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Compound monograph

Setmelanotide

Setmelanotide is a synthetic disulfide-cyclized octapeptide characterised as an MC4R-preferring melanocortin receptor agonist.

Published: 2026-09-13Literature/identifier verification: 2026-09-13

01

Identity & nomenclature

Setmelanotide is a synthetic disulfide-cyclized octapeptide characterised as an MC4R-preferring melanocortin receptor agonist.

'Cyclic melanocortin' does not identify the cyclization chemistry. A disulfide ring and a side-chain lactam are different molecules with different stability and different analytical handling, and a linear sequence with the word cyclic appended describes neither.

Declared aliases and development codes: RM-493, BIM-22493, IRC-022493.

02

Molecular properties

Molecular formulaC49H68N18O9S2
Molecular mass1117.32 Da
CAS Registry Number920014-72-8
PubChem CID11993702
UNIIN7T15V1FUY
Three-letter sequenceAc–Arg–Cys–D-Ala–His–D-Phe–Arg–Trp–Cys–NH2

Eight residues closed by a Cys2-Cys8 DISULFIDE. No linear string is published here. This is not a head-to-tail ring and not an Asp-Lys lactam — the distinction from the Melanotan II scaffold is the point of the entry.

03

Structural characteristics

A cryo-EM structure of the setmelanotide-bound MC4R signalling complex reveals the activation switch, and reports that calcium is required for agonist but not antagonist activity — the same cofactor identified in the antagonist-bound structure of the same receptor. MC4R-preferring should not be upgraded to MC4R-exclusive, and no assay-independent subtype-selectivity or signalling-bias value is established.

  • Cys2-Cys8 intramolecular disulfide
  • D-Ala3
  • D-Phe5

Terminal features: N-terminal acetylation at Arg1, C-terminal amide at Cys8.

04

Molecular targets & mechanisms

05

Analytical considerations

Combine intact high-resolution MS with sequence analysis and a reducing versus nonreducing comparison; reduction of the single intramolecular disulfide adds 2.0157 Da before alkylation. Verify Cys2-Cys8 connectivity specifically and exclude intermolecular disulfide dimers, which share the monomer's amino-acid composition. D-Ala3 and D-Phe5 need a stereochemical method; neither a mass match nor an area-purity figure addresses them.

06

Verified bibliography

  1. Structure reveals the activation mechanism of the MC4 receptor to initiate satiation signaling.

    Israeli H, Degtjarik O, Fierro F, Chunilal V, Gill AK, Roth NJ, Botta J, Prabahar V, Peleg Y, Chan LF, Ben-Zvi D, McCormick PJ, Niv MY, Shalev-Benami M

    Science (New York, N.Y.) · 2021-04-15 · Journal Article

    current
  2. Structures of active melanocortin-4 receptor-Gs-protein complexes with NDP-α-MSH and setmelanotide.

    Heyder NA, Kleinau G, Speck D, Schmidt A, Zschunke S, Szczepek M, Bauer B, Koch A, Gallandi M, Kwiatkowski D, Bürger J, Mielke T, Beck-Sickinger AG, Hildebrand PW, Spahn CMT, Hilger D, Schacherl M, Biebermann H, Hilal T, Kühnen P, Kobilka BK, Scheerer P

    Cell research · 2021-09-24 · Journal Article

    current
  3. Structural insights into ligand recognition and activation of the melanocortin-4 receptor.

    Zhang H, Chen LN, Yang D, Mao C, Shen Q, Feng W, Shen DD, Dai A, Xie S, Zhou Y, Qin J, Sun JP, Scharf DH, Hou T, Zhou T, Wang MW, Zhang Y

    Cell research · 2021-08-25 · Journal Article

    current

10

Methodology & citation verification

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