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Melanotan-2 and Erectile Dysfunction Research: Comparison

Wessells et al. (JAMA 2000) 20 men, psychogenic ED 0.025–0.1mg/kg SC 80% at 0.1mg/kg Placebo (10%) MC4R activation sufficient for penetration-grade erection in 80% of psychogenic ED cases MT-2 works when the problem is arousal signaling, not vascular damage Mo

This comparison does not assign a generated winner or score.

  • Wessells et al. (JAMA 2000)
  • 20 men, psychogenic ED
  • 0.025–0.1mg/kg SC
  • 80% at 0.1mg/kg
  • Placebo (10%)
  • MC4R activation sufficient for penetration-grade erection in 80% of psychogenic ED cases
  • MT-2 works when the problem is arousal signaling, not vascular damage
  • Molinoff et al. (Eur Urol 2003)
  • 54 men, sildenafil non-responders
  • 0.075mg/kg SC
  • 64%
  • No active comparator
  • MT-2 produced response in nearly two-thirds of men who failed PDE5 inhibitor therapy
  • Central mechanism complements, not replaces, vascular treatments
  • Wessells et al. (Neuroscience 1998)
  • Animal model
  • 0.05mg/kg SC
  • Erection despite hypogastric nerve section
  • Sham surgery
  • Effect persists without peripheral nerve input. Confirms central origin
  • The mechanism is hypothalamic, not penile. This changes patient selection criteria
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