Bremelanotide (PT-141)

Also known as: Vyleesi

FDA-approved

Last verified: October 30, 2026

At a glance

FDA approval FDA-approved 1 application
Randomized controlled trials 14 of 113 publications on PubMed
Registered clinical trials 10 1 active
Adverse event reports 1,005 31 classified as serious
  • Bremelanotide (PT-141) is an FDA-approved drug, marketed as Vyleesi (first approval: June 21, 2019).
  • PubMed lists 113 publications mentioning it, including 14 randomized controlled trials and 7 animal-only studies.
  • ClinicalTrials.gov lists 10 registered studies testing it (1 active).
  • FDA's adverse event system (FAERS) holds 1,005 reports mentioning it; 31 classified as serious. Reports do not prove causation.

Research topics

  • alpha-MSH 46
  • Peptides, Cyclic 44
  • Sexual Dysfunctions, Psychological 44
  • Libido 25
  • Sexual Dysfunction, Physiological 23
  • Erectile Dysfunction 13
  • Receptors, Melanocortin 12
  • Premenopause 11
  • Receptor, Melanocortin, Type 4 9
  • Sexual Behavior 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
NDA210557 VYLEESI (AUTOINJECTOR) Approved, marketed June 21, 2019 COSETTE

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 113
  • Human (MeSH) 83
  • Animal only 7
  • Clinical trials 16
  • Randomized controlled trials 14
  • Systematic reviews & meta-analyses 5
  • Case reports 2
  • Retracted 1

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
10
Active
1
With posted results
4

Conditions studied

  • Hypoactive Sexual Desire Disorder 5
  • Obesity 1
  • Lactating Mother 1
  • Kidney Disease 1
  • Nausea 1
  • Female Sexual Arousal Disorder 1
  • Sexual Arousal Disorder 1
Study Status Phase Start
A Phase 2 Study Evaluating the Co-Administration of Bremelanotide With Tirzepatide for the Treatment of Obesity
NCT06565611 Palatin Technologies, Inc
Active, not recruiting Phase 2 August 5, 2024
Single Dose of Vyleesi in Lactating Female Subjects to Measure the Concentration of Bremelanotide in Breast Milk
NCT06867835 Cosette Pharmaceuticals, Inc.
Completed Phase 4 July 11, 2025
A Phase IIb, Multicenter, Open-Label, Prospective Study of Bremelanotide in Diabetic Kidney Disease
NCT05709444 Palatin Technologies, Inc
Completed Phase 2 December 26, 2022
A Phase 3, Bridging, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group Trial to Evaluate the Efficacy and Safety of Subcutaneously Administered Bremelanotide in Premenopausal Women With Hypoactive Sexual Desire Disorder (With or Without Decreased Arousal)
NCT04943068 Kwang Dong Pharmaceutical co., ltd.
Completed Phase 3 May 10, 2021
Role of the Melanocortin-4 Receptor in Hypoactive Sexual Desire Disorder
NCT04179734 Imperial College Healthcare NHS Trust Results posted
Completed Phase 4 October 7, 2019
Study to Evaluate Rate of Nausea in Healthy Premenopausal Female Subjects Treated With Single Dose of Bremelanotide Alone or With Zofran
NCT03973047 AMAG Pharmaceuticals, Inc.
Completed Phase 1 June 17, 2019
2. Study to Evaluate the Efficacy/Safety of Bremelanotide in Premenopausal Women With Hypoactive Sexual Desire Disorder
NCT02338960 Palatin Technologies, Inc Results posted
Completed Phase 3 Jan 2015
1. Study to Evaluate the Efficacy/Safety of Bremelanotide in Premenopausal Women With Hypoactive Sexual Desire Disorder
NCT02333071 Palatin Technologies, Inc Results posted
Completed Phase 3 Dec 2014
Bremelanotide in Premenopausal Women With Female Sexual Arousal Disorder and/or Hypoactive Sexual Desire Disorder
NCT01382719 Palatin Technologies, Inc Results posted
Completed Phase 2 Jun 2011
Evaluate the Safety and Efficacy of Bremelanotide in Women With Female Sexual Arousal Disorder (FSAD)
NCT00425256 Palatin Technologies, Inc
Completed Phase 2 Feb 2006

All 10 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

Reports
1,005
Serious
31
With death outcome
1

Most reported reactions

  • Nausea 432
  • Drug ineffective 202
  • Headache 148
  • Vomiting 115
  • Off label use 94
  • Flushing 72
  • Illness 72
  • Adverse drug reaction 53
  • Dizziness 43
  • Feeling abnormal 40
  • Fatigue 39
  • Cough 34

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.

  • Vyleesi HUMAN PRESCRIPTION DRUG Cosette Pharmaceuticals, Inc. November 13, 2025

Source: DailyMed / openFDA

Change history

No changes since monitoring began on October 30, 2026.