MC4R

gene
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Summary

MC4R (melanocortin 4 receptor, HGNC:6932) is a protein-coding gene on chromosome 18q21.32, encoding Melanocortin receptor 4 (P32245). G protein-coupled receptor that binds melanocyte-stimulating hormones (alpha- and beta-MSH) and corticotropin/ACTH, which are peptide products of the POMC precursor.

The protein encoded by this gene is a membrane-bound receptor and member of the melanocortin receptor family. The encoded protein interacts with adrenocorticotropic and MSH hormones and is mediated by G proteins. This is an intronless gene. Defects in this gene are a cause of autosomal dominant obesity.

Source: NCBI Gene 4160 — RefSeq curated summary.

At a glance

  • Gene–disease (curated): inherited obesity (Strong, GenCC) — +1 more curated relationship
  • GWAS associations: 181
  • Clinical variants (ClinVar): 286 total — 26 pathogenic, 25 likely-pathogenic
  • Phenotypes (HPO): 14
  • Druggable target: yes — 57 molecules with ChEMBL bioactivity
  • MANE Select transcript: NM_005912

Identifiers

Gene identifiers

FieldValue
HGNC IDHGNC:6932
Approved symbolMC4R
Namemelanocortin 4 receptor
Location18q21.32
Locus typegene with protein product
StatusApproved
Ensembl geneENSG00000166603
Ensembl biotypeprotein_coding
OMIM155541
Entrez4160

Gene structure

Transcript identifiers

Ensembl transcripts: 1 — 1 protein_coding

ENST00000299766

RefSeq mRNA: 1 — MANE Select: NM_005912 NM_005912

CCDS: CCDS11976

Canonical transcript exons

ENST00000299766 — 1 exons

ExonStartEnd
ENSE000011046136037106260372775

Expression profiles

Bgee: expression breadth broad, 69 present calls, max score 69.78.

FANTOM5 (CAGE): breadth broad, TPM avg 2.6964 / max 135.8167, expressed in 201 samples.

FANTOM5 promoters (2 alternative TSS)

Promoter IDTPM avgSamples expressed
1722162.5363195
1722170.160187

Top tissues by expression

255 total, by Bgee expression score (0-100, higher = more expressed):

TissueAnatomy IDExpression scoreQuality
pancreatic ductal cellCL:000207969.78silver quality
right uterine tubeUBERON:000130269.02gold quality
prefrontal cortexUBERON:000045163.46gold quality
hypothalamusUBERON:000189863.21gold quality
caudate nucleusUBERON:000187362.49gold quality
anterior cingulate cortexUBERON:000983562.03gold quality
cingulate cortexUBERON:000302761.98gold quality
Brodmann (1909) area 9UBERON:001354060.55gold quality
putamenUBERON:000187460.22gold quality
neocortexUBERON:000195057.41gold quality
frontal cortexUBERON:000187056.95gold quality
dorsolateral prefrontal cortexUBERON:000983456.89gold quality
oviduct epitheliumUBERON:000480455.29silver quality
nucleus accumbensUBERON:000188255.07gold quality
right frontal lobeUBERON:000281054.85gold quality
telencephalonUBERON:000189354.73gold quality
amygdalaUBERON:000187654.54gold quality
cerebral cortexUBERON:000095654.17gold quality
cortical plateUBERON:000534353.33gold quality
forebrainUBERON:000189053.20gold quality
tibialis anteriorUBERON:000138553.11silver quality
fallopian tubeUBERON:000388953.03gold quality
bone marrow cellCL:000209252.90gold quality
epithelial cell of pancreasCL:000008352.89gold quality
primary visual cortexUBERON:000243651.11gold quality
brainUBERON:000095550.90gold quality
upper leg skinUBERON:000426250.64silver quality
deltoidUBERON:000147650.43gold quality
ileal mucosaUBERON:000033149.57silver quality
quadriceps femorisUBERON:000137749.24gold quality

Single-cell (SCXA)

Detected in 1 experiment(s), a significant marker in 0.

ExperimentMarker?Max mean expression
E-ANND-3no2.41

Regulation

Is transcription factor: no

Upstream regulators (CollecTRI, top): NHLH2

Literature-anchored findings (GeneRIF, showing 40)

  • Because it has no introns, the gene is insensitive to the normal degradation of mRNA’s with premature termination codons. (PMID:11823452)
  • molecular determinants responsible for antagonist SHU9119 selective activity (PMID:11912210)
  • MC4R obesity causing mutations in less than 0.5% of the patients indicate low prevalence of MC4R variants in the obese population from southern Italy (PMID:12032748)
  • Identification of domains directing specificity of coupling to G-proteins (PMID:12045190)
  • MC4R mutation screen in bulimia nervosa patients (PMID:12140789)
  • the function of the MC1 and MC4 receptors can be positively modulated by metal ions acting both as partial agonists and as potentiators for other agonists (PMID:12244039)
  • results do not support the prevailing notion that sequence variation in the melanocortin 4 receptor gene is a frequent cause of human obesity (PMID:12364415)
  • Heterozygous mutations in the coding region of the serpentine Melanocortin 4 receptor are the most common genetic cause of human obesity . (PMID:12499395)
  • the impact of the MC4R mutations on receptor function and for the development of obesity (PMID:12690102)
  • beta-MSH rather than alpha-MSH is the key ligand at the MC4-R populations that regulate feeding, and inhibition of tonic release of beta-MSH is one mechanism contributing to hunger in under-feeding (PMID:12732337)
  • The second and third extracellular loops of MC4R are important for AGRP 87-132 N-terminal binding, whereas the third and fourth transmembrane domains of hMC4R are crucial for AGRP 110-117 binding. (PMID:12815165)
  • Six of 11 mutants had either decreased or no ligand binding, with proportional impairments in [Nle4, d-Phe7]-alpha-MSH-stimulated cAMP production. (PMID:12959994)
  • Melanocortin-4 receptor gene mutations represent major gene effects for obesity (PMID:12970296)
  • A three-dimensional structure of the human melanocortin 4 receptor (hMC4R) is constructed in this study using a computer-aided molecular modeling approach. (PMID:13678297)
  • identification of missense mutation in patients with early onset obesity (PMID:14504270)
  • unlocking of a stabilizing interaction between the DRY motif, in the cytosolic part of transmembrane region TM3, and TM6 is important for the activation process; unlocking may be facilitated by creation of a new interaction between TM3 and TM2 (PMID:14523020)
  • Genetic variation in the transcriptionally essential region of the MC4R promoter is not a significant cause of severe obesity in humans. (PMID:14633862)
  • A novel heterozygous missense mutation (Glu(308)Lys) that impairs MC4-R functional activity in vitro was characterized. (PMID:14764812)
  • Pathogenic MC4R mutation was found among subjects with severe early-onset obesity but not among morbidly obese adults. Impaired function of S127L receptor due to reduced activation. (PMID:14764818)
  • No evidence for an increased rate of binge-eating behavior in obese carriers of MC4R variants. (PMID:15037865)
  • In humans, MC4R mediates most anorectic effects of leptin in early childhood. Does not mediate effect of leptin on linear growth and other endocrine axes. MC4R deficiency not cause of relative hyperinsulinemia. (PMID:15126516)
  • While no MC4R ligand binding was detected in any of the mutants studied, one mutant, D146A, resulted in higher cAMP production in cells than the wild-type receptor without ligand stimulation (PMID:15215606)
  • the Val103Ile polymorphism of the melanocortin-4 receptor (MC4R) gene is associated with energy expenditure in humans (PMID:15292469)
  • Variations in MC4R may account for a small portion of obesity in Pima Indians. (PMID:15448103)
  • findings clearly substantiate that MC4R mutations entail a strong predisposition to obesity (PMID:15466016)
  • Outlining the ligand recognition sites in the melanocortin receptors. (PMID:15470082)
  • Results suggest that the tonic satiety signal provided by the constitutive activity of the melanocortin-4 receptor may be required for maintaining long-term energy homeostasis in humans. (PMID:15489963)
  • DNA sequence analysis of the conformers of melanocortin-4 receptor (MC4R) revealed variants in premature pubarche and hyperandrogenism. (PMID:15533382)
  • Data demonstrate that the constitutive activity of the human melanocortin-4 receptor promoter is dependent upon Sp1 and 3 transcription factors. (PMID:15821099)
  • The proximal region of the melanocortin-4 receptor (MC4R) carboxyl-terminus is crucial not only for receptor signaling but also for ligand binding, while the third intracellular loop is important mainly for receptor signaling. (PMID:15865442)
  • Novel MC4R variant identified from an obese patient cannot be assumed to be the cause of obesity without demonstrating a loss-of-function phenotype (PMID:16030156)
  • Dermal papilla cells expressed both MC1R and MC4R in vitro, and immunoreactivity for these receptors was also present in cells of the human dermal papilla in situ. (PMID:16081629)
  • Systematic and comparative functional study of over 50 different obesity-associated MC4R mutations highlighted in this review suggests that multiple functional alterations contribute to their pathogenicity. (PMID:16083993)
  • Binding affinity and potency of the linear peptide agonists, while site directed mutation impaired interactions with nonpeptide agonists. (PMID:16114870)
  • Melanocortin 4 receptor (MC4R) residue leucine-250 is proposed as a key role-player in switching MC4R from active to inactive receptor conformation. (PMID:16611215)
  • CART signaling is the main molecular pathway accounting for the decrease in bone resorption leading to high bone mass in mice and humans deficient in Mc4r (PMID:16614075)
  • A MC4R promoter mutation, -439delGC, associated with early-onset obesity. (PMID:16710097)
  • analysis of molecular basis of melanocortin-4 receptor for AGRP inverse agonism (PMID:16820227)
  • in addition to its inverse agonistic activities, Agrp exhibits agonistic properties on the endocytosis pathway of melanocortin-3 and -4 receptors (PMID:17041250)
  • Two novel heterozygous non-synonymous mutations (Val166Ile; Arg310Lys) and a novel heterozygous non-sense mutation (Cys277Stop) in the melanocortin 4 receptor were detected in Chinese obese individuals. (PMID:17185898)

Cross-species orthologs

2 orthologs

OrganismSymbolGene ID
danio_reriomc4rENSDARG00000015515
mus_musculusMc4rENSMUSG00000047259

Paralogs (18): LPAR2 (ENSG00000064547), CNR1 (ENSG00000118432), MC3R (ENSG00000124089), S1PR4 (ENSG00000125910), GPR12 (ENSG00000132975), GPR6 (ENSG00000146360), GPR119 (ENSG00000147262), S1PR1 (ENSG00000170989), LPAR3 (ENSG00000171517), MC5R (ENSG00000176136), S1PR5 (ENSG00000180739), GPR3 (ENSG00000181773), MC2R (ENSG00000185231), CNR2 (ENSG00000188822), LPAR1 (ENSG00000198121), S1PR3 (ENSG00000213694), MC1R (ENSG00000258839), S1PR2 (ENSG00000267534)

Protein

Protein identifiers

Melanocortin receptor 4P32245 (reviewed: P32245)

All UniProt accessions (1): P32245

UniProt curated annotations — full annotation on UniProt →

Function. G protein-coupled receptor that binds melanocyte-stimulating hormones (alpha- and beta-MSH) and corticotropin/ACTH, which are peptide products of the POMC precursor. Functions as a central component of the leptin-melanocortin pathway, which is essential for maintaining energy homeostasis. Upon activation, couples to G(s) protein, stimulating adenylate cyclase and the cAMP-dependent signaling pathway, which promotes anorexogenic signaling in the hypothalamus and contributes to a negative energy balance. Regulates food intake: activation by agonists suppresses appetite, whereas the antagonist Agouti-related protein/AGRP precludes agonist-induced signaling, thereby stimulating appetite. Modulates the firing activity of neurons in paraventricular nucleus (PVN) of the hypothalamus via alpha-MSH and AGRP regulation of inwardly rectifying potassium channel KCNJ13 closure, independently of G(s) signaling. In the PVN, also interacts with opsin 3/OPN3, which couples to G(i/o) proteins to inhibit MC4R-mediated cAMP signaling, thereby promoting food intake. In intestinal epithelial cells, contributes to inhibition of hepatic glucose production via nesfatin-1/NUCB2, leading to increased cAMP levels and glucagon-like peptide 1 (GLP-1) secretion. Interaction with MGRN1 displaces the G(s) protein, further decreasing MC4R signaling activity. Also activated by gamma-MSH, though with low potency.

