Afamelanotide (Melanotan I)

Also known as: Scenesse · melanotan-1 · CUV1647

FDA-approved

Last verified: October 30, 2026

At a glance

FDA approval FDA-approved 1 application
Randomized controlled trials 5 of 123 publications on PubMed
Registered clinical trials 23 1 active
Adverse event reports 19 15 classified as serious
  • Afamelanotide (Melanotan I) is an FDA-approved drug, marketed as Scenesse (first approval: October 8, 2019).
  • PubMed lists 123 publications mentioning it, including 5 randomized controlled trials and 4 animal-only studies.
  • ClinicalTrials.gov lists 23 registered studies testing it (1 active).
  • FDA's adverse event system (FAERS) holds 19 reports mentioning it; 15 classified as serious. Reports do not prove causation.

Research topics

  • alpha-MSH 61
  • Protoporphyria, Erythropoietic 33
  • Skin Pigmentation 14
  • Vitiligo 14
  • Dermatologic Agents 13
  • Skin 13
  • Quality of Life 11
  • Dermatitis, Phototoxic 9
  • Sunlight 9
  • Drug Implants 8

Most frequent MeSH subject headings in the latest PubMed records (English, as indexed).

Regulatory status

Drugs@FDA applications

Application Product Status First approval Sponsor
NDA210797 SCENESSE Approved, marketed October 8, 2019 CLIVUNEL INC

Source: Drugs@FDA (openFDA) · verified October 30, 2026 · API query

FDA compounding safety list

Not on FDA's list of bulk drug substances that may present significant safety risks in compounding.

Source: FDA.gov — Category 2 bulk drug substances · verified October 30, 2026

Removal of a substance from a regulatory list does not mean it has been approved. A "research use only" label does not make a product safe or legal for human use.

Scientific publications

  • All publications 123
  • Human (MeSH) 87
  • Animal only 4
  • Clinical trials 13
  • Randomized controlled trials 5
  • Systematic reviews & meta-analyses 3
  • Case reports 7
  • Retracted 0

Counts are PubMed records that mention the peptide in the title or abstract. Categories overlap, and a mention is not the same as testing the peptide as a treatment. Each number opens the exact PubMed search. Effects seen in laboratory or animal studies may not occur in humans. A registered clinical trial does not show that a substance is effective or safe.

