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Study breakdown

Bremelanotide Rescues Men Who Fail Viagra: A Brain Approach When Blood Flow Drugs Don't Work

RCTStrong evidence
The takeaway

Bremelanotide (PT-141) significantly improved erectile function in men who had failed sildenafil treatment, in a double-blind placebo-controlled RCT — demonstrating the brain-acting melanocortin approach works where peripheral drugs fail.

Key finding

SC bremelanotide significantly improved erectile responses in sildenafil-failure ED patients in a double-blind, placebo-controlled RCT — demonstrating

What the researchers found

SC bremelanotide significantly improved erectile responses in sildenafil-failure ED patients in a double-blind, placebo-controlled RCT — demonstrating melanocortin central mechanism (desire/arousal) rescues patients where PDE5 peripheral mechanism (blood flow) fails.

Why it matters

Relevant for pt-141, sexual-health.

How the study worked

RCT study.

What this study cannot tell us

See abstract.

How to read the evidence

strong evidence.

When this study was published

Published in 2008.

The bigger picture

Advances peptide research.

Questions still open

  • Further research needed.
  • Clinical translation to evaluate.

Common questions

What was studied?
Bremelanotide Rescues Men Who Fail Viagra: A Brain Approach When Blood Flow Drugs Don't Work
What was found?
Bremelanotide (PT-141) significantly improved erectile function in men who had failed sildenafil treatment, in a double-blind placebo-controlled RCT — demonstrating the brain-acting melanocortin approach works where peripheral drugs fail.

Read the original research

Salvage of sildenafil failures with bremelanotide: a randomized, double-blind, placebo controlled study.

The Journal of urology, 179(3), 1066-71

Citation

Safarinejad, Mohammad Reza; Hosseini, Seyyed Yousof. (2008). Salvage of sildenafil failures with bremelanotide: a randomized, double-blind, placebo controlled study.. The Journal of urology, 179(3), 1066-71. https://doi.org/10.1016/j.juro.2007.10.063