SS-31
peptideevidence: clinical · v1.0.0SS-31 (elamipretide) is a mitochondria-targeting tetrapeptide studied in cardiolipin-protection and mitochondrial-bioenergetics research models. Lyophilized powder. Reconstitute with bacteriostatic water for in-vitro research. Store at -20°C. Certificate of Analysis attached to this listing.
Cardiolipin interaction; mitochondrial function support.
SS-31, also known as elamipretide, is a synthetic four-amino-acid peptide that operates by binding to cardiolipin, a phospholipid located in the inner mitochondrial membrane. This binding stabilizes the structural scaffold of the mitochondria, which is essential for the organization of the energy-producing machinery within the cell. By stabilizing cardiolipin under stress conditions, SS-31 helps maintain mitochondrial function and integrity, particularly in the context of diseases characterized by mitochondrial dysfunction.
The strongest evidence for the efficacy of SS-31 comes from the Phase 2/3 clinical trial known as TAZPOWER, which focused on patients with Barth syndrome. This trial demonstrated that SS-31 could improve muscle strength in this specific patient population, leading to its FDA approval as Forzinity in September 2025. The mechanism of action of SS-31 is distinct from other mitochondrial-targeted compounds, such as MOTS-c, which is a signaling peptide that influences energy metabolism through AMPK pathway signaling. In contrast, SS-31 acts primarily as a structural stabilizer within the mitochondrial membrane, making it a unique therapeutic option for conditions like Barth syndrome that involve mitochondrial dysfunction. [Source: Peptide Dosing Protocols]
SS-31 works by binding to a lipid in the mitochondria, helping to stabilize its structure and improve energy production, especially in patients with Barth syndrome.
Amino sequence: D-Arg-Dmt-Lys-Phe-NH₂ (elamipretide)
COA: View certificate (batch TET-4765-B) →
Teton Labs product catalog · research-use compound data.
- Patients <30 kg should avoid SS-31.
- Adults with severe renal impairment (eGFR 30 mL/min, not on dialysis) should use a reduced dose.
- Insufficient information for a dosing regimen for adults with eGFR 30 mL/min and on dialysis.
- Side effects and safety not established for patients <30 kg.
- CBC at baseline and week 4.
- Knee extensor muscle strength improved, which was the endpoint FDA cited for accelerated approval.
- Elamipretide did not reach statistical significance vs. placebo on the two co-primary endpoints. · Genetics in Medicine, 2024
Provider-only reference. This page does not constitute medical advice, a recommendation, or dosing guidance.