MedPath

Afamelanotide

Generic Name
Afamelanotide
Brand Names
Scenesse
Drug Type
Small Molecule
Chemical Formula
C78H111N21O19
CAS Number
75921-69-6
Unique Ingredient Identifier
QW68W3J66U
Background

Afamelanotide is a first-in-class, synthetic, 13-amino acid peptide analogue of the endogenous alpha melanocyte-stimulating hormone (α-MSH). It differs structurally from its endogenous counterpart by only two amino acids - these structural differences improve biological efficacy by imparting a greater affinity for its target and a longer biological half-life. Afamelanotide is currently the only approved drug therapy used in the management of erythropoietic protoporphyria, having received approval in the EU in December 2014 and subsequent FDA approval in October 2019. Despite its relatively recent approval, afamelanotide has been available for use as an orphan drug in both the US and EU since 2008.

Indication

Afamelanotide is indicated for the prevention of phototoxicity in adult patients with erythropoietic protoporphyria (EPP).

Associated Conditions
Phototoxicity reaction

Pharmacokinetics of Afamelanotide in EPP Patients

Phase 1
Completed
Conditions
Erythropoietic Protoporphyria
Interventions
First Posted Date
2024-04-29
Last Posted Date
2025-02-12
Lead Sponsor
Clinuvel Europe Limited
Target Recruit Count
28
Registration Number
NCT06388642
Locations
🇳🇱

CLINUVEL Site, Rotterdam, Netherlands

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

Phase 3
Recruiting
Conditions
Vitiligo
Interventions
First Posted Date
2023-10-31
Last Posted Date
2025-03-04
Lead Sponsor
Clinuvel, Inc.
Target Recruit Count
200
Registration Number
NCT06109649
Locations
🇬🇧

CLINUVEL site, Manchester, United Kingdom

🇺🇸

CLINUVEL Site, Cedar Park, Texas, United States

Study to Evaluate the Safety and Efficacy of Afamelanotide in Patients With Variegate Porphyria (VP)

Phase 2
Completed
Conditions
Variegate Porphyria
Interventions
First Posted Date
2023-05-11
Last Posted Date
2025-04-27
Lead Sponsor
Clinuvel Pharmaceuticals Limited
Target Recruit Count
6
Registration Number
NCT05854784
Locations
🇳🇱

CLINUVEL investigational site, Rotterdam, Netherlands

A Study to Evaluate the Safety and Efficacy of Afamelanotide in Patients With Xeroderma Pigmentosum C and V

Phase 2
Recruiting
Conditions
Xeroderma Pigmentosum
Interventions
First Posted Date
2022-05-11
Last Posted Date
2023-09-21
Lead Sponsor
Clinuvel Europe Limited
Target Recruit Count
6
Registration Number
NCT05370235
Locations
🇪🇸

CLINUVEL Investigational site, Clinuvel Investigational Site, Spain

DNA Repair Capacity of Afamelanotide on Ultraviolet Radiation-induced DNA Damage in Healthy Volunteers

Phase 1
Completed
Conditions
Afamelanotide Evaluated as Skin DNA Repair Therapy in Healthy Volunteers
Interventions
First Posted Date
2022-05-10
Last Posted Date
2023-02-09
Lead Sponsor
Clinuvel (UK) Ltd.
Target Recruit Count
10
Registration Number
NCT05368857
Locations
🇬🇧

CLINUVEL Investigational Site, Clinuvel Investigational Site, United Kingdom

A Study to Assess the Changes in Pigmentation and Safety of Afamelanotide in Patients With Vitiligo on the Face

Phase 2
Recruiting
Conditions
Vitiligo
Interventions
First Posted Date
2022-01-27
Last Posted Date
2023-02-09
Lead Sponsor
Clinuvel, Inc.
Target Recruit Count
6
Registration Number
NCT05210582
Locations
🇺🇸

CLINUVEL Investigational site, Detroit, Michigan, United States

A Study to Evaluate the Safety and Efficacy of Afamelanotide in Patients With Xeroderma Pigmentosum (XP)

Phase 2
Recruiting
Conditions
Xeroderma Pigmentosum
Interventions
First Posted Date
2021-12-16
Last Posted Date
2023-06-18
Lead Sponsor
Clinuvel Europe Limited
Target Recruit Count
6
Registration Number
NCT05159752
Locations
🇩🇪

CLINUVEL investigative site, Regensburg, Germany

A Proof of Concept Study to Evaluate the Safety of Afamelanotide in Patients With Acute Arterial Ischaemic Stroke (AIS)

Phase 2
Completed
Conditions
Arterial Ischemic Stroke
Interventions
First Posted Date
2021-07-15
Last Posted Date
2023-04-11
Lead Sponsor
Clinuvel Pharmaceuticals Limited
Target Recruit Count
6
Registration Number
NCT04962503
Locations
🇦🇺

The Alfred, Melbourne, Australia

Afamelanotide in Patients Suffering With Acne Vulgaris

Phase 2
Completed
Conditions
Acne Vulgaris
Interventions
First Posted Date
2021-06-29
Last Posted Date
2021-10-26
Lead Sponsor
Clinuvel Pharmaceuticals Limited
Target Recruit Count
3
Registration Number
NCT04943159

Afamelanotide in Patients Suffering From Polymorphic Light Eruption (PLE)

Phase 3
Completed
Conditions
Polymorphic Light Eruption
Interventions
Drug: Placebo
First Posted Date
2021-01-12
Last Posted Date
2021-03-19
Lead Sponsor
Clinuvel Pharmaceuticals Limited
Target Recruit Count
31
Registration Number
NCT04704713
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