Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Compound monograph · §3

Melanotan-II — clinical evidence

Assessed outcomes with certainty ratings, contributing trials and the reasoning for each rating.

Document identifier
CEI-MN-049/3
Series
Compound monograph
Version
3.3
Published
02 Sep 2023
Last reviewed
02 Dec 2024
Next review
02 Dec 2026
Identifier
10.71829/cei.mono.49
Certainty
Very low
Cycle
2023 Q3

§3Clinical evidence

Assessed outcomes for Melanotan-IIPoint estimates with confidence intervals for each contributing study, plotted against the line of no effect.0.00.20.40.60.8Standardised direction and relative magnitude of the recorded effectIndicationEffect as recordedSexual dysfunction0 trials · Very lowNo adequately powered randomised trial…Obesity0 trials · Very lowNo randomised trial identified
Moderate or high certaintyLow or very low certainty
Figure 3. Illustrative. Assessed outcomes plotted on a common standardised axis so that direction and relative magnitude can be compared at a glance. The estimates are not on a common natural scale and the intervals are the Institute's standardised representation of the reported precision, not the published confidence intervals. Published intervals appear in the per-indication extracts and in the text below.

§3.1Hypoactive sexual desire and erectile dysfunction

Anchor outcome. Female Sexual Function Index desire domain.

Effect as recorded. No adequately powered randomised trial identified for this compound; —.[1,2]

Certainty. Very low certainty Development was discontinued. The approved compound in this family is its metabolite bremelanotide, and evidence for that compound does not transfer.

Contributing trials. None identified. The rating reflects an absence of controlled evidence rather than conflicting evidence.

Full evidence extract for hypoactive sexual desire and erectile dysfunction · Indication assessment

§3.2Obesity and overweight in adults

Anchor outcome. Percentage change in body weight from baseline.

Effect as recorded. No randomised trial identified; —.[2,3]

Certainty. Very low certainty Appetite suppression is reported anecdotally and is mechanistically expected from MC4R agonism, but no trial exists.

Contributing trials. None identified. The rating reflects an absence of controlled evidence rather than conflicting evidence.

Full evidence extract for obesity and overweight in adults · Indication assessment

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. Clayton AH, Althof SE, Kingsberg S, DeRogatis LR, Kroll R, Goldstein I, Kaminetsky J, Spana C, Lucas J, Jordan R, Portman DJ. Bremelanotide for female sexual dysfunctions in premenopausal women: a randomized, placebo-controlled dose-finding trial. Women’s Health 2016;12(3):325–337. doi:10.2217/whe-2016-0018 · PMID 27638896
  2. Carvalho M, Dinis-Oliveira RJ. Analytical and forensic aspects of counterfeit peptide hormones. Drug Testing and Analysis 2023;15(1):5–19. doi:10.1002/dta.3379
  3. Medicines and Healthcare products Regulatory Agency. Falsified Ozempic (semaglutide) pens: patient safety alert. MHRA Safety Alert 2023;Alert reference NatPSA/2023/012/MHRA. identifier not held by the Institute

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

Nothing published by the Institute is medical advice, a diagnosis, a prescription, a treatment recommendation or a purchasing recommendation. Compounds supplied for research use are not approved for human or veterinary use in any jurisdiction, and a favourable analytical assessment of a supplier is not a statement that any product is safe or effective. The Institute publishes certainty ratings and never recommendations. No telephone number, messaging handle or ordering channel appears anywhere on this site.