ClinicalTrials.gg
CompletedNCT06388642Updated Jul 27, 2026Results posted

Pharmacokinetics of Afamelanotide in Erythropoietic Protoporphyria Patients

A Phase 1/2 interventional study of Afamelanotide 16mg implant in Erythropoietic Protoporphyria, sponsored by Clinuvel Europe Limited. Completed at 2 sites in 2 countries. Open to participants aged 12 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-07-27.

Sponsored by Clinuvel Europe Limited · Phase 1/2, Interventional, and Other

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Phase 1/2
Study type
Interventional
Enrollment
28
Allocation
Not applicable
Ages
12 Years to 70 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the concentration of afamelanotide in serum after the administration of afamelanotide in adolescent and adult EPP patients.

02

Conditions studied

  • Erythropoietic Protoporphyria
03

In context

Protoporphyria, Erythropoietic

29 studies on the registry are indexed under Protoporphyria, Erythropoietic; 5 are open to participants now.

This study's enrollment of 28 is below the median of 62 across 20 interventional studies indexed under Protoporphyria, Erythropoietic.

Browse Protoporphyria, Erythropoietic studies →

Lead sponsor

Clinuvel Europe Limited is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • EPP patients aged between 12 and 70 years
  • between 15 and 30 kg/m2
  • >50 kg

Exclusion criteria

Exclusion Criteria:

  • Any personal or direct family history of melanoma
  • Any significant history of allergy and/or sensitivity to any of the contents of study drug product or lignocaine or other local anaesthetics if used
  • Any significant illness during the four weeks before the study screening period
  • Any evidence of hepatic or renal impairment
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
28 participants (actual)

Study arms

  • Experimental
    Afamelanotide 16 mg implant

    Drug: Afamelanotide 16mg implant

Interventions

  • afamelanotide 16mg implant will be administered to each patient during the study.

    Also known as: SCENESSE®

06

What researchers measure

Primary outcomes

  1. Cmax (Maximum Plasma Concentration)

    Blood samples will be collected for analysis of afamelanotide plasma concentrations and understand what the maximum concentration in plasma is.

    Time frame: Baseline to Day 7

  2. AUC(0-t) (Area Under the Curve From Administration to Last Observed Concentration at Time t)

    Blood samples will be collected for analysis of afamelanotide plasma concentrations.

    Time frame: Baseline to Day 7

Secondary outcomes

  1. AUC(0-∞) (Area Under the Curve Extrapolated to Infinite Time)

    Time frame: Baseline to Day 7

07

Results

Posted Jul 27, 2026

Participant flow

Participant flow — Overall Study
MilestoneAfamelanotide 16 mg Implant
Started28
Completed28
Not completed0

Outcome measures

PrimaryCmax (Maximum Plasma Concentration)

Blood samples will be collected for analysis of afamelanotide plasma concentrations and understand what the maximum concentration in plasma is.

Time frame:
Baseline to Day 7
Reported as:
Geometric mean · ng/mL
Cmax (Maximum Plasma Concentration)
ng/mLAfamelanotide 16 mg Implant
Cmax (Maximum Plasma Concentration)2.361 (1.85 to 3.013)
PrimaryAUC(0-t) (Area Under the Curve From Administration to Last Observed Concentration at Time t)

Blood samples will be collected for analysis of afamelanotide plasma concentrations.

Time frame:
Baseline to Day 7
Reported as:
Geometric mean · h*ng/mL
AUC(0-t) (Area Under the Curve From Administration to Last Observed Concentration at Time t)
h*ng/mLAfamelanotide 16 mg Implant
AUC(0-t) (Area Under the Curve From Administration to Last Observed Concentration at Time t)95.415 (77.075 to 118.119)
SecondaryAUC(0-∞) (Area Under the Curve Extrapolated to Infinite Time)
Time frame:
Baseline to Day 7
Reported as:
Geometric mean · h*ng/mL
AUC(0-∞) (Area Under the Curve Extrapolated to Infinite Time)
h*ng/mLAfamelanotide 16 mg Implant
AUC(0-∞) (Area Under the Curve Extrapolated to Infinite Time)114.406 (96.631 to 135.45)

Adverse events

Collected over All adverse events were monitored from baseline until 3 months after treatment (approximately 3 months). Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Afamelanotide 16 mg Implant0/28 (0%)0/28 (0%)23/28 (82.1%)
Most frequent other events
Most frequent other events
EventAfamelanotide 16 mg Implant
HeadacheNervous system disorders6/28
NauseaGastrointestinal disorders4/28
Influenza like illnessGeneral disorders4/28
DiarrhoeaGastrointestinal disorders3/28
Rhinitis*Infections and infestations3/28
Photosensitivity reaction*Skin and subcutaneous tissue disorders3/28
Implant Site haematoma*General disorders2/28

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Afamelanotide 16 mg Implant
<=18 years14
Between 18 and 65 years14
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Afamelanotide 16 mg Implant
Female12
Male16
Race and Ethnicity Not Collected
Race and Ethnicity Not Collected(Participants)Afamelanotide 16 mg Implant
08

Study locations

2 sites
  • CLINUVEL Site
    Leuven, Belgium
  • CLINUVEL Site
    Rotterdam, Netherlands
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2024 to primary completion in Oct 2024, 7 months.

Results were first posted in Jul 2026, 1 year 8 months after primary completion. A results delay was requested in Oct 2025.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 4, 2024
First posted
Apr 29, 2024
StartActual
Mar 7, 2024
Primary completionActual
Oct 28, 2024
CompletionActual
Jan 20, 2025
Results delay requested
Oct 27, 2025
Results first posted
Jul 27, 2026
Last update
Jul 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT06388642
Lead sponsor
Clinuvel Europe Limited
Responsible party
Sponsor
First posted
Apr 29, 2024
Start date
Mar 7, 2024
Primary completion
Oct 28, 2024
Completion
Jan 20, 2025
Results posted
Jul 27, 2026
Last update
Jul 27, 2026

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Afamelanotide

Start the discussion