Back to library
LongevitySubcutaneous

SS-31 (Elamipretide)

Also known as: Elamipretide · MTP-131 · Bendavia

Cell-permeable tetrapeptide that selectively binds cardiolipin in the inner mitochondrial membrane. Stabilizes cristae structure, preserves electron transport chain efficiency, and reduces reactive oxygen species generation in damaged mitochondria.

At a glance

Half-life
2 hours
Common route
Subcutaneous
Typical dose range
1,00040,000mcg
Stability (reconstituted)
14days refrigerated

Best timing

Daily subq, typically AM. Clinical trials use 40 mg daily for mitochondrial myopathy; lower research doses are common in healthy populations.

Contraindications

  • Pregnancy
  • Known hypersensitivity
  • Limited long-term data outside Phase 2/3 mitochondrial-disease trials

Watch symptoms

  • Injection site reactions (most common)
  • Mild fatigue or headache during first week
  • Limited adverse-event signal in trials at standard doses
  • Did not meet primary endpoints in heart failure (EMBRACE) and dry AMD trials — efficacy in healthy users is unproven
Back to library