SS31

SS-31 (Elamipretide)

Anti-Aging Metabolic FDA-approved

Mitochondria-targeted tetrapeptide that improves mitochondrial function and reduces oxidative stress. FDA-approved (accelerated) for Barth syndrome; investigated in heart failure and other mitochondrial diseases.

Regulatory status (as of Sept 2026)

FDA-approved (accelerated approval, Sept 19 2025) for Barth syndrome only; any other use is off-label/investigational.

See the FDA peptide regulatory tracker · Read our July 27, 2026 dispatch on the FDA PCAC peptide vote
Educational summary. Every effect described below is drawn from the cited published research and describes what was observed in research subjects — not a promise of results, a dose recommendation, or an endorsement for human use. Many peptides are not FDA-approved. Consult a licensed healthcare provider before making any health decision. Full disclaimer.

4 studies referenced · Last reviewed Oct 1, 2026 · Reviewed by The Peptide Dispatch Editorial Team · How we research & label content

TL;DR — SS-31 (Elamipretide) at a Glance

SS-31 (Elamipretide) is an FDA-approved prescription drug. Mitochondria-targeted tetrapeptide that improves mitochondrial function and reduces oxidative stress.

Half-lifeNot established in published research
detailsNo published PK data found (HFrEF 4-h IV infusion: peak at end-infusion, undetectable by 24 h)
How it's given in studiesSubcutaneous or IV injection
Research stageFDA-approved
Dosing
Published research: HFrEF: single 4-h IV infusion 0.005, 0.05, 0.25 mg/kg/h
detailsHFrEF: single 4-h IV infusion 0.005, 0.05, 0.25 mg/kg/h; Barth syndrome (TAZPOWER): daily SC injection.
Community-reportedCommunity-reported: 0.25–4 mg/kg, subcutaneous or IV injection

Published-research dosing is what was given in the cited studies (species and units as reported). Community-reported dosing is what users describe, not from clinical studies. Neither is a recommendation. Not medical advice.

Where each point comes from: Clinicalhuman trials and FDA labels   Lab / animalrodent, cell and ex vivo studies   Community-reporteduser experience and commonly used protocols, not from clinical studies

How It Works

In plain terms: It targets a fat molecule inside mitochondria, the cell's power plants, and is approved for one rare disease (Barth syndrome). Targets cardiolipin in the inner mitochondrial membrane and is proposed to stabilize electron transport and reduce ROS production (mechanism review, Sabbah 2025). It received FDA accelerated approval for Barth syndrome, a disorder of cardiolipin remodelling (Zhao 2026).

Effects Reported in Research

How to read this: Each item below is an effect observed in research subjects in the cited studies — think of Dexter, our stand-in research subject. These are findings from the literature, not results you should expect, and not medical advice.

  • ClinicalIn a drug review: described as the first cardiolipin-directed mitochondrial therapeutic, approved under accelerated approval for Barth syndrome (Zhao 2026)
  • ClinicalIn a Barth syndrome RCT, no significant 6MWT improvement; benefits seen in open-label extension. In an HFrEF RCT (n=36), a single infusion reduced LV volumes.

What Users Report (Community, Not Clinical)

Commonly reported protocol

Community-reportedIn user communities, SS-31 (Elamipretide) is typically run at 0.25–4 mg/kg (subcutaneous or IV injection). This is not a recommendation.

What users report

  • Community-reportedExercise capacity — Research note: the published study did not confirm this (the Barth syndrome RCT found no significant improvement in 6-minute walk distance).

Community reports are anecdotal, vary widely in product quality and purity, and are not medical advice. Talk to a licensed provider.

