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SS-31

peptideevidence: clinical · v1.0.0
Description

SS-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.

Mechanism summary

Cardiolipin interaction; mitochondrial function support.

How it works

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]

In plain language

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.

Reference details
Route(s)
subcutaneous
Tags
mitochondria
Active
yes
Product details · 2S50
Price
$219.99
Stock
out of stock
Mol. weight
639.8 g/mol
Formula
C32H49N9O5
Purity
≥ 99%
CAS #
736992-21-5

Amino sequence: D-Arg-Dmt-Lys-Phe-NH₂ (elamipretide)

COA: View certificate (batch TET-4765-B)

Teton Labs product catalog · research-use compound data.

💉 Dosing — 3 references (verbatim from source · not a recommendation)
Dose
Investigational; commonly studied at 40 mg SC daily - provider-directed
Route
subcutaneous
Frequency
once daily (study protocols)
Duration
Per provider/study protocol
Cycle
Per provider/study protocol
Reconstitution
Reconstitute per compounding pharmacy instructions
Vial
Compounded; varies
Source: Practitioner Peptide Dosing Reference (commonly published ranges) — Compiled practitioner reference (internal_protocol)Source-backedProvider-reviewed
Dose
40 mg subcutaneous daily (Phase 3 dose); or 5-10 mg daily (research community range)
Route
subcutaneous
Frequency
Once daily
Duration
and small sample size 4 .
Cycle
Repeatable
Source: Peptide Protocol Wiki (peptideprotocolwiki.com) (publication)Source-backedProvider-reviewed
Dose
Standard: 40 mg · Low: 20 mg
Route
Subcutaneous
Frequency
once daily
Cycle
12 weeks per period Open-label extension All remaining patients on elamipretide 40 mg SC daily Up to 168 weeks Reported in Genetics in Medicine, 2024.
Reconstitution
reconstitution, and safety considerations for this mitochondria-targeted peptide.
Source: Peptide Dosing Protocols (peptidedosingprotocols.com) (publication)Source-backedProvider-reviewed
Safety, contraindications & monitoring
Contraindications — who should avoid
  • Patients <30 kg should avoid SS-31.
  • Adults with severe renal impairment (eGFR 30 mL/min, not on dialysis) should use a reduced dose.
Safety & side effects
  • 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.
Monitoring & bloodwork
  • CBC at baseline and week 4.
Clinical evidence
  • 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
Source-backedProvider-reviewedApproved findings drawn from your sources — decision support, not medical advice.

Provider-only reference. This page does not constitute medical advice, a recommendation, or dosing guidance.