Approved Therapeutic

Elamipretide

SS-31 · Forzinity · MTP-131 · Bendavia

Elamipretide is an approved peptide-based therapeutic or diagnostic asset. Product-specific labels define its validated uses and risks.

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EvidenceTier 2
RegulatoryApproved
SafetyKnown but Manageable Risks
Clinical phaseAccelerated approval
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Overview

ClassMitochondria-targeting tetrapeptide
Sponsor / developerStealth BioTherapeutics
Review statusReviewed
Record IDPEP-030
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Plain-language guide

What it was designed or studied for

Designed and approved for specific uses that include Barth syndrome, Mitochondrial disease research.

How it works, simply

It is intended to affect mitochondria—the parts of cells that manage energy. That mechanism does not automatically translate into better exercise or recovery.

This simplified explanation is educational context, not a treatment recommendation or a substitute for the clinical evidence below.
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Clinical mechanism

Binds mitochondrial cardiolipin and localizes to the inner mitochondrial membrane.

Mechanism plausibility is not the same as demonstrated clinical benefit.
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Applications

  • Barth syndrome
  • Mitochondrial disease research
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Human evidence

Early or mid-stage human data exist, but confirmation, replication or long-term follow-up remains incomplete.

Tier 2
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Preclinical evidence

Mechanistic and preclinical findings are tracked separately and are not treated as proof of human clinical benefit.

MAP

Muscle & recovery profile

Each signal is scored independently from 0–5. There is no composite “best” score.

Growth relevance0/5
Preservation relevance2/5
Recovery relevance2/5
Mitochondrial support5/5
Connective tissue0/5
Human-data depth3/5
Safety confidence3/5
Evidence–hype gap2/5

Evidence classes

  • Phase 3 / randomized human evidence
  • Phase 2 human evidence

What has been studied

  • Mitochondrial disease studies include functional and exercise-related outcomes in defined populations.

What is not established

  • Evidence from rare mitochondrial disease does not establish performance or recovery benefits in healthy people.

Studied populations

  • People with Barth syndrome
  • Other mitochondrial-disease research populations

Major limitations

  • Muscle-specific outcomes may be secondary, exploratory or absent from available studies.
  • Findings from one population, formulation or indication should not be generalized to another.

Evidence-source categories: primary regulatory record, clinical trial registry, peer reviewed literature. These editorial source categories require record-level primary links before publication-grade citation export.

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Regulatory status

Approved. Regulatory status is product- and jurisdiction-specific and does not automatically follow from an evidence score.

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Safety

Known but Manageable Risks

  • Adverse effects vary by product and indication
  • Contraindications and interactions require label review
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Interactions

Review the current product label and indication-specific literature for pharmacologic and absorption interactions.

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Treatment pattern

Treatment patterns are product-, indication- and clinician-specific; this educational profile does not provide dosing guidance.

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Manufacturing and quality

Approved-product identity, formulation and quality controls must not be extrapolated to compounded or RUO copies.

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Sources

  1. 01
    Primary regulatory record

    Source record prepared for primary-reference linking in the Supabase-backed editorial workflow.

  2. 02
    Clinical trial registry

    Source record prepared for primary-reference linking in the Supabase-backed editorial workflow.

  3. 03
    Peer-reviewed literature

    Source record prepared for primary-reference linking in the Supabase-backed editorial workflow.

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Gaps and unverified claims

  • Evidence must be interpreted by indication and product label.
  • Approval does not establish safety or efficacy for off-label or compounded copies.
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Last reviewed

August 5, 2026 · Reviewed