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MONOGRAPH No. 080
EVIDENCE BASEStrong
CLASS
Mitochondrial peptide
AKA
Elamipretide / MTP-131
TARGET
Cardiolipin
PHASE
Clinical trials
EU STATUS
Research only
MIN PURITY
≥98% HPLC
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SS-31 (Elamipretide) — the cardiolipin protector.

SS-31 (Elamipretide, MTP-131) is a mitochondria-targeting tetrapeptide that selectively concentrates in the inner mitochondrial membrane, binding cardiolipin to stabilise energy production. It has advanced furthest in clinical trials of the mitochondrial peptides.

Last reviewed:

What is SS-31 (Elamipretide)?

SS-31 is a synthetic tetrapeptide that crosses cell membranes and concentrates 1000-5000x in the inner mitochondrial membrane, where it binds cardiolipin — a phospholipid essential for the electron transport chain. By stabilising cardiolipin, SS-31 improves mitochondrial efficiency and reduces reactive oxygen species. It has been studied clinically (as Elamipretide) for mitochondrial diseases, heart failure and rare conditions like Barth syndrome.

What does the research show?

EVIDENCE SUMMARY
STRONG
Mitochondrial function — Strong mechanistic and animal data for cardiolipin stabilisation and improved ATP production.
MODERATE
Cardiac & rare disease (clinical) — Reached late-stage clinical trials for heart failure and Barth syndrome with mixed primary-endpoint results.
LIMITED
Anti-aging, performance — Mechanistically plausible but human longevity/performance data is limited.
Clinical trials (as Elamipretide) have had mixed primary-endpoint outcomes. Not an approved drug. Research compound only. This is a research compound, not a medication.

What to look for when buying in Europe

One of the more clinically advanced peptides in this category. Require ≥98% HPLC purity and a batch-matched COA from a named lab. PeptideCompare tracks several EU vendors.

✓ PeptideCompare tracks SS-31 (Elamipretide) from 6 COA-verified EU vendors, starting from €39.95. Cost per mg differs a lot across suppliers, so compare the current rows.

Molecular information

Molecular formula
C32H49N9O5
Molecular weight
639.8 g/mol

Pharmacokinetics

No established human pharmacokinetic data. Published human PK parameters for this compound are not available; reported data are limited to animal models or absent. No curve is shown, to avoid implying data that does not exist.

Compare SS-31 (Elamipretide) across EU suppliers

6 EU vendors · COA-verified · from €39.95 · Updated monthly

Frequently asked questions

What is SS-31 (Elamipretide)?

SS-31 is a synthetic tetrapeptide that crosses cell membranes and concentrates in the inner mitochondrial membrane, where it binds cardiolipin, a phospholipid essential for the electron transport chain. Stabilising cardiolipin improves mitochondrial efficiency and reduces reactive oxygen species.

What does the research show?

There is strong mechanistic and animal evidence for cardiolipin stabilisation and improved ATP production, and it reached late-stage clinical trials, as Elamipretide, for heart failure and Barth syndrome with mixed primary-endpoint results.

How does SS-31 protect mitochondria?

By concentrating in the inner mitochondrial membrane and binding cardiolipin, it stabilises the electron transport chain, improving efficiency and lowering reactive oxygen species.

Is SS-31 the same as Elamipretide?

Yes. SS-31 is also known as Elamipretide (MTP-131), the name under which it has been studied clinically.

What conditions has SS-31 been studied for?

It has been studied clinically for mitochondrial diseases, heart failure and rare conditions such as Barth syndrome, with mixed clinical results.

Is SS-31 legal in the EU?

It is sold as a research compound for laboratory use only.

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