Subunit / interactions. Homodimer; disulfide-linked, also forms higher order oligomers. Interacts with GNAS. Interacts with ATRNL1. Interacts with MGRN1; this interaction competes with GNAS-binding and thus inhibits agonist-induced cAMP production. Interacts with MRAP and MRAP2; these associated factors increase ligand-sensitivity and generation of cAMP. Forms a complex with OPN3 and KCNJ13; interaction with OPN3 inhibits MC4R-mediated signaling.

Subcellular location. Cell membrane.

Tissue specificity. Brain, placental, and gut tissues.

Disease relevance. Obesity (OBESITY) [MIM:601665] A condition characterized by an increase of body weight beyond the limitation of skeletal and physical requirements, as the result of excessive accumulation of body fat. The disease is caused by variants affecting the gene represented in this entry.

Polymorphism. Genetic variations in MC4R define the body mass index quantitative trait locus 20 (BMIQ20) [MIM:618406]. MC4R loss-of-function variants are associated with higher body mass index, obesity, type 2 diabetes, and coronary artery disease. Gain-of-function variants have been reported to be associated with lower body mass index and resistance to obesity.

Similarity. Belongs to the G-protein coupled receptor 1 family.

RefSeq proteins (1): NP_005903* (*=MANE)

Domains & families (InterPro)

IDNameType
IPR000155Mcort_rcpt_4Family
IPR000276GPCR_RhodpsnFamily
IPR001671Melcrt_ACTH_rcptFamily
IPR001908MC3-5RFamily
IPR017452GPCR_Rhodpsn_7TMDomain

Pfam: PF00001

UniProt features (79 total): sequence variant 34, helix 12, topological domain 8, transmembrane region 7, mutagenesis site 4, binding site 3, glycosylation site 3, disulfide bond 3, turn 2, chain 1, lipid moiety-binding region 1, sequence conflict 1

Structure

Experimental structures (PDB)

12 structures.

PDBMethodResolution (Å)
7PIUELECTRON MICROSCOPY2.58
6W25X-RAY DIFFRACTION2.75
7PIVELECTRON MICROSCOPY2.86
8WKYX-RAY DIFFRACTION2.9
7AUEELECTRON MICROSCOPY2.97
7F53ELECTRON MICROSCOPY3
7F54ELECTRON MICROSCOPY3
7F55ELECTRON MICROSCOPY3.1
7F58ELECTRON MICROSCOPY3.1
9K3KELECTRON MICROSCOPY3.12
8WKZX-RAY DIFFRACTION3.3
8QJ2ELECTRON MICROSCOPY3.4

Predicted structure (AlphaFold)

ModelpLDDTFraction very-high
AF-P32245-F180.210.48

Antibody-complex structures (SAbDab): 97AUE, 7F53, 7F54, 7F55, 7F58, 7PIU, 7PIV, 8QJ2, 9K3K

Functional residue map

Curated UniProt residues grouped by drug-discovery relevance — catalytic, ligand-binding, modification, and mutation-validated positions. Source: UniProtKB sequence features.

Ligand- & substrate-binding residues (3): 100; 122; 126

Post-translational modifications (1): 318

Disulfide bonds (3): 40–279, 84, 271–277

Glycosylation sites (3): 3, 17, 26

Mutagenesis-validated functional residues (4):

PositionPhenotype
100almost complete loss of alpha-msh signaling.
122loss of high-affinity ligand binding.
122about 50% loss of alpha-msh signaling.
126complete abolishment of receptor function.

Function

Pathways and Gene Ontology

Reactome pathways

10 pathways

IDPathway
R-HSA-375276Peptide ligand-binding receptors
R-HSA-418555G alpha (s) signalling events
R-HSA-9856649Transcriptional and post-translational regulation of MITF-M expression and activity
R-HSA-1266738Developmental Biology
R-HSA-162582Signal Transduction
R-HSA-372790Signaling by GPCR
R-HSA-373076Class A/1 (Rhodopsin-like receptors)
R-HSA-388396GPCR downstream signalling
R-HSA-500792GPCR ligand binding
R-HSA-9730414MITF-M-regulated melanocyte development

MSigDB gene sets: 135 (showing top): GOBP_RESPONSE_TO_NITROGEN_COMPOUND, GOBP_BEHAVIOR, GOBP_INSULIN_SECRETION, GOBP_REGULATION_OF_HORMONE_LEVELS, GOBP_RESPONSE_TO_FOOD, GOBP_HORMONE_TRANSPORT, MOLENAAR_TARGETS_OF_CCND1_AND_CDK4_UP, GOBP_CELL_CELL_SIGNALING, GOBP_ADENYLATE_CYCLASE_MODULATING_G_PROTEIN_COUPLED_RECEPTOR_SIGNALING_PATHWAY, REACTOME_PEPTIDE_LIGAND_BINDING_RECEPTORS, GOBP_REGULATION_OF_BEHAVIOR, GOBP_REGULATION_OF_FEEDING_BEHAVIOR, GOBP_NEGATIVE_REGULATION_OF_MULTICELLULAR_ORGANISMAL_PROCESS, GOBP_EATING_BEHAVIOR, GOBP_RESPONSE_TO_INSULIN

GO Biological Process (13): adenylate cyclase-modulating G protein-coupled receptor signaling pathway (GO:0007188), adenylate cyclase-activating G protein-coupled receptor signaling pathway (GO:0007189), feeding behavior (GO:0007631), insulin secretion (GO:0030073), response to food (GO:0032094), response to insulin (GO:0032868), positive regulation of bone resorption (GO:0045780), regulation of feeding behavior (GO:0060259), regulation of eating behavior (GO:1903998), negative regulation of eating behavior (GO:1903999), response to melanocyte-stimulating hormone (GO:1990680), signal transduction (GO:0007165), G protein-coupled receptor signaling pathway (GO:0007186)

GO Molecular Function (7): melanocortin receptor activity (GO:0004977), corticotropin receptor activity (GO:0004978), melanocyte-stimulating hormone receptor activity (GO:0004980), ubiquitin protein ligase binding (GO:0031625), neuropeptide binding (GO:0042923), G protein-coupled receptor activity (GO:0004930), protein binding (GO:0005515)

GO Cellular Component (3): cytoplasm (GO:0005737), plasma membrane (GO:0005886), membrane (GO:0016020)

Reactome top-level categories

Rollup of top-7 pathways:

CategoryPathways
Signaling by GPCR2
Class A/1 (Rhodopsin-like receptors)1
GPCR downstream signalling1
MITF-M-regulated melanocyte development1
Signal Transduction1
GPCR ligand binding1
Developmental Biology1

GO top-level categories

Rollup of top GO terms by namespace:

CategoryTerms
G protein-coupled receptor signaling pathway2
response to peptide hormone2
eating behavior2
melanocortin receptor activity2
hormone binding2
cellular anatomical structure2
adenylate cyclase activity1
adenylate cyclase-modulating G protein-coupled receptor signaling pathway1
adenylate cyclase activator activity1
behavior1
protein secretion1
peptide hormone secretion1
response to nutrient levels1
response to chemical1
regulation of bone resorption1
bone resorption1
positive regulation of multicellular organismal process1
feeding behavior1
regulation of behavior1
regulation of feeding behavior1
regulation of eating behavior1
negative regulation of feeding behavior1
cell communication1
cellular process1
signaling1
regulation of cellular process1
cellular response to stimulus1
G protein-coupled receptor activity1
signal transduction1
G protein-coupled peptide receptor activity1
neuropeptide receptor activity1
ubiquitin-like protein ligase binding1
peptide binding1
transmembrane signaling receptor activity1
binding1
intracellular anatomical structure1
membrane1
cell periphery1

Protein interactions and networks

STRING

1856 interactions, top by confidence (×1000):

Protein AProtein BPartner UniProtScore
MC4RPOMCP01189999
MC4RAGRPO00253997
MC4RLEPP41159945
MC4RFTOQ9C0B1945
MC4RTMEM18Q96B42928
MC4RNPYP01303915
MC4RKCTD15Q96SI1907
MC4RGHRLQ9UBU3884
MC4RLEPRP48357882
MC4RLCN2P30150877
MC4RGNPDA2Q8TDQ7874
MC4RATRNO75882868
MC4RSH2B1Q9NRF2867
MC4RPCSK1P29120851
MC4RSIM1P81133839

IntAct

16 interactions, top by confidence:

ABTypeScore
MRAPMC4Rpsi-mi:“MI:0915”(physical association)0.400
MRAP2MC4Rpsi-mi:“MI:0915”(physical association)0.400
AIG1MC4Rpsi-mi:“MI:0915”(physical association)0.370
ATP6V0E2MC4Rpsi-mi:“MI:0915”(physical association)0.370
CD81MC4Rpsi-mi:“MI:0915”(physical association)0.370
TMEM94MC4Rpsi-mi:“MI:0915”(physical association)0.370
MALMC4Rpsi-mi:“MI:0915”(physical association)0.370
NPC1MC4Rpsi-mi:“MI:0915”(physical association)0.370
PLLPMC4Rpsi-mi:“MI:0915”(physical association)0.370
PDIA6MC4Rpsi-mi:“MI:0915”(physical association)0.370
TSPAN3MC4Rpsi-mi:“MI:0915”(physical association)0.370
TMEM19MC4Rpsi-mi:“MI:0915”(physical association)0.370
YIPF3MC4Rpsi-mi:“MI:0915”(physical association)0.370
MC4RIL1RAPpsi-mi:“MI:0915”(physical association)0.370

BioGRID (20): MC4R (Reconstituted Complex), MC4R (Synthetic Lethality), AIG1 (Two-hybrid), ATP6V0E2 (Two-hybrid), CD81 (Two-hybrid), KIAA0195 (Two-hybrid), MAL (Two-hybrid), NPC1 (Two-hybrid), PLLP (Two-hybrid), PDIA6 (Two-hybrid), TSPAN3 (Two-hybrid), TMEM19 (Two-hybrid), YIPF3 (Two-hybrid), MC4R (Reconstituted Complex), MC4R (Reconstituted Complex)

ESM2 similar proteins: B0V1P1, O19037, O77616, O97504, P32244, P32245, P33032, P33033, P34974, P35345, P41149, P41968, P41983, P55167, P56442, P56450, P56451, P70115, P70596, P79166, Q01718, Q01727, Q0Z8I9, Q29154, Q64326, Q6A155, Q80SS9, Q80SZ5, Q864F7, Q864F8, Q864G9, Q864H1, Q864H2, Q864H3, Q864H4, Q864H5, Q864I1, Q864I2, Q864I3, Q864K7

Diamond homologs: B0V1P1, O19037, O77616, O97504, P32244, P32245, P33032, P33033, P34974, P35345, P41149, P41968, P41983, P47798, P55167, P56442, P56443, P56444, P56445, P56446, P56447, P56448, P56450, P56451, P70115, P70596, P79166, Q01718, Q01726, Q01727, Q0Q460, Q0Z8I9, Q29154, Q64326, Q6A155, Q80SS9, Q80SZ5, Q864F4, Q864F5, Q864F6

SIGNOR signaling

27 interactions.

