Single Dose of Vyleesi in Lactating Female Subjects to Measure the Concentration of Bremelanotide in Breast Milk

NCT06867835 | Completed Phase 4 FDA Drug

• 1 other identifier: PMR 3635-3
• Study Type: interventional
• Target: 10
• Locations: 1 country
• Sites: 1

Brief Summary

The primary objectives of this clinical trial performed with Vyleesi (Bremelanotide Injection) are:

• to evaluate if Bremelanotide (BMT) is secreted in breast milk of lactating women treated with a single dose of BMT 1.75 mg SC.
• to measure the concentration and characterize the pharmacokinetics of BMT secreted in breast milk of lactating women treated with a single dose of BMT 1.75 mg SC. This open-label, pharmacokinetic (PK) study will be performed in 10 healthy lactating female subjects between 10 days and 6 months post-partum (inclusive). The maximum duration of subject participation in the study will be approximately 29 days, consisting of 3-week Screening period, a 1 day treatment period, and up to a 7 day follow-up period.

Conditions

Lactating Mother

Outcome Measures

Primary Outcomes (5)

• Levels of Bremelanotide (BMT) in Breast Milk Over 24h After Administration of Vyleesi

  The levels/concentrations of bremelanotide (BMT) will be measured in breast milk samples collected at different timepoints up to 24h from lactating women who receive a single dose of Vyleesi (BMT 1.75 mg SC).

  24 hours

• Area under the curve from time 0 to end of dosing interval (AUCtau) for BMT in Breast Milk

  24 hours

• Maximum observed concentration (Cmax) of BMT in breast milk

  24 hours

• Time to reach Cmax of BMT in breast milk (Tmax)

  24 hours

• Terminal half-life of BMT in breast milk (t1/2)

  24 hours

Secondary Outcomes (5)

• Levels of Bremelanotide (BMT) in Plasma Over 24h After Administration of Vyleesi

  24 hours

• Area under the curve from time 0 to end of dosing interval (AUCtau) for BMT in Plasma

  24 hours

• Maximum observed concentration (Cmax) of BMT in Plasma

  24 hours

• Time to reach Cmax of BMT in Plasma (Tmax)

  24 hours

• Milk:plasma ratio (M/P) of BMT Levels

  24 hours

Study Arms (1)

Vyleesi

EXPERIMENTAL

One dose of BMT 1.75 mg SC on Day 1

Drug: Vyleesi (Bremelanotide Injection)

Interventions

Vyleesi (Bremelanotide Injection) DRUG

Single dose of BMT 1.75 mg SC on Day 1

Vyleesi

Eligibility Criteria

• Age: 18 Years - 55 Years
• Gender Eligibility Details: Lactating mother
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Female subjects ≥18 to 55 years of age (inclusive) and premenopausal
• Lactating, between 10 days and 6 months postpartum (inclusive).
• Exclusively breastfeeds their infant prior to participation in the study
• Is willing to pump and store breastmilk for feeding her infant for a minimum of 48 hours in advance of study initiation and discontinue breastfeeding their infant for the duration of their study participation (beginning from time of dosing with BMT) and a minimum of 24 hours following the Safety Follow-Up visit (i.e., a minimum of 48 hours following dosing with BMT).
• Ensure at the time of screening that the breastfed infant can feed from a bottle during maternal participation in the study
• The subject is not pregnant, and does not intend to become pregnant before, during, or within 1 complete menstrual cycle or 2 months after administration of study drug
• Subjects of childbearing potential who are sexually active with a nonsterilized male partner must have stable, continuous use of an acceptable method of contraception throughout the duration of the study, and for at least 60 days after the dose of study drug

You may not qualify if:

• Breastfeeding is not well established in the mother-infant pair (e.g., poor latching of the infant or low milk supply).
• Any condition that interferes with the successful collection of milk from one or both breasts including but not limited to lactation mastitis (typically presents as a tender, hot, swollen area of the breast that may or may not involve an infection), milk blister that may present as a blocked nipple pore, breast abscess, etc.
• Has used any investigational compound and/or an experimental medical device within 28 days before Screening.
• Has taken BMT within 24 hours of participation in the study

Sponsors & Collaborators

• Cosette Pharmaceuticals, Inc.: lead

Study Sites (1)

First Excellence Research Group LLC

Doral, Florida, 33178, United States

Location

MeSH Terms

Interventions

bremelanotide

Study Design

• Study Type: interventional
• Phase: phase 4
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 19, 2025
• First Posted: March 10, 2025
• Study Start: July 11, 2025
• Primary Completion: November 15, 2025
• Study Completion: November 15, 2025
• Last Updated: January 13, 2026

Record last verified: 2026-01

Locations

US (1)