Latest publications

Source: PubMed (NCBI) · verified October 30, 2026

Clinical trials

Registered
23
Active
1
With posted results
12

Conditions studied

  • Erythropoietic Protoporphyria 6
  • Vitiligo 5
  • Xeroderma Pigmentosum 2
  • Variegate Porphyria 1
  • Afamelanotide Evaluated as Skin DNA Repair Therapy in Healthy Volunteers 1
  • Arterial Ischemic Stroke 1
  • Acne Vulgaris 1
  • Polymorphic Light Eruption 1
  • Healthy 1
  • Solar Urticaria 1
  • Patients Undergoing Photodynamic Therapy Using Porfimer Sodium 1
  • Actinic Keratoses 1
Study Status Phase Start
A Study to Compare the Efficacy and Safety of SCENESSE and Narrow-Band Ultraviolet (NB-UVB) Light Versus NB-UVB Light Alone in Patients With Vitiligo
NCT06109649 Clinuvel, Inc.
Active, not recruiting Phase 3 October 11, 2023
Pharmacokinetics of Afamelanotide in Erythropoietic Protoporphyria Patients
NCT06388642 Clinuvel Europe Limited Results posted
Completed Phase 1, Phase 2 March 7, 2024
Study to Evaluate the Safety and Efficacy of Afamelanotide in Patients With Variegate Porphyria (VP)
NCT05854784 Clinuvel Pharmaceuticals Limited Results posted
Completed Phase 2 March 28, 2023
A Study to Assess the Changes in Pigmentation and Safety of Afamelanotide in Patients With Vitiligo on the Face
NCT05210582 Clinuvel, Inc.
Unknown status Phase 2 October 11, 2022
A Study to Evaluate the Safety and Efficacy of Afamelanotide in Patients With Xeroderma Pigmentosum C and V
NCT05370235 Clinuvel Europe Limited
Unknown status Phase 2 March 28, 2022
DNA Repair Capacity of Afamelanotide on Ultraviolet Radiation-induced DNA Damage in Healthy Volunteers
NCT05368857 Clinuvel (UK) Ltd.
Completed Phase 1 January 19, 2022
A Study to Evaluate the Safety and Efficacy of Afamelanotide in Patients With Xeroderma Pigmentosum (XP)
NCT05159752 Clinuvel Europe Limited
Unknown status Phase 2 October 19, 2021
A Proof of Concept Study to Evaluate the Safety of Afamelanotide in Patients With Acute Arterial Ischaemic Stroke (AIS)
NCT04962503 Clinuvel Pharmaceuticals Limited Results posted
Completed Phase 2 June 3, 2021
Afamelanotide and Narrow-Band Ultraviolet B (NB-UVB) Phototherapy in the Treatment of Nonsegmental Vitiligo (NSV)
NCT04525157 Clinuvel Pharmaceuticals Limited Results posted
Completed Phase 2 June 6, 2014
Phase III Confirmatory Study in Erythropoietic Protoporphyria
NCT01605136 Clinuvel Pharmaceuticals Limited Results posted
Completed Phase 3 May 2012
Show 13 more studies
Study Status Phase Start
Afamelanotide and Narrow-Band Ultraviolet B (NB-UVB) Light in the Treatment of Nonsegmental Vitiligo
NCT01382589 Clinuvel Pharmaceuticals Limited
Completed Phase 2 Sep 2011
A Safety Extension Study in Patients With Erythropoietic Protoporphyria (EPP)
NCT04578496 Clinuvel Pharmaceuticals Limited Results posted
Completed Phase 3 July 11, 2011
Afamelanotide and Narrow-Band Ultraviolet B (NB-UVB) Light in the Treatment of Nonsegmental Vitiligo (NSV)
NCT01430195 Clinuvel Pharmaceuticals Limited
Completed Phase 1 Jun 2011
Afamelanotide in Patients Suffering With Acne Vulgaris
NCT04943159 Clinuvel Pharmaceuticals Limited Results posted
Completed Phase 2 August 24, 2010
Afamelanotide in Patients Suffering From Polymorphic Light Eruption (PLE)
NCT04704713 Clinuvel Pharmaceuticals Limited Results posted
Completed Phase 3 May 5, 2010
Phase II Confirmatory Study in Erythropoietic Protoporphyria (EPP)
NCT01097044 Clinuvel Pharmaceuticals Limited Results posted
Completed Phase 2 Apr 2010
Implant Pharmacokinetic and Pharmacodynamic Study
NCT03634137 Clinuvel Pharmaceuticals Limited
Completed Phase 1 Sep 2009
Phase III Confirmatory Study in Erythropoietic Protoporphyria (EPP)
NCT00979745 Clinuvel Pharmaceuticals Limited Results posted
Completed Phase 3 Sep 2009
Phase II Solar Urticaria (SU) Pilot Study
NCT00859534 Clinuvel Pharmaceuticals Limited
Completed Phase 2 Dec 2008
Afamelanotide as Adjunctive Therapy in Patients Undergoing Photodynamic Therapy (PDT) Utilising Porfimer Sodium
NCT04425746 Clinuvel Pharmaceuticals Limited Results posted
Completed Phase 2 August 5, 2008
Phase II AK Study in Organ Transplant Patients
NCT00829192 Clinuvel Pharmaceuticals Limited
Unknown status Phase 2 Nov 2007
Multicentre Phase III Erythropoietic Protoporphyria Study
NCT04053270 Clinuvel Pharmaceuticals Limited Results posted
Completed Phase 3 May 2007
Phase III Trial of CUV1647 in Polymorphic Light Eruption (PLE)
NCT00472901 Clinuvel Pharmaceuticals Limited
Completed — May 2007

All 23 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

Reports
19
Serious
15
With death outcome
2

Most reported reactions

  • Anaphylactic reaction 4
  • Contraindication to medical treatment 3
  • Type i hypersensitivity 3
  • Implant site hypersensitivity 2
  • Implant site pruritus 2
  • Implant site urticaria 2
  • Vomiting 2
  • Acute kidney injury 1
  • Acute on chronic liver failure 1
  • Appendicitis 1
  • Ascites 1
  • Asthenia 1

Adverse event reports do not prove that the substance caused these effects. Side effects not listed here may still occur. Reaction terms are MedDRA terms as reported to FAERS.

Source: FDA FAERS (FAERS data as of July 30, 2026) · verified October 30, 2026 · API query

FDA prescribing information

Official US prescribing information. Dosing sections are intentionally not shown.

  • SCENESSE HUMAN PRESCRIPTION DRUG CLINUVEL INC. May 11, 2026

Source: DailyMed / openFDA

Change history

No changes since monitoring began on October 30, 2026.