AEffectBMechanism
GRK2“down-regulates activity”MC4Rphosphorylation
PRKACA“down-regulates activity”MC4Rphosphorylation
POMC“up-regulates activity”MC4Rbinding
AGRP“down-regulates activity”MC4Rbinding
MC4R“up-regulates activity”GNAS
MC4R“up-regulates activity”GNASbinding
MC4R“up-regulates activity”GNALbinding
MC4R“up-regulates activity”GNAI1binding
MC4R“up-regulates activity”GNAI3binding
MC4R“up-regulates activity”GNAZbinding
MC4R“up-regulates activity”GNAQbinding
MC4R“up-regulates activity”GNA14binding
MC4R“up-regulates activity”GNA12binding
“MSH release-inhibiting hormone”“up-regulates activity”MC4R“chemical activation”
MC4Rdown-regulates“Food intake”
ASIP“down-regulates activity”MC4Rbinding
Corticotropin“up-regulates activity”MC4Rbinding
AGRPdown-regulatesMC4Rbinding
MRAP“down-regulates activity”MC4Rbinding
MRAP2“down-regulates activity”MC4Rbinding
“Melanotan II”“up-regulates activity”MC4Rbinding

Disease & clinical

Clinical variants and AI predictions

ClinVar

286 variants total. Per-class counts are floors (≥ shown; pagination cap):

ClassificationCount (floor)
Pathogenic26
Likely pathogenic25
Uncertain significance157
Likely benign30
Benign4

Top pathogenic / likely-pathogenic (30)

Variant IDHGVSClassification
1301992NM_005912.3(MC4R):c.268G>A (p.Asp90Asn)Pathogenic
1323269NM_005912.3(MC4R):c.831T>A (p.Cys277Ter)Pathogenic
1328028NM_005912.3(MC4R):c.240C>A (p.Tyr80Ter)Pathogenic
14316NM_005912.3(MC4R):c.631_634del (p.Leu211fs)Pathogenic
14317NM_005912.3(MC4R):c.732_735dup (p.Thr246fs)Pathogenic
14318NM_005912.2(MC4R):c.105C>A (p.Tyr35Ter)Pathogenic
14321NM_005912.3(MC4R):c.172A>T (p.Ser58Cys)Pathogenic
14322NM_005912.3(MC4R):c.305T>G (p.Ile102Ser)Pathogenic
14325MC4R, 1-BP INS, 112APathogenic
14327MC4R, 2-BP INS, 279GTPathogenic
14329NM_005912.3(MC4R):c.812G>A (p.Cys271Tyr)Pathogenic
14332NM_005912.3(MC4R):c.861T>A (p.Tyr287Ter)Pathogenic
14333NM_005912.3(MC4R):c.289A>G (p.Asn97Asp)Pathogenic
14335NM_005912.3(MC4R):c.265_279del (p.Ala89_Val93del)Pathogenic
211442NM_005912.3(MC4R):c.206T>G (p.Ile69Arg)Pathogenic
2634260NM_005912.3(MC4R):c.343_344del (p.Gln115fs)Pathogenic
2634476NM_005912.3(MC4R):c.305T>C (p.Ile102Thr)Pathogenic
3242797NC_000018.9:g.(?58038584)(58040587_?)delPathogenic
3354801NM_005912.3(MC4R):c.48dup (p.Asn17fs)Pathogenic
3657668NM_005912.3(MC4R):c.434dup (p.Asp146fs)Pathogenic
4533312NM_005912.3(MC4R):c.823C>T (p.Pro275Ser)Pathogenic
4540613NM_005912.3(MC4R):c.828_829del (p.Tyr276_Cys277delinsTer)Pathogenic
492863NM_005912.3(MC4R):c.838T>C (p.Phe280Leu)Pathogenic
638110GRCh37/hg19 18q21.32(chr18:57940764-58095560)x1Pathogenic
945179NM_005912.3(MC4R):c.902T>C (p.Ile301Thr)Pathogenic
976165NM_005912.3(MC4R):c.407C>T (p.Ser136Phe)Pathogenic
1339319NM_005912.3(MC4R):c.258G>T (p.Leu86Phe)Likely pathogenic
14334NM_005912.3(MC4R):c.185A>G (p.Asn62Ser)Likely pathogenic
1693542NM_005912.3(MC4R):c.127C>A (p.Gln43Lys)Likely pathogenic
1693543NM_005912.3(MC4R):c.272T>G (p.Met91Arg)Likely pathogenic

SpliceAI

157 predictions. Top by Δscore:

VariantEffectΔscore
18:60371706:A:Cacceptor_gain0.9200
18:60371481:A:Tacceptor_gain0.7500
18:60372091:CCAAG:Cacceptor_gain0.7200
18:60372092:CAAGC:Cacceptor_gain0.7200
18:60372266:A:ACdonor_gain0.6800
18:60372267:C:CCdonor_gain0.6800
18:60372267:CTGG:Cdonor_gain0.6300
18:60372096:C:CCacceptor_gain0.6000
18:60371706:A:ACacceptor_gain0.5900
18:60372229:AGCAC:Adonor_gain0.5700
18:60372092:CAAG:Cacceptor_gain0.5300
18:60371961:CAGA:Cdonor_gain0.4800
18:60372094:AG:Aacceptor_gain0.4800
18:60371705:CA:Cacceptor_gain0.4600
18:60372198:A:ACdonor_gain0.4600
18:60372266:ACTGG:Adonor_gain0.4600
18:60372267:CTGGC:Cdonor_gain0.4600
18:60372671:T:Adonor_gain0.4600
18:60371714:A:Cacceptor_gain0.4500
18:60371699:C:CTacceptor_gain0.4400
18:60372267:CT:Cdonor_gain0.4400
18:60371991:T:Cdonor_gain0.4300
18:60372267:CTG:Cdonor_gain0.4300
18:60371708:G:Cacceptor_gain0.4200
18:60371700:A:Tacceptor_gain0.4100
18:60371451:A:Tacceptor_gain0.4000
18:60371480:CAG:Cacceptor_gain0.4000
18:60371905:AGTAC:Adonor_loss0.4000
18:60371906:GTACC:Gdonor_loss0.4000
18:60371907:TA:Tdonor_loss0.4000

AlphaMissense

2203 scored. Top likely-pathogenic:

VariantProtein changeam_pathogenicity
18:60372095:G:CS85R1.000
18:60372095:G:TS85R1.000
18:60372097:T:GS85R1.000
18:60371571:G:CP260R0.999
18:60371578:A:GW258R0.999
18:60371578:A:TW258R0.999
18:60371581:A:GC257R0.999
18:60371588:A:CF254L0.999
18:60371588:A:TF254L0.999
18:60371590:A:GF254L0.999
18:60371830:A:GW174R0.999
18:60371830:A:TW174R0.999
18:60371933:G:CS139R0.999
18:60371933:G:TS139R0.999
18:60371935:T:GS139R0.999
18:60372068:G:CS94R0.999
18:60372068:G:TS94R0.999
18:60372070:T:GS94R0.999
18:60372080:A:CD90E0.999
18:60372080:A:TD90E0.999
18:60372081:T:AD90V0.999
18:60372081:T:GD90A0.999
18:60372164:A:CN62K0.999
18:60372164:A:TN62K0.999
18:60372176:G:CS58R0.999
18:60372176:G:TS58R0.999
18:60372178:T:GS58R0.999
18:60371571:G:TP260Q0.998
18:60371579:G:CC257W0.998
18:60371580:C:TC257Y0.998

dbSNP variants (sampled 300 via entrez): RS1000300412 (18:60371175 T>C), RS1001066259 (18:60372538 C>T), RS1002260901 (18:60373941 T>C), RS1003644404 (18:60370897 C>A,T), RS1004416559 (18:60371249 C>A,T), RS1004876335 (18:60370962 T>C), RS1005914711 (18:60370614 G>T), RS1006923331 (18:60372828 A>G), RS1006923386 (18:60371620 C>T), RS1007263582 (18:60374435 A>G), RS1007315816 (18:60374143 T>C), RS1007984541 (18:60371289 A>T), RS1008164546 (18:60372642 T>C), RS1009938037 (18:60372337 T>A), RS1010360717 (18:60372597 C>A,G)

Disease associations

OMIM: gene MIM:155541 | disease phenotypes: MIM:601665, MIM:181500

GenCC curated gene-disease

DiseaseClassificationInheritance
inherited obesityStrongAutosomal dominant
obesity due to melanocortin 4 receptor deficiencyStrongSemidominant

Mondo (5): obesity due to melanocortin 4 receptor deficiency (MONDO:0019115), inherited obesity (MONDO:0019182), schizophrenia (MONDO:0005090), obesity disorder (MONDO:0011122), monogenic diabetes (MONDO:0015967)

Orphanet (5): Obesity due to melanocortin 4 receptor deficiency (Orphanet:71529), Genetic obesity (Orphanet:77828), Rare genetic diabetes mellitus (Orphanet:183625), NON RARE IN EUROPE: Schizophrenia (Orphanet:3140), NON RARE IN EUROPE: Non rare obesity (Orphanet:521399)

HPO phenotypes

14 total (15 of 14 shown, HPO-id order):

HPOTerm
HP:0000006Autosomal dominant inheritance
HP:0000007Autosomal recessive inheritance
HP:0000098Tall stature
HP:0000822Hypertension
HP:0000842Hyperinsulinemia
HP:0000956Acanthosis nigricans
HP:0001513Obesity
HP:0002155Hypertriglyceridemia
HP:0002591Polyphagia
HP:0005616Accelerated skeletal maturation
HP:0005978Type II diabetes mellitus
HP:0008915Childhood-onset truncal obesity
HP:0009126Increased adipose tissue
HP:0011001Increased bone mineral density
HP:0100753Schizophrenia

GWAS associations

181 associations (top):

StudyTraitp-value
GCST000184_4Waist circumference and related phenotypes2.000000e-09
GCST000185_2Body mass index3.000000e-15
GCST000296_6Body mass index1.000000e-12
GCST000298_2Body mass index5.000000e-18
GCST000299_10Weight5.000000e-13
GCST000317_10Obesity4.000000e-09
GCST000317_8Obesity5.000000e-15
GCST000317_9Obesity2.000000e-08
GCST000427_3Waist circumference4.000000e-07
GCST000663_1Obesity (early onset extreme)6.000000e-11
GCST000755_26HDL cholesterol7.000000e-09
GCST000817_156Height4.000000e-11
GCST000830_2Body mass index6.000000e-42
GCST001288_2Obesity-related traits6.000000e-06
GCST001416_5Body mass index (SNP x SNP interaction)2.000000e-11
GCST001517_1Antipsychotic drug-induced weight gain6.000000e-12
GCST001791_14Urate levels2.000000e-06
GCST001953_19Obesity2.000000e-36
GCST001953_25Obesity3.000000e-22
GCST001953_48Obesity2.000000e-27
GCST001955_2Body mass index4.000000e-21
GCST001957_14Obesity (early onset extreme)9.000000e-14
GCST002021_12Body mass index4.000000e-17
GCST002223_28HDL cholesterol4.000000e-08
GCST002226_1Fat body mass3.000000e-11
GCST002227_1Body mass index8.000000e-19
GCST002301_1Body mass index7.000000e-07
GCST002352_40Type 2 diabetes3.000000e-08
GCST002461_11Body mass index7.000000e-14
GCST002647_157Height7.000000e-13

