MitochondrialPhase 3A

SS-31

Elamipretide / Szeto-Schiller Peptide 31

SS-31 (elamipretide, brand: Bendavia) is a mitochondria-targeted tetrapeptide (D-Arg-2′6′-Dmt-Lys-Phe-NH2) that selectively concentrates in the inner mitochondrial membrane. It has FDA Breakthrough Therapy designation for Barth syndrome and primary mitochondrial myopathy. Phase III trials for heart failure (PROGRESS-HF) and primary mitochondrial myopathy demonstrated significant functional improvements. Not yet FDA-approved for any indication.

Observational report only — live community data. Not medical advice. Does not recommend doses, protocols, or treatments.
Studies cited
7
Research grade
A
Experience
13

Overall check-ins

Activity
47

Trackers & reports

Overview

About SS-31

SS-31 (elamipretide, brand: Bendavia) is a mitochondria-targeted tetrapeptide (D-Arg-2′6′-Dmt-Lys-Phe-NH2) that selectively concentrates in the inner mitochondrial membrane. It has FDA Breakthrough Therapy designation for Barth syndrome and primary mitochondrial myopathy. Phase III trials for heart failure (PROGRESS-HF) and primary mitochondrial myopathy demonstrated significant functional improvements. Not yet FDA-approved for any indication.

Category
Mitochondrial
Regulatory status
Phase 3
Also known as
Elamipretide / Szeto-Schiller Peptide 31
Self-reports
59

Community

What 59 users report

59 community reports

Overall experience

From check-in ratings — separate from side effects logged below. Side effects are logged separately from overall experience. A favorable check-in can still include nausea, fatigue, or injection-site reactions.

Favorable 2% · Mixed 2% · Unfavorable overall 96%

Most reported benefits

Benefits users selected when logging a favorable or mixed check-in.

Energy
188

Most logged side effects

Side effects are logged separately from overall experience. A favorable check-in can still include nausea, fatigue, or injection-site reactions.

Injection site irritation
183

Self-reported dose per injection

Median bucket: 5+ mg · Most common: 5+ mg

Reports span 0.025 to ≥ 5 mg (open-ended top bucket)

0.025–0.05 mg
10
0.2–0.4 mg
2
0.4–0.6 mg
1
0.6–1 mg
4
1–2 mg
18
2–3 mg
21
3–5 mg
6
5+ mg
125

Anonymized self-reports from PeptIQ users — not prescribing guidance. Buckets group similar logged amounts; open-ended top buckets mean “at least” that dose.

How repeat users are trending

Among repeat reporters, 92% said they felt similar to their last entry, 8% more positive, and 0% more negative.

Overall, repeat reporters leaned more positive than their previous entry.

Median gap between entries: 73 days · Based on 37 repeat reporters

Research

Cited research (5)

PubMed

Elamipretide in patients with heart failure with a reduced ejection fraction: EMBRACE-HF

Butler et al., 2020

Source
Wiki study page →

PubMed

Elamipretide: A Review of Its Structure, Mechanism of Action, and Therapeutic Potential

Tung et al., 2025

Source
Wiki study page →

PubMed

Serendipity and the discovery of novel compounds that restore mitochondrial plasticity

Szeto et al., 2014

Source
Wiki study page →

Tools

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More ways to learn about SS-31 from observational PeptIQ data.

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Frequently asked

What do PeptIQ users report about SS-31?

This page summarizes 59 anonymized self-reports from PeptIQ users who track SS-31, including commonly reported effects and co-tracked peptides. These are observational patterns, not clinical outcomes.

How do side effects relate to overall experience for SS-31?

PeptIQ separates overall check-in ratings (favorable, mixed, or unfavorable) from logged side effects like nausea or fatigue. Users often report benefits and side effects in the same check-in — a high experience score does not mean zero side effects were noted.

What research is cited for SS-31?

5 sources are linked on this page, including PubMed articles, clinical trial registries, and FDA labels where applicable. Citations describe published research — not recommendations.

Is SS-31 safe to use?

This wiki does not assess safety or recommend use. SS-31 is listed as Phase 3. Consult a licensed clinician for personal medical decisions.

What are the purported benefits and uses of SS-31?

This wiki summarizes observational community reports and linked citations for SS-31. It does not assert therapeutic benefits. See the cited research list on this page and the educational profile for SS-31 for study-level context — not medical advice.

What is the legal status of SS-31?

SS-31 is listed in PeptIQ as Phase 3. Regulatory status varies by jurisdiction and can change. This wiki does not provide legal advice; check current FDA and local rules and talk with a licensed clinician or counsel for personal decisions.

What are the known or theoretical side effects and risks of SS-31?

Safety data quality for SS-31 varies widely by compound and study design. PeptIQ does not establish a risk profile here. Review primary literature, product labeling where applicable, and clinician guidance. Community self-reports are not a substitute for clinical evidence.

What is the current state of research on SS-31?

This page links 5 indexed sources for SS-31. Evidence maturity differs by application — some peptides have large human programs, others are mostly preclinical. Treat citation counts as literature volume, not proof of efficacy.