PT-141 (Bremelanotide, sequence Ac-Nle-cyclo[Asp-His-D-Phe-Arg-Trp-Lys]-OH) is a cyclic heptapeptide melanocortin-receptor agonist. It is the only melanocortin compound to have reached full regulatory approval in any market: in 2019 the US FDA approved Bremelanotide under the brand name Vyleesi for hypoactive sexual desire disorder (HSDD) in premenopausal women.
What makes PT-141 distinct as a research tool is where it acts. PDE5 inhibitors (sildenafil, tadalafil) work peripherally on vascular smooth muscle. PT-141 instead acts centrally, in the hypothalamus and limbic system, to modulate sexual-motivation and desire circuits. That central, melanocortin-receptor mechanism is the reason it is studied as a category separate from every vascular-acting agent.
PT-141 was derived from the broad-spectrum melanocortin agonist Melanotan II. This page focuses on PT-141's sexual-function / MC4R research role. For melanogenesis, MC1R pigmentation, the full five-receptor melanocortin family, and the parent-compound chemistry, see: Melanotan II research guide →