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Anti-AgingPhase IIIIntermediate

SS-31 (Elamipretide)

SS-31 / Elamipretide (D-Arg-Dmt-Lys-Phe-NH2)

Also known as: Elamipretide, MTP-131, Bendavia, NAD+ Precursor Peptide

Overview

A mitochondria-targeted tetrapeptide that selectively concentrates in the inner mitochondrial membrane, binding to cardiolipin to stabilize electron transport chain function. SS-31 protects mitochondria from oxidative damage and restores bioenergetic capacity, addressing one of the fundamental drivers of aging.

Half-Life
~4 hours
Typical Dose
0.25–4 mg
Frequency
Once daily
Cycle Length
4-12 weeks as studied in clinical trials

Administration

SubcutaneousIntravenous

Benefits

  • Restores mitochondrial function and energy production
  • Reduces oxidative stress at the mitochondrial level
  • Improves cardiac and skeletal muscle performance
  • Protects against age-related cellular decline
  • Supports kidney function in mitochondrial diseases

Side Effects

  • Injection site reactions
  • Headache
  • Potential transient changes in renal markers
  • Nausea (uncommon)

Mechanism of Action

  • Binds cardiolipin in the inner mitochondrial membrane to stabilize electron transport complexes
  • Reduces mitochondrial reactive oxygen species (ROS) production
  • Restores ATP synthesis and mitochondrial membrane potential
  • Prevents cardiolipin peroxidation to maintain cristae structure

Contraindications

  • Severe renal impairment (use with monitoring)
  • Pregnancy or breastfeeding
  • Known hypersensitivity to peptide components

Storage & Reconstitution

Store at 2–8°C (36–46°F) for up to 3 months. For long-term storage, keep at -20°C (-4°F). Once reconstituted, use within 24 hours or refrigerate for up to 7 days.

Common peptide amounts:5 mg10 mg40 mg

Research Summary

Developed by Stealth BioTherapeutics, elamipretide has been evaluated in multiple Phase 2 and 3 clinical trials. The TAZPOWER trial in Barth syndrome showed improvements in six-minute walk test distance. Studies in primary mitochondrial myopathy (MMPOWER) and heart failure (PROGRESS-HF) have shown mixed results, though biomarker improvements were noted. Preclinical data strongly support mitochondrial protection against age-related decline, ischemia-reperfusion injury, and neurodegenerative conditions.

Commonly Stacked With

Weight ManagementMOTS-c
Anti-AgingHumanin
Anti-AgingEpithalon
Anti-AgingCarnosine

This information is for educational purposes only. Always consult a qualified healthcare professional before using any peptide.