Setmelanotide vs PE-22-28

A detailed comparison to help you understand the differences and choose the right peptide for your research goals.

Setmelanotide

Setmelanotide (Imcivree) is an FDA-approved MC4R agonist for chronic weight management in patients with obesity due to specific genetic conditions (POMC, PCSK1, or LEPR deficiency).

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PE-22-28

PE-22-28 is a synthetic peptide fragment derived from research on the SAMP8 mouse model of accelerated aging. It has shown potential for enhancing memory and reducing cognitive decline.

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Side-by-Side Comparison

AspectSetmelanotidePE-22-28
MechanismSelective agonist of melanocortin 4 receptors (MC4R) in the hypothalamus, restoring the satiety signaling pathway that is disrupted in certain genetic obesity syndromes.Derived from the protein that is deficient in SAMP8 mice. May work by inhibiting protein phosphatase 2A methylesterase, thereby affecting memory-related signaling pathways.
Typical DosageAdults: Start 2mg daily, titrate based on tolerability up to 3mg daily. Pediatrics (6+): Weight-based dosing starting at 1mg daily.Research protocols vary. Intranasal dosing has been studied at various concentrations. Optimal human dosing not established.
AdministrationSubcutaneous injection once daily. Requires genetic testing to confirm eligible mutations before prescribing.Intranasal administration preferred for CNS delivery. Research compound with limited human use data.
Side EffectsInjection site reactions, skin hyperpigmentation, spontaneous penile erections, depression, and suicidal ideation (boxed warning). GI effects less common than GLP-1s.Very limited human data. Primarily studied in animal models for safety and efficacy.
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Key Differences

Unique to Setmelanotide:

Unique to PE-22-28:

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