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SS-31

SS-31 (Elamipretide / MTP-131)

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A mitochondria-targeting peptide that reduces oxidative stress and improves mitochondrial function. In Phase 2/3 trials for heart failure.

SS-31 is not approved by the FDA for human use. It is sold strictly for research purposes only and is not intended for human consumption, diagnosis, treatment, or prevention of any disease or condition. Purchase and use is entirely at your own risk.

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What it is

SS-31 (Szeto-Schiller peptide 31), also known as Elamipretide or MTP-131, is a cell-permeable tetrapeptide that selectively targets the inner mitochondrial membrane. It works by binding to cardiolipin — a phospholipid critical for the electron transport chain — and reducing oxidative stress.

It has progressed further in formal clinical development than most peptides on this platform, with Phase 2/3 trials conducted in heart failure and Barth syndrome.

What research shows

  • Reduces mitochondrial reactive oxygen species (ROS) without impairing ATP production
  • Improved cardiac function in heart failure animal models and some human trials
  • Benefit in Barth syndrome — a rare mitochondrial disease — in clinical trials
  • Kidney protection in acute kidney injury models
  • Reversal of age-related mitochondrial dysfunction in animal studies

What remains unknown

  • Phase 3 heart failure trial results — mixed Phase 2 data means certainty is limited
  • Optimal dosing in otherwise-healthy longevity-focused individuals
  • Long-term safety profile outside of clinical trial settings

Administration basics

Common use cases

Mitochondrial health, longevity protocols, cardiovascular research.

Half-life

Short in plasma. Administered by subcutaneous infusion in trials.

Administration

Subcutaneous injection or infusion.

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Research Protocols & Common Usage

Doses used in research

  • Clinical studies have used 0.25mg/kg subcutaneously
  • Community protocols vary significantly due to limited established human dosing

Administration routes studied

Subcutaneous injectionIntravenous (used in clinical trial settings)

Typical protocol duration

Clinical trials have used protocols ranging from single doses to multi-week administration.

Common stacking protocols

  • SS-31 + NAD+ precursors — combined for comprehensive mitochondrial support
  • SS-31 + Methylene Blue — combined in some mitochondrial optimization protocols

Contraindications & combinations to avoid

  • Limited human safety data — the full interaction profile is not established
  • Heart failure patients should only use under physician supervision

Dosing information reflects doses used in published research and commonly reported community protocols only. This is not a personal recommendation. These compounds are not FDA-approved for human use in the contexts described. Consult a qualified healthcare provider before starting any protocol.

Considering stacking?

See the stacking guide for common combinations with SS-31 and what to avoid.

Stacking guide

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Community Reviews

Reviews reflect individual user experiences with research compounds and are not medical advice. Results vary. These compounds are not FDA approved for human use. Peptelligent does not verify reported experiences.

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