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setmelanotide

Structure via PubChem · Public domain (PubChem)

EntityQ21098917· pop 6· linked from 125 articles

setmelanotide

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Also known as BIM-22493, RM-493

Setmelanotide, sold under the brand name Imcivree, is a medication used for the treatment of genetic obesity caused by a rare single-gene mutation.

Chemical data

Formula
C49H68N18O9S2
Molecular weight
1117.3 g/mol
IUPAC name
(4R,7S,10S,13R,16S,19R,22R)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-13-benzyl-10-[3-(diaminomethylideneamino)propyl]-16-(1H-imidazol-5-ylmethyl)-7-(1H-indol-3-ylmethyl)-19-methyl-6,9,12,15,18,21-hexaoxo-1,2-dithia-5,8,11,14,17,20-hexazacyclotricosane-4-carboxamide
SMILES
C[C@@H]1C(=O)N[C@H](C(=O)N[C@@H](C(=O)N[C@H](C(=O)N[C@H](C(=O)N[C@@H](CSSC[C@@H](C(=O)N1)NC(=O)[C@H](CCCN=C(N)N)NC(=O)C)C(=O)N)CC2=CNC3=CC=CC=C32)CCCN=C(N)N)CC4=CC=CC=C4)CC5=CN=CN5
InChIKey
HDHDTKMUACZDAA-PHNIDTBTSA-N
XLogP
-2.5
Polar surface area
500 Ų
H-bond donors
15
H-bond acceptors
14
Formal charge
0

via PubChem

Drug data · ChEMBL

Max clinical phase
Approved
Molecule type
Protein
First approval
2020
Admin. routes
parenteral
Indications
obesity, morbid obesity, Renal insufficiency, Prader-Willi syndrome

via ChEMBL · EBI

Wikidata facts

Mass
1116.485808
Show 4 more facts
chemical formula
C₄₉H₆₈N₁₈O₉S₂
canonical SMILES
CC1C(=O)NC(C(=O)NC(C(=O)NC(C(=O)NC(C(=O)NC(CSSCC(C(=O)N1)NC(=O)C(CCCN=C(N)N)NC(=O)C)C(=O)N)CC2=CNC3=CC=CC=C32)CCCN=C(N)N)CC4=CC=CC=C4)CC5=CN=CN5
isomeric SMILES
C[C@@H]1C(=O)N[C@H](C(=O)N[C@@H](C(=O)N[C@H](C(=O)N[C@H](C(=O)N[C@@H](CSSC[C@@H](C(=O)N1)NC(=O)[C@H](CCCN=C(N)N)NC(=O)C)C(=O)N)CC2=CNC3=CC=CC=C32)CCCN=C(N)N)CC4=CC=CC=C4)CC5=CN=CN5
physically interacts with
Melanocortin 4 receptor
Sources (2)

via Wikidata · CC0

~5 min read

Encyclopedic overview

9 sections
Contents
  • Medical uses
  • Pharmacology
  • History
  • Society and culture
  • Economics
  • Legal status
  • Research
  • References
  • External links

Setmelanotide, sold under the brand name Imcivree, is a medication used for the treatment of genetic obesity caused by a rare single-gene mutation.

The most common side effects include injection site reactions, skin hyperpigmentation (skin patches that are darker than surrounding skin), headache and gastrointestinal side effects (such as nausea, diarrhea, and abdominal pain), among others. Spontaneous penile erections in males and adverse sexual reactions in females have occurred with treatment. Depression and suicidal ideation have also occurred with setmelanotide.

Excerpted from Wikipedia’s “setmelanotide” article, available under the CC BY-SA 4.0 licence.

Available in 6 languages

via Wikidata sitelinks · CC0