EFO canonical traits (32, from GWAS)

EFO IDTrait name
EFO:0004340body mass index
EFO:0004338body weight
EFO:0004612high density lipoprotein cholesterol measurement
EFO:0004567antipsychotic drug related weight gain
EFO:0004531urate measurement
EFO:0005937longitudinal BMI measurement
EFO:0007800body fat percentage
EFO:0007828daytime rest measurement
EFO:0004458C-reactive protein measurement
EFO:0004530triglyceride measurement
EFO:0004343waist-hip ratio
EFO:0004318smoking behavior
EFO:0008002physical activity measurement
EFO:0006941grip strength measurement
EFO:0008007age at assessment
EFO:0008343sex interaction measurement
EFO:0007785femoral neck bone mineral density
EFO:0007933radius bone mineral density
EFO:0006335systolic blood pressure
EFO:0009270heel bone mineral density
EFO:0006336diastolic blood pressure
EFO:0007041obese body mass index status
EFO:0004329alcohol drinking
EFO:0010078dentures
EFO:0006781coffee consumption measurement
EFO:0007777base metabolic rate measurement
EFO:0000195metabolic syndrome
EFO:0006782cups of coffee per day measurement
EFO:0008111diet measurement
EFO:0009819comparative body size at age 10, self-reported

Drugs & pharmacology

Drug and pharmacology data

Is drug target: yes

ChEMBL targets (4): CHEMBL2111323 (SELECTIVITY GROUP), CHEMBL2111397 (SELECTIVITY GROUP), CHEMBL2111423 (SELECTIVITY GROUP), CHEMBL259 (SINGLE PROTEIN)

Molecules with ChEMBL bioactivity

57 molecules (phase ≥1), by development phase (incl. off-target/promiscuous compounds). Patent mentions across the top 20 by phase: 478,914 (via chembl_molecule»patent_compound — counts attach to the compound, not the gene–compound relationship, so off-target/promiscuous molecules can dominate).

MoleculeNamePhasePatents
CHEMBL1008BEPRIDIL411,776
CHEMBL104CLOTRIMAZOLE456,325
CHEMBL11IMIPRAMINE448,893
CHEMBL111RIMONABANT415,726
CHEMBL1172DESLORATADINE419,720
CHEMBL1175DULOXETINE428,527
CHEMBL1200485SORAFENIB TOSYLATE430,403
CHEMBL1200515DESERPIDINE42,483
CHEMBL1201309NAFARELIN4
CHEMBL1201469GRAMICIDIN4
CHEMBL121ROSIGLITAZONE458,849
CHEMBL122ROFECOXIB466,907
CHEMBL1305ANTAZOLINE49,182
CHEMBL1373MODAFINIL414,293
CHEMBL1423PIMOZIDE417,310
CHEMBL1491AMLODIPINE439,495
CHEMBL1617RIFAXIMIN413,380
CHEMBL1626CLEMASTINE417,590
CHEMBL17157TERFENADINE425,393
CHEMBL2010601IVACAFTOR42,662
CHEMBL2070241BREMELANOTIDE4
CHEMBL2103784COSYNTROPIN4
CHEMBL237500LINAGLIPTIN4
CHEMBL24072PRENYLAMINE4
CHEMBL249837METHACYCLINE4
CHEMBL288441BOSUTINIB4
CHEMBL296419ASTEMIZOLE4
CHEMBL32800FENOTEROL4
CHEMBL3301624SETMELANOTIDE4
CHEMBL415CLOMIPRAMINE4

PharmGKB: 1 entry (VIP=true, CPIC=false)

PharmGKB clinical annotations

14 annotations.

VariantTypeLevelDrugsPhenotypes
rs11872992Toxicity3clozapineSchizophrenia
rs11872992Toxicity3olanzapineSchizophrenia;Weight gain
rs17782313Toxicity3antipsychoticsWeight gain
rs17782313Toxicity3paliperidoneWeight gain
rs17782313Toxicity3quetiapineWeight gain
rs17782313Toxicity3risperidoneWeight gain
rs17782313Toxicity3amisulprideWeight gain
rs489693Toxicity3antipsychoticsWeight gain
rs489693Efficacy3paliperidoneWeight gain
rs489693Toxicity3haloperidolHypertriglyceridemia;Schizoaffective disorder;Schizophrenia;Weight gain
rs489693Toxicity3risperidoneWeight gain
rs489693Toxicity3amisulprideHypertriglyceridemia;Weight gain
rs489693Toxicity3aripiprazoleWeight gain
rs489693Toxicity3quetiapineHypertriglyceridemia;Schizoaffective disorder;Schizophrenia;Weight gain

PharmGKB variants

4 variants.

VariantGenesLevelScore#Clin annotsDrugs
rs489693MC4R34.887amisulpride;haloperidol;quetiapine;paliperidone;risperidone;aripiprazole;antipsychotics
rs8087522MC4R0.000
rs11872992MC4R30.002clozapine;olanzapine
rs17782313MC4R33.505quetiapine;paliperidone;risperidone;amisulpride;antipsychotics

GtoPdb / IUPHAR curated pharmacology

(IUPHAR/BPS Guide to Pharmacology — expert-curated)

Target class: gpcr — Melanocortin receptors

Most potent curated ligand interactions (18 total), top 18:

LigandActionAffinityParameter
MCL0129Antagonist10.1pKd
MBP10Antagonist10.0pIC50
bremelanotideAgonist9.6pKi
SHU9119Antagonist9.6pKi
HS024Antagonist9.5pKd
agouti-related proteinInverse agonist9.3pIC50
[125I]SHU9119Antagonist9.2pKd
[125I]NDP-MSHFull agonist8.9pKd
THIQFull agonist8.9pIC50
MT-IIFull agonist8.8pKi
afamelanotideFull agonist8.8pKi
setmelanotideAgonist8.68pKi
HS014Antagonist8.5pKd
RY764Full agonist8.1pIC50
PG-901Antagonist8.1pIC50
α-MSHFull agonist8.0pKi
agoutiInverse agonist7.3pKd
ACTHAgonist6.16pKi

Binding affinities (BindingDB)

568 measured of 575 human assays (575 total across all organisms); most potent 50 below. Values come from heterogeneous assays and are not directly comparable.

LigandMeasureValuePatent
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-5-[(2,4-dichlorophenyl)methyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.055 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-5-[(3,4-dichlorophenyl)methyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.055 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-5-[[4-(trifluoromethyl)phenyl]methyl]-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.06 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-5-[(4-chlorophenyl)methyl]-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.08 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-5-[(2,4-dimethylphenyl)methyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.085 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,18S)-18-[[(2S)-2-acetamidohexanoyl]amino]-N-[(2R)-1-amino-3-naphthalen-2-yl-1-oxopropan-2-yl]-5-benzyl-8-[3-(diaminomethylideneamino)propyl]-2-(1H-imidazol-5-ylmethyl)-3,6,9,15,19-pentaoxo-1,4,7,10,14-pentazacyclononadecane-11-carboxamideKI0.095 nMUS-9447148: Melanocortin-1 receptor-specific cyclic peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-5-[(4-methylphenyl)methyl]-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.145 nMUS-9040663: Melanocortin receptor-specific peptides
CAS_75921-69-6KI0.224 nM
alpha-MSH, [Nle4, D-Phe7]KI0.224 nM
1-[(3S)-3-({5-[2-(1,1-difluoroethyl)-1-KI0.23 nMUS-20250129048: MELANOCORTIN 4 RECEPTOR ANTAGONISTS AND USES THEREOF
2-(5-methoxy-2-methylphenyl)-1-[(3S)-KI0.23 nMUS-20250129048: MELANOCORTIN 4 RECEPTOR ANTAGONISTS AND USES THEREOF
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-5-[(4-fluorophenyl)methyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.25 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-5-[(4-methoxyphenyl)methyl]-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.25 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2R)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-8-[3-(diaminomethylideneamino)propyl]-5-[(3,4-difluorophenyl)methyl]-2-(1H-imidazol-5-ylmethyl)-11-(1H-indol-3-ylmethyl)-3,6,9,12,17,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.25 nMUS-9040663: Melanocortin receptor-specific peptides
1-[(3S)-3-({5-[2-(difluoromethyl)-1-KI0.25 nMUS-20250129048: MELANOCORTIN 4 RECEPTOR ANTAGONISTS AND USES THEREOF
(2R)-2-(3,5-dimethoxyphenyl)-1-[(3S)-KI0.28 nMUS-20250129048: MELANOCORTIN 4 RECEPTOR ANTAGONISTS AND USES THEREOF
1-[(3S)-3-({5-[5-(1,1-difluoroethyl)-1-KI0.29 nMUS-20250129048: MELANOCORTIN 4 RECEPTOR ANTAGONISTS AND USES THEREOF
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-5-[(3,4-difluorophenyl)methyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.3 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-5-[(2-chlorophenyl)methyl]-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-2-(phenylmethoxymethyl)-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.3 nMUS-9040663: Melanocortin receptor-specific peptides
1-[(3S)-3-({5-[2-(difluoromethyl)-1-KI0.31 nMUS-20250129048: MELANOCORTIN 4 RECEPTOR ANTAGONISTS AND USES THEREOF
2-fluoro-1-[(3S)-3-{[6-methyl-5-(1-KI0.34 nMUS-20250129048: MELANOCORTIN 4 RECEPTOR ANTAGONISTS AND USES THEREOF
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-5-[(2-chlorophenyl)methyl]-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-2-[(1R)-1-phenylmethoxyethyl]-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.35 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-5-benzyl-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,16,23-hexaoxo-1,4,7,10,13,17-hexazacyclotricosane-14-carboxamideKI0.4 nMUS-9458201: Melanocortin receptor-specific heptapeptides
(3S,6S,9R,12S,15S,23S)-12-(2-aminoethyl)-9-benzyl-15-[[(2S)-2-(cyclohexanecarbonylamino)-5-(diaminomethylideneamino)pentanoyl]amino]-6-[3-(diaminomethylideneamino)propyl]-3-(1H-indol-3-ylmethyl)-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamideKI0.4 nMUS-9458201: Melanocortin receptor-specific heptapeptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-5-[(3-methylphenyl)methyl]-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.4 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-5-[(4-nitrophenyl)methyl]-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.45 nMUS-9040663: Melanocortin receptor-specific peptides
1-[(3S)-3-({5-[2-(1,1-difluoroethyl)-1-KI0.45 nMUS-20250129048: MELANOCORTIN 4 RECEPTOR ANTAGONISTS AND USES THEREOF
1-[(3S)-3-({5-[2-(difluoromethyl)-1-KI0.46 nMUS-20250129048: MELANOCORTIN 4 RECEPTOR ANTAGONISTS AND USES THEREOF
(2R)-1-[(3S)-3-({5-[5-(difluoromethyl)-1-KI0.46 nMUS-20250129048: MELANOCORTIN 4 RECEPTOR ANTAGONISTS AND USES THEREOF
1-[(3S)-3-({5-[2-(1,1-difluoroethyl)-1-KI0.48 nMUS-20250129048: MELANOCORTIN 4 RECEPTOR ANTAGONISTS AND USES THEREOF
2-(5-chloro-2-methoxypyridin-4-yl)-1-KI0.49 nMUS-20250129048: MELANOCORTIN 4 RECEPTOR ANTAGONISTS AND USES THEREOF
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-5-[(2-methylphenyl)methyl]-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.5 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-5-[(4-phenylphenyl)methyl]-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.5 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-[3-(carbamoylamino)propyl]-5-[(3-chlorophenyl)methyl]-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.5 nMUS-9040663: Melanocortin receptor-specific peptides
(2R)-2-(5-chloro-2-methoxypyridin-4-KI0.51 nMUS-20250129048: MELANOCORTIN 4 RECEPTOR ANTAGONISTS AND USES THEREOF
2-(5-chloro-2-methoxypyridin-4-yl)-1-KI0.53 nMUS-20250129048: MELANOCORTIN 4 RECEPTOR ANTAGONISTS AND USES THEREOF
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-5-benzyl-8-[3-(diaminomethylideneamino)propyl]-2-(1H-imidazol-5-ylmethyl)-11-(1H-indol-3-ylmethyl)-3,6,9,12,17,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.6 nMUS-9458201: Melanocortin receptor-specific heptapeptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-5-[[2-(trifluoromethyl)phenyl]methyl]-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.6 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2R)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-5-[(3-chlorophenyl)methyl]-8-[3-(diaminomethylideneamino)propyl]-2-(1H-imidazol-5-ylmethyl)-11-(1H-indol-3-ylmethyl)-3,6,9,12,17,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.6 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2R)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-5-[(4-cyanophenyl)methyl]-8-[3-(diaminomethylideneamino)propyl]-2-(1H-imidazol-5-ylmethyl)-11-(1H-indol-3-ylmethyl)-3,6,9,12,17,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.6 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2R)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-8-[3-(diaminomethylideneamino)propyl]-5-[(4-fluorophenyl)methyl]-2-(1H-imidazol-5-ylmethyl)-11-(1H-indol-3-ylmethyl)-3,6,9,12,17,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.65 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-5-[(3,4,5-trifluorophenyl)methyl]-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.667 nMUS-9040663: Melanocortin receptor-specific peptides
(3S,11S,14S,17S,20R,23S,25R)-3-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-20-benzyl-17-[3-(diaminomethylideneamino)propyl]-14-(1H-indol-3-ylmethyl)-2,5,13,16,19,22-hexaoxo-25-phenylmethoxy-1,6,12,15,18,21-hexazabicyclo[21.3.0]hexacosane-11-carboxamideKI0.7 nMUS-9458201: Melanocortin receptor-specific heptapeptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-5-benzyl-2,8-bis[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.7 nMUS-9458201: Melanocortin receptor-specific heptapeptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-5-[(2-fluorophenyl)methyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.7 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-5-[(3-nitrophenyl)methyl]-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.7 nMUS-9040663: Melanocortin receptor-specific peptides
(2S,5R,8S,11S,14S,22S)-22-[[(2S)-2-acetamido-5-(diaminomethylideneamino)pentanoyl]amino]-2-(2-aminoethyl)-5-[(3-chlorophenyl)methyl]-8-[3-(diaminomethylideneamino)propyl]-11-(1H-indol-3-ylmethyl)-3,6,9,12,19,23-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-14-carboxamideKI0.75 nMUS-9040663: Melanocortin receptor-specific peptides

