cyclic heptapeptide melanocortin receptor agonist
Sequence
Ac-Nle-cyclo[Asp-His-D-Phe-Arg-Trp-Lys]-OH
Molecular formula
C50H68N14O10
Molecular weight
1025.2 g/mol
CAS number
189691-06-3
PubChem CID
9941379
Research categories
Melanocortin analogues, Approved drug substances

United States regulatory status

FDA-approved drug substance

NDA 210557 (VYLEESI)

Marketed in the United States as VYLEESI, an approved prescription product administered by subcutaneous autoinjector.

  • VYLEESI, NDA 210557, approved 21 June 2019. Active prescription product.
  • Not listed on FDA's Category 2 or withdrawn-nomination compounding tables.
  • Not named on the WADA 2026 Prohibited List.

Regulatory status describes how a substance is classified. It is not a safety assessment, and it says nothing about the quality of any particular material.

Evidence overview

2 records in this file

  • CLINICAL TRIAL1
  • REGULATORY1

Research areas. Approved-drug Phase 3; United States approval.

Publication span. 2019.

Open the evidence file

What we know

  • FDA-approved as Vyleesi (NDA 210557, 21 June 2019). RECONNECT Phase 3 trials are published.
  • Chemically the free-acid counterpart of melanotan II; the two are distinct substances with different regulatory status.

Editorial reading of the records below, labelled as Therapept analysis. How records are built

What remains uncertain

  • Nothing in this file extends the labelled indication. Approved-product evidence stays inside the labelled population and presentation.

Sources

  1. PubChem CID 9941379
  2. Drugs@FDA — approved drug products

Last reviewed 3 September 2026 · Compiled by Therapept Editorial · How these records are built