StackTerminal.Health

SS-31 (Elamipretide)

Mitochondria-targeting peptide investigated clinically; the pivotal phase 3 MMPOWER-3 trial did not meet its primary endpoints in the overall PMM population.

goal:training-readinessgoal:fatiguegoal:longevity-metabolic-cardiovasculargoal:healthspanconstraint:not-drug-test-safeevidence:moderatestudy:rctpop:clinical-populationsform:other
Dosing model
FLATFixed dose (no body-weight scaling).
Min dose
Max dose
Rounding

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endurancefatiguereadiness

Mitochondria-oriented peptide grouping. SS-31 has clinical trials in specific mitochondrial diseases; MOTS-C is mostly preclinical.

SS-31 (Elamipretide)
1mg
MOTS-C
1mg
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Evidence
2 records
Efficacy and safety — phase 3 primary endpoints not met
Adults with primary mitochondrial myopathy (n=218)Randomized, double-blind, placebo-controlled phase 3 trial (MMPOWER-3)
Moderate

MMPOWER-3 found no significant improvement in 6-minute walk test distance or fatigue scores with 40 mg/day subcutaneous elamipretide vs. placebo over 24 weeks in the overall PMM population (Class I evidence of no benefit on primary endpoints). A post-hoc subgroup analysis suggested possible benefit in patients with nuclear DNA variants. Elamipretide was well-tolerated.

Dose: Duration: 24 weeks
Exercise performance (short-term, earlier phase 2 dose-escalation)
Adults with primary mitochondrial myopathyRandomized dose-escalation clinical trial
Moderate

An earlier short-course dose-escalation study reported improved exercise performance after 5 days; the larger phase 3 MMPOWER-3 trial did not confirm sustained benefit on primary endpoints.

Dose: Duration: 5 days
Forms
Lyophilized powder
Research material (vendor listing)