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Bioalmanac

SS-31

Elamipretide · MTP-131 · Bendavia

Clinical trials

Status reviewed 16 Aug 2026

A mitochondria-targeting peptide that reached phase 3 and missed its primary endpoints. The most rigorously tested compound on this site, and a cautionary tale about mechanism.

Storage

Freeze-dried powder
Refrigerated at 2–8 °C, protected from light.
After mixing
Refrigerated at 2–8 °C. Do not freeze once mixed.
Long-term, frozen
Unopened powder is stable at −20 °C or colder.

Reconstitution — 50 mg vial, 10000 mcg dose

On a 1 mL U-100 syringe. Check every figure against your own vial before drawing.

Water addedConcentrationVolume to drawUnitsDoses per vial
1 mL50 mg/mL0.2 mL20 units5
2 mL25 mg/mL0.4 mL40 units5
3 mL16.667 mg/mL0.6 mL60 units5
5 mL10 mg/mL1 mL100 units5

Dose ranges reported in sources

Descriptions of what sources report, not recommendations.

GoalRangeFrequencySource
Phase 3 protocol40000 mcgOnce dailyClinical trial
Commonly described community protocol5000–20000 mcgOnce dailyCommunity practice

When to stop

  • An injection site reaction that spreads, becomes hot, or produces pus. That is infection, not the expected irritation.
  • Injection site nodules that persist between doses, leaving nowhere unaffected to inject.
  • Any allergic response: rash, hives, facial swelling or difficulty breathing. Seek urgent care.
  • Persistent headache or gastrointestinal upset that does not settle.

Not approved for any indication. Elamipretide has been through phase 3 clinical trials that did not meet their primary endpoints. Development has continued in narrower rare-disease indications. Material sold as SS-31 is a research chemical, not the clinical product.

Arithmetic on values you enter. Not medical advice. Not reviewed by a clinician. · bioalmanac.com/peptides/ss-31

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