ChEMBL bioactivities

5399 potent at pChembl≥5 of 5623 total, top 50 by pChembl (potency: 10 = 0.1 nM, 6 = 1 µM).

pChemblTypeValueUnitMolecule
10.82Ki0.01514nMCHEMBL4798971
10.82Ki0.015nMCHEMBL4798971
10.80Ki0.01585nMCHEMBL4794168
10.80Ki0.016nMCHEMBL4794168
10.78Ki0.0166nMCHEMBL4794121
10.77Ki0.017nMCHEMBL4794121
10.77EC500.017nMAFAMELANOTIDE
10.74EC500.018nMCHEMBL413212
10.72EC500.019nMCHEMBL428615
10.71Ki0.0195nMCHEMBL4777048
10.70Ki0.02nMCHEMBL4777048
10.70EC500.02nMAFAMELANOTIDE
10.68Ki0.021nMCHEMBL4788071
10.68Ki0.02089nMCHEMBL4793821
10.68Ki0.021nMCHEMBL4793821
10.67Ki0.02138nMCHEMBL4788071
10.62EC500.024nMINTERMEDINE
10.59Ki0.0257nMCHEMBL4794990
10.59Ki0.026nMCHEMBL4794990
10.56Ki0.02754nMCHEMBL4791788
10.55Ki0.028nMCHEMBL4791788
10.55Ki0.02818nMCHEMBL3422426
10.54Ki0.029nMCHEMBL3422426
10.52EC500.03nMCHEMBL4460053
10.47Ki0.03388nMMELATONAN
10.46Ki0.03467nMCHEMBL4800268
10.46Ki0.035nMCHEMBL4800268
10.40EC500.04nMCHEMBL2070245
10.40EC500.04nMMELATONAN
10.38Ki0.04169nMCHEMBL4776915
10.38Ki0.042nMCHEMBL4776915
10.36Ki0.044nMCHEMBL5194472
10.30Ki0.05nMCHEMBL339053
10.26Ki0.055nMCHEMBL3663320
10.26Ki0.055nMCHEMBL3663321
10.24EC500.057nMMELATONAN
10.22Ki0.06nMCHEMBL442504
10.22EC500.06nMCHEMBL415661
10.22Ki0.06nMCHEMBL3663336
10.22EC500.06nMCHEMBL4569789
10.22Ki0.06nMCHEMBL5414451
10.22IC500.06nMCHEMBL2096742
10.19Ki0.06457nMCHEMBL5414451
10.10Ki0.08nMCHEMBL2070251
10.10Ki0.08nMCHEMBL3663319
10.07Ki0.085nMCHEMBL3663337
10.06IC500.087nMCHEMBL1161322
10.02Ki0.096nMCHEMBL385465
10.02Ki0.095nMCHEMBL3904232
10.00IC500.1nMCHEMBL179836

PubChem BioAssay actives

3738 with measured affinity, of 6100 total; 50 most potent distinct compounds. Largely complementary to BindingDB; screening values are coarse (µM, 4 dp), so sub-nM hits tie at the floor.

