SS-31 (Elamipretide) for Mitochondrial Function — Aging

SS-31 peptide protocol targeting mitochondrial cardiolipin to improve cellular energy production and reduce oxidative stress.

Overview

SS-31 (Elamipretide) is a mitochondria-targeting peptide that binds to cardiolipin, a key phospholipid in mitochondrial membranes. This interaction improves mitochondrial function, reduces oxidative stress, and supports cellular energy production. SS-31 recently received FDA approval for the treatment of Barth syndrome, a rare genetic mitochondrial disorder. Phase 2 trials demonstrate mitochondrial ATP enhancement in heart failure and aging populations. Phase 3 trials show genotype-specific responses in mitochondrial disorders, with ongoing research to identify optimal patient populations.

Indications

  • Mitochondrial dysfunction and age-related decline
  • Support for cellular energy optimization
  • Reduction of oxidative stress and inflammation

Mechanism of Action

Age-related cardiolipin oxidation impairs mitochondrial inner membrane structure and electron transport chain efficiency

Dosing

CompoundDoseFrequencyNotes
SS-311 mgOnce dailyStarting dose for first 2 weeks, non-invasive delivery
SS-311-2 mgTwice dailyMaintenance dose for optimal mitochondrial support
SS-312-4 mgOnce dailyHigher bioavailability for advanced users

Evidence Grade

GRADE B

Safety & Contraindications

  • Emerging therapeutic with ongoing clinical trials
  • Generally well-tolerated in clinical studies
  • Use sterile technique for all administrations