Research summary
Afamelanotide for Erythropoietic Protoporphyria.
The New England journal of medicine 2015
Randomised human implant trials
Pain-free sunlight exposure increased with afamelanotide implants in two blinded trials involving 168 people with erythropoietic protoporphyria. Quality-of-life measures improved, and the European trial recorded fewer phototoxic reactions. Adverse events were mostly mild. This is useful human evidence for a regulated implant in a specific condition, with formulation and population boundaries that matter when discussing Melanotan I.
View on PubMed: Afamelanotide for Erythropoietic Protoporphyria.Afamelanotide and narrowband UV-B phototherapy for the treatment of vitiligo: a randomized multicenter trial.
JAMA dermatology 2015
Randomised multicentre human trial
Repigmentation occurred earlier and was greater with an afamelanotide implant plus narrowband UV-B than with UV-B alone in a 55-person vitiligo trial. The clearest differences were in darker skin phototypes; erythema occurred in both groups and nausea and minor infections were recorded with combination treatment. The result belongs to an implant–phototherapy combination, not to a research vial or the peptide alone.
View on PubMed: Afamelanotide and narrowband UV-B phototherapy for the treatment of vitiligo: a randomized multicenter trial.Models studied
- Melanocortin receptor pharmacology
- Photobiology
- Pigmentation responses
- Controlled human trials
Key findings
Human evidence from a specific implant
The human result concerns an afamelanotide implant in a defined photosensitivity condition, with formulation-specific interpretation.
Combination with phototherapy
An implant combined with UV-B gave different repigmentation outcomes from UV-B alone; the combination is integral to the comparison.
References
Afamelanotide for Erythropoietic Protoporphyria.
The New England journal of medicine 2015
PMID 26132941
View on PubMed: Afamelanotide for Erythropoietic Protoporphyria.Afamelanotide and narrowband UV-B phototherapy for the treatment of vitiligo: a randomized multicenter trial.
JAMA dermatology 2015
PMID 25230094
View on PubMed: Afamelanotide and narrowband UV-B phototherapy for the treatment of vitiligo: a randomized multicenter trial.
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