CompoundAssayTypeValueUnit
(3S,6S,9R,12S,15S,23S)-15-[[(2S)-2-aminohexanoyl]amino]-9-benzyl-6-[3-(diaminomethylideneamino)propyl]-12-(1H-imidazol-5-ylmethyl)-3-(1H-indol-3-ylmethyl)-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxylic acid108974: Intracellular level of cAMP in cells expressing the melanocortin 4 receptorec50<0.0001uM
(2S,5R,8S,11S,14S,23S)-23-(2-acetamidohexanoylamino)-5-benzyl-8-[3-(diaminomethylideneamino)propyl]-2-(1H-imidazol-5-ylmethyl)-11-(1H-indol-3-ylmethyl)-3,6,9,12,20,24-hexaoxo-1,4,7,10,13,19-hexazacyclotetracosane-14-carboxamide1512890: Agonist activity at human FLAG-tagged MC4R expressed in HEK293 cells assessed as induction of intracellular cAMP accumulation after 2 hrs by AlphaScreen assayec50<0.0001uM
(4S)-4-[[(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S)-2-acetamido-3-hydroxypropanoyl]amino]-3-(4-hydroxyphenyl)propanoyl]amino]-3-hydroxypropanoyl]amino]hexanoyl]amino]-5-[[(2S)-1-[[(2R)-1-[[(2S)-1-[[(2S)-1-[[2-[[(2S)-6-amino-1-[(2S)-2-[[(2S)-1-amino-3-methyl-1-oxobutan-2-yl]carbamoyl]pyrrolidin-1-yl]-1-oxohexan-2-yl]amino]-2-oxoethyl]amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]amino]-5-carbamimidamido-1-oxopentan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-3-(1H-imidazol-4-yl)-1-oxopropan-2-yl]amino]-5-oxopentanoic acid108965: Effective concentration of peptide at 50% maximal cAMP generationec50<0.0001uM
(3S,6S,9R,12S,15S,23S)-15-[[(2S)-2-acetamidohexanoyl]amino]-3-[(6-chloro-1H-indol-3-yl)methyl]-6-[3-(diaminomethylideneamino)propyl]-12-(1H-imidazol-5-ylmethyl)-9-(naphthalen-2-ylmethyl)-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamide1743780: Displacement of [125I]-[NIe,DPhe7]-alpha-MSH from human MC4R expressed in HEK293 cell membranes incubated for 120 minski<0.0001uM
(3S,6S,9R,12S,15S,23S)-15-[[(2R)-2-acetamido-5-aminopentanoyl]amino]-6-[3-(diaminomethylideneamino)propyl]-12-(1H-imidazol-5-ylmethyl)-3-(1H-indol-3-ylmethyl)-9-(naphthalen-2-ylmethyl)-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamide1743780: Displacement of [125I]-[NIe,DPhe7]-alpha-MSH from human MC4R expressed in HEK293 cell membranes incubated for 120 minski<0.0001uM
(3S,6S,9R,12S,15S,23S)-15-[[(2S)-2-acetamidohexanoyl]amino]-6-[3-(diaminomethylideneamino)propyl]-3-[(7-fluoro-1H-indol-3-yl)methyl]-12-(1H-imidazol-5-ylmethyl)-9-(naphthalen-2-ylmethyl)-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamide1743780: Displacement of [125I]-[NIe,DPhe7]-alpha-MSH from human MC4R expressed in HEK293 cell membranes incubated for 120 minski<0.0001uM
(3S,6S,9R,12S,15S,23S)-15-[[(2S)-2-acetamidohexanoyl]amino]-6-[3-(diaminomethylideneamino)propyl]-12-(1H-imidazol-5-ylmethyl)-3-(1H-indol-3-ylmethyl)-2,5,8,11,14,17-hexaoxo-9-[(4-phenylphenyl)methyl]-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamide1743780: Displacement of [125I]-[NIe,DPhe7]-alpha-MSH from human MC4R expressed in HEK293 cell membranes incubated for 120 minski<0.0001uM
(3S,6S,9R,12S,15S,23S)-15-[[(2S)-2-acetamidohexanoyl]amino]-6-[3-(diaminomethylideneamino)propyl]-3-[(5-fluoro-1H-indol-3-yl)methyl]-12-(1H-imidazol-5-ylmethyl)-9-(naphthalen-2-ylmethyl)-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamide1743780: Displacement of [125I]-[NIe,DPhe7]-alpha-MSH from human MC4R expressed in HEK293 cell membranes incubated for 120 minski<0.0001uM
(6S,9S,12S,15R,18S,21S)-21-[[(2S)-2-acetamidohexanoyl]amino]-12-[3-(diaminomethylideneamino)propyl]-18-(1H-imidazol-5-ylmethyl)-9-(1H-indol-3-ylmethyl)-15-(naphthalen-2-ylmethyl)-8,11,14,17,20-pentaoxo-1,7,10,13,16,19,25,26-octazabicyclo[21.3.0]hexacosa-23,25-diene-6-carboxamide1743780: Displacement of [125I]-[NIe,DPhe7]-alpha-MSH from human MC4R expressed in HEK293 cell membranes incubated for 120 minski<0.0001uM
(3S,6S,9R,12S,15S,23S)-15-[[(2S)-2-acetamidohexanoyl]amino]-3-[(7-chloro-1H-indol-3-yl)methyl]-6-[3-(diaminomethylideneamino)propyl]-12-(1H-imidazol-5-ylmethyl)-9-(naphthalen-2-ylmethyl)-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamide1743780: Displacement of [125I]-[NIe,DPhe7]-alpha-MSH from human MC4R expressed in HEK293 cell membranes incubated for 120 minski<0.0001uM
(6S,9S,12S,15R,18S,21S)-21-[[(2S)-2-acetamidohexanoyl]amino]-12-[3-(diaminomethylideneamino)propyl]-18-(1H-imidazol-5-ylmethyl)-9-(1H-indol-3-ylmethyl)-15-(naphthalen-2-ylmethyl)-8,11,14,17,20-pentaoxo-1,7,10,13,16,19,24,25-octazabicyclo[21.2.1]hexacosa-23(26),24-diene-6-carboxamide1743780: Displacement of [125I]-[NIe,DPhe7]-alpha-MSH from human MC4R expressed in HEK293 cell membranes incubated for 120 minski<0.0001uM
(3S,6S,9R,12S,15S,23S)-15-[[(2S)-2-acetamidohexanoyl]amino]-6-[3-(diaminomethylideneamino)propyl]-3-[(6-fluoro-1H-indol-3-yl)methyl]-12-(1H-imidazol-5-ylmethyl)-9-(naphthalen-2-ylmethyl)-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamide1743780: Displacement of [125I]-[NIe,DPhe7]-alpha-MSH from human MC4R expressed in HEK293 cell membranes incubated for 120 minski<0.0001uM
(3S,6S,9R,12S,15S,23S)-15-[[(2S)-2-acetamidohexanoyl]amino]-3-[(5-chloro-1H-indol-3-yl)methyl]-6-[3-(diaminomethylideneamino)propyl]-12-(1H-imidazol-5-ylmethyl)-9-(naphthalen-2-ylmethyl)-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamide1743780: Displacement of [125I]-[NIe,DPhe7]-alpha-MSH from human MC4R expressed in HEK293 cell membranes incubated for 120 minski<0.0001uM
(2R)-2-(3,5-dimethoxyphenyl)-1-[(2S)-7-methyl-6-(1-methylpyrazol-4-yl)spiro[3,4-dihydro-1H-1,8-naphthyridine-2,3’-pyrrolidine]-1’-yl]propan-1-one1885397: Displacement of [125I]-[Nle4-D-phe7]-alpha-MSH from to human MC4R expressed in CHO cells incubated for 2 hrs by liquid scintillation counting methodki<0.0001uM
(2S)-2-acetamido-N-[(2R)-1-[[(2R)-1-[[(2S)-1-[[(2R)-1-[[(2S)-1-[[(2S)-1-[[(2R)-1-amino-1-oxo-3-sulfanylpropan-2-yl]amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]amino]-5-(diaminomethylideneamino)-1-oxopentan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-3-(1H-imidazol-5-yl)-1-oxopropan-2-yl]amino]-1-oxopropan-2-yl]amino]-1-oxo-3-sulfanylpropan-2-yl]-5-(diaminomethylideneamino)pentanamide1480175: Agonist activity at human MC4R expressed in high doxycyclin-treated HEK293 cell membranes assessed as increase in cAMP production after 15 mins by HTRF methodec50<0.0001uM
(3R,6S,9R,12S,15S,23R)-15-[[(2S)-2-acetamidohexanoyl]amino]-6-[3-(diaminomethylideneamino)propyl]-9-[(4-fluorophenyl)methyl]-12-(1H-imidazol-5-ylmethyl)-3-(1H-indol-3-ylmethyl)-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamide108970: Evaluated for agonist activity at cloned mammalian Melanocortin 4 receptorec50<0.0001uM
(3R,6S,9R,12S,15S,23R)-15-[[(2S)-2-acetamidohexanoyl]amino]-9-[(4-chlorophenyl)methyl]-6-[3-(diaminomethylideneamino)propyl]-12-(1H-imidazol-5-ylmethyl)-3-(1H-indol-3-ylmethyl)-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamide108970: Evaluated for agonist activity at cloned mammalian Melanocortin 4 receptorec50<0.0001uM
(3S)-N-[(2R)-1-[4-[2-[2-aminoethyl(methylsulfonyl)amino]phenyl]piperazin-1-yl]-3-(4-chlorophenyl)-1-oxopropan-2-yl]-1,2,3,4-tetrahydroisoquinoline-3-carboxamide246112: Effective concentration determined against melanocortin-4 receptorec500.0001uM
Setmelanotide1812567: Agonist activity at human melanocortin receptor 4 expressed in human T-REx-293 cells using high doxycycline assessed as stimulation of intracellular cAMP accumulation incubated for 45 mins by LANCE cAMP assayec500.0001uM
(4S)-4-[2-[[(2S)-2-[[(2S)-2-[[(2S)-2-acetamido-3-hydroxypropanoyl]amino]-3-(4-hydroxyphenyl)propanoyl]amino]-3-hydroxypropanoyl]amino]hexanoylamino]-5-[[(2S)-1-[[(2R)-1-[[(2S)-1-[[(2S)-1-[[2-[[(2S)-6-amino-1-[(2S)-2-[[(2S)-1-amino-3-methyl-1-oxobutan-2-yl]carbamoyl]pyrrolidin-1-yl]-1-oxohexan-2-yl]amino]-2-oxoethyl]amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]amino]-5-carbamimidamido-1-oxopentan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-3-(1H-imidazol-5-yl)-1-oxopropan-2-yl]amino]-5-oxopentanoic acid1433975: Inhibition of human recombinant melanocortin 4 receptor expressed in CHO cellski0.0001uM
(4S)-4-[2-[[(2S)-2-[[(2S)-2-[[(2S)-2-acetamido-3-hydroxypropanoyl]amino]-3-(4-hydroxyphenyl)propanoyl]amino]-3-hydroxypropanoyl]amino]hexanoylamino]-5-[[(2S)-1-[[(2R)-1-[[(2S)-1-[[(2S)-1-[[(2S)-6-amino-1-[(2S)-2-[[(2S)-1-amino-3-methyl-1-oxobutan-2-yl]carbamoyl]pyrrolidin-1-yl]-1-oxohexan-2-yl]amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]amino]-5-carbamimidamido-1-oxopentan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-3-(1H-imidazol-5-yl)-1-oxopropan-2-yl]amino]-5-oxopentanoic acid1512890: Agonist activity at human FLAG-tagged MC4R expressed in HEK293 cells assessed as induction of intracellular cAMP accumulation after 2 hrs by AlphaScreen assayec500.0001uM
1-[3-[(1R,4S,7S,10S,13S,16R,19S,22S,25R,28S,31S,34S,37R,40S)-16,37-dibenzyl-4-[(2S)-butan-2-yl]-13-(3-carbamimidamidopropyl)-22-[(1R)-1-hydroxyethyl]-19,40-bis(1H-imidazol-4-ylmethyl)-10,31-bis(1H-indol-3-ylmethyl)-7,14,28-trimethyl-3,6,9,12,15,18,21,24,27,30,33,36,39,42-tetradecaoxo-44,45-dithia-2,5,8,11,14,17,20,23,26,29,32,35,38,41-tetradecazabicyclo[23.17.4]hexatetracontan-34-yl]propyl]guanidine1812567: Agonist activity at human melanocortin receptor 4 expressed in human T-REx-293 cells using high doxycycline assessed as stimulation of intracellular cAMP accumulation incubated for 45 mins by LANCE cAMP assayec500.0001uM
[(1S)-5-chloro-6-methyl-1-[2-(2-methyl-1,2,4-triazol-3-yl)propan-2-yl]spiro[1,2-dihydroindene-3,4’-piperidine]-1’-yl]-[(1R,2R)-2-(2,4-difluorophenyl)-4-[methyl(oxan-4-yl)amino]cyclopentyl]methanone528112: Agonist activity at human MC4 receptorec500.0001uM
(4R,7S,10S,13R,16S,19R)-13-benzyl-24-cyano-10-[3-(diaminomethylideneamino)propyl]-16-(1H-imidazol-5-ylmethyl)-7-(1H-indol-3-ylmethyl)-19-methyl-6,9,12,15,18,21-hexaoxo-2-thia-5,8,11,14,17,20-hexazabicyclo[20.4.0]hexacosa-1(22),23,25-triene-4-carboxamide1967900: Displacement of sCy5-MT-I from human MC4R stably expressed in human HEK293 cells incubated for 2 hrs by Cheng-Prusoff equation based FACS analysiski0.0001uM
(4R,7S,10S,13R,16S,19S)-13-benzyl-10-[3-(diaminomethylideneamino)propyl]-16-(1H-imidazol-5-ylmethyl)-7-(1H-indol-3-ylmethyl)-19-methyl-6,9,12,15,18,21-hexaoxo-24-[1-[(2R,3R,4S,5S,6R)-3,4,5-trihydroxy-6-(hydroxymethyl)oxan-2-yl]triazol-4-yl]-2-thia-5,8,11,14,17,20-hexazabicyclo[20.4.0]hexacosa-1(22),23,25-triene-4-carboxamide1967895: Agonist activity at human MC4R stably expressed in human Flp-In-293 cells assessed as cAMP accumulation incubated for 45 mins in presence of IBMX by Lance Ultra cAMP assayec500.0001uM
(4R,7S,10S,13R,16S,19R)-13-benzyl-10-[3-(diaminomethylideneamino)propyl]-16-(1H-imidazol-5-ylmethyl)-7-(1H-indol-3-ylmethyl)-19-methyl-24-nitro-6,9,12,15,18,21-hexaoxo-2-thia-5,8,11,14,17,20-hexazabicyclo[20.4.0]hexacosa-1(22),23,25-triene-4-carboxamide1967900: Displacement of sCy5-MT-I from human MC4R stably expressed in human HEK293 cells incubated for 2 hrs by Cheng-Prusoff equation based FACS analysiski0.0001uM
