All peptides

SS-31

Also known as Elamipretide

A mitochondria-targeting tetrapeptide that binds cardiolipin to restore cristae structure and cellular energy output.

Regulatory status
Investigational
Half-life
~2–3 hours
Route
Subcutaneous
Evidence
Limited human trials or approved outside the US

Mechanism of action

Cardiolipin binding stabilizes the inner mitochondrial membrane and reduces ROS.

Studied and reported uses

  • Primary mitochondrial myopathy
  • Barth syndrome
  • Heart failure research

Dosing information

Trial range4–40 mg daily subcutaneously

Ranges are reported from literature and clinical labeling for reference only. They are not a dosing recommendation.

Side effects

  • Injection-site reactions
  • Headache

Research evidence

MMPOWER-3

Primary endpoint missed; subgroup functional benefits.