Setmelanotide
Setmelanotide is a melanocortin-4 receptor (MC4R) agonist peptide used for chronic weight management in patients with obesity due to specific genetic deficiencies affecting the leptin-melanocortin pathway, including POMC, PCSK1, or LEPR deficiency. By activating MC4R in the hypothalamus, it restores impaired satiety signaling in patients with these rare monogenic obesity disorders, reducing appetite and promoting weight loss. It is the first approved therapy specifically targeting genetically defined melanocortin pathway deficiencies.
Molecular Weight
1117.3000 g/mol
LogP
-2.50
TPSA
500.00 Ų
Lipinski RO5
Fail
Therapeutic Areas
Pharmacokinetics (PK)
Pharmacodynamics (PD)
2D Structure
Cite this structure
Embed this structure
SMILES
CC(=O)N[C@@H](CCCNC(=N)N)C(=O)N[C@H]1CSSC[C@@H](C(N)=O)NC(=O)[C@H](Cc2c[nH]c3ccccc23)NC(=O)[C@H](CCCNC(=N)N)NC(=O)[C@@H](Cc2ccccc2)NC(=O)[C@H](Cc2c[nH]cn2)NC(=O)[C@@H](C)NC1=O
InChI
InChI=1S/C49H68N18O9S2/c1-26-41(70)63-37(20-30-22-55-25-59-30)46(75)64-35(18-28-10-4-3-5-11-28)44(73)62-34(15-9-17-57-49(53)54)43(72)65-36(19-29-21-58-32-13-7-6-12-31(29)32)45(74)66-38(40(50)69)23-77-78-24-39(47(76)60-26)67-42(71)33(61-27(2)68)14-8-16-56-48(51)52/h3-7,10-13,21-22,25-26,33-39,58H,8-9,14-20,23-24H2,1-2H3,(H2,50,69)(H,55,59)(H,60,76)(H,61,68)(H,62,73)(H,63,70)(H,64,75)(H,65,72)(H,66,74)(H,67,71)(H4,51,52,56)(H4,53,54,57)/t26-,33+,34+,35-,36+,37+,38+,39+/m1/s1
Molecular Formula
C49H68N18O9S2
HBD / HBA
15 / 14
Rotatable Bonds
18
Heavy Atoms
78
No targets recorded
Target interaction data is not yet available for this drug.
No interactions recorded
Drug interaction data is not yet available for this compound.
No side effects recorded
Side effect data is not yet available for this drug.
Frequently Asked Questions
Setmelanotide is a melanocortin-4 receptor (MC4R) agonist peptide used for chronic weight management in patients with obesity due to specific genetic deficiencies affecting the leptin-melanocortin pathway, including POMC, PCSK1, or LEPR deficiency. By activating MC4R in the hypothalamus, it restores impaired satiety signaling in patients with these rare monogenic obesity disorders, reducing appetite and promoting weight loss. It is the first approved therapy specifically targeting genetically defined melanocortin pathway deficiencies.
Yes, Setmelanotide is an approved drug. It has reached clinical phase 4. It is classified as a Protein.
References & Data Sources
- ChEMBL — European Bioinformatics Institute (EBI). CHEMBL3301624. Open-access bioactivity database.
- PubChem — National Center for Biotechnology Information (NCBI). CID 11993702. Chemical information database.
Data aggregated from publicly available pharmacological databases. Last updated 2026-03-28.
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