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Protocol Reference
Elamipretide

Elamipretide (SS-31) — clinical trial protocols as registered

Summarise the administration structure used in registered trials in primary mitochondrial myopathy and related conditions.

Clinical TrialsReviewed September 1, 2026

Research Context

Source of this information
Elamipretide has been studied under registered protocols, which makes its administration structure a matter of public record rather than inference.
Evidence level
Grade C — randomised trials with mixed primary endpoint results
Population studied
Adults with primary mitochondrial myopathy; separate trials in Barth syndrome and retinal disease.
Duration studied
Typically 12 to 48 weeks depending on the trial, with open-label extensions.
Route reported
Daily subcutaneous injection in the mitochondrial myopathy programme

Protocol as Reported

  • 01Registered trials used a fixed daily subcutaneous dose, with functional testing including six-minute walk distance and patient-reported outcome instruments.
  • 02Earlier cardiac research used intravenous infusion in acute settings.
  • 03Ophthalmic research used topical formulations in separate protocols.

Adverse Events Reported

  • Injection-site reactions were the most common trial finding.
  • Gastrointestinal effects and headache were reported.

Limitations

  • Primary endpoints have not been met consistently across trials.
  • Rare-disease populations are small, limiting power and generalisability.
  • No approval existed at last review, so no clinical label defines the protocol.

Sources

  • Randomised controlled trial

    Elamipretide in primary mitochondrial myopathy: randomised trial

    View Study
  • Regulatory document

    Registered elamipretide trials

    View Clinical Trial
Read the full SS-31 (Elamipretide) research guide
Educational reference only. Peptide Atlas does not provide medical advice or individualised dosing guidance, and nothing on this page should be used to guide personal use.