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SS-31

Also known as: Elamipretide, MTP-131

Mitochondrial Peptide
Last updated: 1/23/2026 Last reviewed: 1/23/2026

At a Glance

SS-31 (elamipretide, MTP-131) is a mitochondria-targeting peptide investigated in multiple disease contexts where mitochondrial dysfunction is implicated. Randomized clinical trial evidence exists in primary mitochondrial myopathy. [PMID: 37268435]

⚠️ Research Status: SS-31 is not broadly approved across indications. This page is educational and intentionally does not include protocols/dosing.


Mechanism of Action (TBD)

Often described as a mitochondria-targeting peptide interacting with mitochondrial membrane biology (e.g., cardiolipin-associated framing); primary sources should be used for any specific mechanistic claim.


Evidence Summary

Primary mitochondrial myopathy (Randomized clinical trial)

Moderate Confidence RCT ≤3 Years

The MMPOWER-3 randomized clinical trial reported efficacy and safety outcomes for elamipretide in individuals with primary mitochondrial myopathy. [PMID: 37268435]


Safety & Unknowns

  • Indication-specific safety and efficacy depend on the studied population and endpoints.
  • Off-context extrapolation (e.g., “energy” or “longevity” claims) is not supported by indication-specific trials.

Regulatory Status

RegionStatus
United States (FDA)Not approved (verify indication-specific context)
European Union (EMA)Not approved (verify indication-specific context)
WADACheck current list (status may change)

Changelog

DateChange
2026-01-23Added dossier and linked primary literature