(4R,7S,10S,13R,16S,19R)-24-amino-13-benzyl-10-[3-(diaminomethylideneamino)propyl]-16-(1H-imidazol-5-ylmethyl)-7-(1H-indol-3-ylmethyl)-19-methyl-6,9,12,15,18,21-hexaoxo-2-thia-5,8,11,14,17,20-hexazabicyclo[20.4.0]hexacosa-1(22),23,25-triene-4-carboxamide1967900: Displacement of sCy5-MT-I from human MC4R stably expressed in human HEK293 cells incubated for 2 hrs by Cheng-Prusoff equation based FACS analysiski0.0001uM
(3R,6S,9S,12S,15S,23R)-15-[[(2S)-2-acetamidohexanoyl]amino]-6-[3-(diaminomethylideneamino)propyl]-12-(1H-imidazol-5-ylmethyl)-3-(1H-indol-3-ylmethyl)-9-(naphthalen-2-ylmethyl)-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamide223527: Binding affinity against human melanocortin receptor 4 (hMC4R) (concentration of the peptide at 50% specific binding)ki0.0001uM
(3R,6S,9R,12S,15S,23R)-15-acetamido-6-[3-(diaminomethylideneamino)propyl]-12-(1H-imidazol-5-ylmethyl)-3-(1H-indol-3-ylmethyl)-9-(naphthalen-2-ylmethyl)-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamide223527: Binding affinity against human melanocortin receptor 4 (hMC4R) (concentration of the peptide at 50% specific binding)ki0.0001uM
N-[(2R)-3-(4-chlorophenyl)-1-[4-[2-[cyclopropylmethyl(methylsulfonyl)amino]phenyl]piperazin-1-yl]-1-oxopropan-2-yl]piperidine-4-carboxamide108974: Intracellular level of cAMP in cells expressing the melanocortin 4 receptorec500.0001uM
N-[2-[4-[(2S)-2-[(4-chlorophenyl)methyl]-4-[4-(3,3-dimethylbutanoyl)piperazin-1-yl]-4-oxobutanoyl]piperazin-1-yl]phenyl]-N-(cyclopropylmethyl)methanesulfonamide109126: Inhibitory activity against [125I]NDP-alpha-MSH binding to the human melanocortin 4 receptoric500.0001uM
(3R,11S,14S,17R,20S,23R)-3-[[(2R)-2-acetamidohexanoyl]amino]-17-[3-(diaminomethylideneamino)propyl]-14-(1H-indol-3-ylmethyl)-20-(naphthalen-2-ylmethyl)-2,5,13,16,19,22-hexaoxo-1,6,12,15,18,21-hexazabicyclo[21.3.0]hexacosane-11-carboxamide107023: Binding affinity against human Melanocortin-4 receptoric500.0001uM
3-[(4S,7R,10S,13S,16S,19R,22S)-22-[[(2S)-2-[[(2S)-2-acetamido-3-(4-hydroxyphenyl)propanoyl]amino]-5-(diaminomethylideneamino)pentanoyl]amino]-4-carbamoyl-13-[(4-chlorophenyl)methyl]-10-[3-(diaminomethylideneamino)propyl]-16-(1H-imidazol-5-ylmethyl)-7-(1H-indol-3-ylmethyl)-6,9,12,15,18,21-hexaoxo-1,2-dithia-5,8,11,14,17,20-hexazacyclotricos-19-yl]propanoic acid239513: Inhibition of [125I]NDP-alpha-MSH binding to melanocortin-4 receptor expressed in HEK293 cellski0.0001uM
3-[(4S,7R,10S,13S,16S,19R,22S)-22-[[(2S)-2-[[(2S)-2-acetamido-3-(4-hydroxyphenyl)propanoyl]amino]-5-(diaminomethylideneamino)pentanoyl]amino]-4-carbamoyl-10-[3-(diaminomethylideneamino)propyl]-13-[(4-fluorophenyl)methyl]-16-(1H-imidazol-5-ylmethyl)-7-(1H-indol-3-ylmethyl)-6,9,12,15,18,21-hexaoxo-1,2-dithia-5,8,11,14,17,20-hexazacyclotricos-19-yl]propanoic acid246243: Agonist activity at human Melanocortin-4 receptor as peptide required for 50% maximal cAMP release (n > or =2)ec500.0001uM
3-[(4S,7R,10S,13S,16S,19R,22S)-22-[[(2S)-2-[[(2S)-2-acetamido-3-(4-hydroxyphenyl)propanoyl]amino]-6-aminohexanoyl]amino]-13-benzyl-4-carbamoyl-10-[3-(diaminomethylideneamino)propyl]-16-(1H-imidazol-5-ylmethyl)-7-(1H-indol-3-ylmethyl)-6,9,12,15,18,21-hexaoxo-1,2-dithia-5,8,11,14,17,20-hexazacyclotricos-19-yl]propanoic acid246243: Agonist activity at human Melanocortin-4 receptor as peptide required for 50% maximal cAMP release (n > or =2)ec500.0001uM
(4S)-4-[[(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S)-2-acetamido-3-hydroxypropanoyl]amino]-3-(4-hydroxyphenyl)propanoyl]amino]-3-hydroxypropanoyl]amino]hexanoyl]amino]-5-[[(2S)-1-[[(2R)-1-[[(2S)-1-[[(2S)-1-[[2-[[(2S)-6-amino-1-[(2S)-2-[[(2S)-1-amino-3-methyl-1-oxobutan-2-yl]carbamoyl]pyrrolidin-1-yl]-1-oxohexan-2-yl]amino]-2-oxoethyl]amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]amino]-5-carbamimidamido-1-oxopentan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-3-(1H-imidazol-5-yl)-1-oxopropan-2-yl]amino]pentanoic acid1477002: Agonist activity at human MC4R expressed in HEK293 cells assessed as induction of intracellular cAMP accumulation after 3 minsec500.0002uM
(4S)-4-[[(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S)-2-acetamido-3-hydroxypropanoyl]amino]-3-(4-hydroxyphenyl)propanoyl]amino]-3-hydroxypropanoyl]amino]-4-methylsulfanylbutanoyl]amino]-5-[[(2S)-1-[[(2S)-1-[[(2S)-1-[[(2S)-1-[[2-[[(2S)-6-amino-1-[(2S)-2-[[(2S)-1-amino-3-methyl-1-oxobutan-2-yl]carbamoyl]pyrrolidin-1-yl]-1-oxohexan-2-yl]amino]-2-oxoethyl]amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]amino]-5-carbamimidamido-1-oxopentan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-3-(1H-imidazol-4-yl)-1-oxopropan-2-yl]amino]-5-oxopentanoic acid108968: Effective concentration required for the biological activity against human Melanocortin 4 receptorec500.0002uM
(2R)-2-(5-chloro-2-methoxy-4-pyridinyl)-1-[(2S)-7-methyl-6-(2-methyltetrazol-5-yl)spiro[3,4-dihydro-1H-1,8-naphthyridine-2,3’-pyrrolidine]-1’-yl]propan-1-one1885397: Displacement of [125I]-[Nle4-D-phe7]-alpha-MSH from to human MC4R expressed in CHO cells incubated for 2 hrs by liquid scintillation counting methodki0.0002uM
1-[3-[(1R,4S,7S,13S,16S,19R,22S,25S,28R,31S,34S,37S,40R,43S)-19,40-dibenzyl-16-(3-carbamimidamidopropyl)-25-[(1R)-1-hydroxyethyl]-22,43-bis(1H-imidazol-4-ylmethyl)-13,34-bis(1H-indol-3-ylmethyl)-4,17,31-trimethyl-3,6,12,15,18,21,24,27,30,33,36,39,42,45-tetradecaoxo-47,48-dithia-2,5,11,14,17,20,23,26,29,32,35,38,41,44-tetradecazatricyclo[26.17.4.07,11]nonatetracontan-37-yl]propyl]guanidine1812567: Agonist activity at human melanocortin receptor 4 expressed in human T-REx-293 cells using high doxycycline assessed as stimulation of intracellular cAMP accumulation incubated for 45 mins by LANCE cAMP assayec500.0002uM
1-[3-[(1R,4S,7S,13S,16S,19R,22S,25S,28R,31S,34S,37S,40R,43S)-19,40-dibenzyl-4-[(2S)-butan-2-yl]-16-(3-carbamimidamidopropyl)-25-[(1R)-1-hydroxyethyl]-22,43-bis(1H-imidazol-4-ylmethyl)-13,34-bis(1H-indol-3-ylmethyl)-17,31-dimethyl-3,6,12,15,18,21,24,27,30,33,36,39,42,45-tetradecaoxo-47,48-dithia-2,5,11,14,17,20,23,26,29,32,35,38,41,44-tetradecazatricyclo[26.17.4.07,11]nonatetracontan-37-yl]propyl]guanidine1812567: Agonist activity at human melanocortin receptor 4 expressed in human T-REx-293 cells using high doxycycline assessed as stimulation of intracellular cAMP accumulation incubated for 45 mins by LANCE cAMP assayec500.0002uM
(4R,7S,10S,13R,16S)-13-benzyl-10-[3-(diaminomethylideneamino)propyl]-21-ethynyl-16-(1H-imidazol-5-ylmethyl)-7-(1H-indol-3-ylmethyl)-6,9,12,15,18-pentaoxo-2-thia-5,8,11,14,17-pentazabicyclo[17.4.0]tricosa-1(19),20,22-triene-4-carboxamide1967900: Displacement of sCy5-MT-I from human MC4R stably expressed in human HEK293 cells incubated for 2 hrs by Cheng-Prusoff equation based FACS analysiski0.0002uM
(4R,7S,10S,13R,16S,19R)-13-benzyl-24-carbamimidoyl-10-[3-(diaminomethylideneamino)propyl]-16-(1H-imidazol-5-ylmethyl)-7-(1H-indol-3-ylmethyl)-19-methyl-6,9,12,15,18,21-hexaoxo-2-thia-5,8,11,14,17,20-hexazabicyclo[20.4.0]hexacosa-1(22),23,25-triene-4-carboxamide1967900: Displacement of sCy5-MT-I from human MC4R stably expressed in human HEK293 cells incubated for 2 hrs by Cheng-Prusoff equation based FACS analysiski0.0002uM
(4S)-4-[[(2S)-2-[[(2S)-2-[[(2S)-2-acetamido-3-(4-hydroxyphenyl)propanoyl]amino]-5-(diaminomethylideneamino)pentanoyl]amino]-4-methylsulfanylbutanoyl]amino]-5-[[(2S)-1-[[(2R)-1-[[(2S)-1-[[(2S)-1-[(2-amino-2-oxoethyl)amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]amino]-5-(diaminomethylideneamino)-1-oxopentan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-3-(1H-imidazol-5-yl)-1-oxopropan-2-yl]amino]-5-oxopentanoic acid246243: Agonist activity at human Melanocortin-4 receptor as peptide required for 50% maximal cAMP release (n > or =2)ec500.0002uM
(3S,11R,14R,17S,20S,23S)-3-[[(2S)-2-acetamidohexanoyl]amino]-20-benzyl-17-[3-(diaminomethylideneamino)propyl]-14-(1H-indol-3-ylmethyl)-2,5,13,16,19,22-hexaoxo-1,6,12,15,18,21-hexazabicyclo[21.3.0]hexacosane-11-carboxamide108976: Intracellular levels of cAMP in HEK 293 cells expressing human melanocortin 4 receptor (hMC4R)ec500.0002uM
(3R,6S,9R,12S,15S,23R)-15-[[(2S)-2-acetamidohexanoyl]amino]-6-[3-(diaminomethylideneamino)propyl]-12-(1H-imidazol-5-ylmethyl)-3-(1H-indol-3-ylmethyl)-9-[(4-iodophenyl)methyl]-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamide109272: Evaluated for partial agonistic activity at cloned mammalian Melanocortin 4 receptorkd0.0002uM
(3S,6R,9R,12R,15R,23S)-15-[[(2S)-2-acetamidohexanoyl]amino]-6-[3-(diaminomethylideneamino)propyl]-12-(1H-imidazol-5-ylmethyl)-3-(1H-indol-3-ylmethyl)-9-[(4-iodophenyl)methyl]-2,5,8,11,14,17-hexaoxo-1,4,7,10,13,18-hexazacyclotricosane-23-carboxamide109273: pA2 against human melanocortin receptor, human Melanocortin 4 receptorkd0.0002uM
(3R,11S,14S,17R,20S,23R)-3-[[(2R)-2-acetamidohexanoyl]amino]-17-[3-(diaminomethylideneamino)propyl]-22-hydroxy-14-(1H-indol-3-ylmethyl)-20-(naphthalen-2-ylmethyl)-2,5,13,16,19-pentaoxo-1,6,12,15,18,21-hexazabicyclo[21.3.0]hexacosane-11-carboxamide107022: Binding affinity against human Melanocortin-4 receptoric500.0002uM
(1R,4S,7R,10S,13S,21R,24R,29R)-21-[[(2R)-2-acetamidohexanoyl]amino]-7-[3-(diaminomethylideneamino)propyl]-10-(1H-indol-3-ylmethyl)-24,29-dimethyl-4-(naphthalen-2-ylmethyl)-2,5,8,11,19,22-hexaoxo-3,6,9,12,18,23-hexazatricyclo[21.7.0.024,29]triacontane-13-carboxamide107022: Binding affinity against human Melanocortin-4 receptoric500.0002uM
(4S)-5-[[(2S)-1-[[(2S)-1-[[(2S)-1-[[(2S)-1-[[2-[[(2S)-6-amino-1-[(2S)-2-[[(2S)-1-(carboxymethylamino)-3-methyl-1-oxobutan-2-yl]carbamoyl]pyrrolidin-1-yl]-1-oxohexan-2-yl]amino]-2-oxoethyl]amino]-3-(1H-indol-3-yl)-1-oxopropan-2-yl]amino]-5-(diaminomethylideneamino)-1-oxopentan-2-yl]amino]-1-oxo-3-phenylpropan-2-yl]amino]-3-(1H-imidazol-4-yl)-1-oxopropan-2-yl]amino]-4-[[(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S)-2-[[(2S)-1-[(2S)-3-carboxy-2-[[(2S)-2,4-diamino-4-oxobutanoyl]amino]propanoyl]pyrrolidine-2-carbonyl]amino]-3-hydroxypropanoyl]amino]-3-(4-hydroxyphenyl)propanoyl]amino]-3-hydroxypropanoyl]amino]-4-methylsulfanylbutanoyl]amino]-5-oxopentanoic acid240058: Effective concentration against human melanocortin-4 receptorec500.0002uM
(3S)-3-[[(2S)-2-[[(2S)-1-[(2S)-1-[(2S)-2-[[(4S,7R,10S,13S,16S,19R,22S)-22-[[(2S)-2-[[(2S)-2-acetamido-3-(4-hydroxyphenyl)propanoyl]amino]-5-(diaminomethylideneamino)pentanoyl]amino]-13-benzyl-19-(2-carboxyethyl)-10-[3-(diaminomethylideneamino)propyl]-16-(1H-imidazol-4-ylmethyl)-7-(1H-indol-3-ylmethyl)-6,9,12,15,18,21-hexaoxo-1,2-dithia-5,8,11,14,17,20-hexazacyclotricosane-4-carbonyl]amino]-3-hydroxypropanoyl]pyrrolidine-2-carbonyl]pyrrolidine-2-carbonyl]amino]-6-aminohexanoyl]amino]-4-amino-4-oxobutanoic acid246243: Agonist activity at human Melanocortin-4 receptor as peptide required for 50% maximal cAMP release (n > or =2)ec500.0002uM