Side Effects and Safety Notes

  • ClinicalInjection-site reactions (most common, mild, in Barth syndrome trials)
  • No serious AEs in single-dose HFrEF study (n=24 active)

References

  1. Elamipretide: The first cardiolipin-directed mitochondrial therapeutic for Barth syndrome approved under accelerated approval
    Zhao C, Zhuang X, Gao J. Drug discoveries & therapeutics. 2026. PMID: 41260682.
    Study type: Regulatory/drug review.
    DOI: 10.5582/ddt.2025.01111 · PubMed
  2. Novel Mitochondria-Targeting Peptide in Heart Failure Treatment: A Randomized, Placebo-Controlled Trial of Elamipretide
    Daubert MA, Yow E, Dunn G, Marchev S, Barnhart H, Douglas PS et al. Circulation. Heart failure. 2017. PMID: 29217757.
    Study type: RCT n=36, HFrEF.
    DOI: 10.1161/CIRCHEARTFAILURE.117.004389 · PubMed
  3. Contemporary insights into elamipretide's mitochondrial mechanism of action and therapeutic effects
    Sabbah HN, Alder NN, Sparagna GC, Bruce JE, Stauffer BL, Chao LH et al. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie. 2025. PMID: 40294492.
    Study type: Review.
    DOI: 10.1016/j.biopha.2025.118056 · PubMed
  4. Initial Psychometric Evaluation of the Barth Syndrome Symptom Assessment (BTHS-SA) for Adolescents and Adults in a Phase 2 Clinical Study
    Gwaltney C, Shields A, Love E, Ollis S, Stokes J, Mazar I et al. Orphanet journal of rare diseases. 2025. PMID: 40281531.
    Study type: Phase 2 crossover RCT n=12 (TAZPOWER).
    DOI: 10.1186/s13023-025-03693-5 · PubMed

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How SS-31 (Elamipretide) Compares

PeptideHalf-LifeRouteResearch Status
SS-31 (Elamipretide)No published PK data found (HFrEF 4-h IV infusion: peak at end-infusion, undetectable by 24 h)Subcutaneous or IV injectionFDA-approved
EpitalonUnknownSubcutaneous injectionPreclinical (animal)
FOXO4-DRIUnknownSubcutaneous injectionPreclinical (animal)
GDF-11UnknownSubcutaneous injectionPreclinical (animal)
HumaninUnknownSubcutaneous injectionPreclinical (animal)

Values reflect figures reported in published research. Compare any peptides side-by-side →

Compare SS-31 (Elamipretide) with…

Frequently Asked Questions

What is SS-31 (Elamipretide)?
Mitochondria-targeted tetrapeptide that improves mitochondrial function and reduces oxidative stress. FDA-approved (accelerated) for Barth syndrome; investigated in heart failure and other mitochondrial diseases.
How does SS-31 (Elamipretide) work?
In plain terms: It targets a fat molecule inside mitochondria, the cell's power plants, and is approved for one rare disease (Barth syndrome). Targets cardiolipin in the inner mitochondrial membrane and is proposed to stabilize electron transport and reduce ROS production (mechanism review, Sabbah 2025). It received FDA accelerated approval for Barth syndrome, a disorder of cardiolipin remodelling (Zhao 2026).
What is the research status of SS-31 (Elamipretide)?
SS-31 (Elamipretide) is at the following stage in the published literature: FDA-approved. All information is for research and educational purposes only.
What is the half-life of SS-31 (Elamipretide)?
Reported half-life: No published PK data found (HFrEF 4-h IV infusion: peak at end-infusion, undetectable by 24 h).
How is SS-31 (Elamipretide) administered in research?
Reported administration route in the literature: Subcutaneous or IV injection. This is not a recommendation for human use.

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Category

This peptide belongs to the Anti-Aging category. View All Anti-Aging Peptides

Related Categories

Metabolic

Related Peptides

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  • GDF-11 (GDF11, Anti-Aging) — View Profile
  • Humanin (HN, Anti-Aging) — View Profile

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Sources & Methodology

Dosing, half-life figures, and mechanism descriptions on this page are compiled from peer-reviewed published research, with the species and study type stated where reported. Figures labeled “Dosing used in published research” describe what was given in those studies and do not constitute dosing recommendations for any human use. Each cited paper is listed with DOI and PubMed links in the References section above. Found an error? Contact us.

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