Bremelanotidehe mea syntheticmelanocortin receptor agonistkūkulu ʻia no ka mālama ʻana iʻO ka maʻi makemake moe kolohe (HSDD) in wahine premenopausal. ʻOiai ʻo ka lāʻau lapaʻau waena mua i ʻae ʻia no HSDD, ʻo Bremelanotide kahi holomua nui i ke olakino wahine.
Ua ʻae ʻia e ka US FDA ma 2019 ma lalo o ka inoa inoaVyleesi, Hāʻawi ʻo Bremelanotide i kahi hoʻonā maʻamau, non-hormonal solution no nā wahine e ʻike nei i ka nele o ka makemake i ka moekolohe, ʻaʻole hiki ke wehewehe ʻia e nā pilikia olakino, noʻonoʻo, a i ʻole pili pili.
ʻO kā mākouAPI no Bremelanotidehana ʻia ma o ka solid-phase peptide synthesis (SPPS), e hōʻoiaʻiʻo ana i ka maʻemaʻe kiʻekiʻe, nā haumia haʻahaʻa, a me ke kūpaʻa kūpono no ka hoʻokumu ʻana i nā lāʻau lapaʻau a me nā ʻoihana.
Hana ʻia ʻo Bremelanotide eka hoʻoulu ʻana i nā melanocortin receptors, ʻoi akuMC4R (melanocortin-4 receptor)i kaʻōnaeʻa waena. Manaʻo ʻia kēia hana e hoʻololi i nā ala i kahypothalamusnā mea e pili ana i ka moe kolohe a me ka makemake.
Loaʻa nā hopena koʻikoʻi:
Hoʻonui ʻiahōʻailona dopaminergic, e paipai ana i ka makemake moe kolohe
Hoʻopau i nā ala paʻa e pili ana i ka libido
ʻO ka hoʻololi ʻana o ka ʻōnaehana ʻōpū waename ka hilinaʻi ʻole i nā hormones sex (non-estrogenic, non-testosterone)
Hoʻokaʻawale kēia ʻano hana iā Bremelanotide mai nā lāʻau lapaʻau hormonal kuʻuna a kūpono no ka lehulehu o nā wahine.
Ua loiloi ʻia ʻo Bremelanotide i nā mea he nuiNā hoʻokolohua lapaʻau ma ka Phase 2 a me ka Phase 3, e pili ana i nā kaukani wahine i loaʻa i ka HSDD.
Loaʻa nā ʻike nui:
Hoʻomaikaʻi koʻikoʻi i ka helu helui nā helu makemake moe kolohe (ana ʻia e FSFI-d)
Hoʻemi i ka pilikia pili i ka makemake moe kolohe haʻahaʻa (ana ʻia e FSDS-DAO)
Hoomaka koke ka hana(i loko o nā hola), ʻaehoʻohana ma ke koi ma mua o ka hana moekolohe
Hōʻike ʻia ka maikaʻi i nā wahineme ka ʻole o nā kūlana comorbid(e laʻa, kaumaha, hopohopo)
Ma nā haʻawina lāʻau lapaʻau, a hiki i25%–35%ʻO ka poʻe maʻi i ʻike i ka hoʻomaikaʻi maikaʻi ʻana me ka placebo.
Loaʻa nā hopena ʻaoʻao maʻamaunausea, ʻūlū ʻana, apoʻo poʻo—maʻa maʻamau a paʻa iā ʻoe iho.
ʻAʻole like me nā mea hana melanocortin mua, ʻo Bremelanotideʻaʻole pili me ka piʻi nui o ke koko a i ʻole ka puʻuwaii ka nui o nā maʻi.
Ma ke ʻano he lāʻau lapaʻau e koi ʻia, pale ia i ka ʻike ʻana i ka hormone mau loa a hiki ke hoʻohana maʻalahi.
ʻO kā mākouAPI no Bremelanotide:
Hoʻopili ʻia me ka hoʻohana ʻana i ka SPPS kiʻekiʻe me ka hana kiʻekiʻe
Hoʻokō i nā kūlana honua koʻikoʻi noka maʻemaʻe, ka ʻike, a me nā mea hoʻoheheʻe koena
He kūpono ia no ka hoʻoheheʻe ʻia ʻana (e like me nā peni autoinjector prefilled)
Loaʻa mapailaka a me nā pūʻulu pāʻoihana, e kākoʻo ana i ka R&D a me ka lako mākeke
Ma waho aʻe o HSDD, ua hoʻoikaika ka hana a Bremelanotide i ka hoihoi i nā wahi ʻē aʻe omoe kolohe a me ka neuroendocrine modulation, me:
ʻAʻole pili i ke kāne
Nā pilikia pili i ke ʻano
ʻO ka makemake a me ka hoʻoponopono ikehu (ma o ka melanocortin system)
Ke hoʻomau nei kāna ʻano peptide profile a me ka hana ʻana o ke kikowaena kikowaena e kākoʻo i ka hoʻomohala ʻana i nā wahi therapeutic pili.