CTD chemical–gene interactions

14 total (human), top 14 by PubMed support.

ChemicalActions (top 5)PubMed papers
Benzo(a)pyreneincreases expression, affects methylation3
bisphenol Aaffects cotreatment, decreases methylation1
MSH, 4-Nle-7-Phe-alpha-increases activity1
indoleaffects binding1
naphthaleneaffects binding1
2-palmitoylglycerolincreases expression1
bisphenol Sincreases methylation1
LY2112688affects binding, increases activity1
Fulvestrantaffects cotreatment, decreases methylation1
Vorinostatincreases expression1
Estradiolincreases expression1
Leadaffects expression1
Dronabinoldecreases expression1
Triclosandecreases expression1

ChEMBL screening assays

663 unique, capped per target: 364 binding, 293 functional, 6 admet

Representative assays (with source publication via chembl_document):

Assay IDTypeDescriptionSource paper
CHEMBL826750BindingRatio of EC50 of Melanocortin 4 receptor to that of Melanocortin 3 receptorEnd-capping of the modified melanocortin tetrapeptide (p-Cl)Phe-D-Phe-Arg-Trp-NH2 as a route to hMC4R agonists. — Bioorg Med Chem Lett
CHEMBL825473FunctionalSelectivity for melanocortin 4 receptor compared to melanocortin 5 receptor in vitroMelanocortin subtype-4 receptor agonists containing a piperazine core with substituted aryl sulfonamides. — Bioorg Med Chem Lett
CHEMBL4032183ADMETDisplacement of [125I]-NDP-alpha-MSH from human MC4R expressed in HEK293 cells after 40 mins by gamma counting methodDesign of MC1R Selective γ-MSH Analogues with Canonical Amino Acids Leads to Potency and Pigmentation. — J Med Chem

Cellosaurus cell lines

6 cell lines: 3 spontaneously immortalized cell line, 2 transformed cell line, 1 cancer cell line

First 10 cell lines (id-ordered, not curated):

CellosaurusNameCategorySex
CVCL_C0T5ACTOne MC4RTransformed cell lineFemale
CVCL_H461CHO-K1/MC4/Galpha15Spontaneously immortalized cell lineFemale
CVCL_KV47cAMP Hunter CHO-K1 MC4R GsSpontaneously immortalized cell lineFemale
CVCL_LA70PathHunter U2OS MC4R beta-arrestinCancer cell lineFemale
CVCL_YK18HEK293 MC4R HiTSeekerTransformed cell lineFemale
CVCL_ZK74GeneBLAzer MC4R-CRE-bla CHO-K1Spontaneously immortalized cell lineFemale

Clinical trials (associated diseases)

300 trials via MONDO — disease-level, not drug-specific.

TrialPhaseStatusTitle
NCT00000374PHASE4COMPLETEDTreatment for First-Episode Schizophrenia
NCT00001656PHASE4COMPLETEDComparison of Clozapine vs Olanzapine in Childhood-Onset Psychotic Disorders
NCT00007774PHASE4COMPLETEDTo Determine if Olanzapine is More Cost Effective Than Haloperidol for the Treatment of Schizophrenia
NCT00014001PHASE4COMPLETEDCATIE- Schizophrenia Trial
NCT00018668PHASE4COMPLETEDAntipsychotic Response in Schizophrenia
NCT00034801PHASE4COMPLETEDOlanzapine Versus Active Comparator in the Treatment of Depression in Patients With Schizophrenia
NCT00034905PHASE4COMPLETEDA Comparison of Seroquel vs. Risperidone in Schizophrenia
NCT00036088PHASE4COMPLETEDOlanzapine Versus An Active Comparator in the Treatment of Schizophrenia
NCT00044187PHASE4COMPLETEDThe Assessment of a Weight-Gain Agent for the Treatment of Olanzapine-Associated Anti-Obesity Agent in Patients With Schizophrenia, Schizophreniform Disorder, Schizoaffective Disorder, and Bipolar I Disorder
NCT00044655PHASE4COMPLETEDSwitching Medication to Treat Schizophrenia
NCT00048828PHASE4COMPLETEDTreating Drug-Resistant Childhood Schizophrenia
NCT00053703PHASE4COMPLETEDTreatment of Early Onset Schizophrenia Spectrum Disorders (TEOSS)
NCT00056498PHASE4COMPLETEDRisperidone Treatment in Schizophrenia Patients Who Are Currently Taking Clozapine
NCT00061802PHASE4COMPLETEDEfficacy and Safety of Two Atypical Antipsychotics vs. Placebo in Patients With an Acute Exacerbation of Either Schizophrenia or Schizoaffective Disorder
NCT00080327PHASE4COMPLETEDStudy of Three Doses of Aripiprazole in Patients With Acute Schizophrenia
NCT00088049PHASE4COMPLETEDStudy of Olanzapine vs. Aripiprazole in the Treatment of Schizophrenia
NCT00090012PHASE4COMPLETEDComparison of Continuing Olanzapine to Switching to Quetiapine in Overweight or Obese Patients With Schizophrenia and Schizoaffective Disorder
NCT00100776PHASE4COMPLETEDEfficacy of High Dose Olanzapine for the Treatment of Schizophrenia and Schizoaffective Disorder
NCT00103571PHASE4COMPLETEDOlanzapine Versus Aripiprazole in the Treatment of Acutely Ill Patients With Schizophrenia
NCT00108368PHASE4COMPLETEDThe Effects of Risperidone and Olanzapine on Thinking
NCT00114595PHASE4COMPLETEDEthyl-Eicosapentaenoic Acid and Tardive Dyskinesia
NCT00130923PHASE4COMPLETEDRisperidone Long-acting Versus Oral Risperidone in Patients With Schizophrenia and Alcohol Use Disorder
NCT00137020PHASE4COMPLETEDClinical Effect Of Cross Titration Of Antipsychotics With Ziprasidone In Schizophrenia Or Schizoaffective Disorder
NCT00140166PHASE4COMPLETEDTreatment of Acute Schizophrenia With Vitamin Therapy
NCT00145847PHASE4COMPLETEDNaltrexone Treatment of Alcohol Abuse in Schizophrenia
NCT00148564PHASE4COMPLETEDEnergy Homeostasis Under Treatment With Atypical Antipsychotics
NCT00156715PHASE4COMPLETEDEfficacy of Quetiapine in the Treatment of Patients With Schizophrenia and a Comorbid Substance Use Disorder
NCT00158223PHASE4COMPLETEDEffectiveness of Pimozide in Augmenting the Effects of Clozapine in the Treatment of Schizophrenia
NCT00159081PHASE4COMPLETEDOne Year Drug Treatment in First-Episode Schizophrenia
NCT00159120PHASE4COMPLETEDMaintenance Treatment vs. Stepwise Drug Discontinuation in First-Episode Schizophrenia
NCT00159133PHASE4COMPLETEDProdrome-Based Early Intervention With Antipsychotics vs. Benzodiazepines in First-Episode Schizophrenia
NCT00159757PHASE4TERMINATED12 Week Open, Non-Comparative Switch Study Of Oral Ziprazidone In Previously Treated Schizophrenic Patients
NCT00167817PHASE4COMPLETEDEffect of Switch to Aripiprazole on Health and Smoking Parameters in Patients With Schizophrenia: A Pilot Study
NCT00169026PHASE4TERMINATEDAlcoholism and Schizophrenia: Effects of Clozapine
NCT00169039PHASE4TERMINATEDClozapine Versus Chlorpromazine for Treatment-Unresponsive Schizophrenia
NCT00169065PHASE4COMPLETEDEffectiveness of Clozapine Versus Olanzapine for Treatment-resistant Schizophrenia
NCT00169091PHASE4TERMINATEDClozapine Versus Haloperidol for Treating the First Episode of Schizophrenia
NCT00176423PHASE4COMPLETEDEfficacy Study of Galantamine for Cognitive Impairments in Schizophrenia
NCT00176436PHASE4COMPLETEDAtomoxetine for Treatment of Weight Gain in Olanzapine or Clozapine Patients
NCT00177008PHASE4COMPLETEDAripiprazole for the Treatment of Schizophrenia With Co-Morbid Social Anxiety