MOTS-c vs SS-31
Updated 13 sources
Key differences
- 1MOTS-c is a natural 16 amino acid peptide that signals through AMPK and can move into the nucleus. SS-31 is a synthetic 4 amino acid peptide that binds cardiolipin inside mitochondria.
- 2SS-31 has human randomized trials, several of which missed their endpoints, and an FDA accelerated approval as Forzinity (2025-09-19) for Barth syndrome only. Its trials use 40 mg a day.
- 3MOTS-c has no approval and no completed human efficacy trial. It is usually run 1 to 3 times a week, not daily.
- 4SS-31 is a synthetic 4 amino acid peptide that binds cardiolipin. MOTS-c is a 16 amino acid peptide made from mitochondrial DNA that acts through AMPK and insulin sensitivity.
- 5SS-31 is dosed daily and has Phase 3 data and one FDA approval. MOTS-c is usually run 2 to 3 times a week, with limited human data and no approval.
- 6Guides list half-lives of 2 to 4 hours for SS-31 and 4 to 6 hours for MOTS-c; the MOTS-c figure has never been measured.
Side by side
Facts from each record, in the same words as their own pages.
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Doses shown are what sources report, labelled by origin. Not medical advice.
Read each in full
Sources
13 sources, each checked by date. Record updated Oct 24, 2026. Numbers are restated in our own words and labelled by where they came from.
Clinical study3
- PubMed search: MOTS-c pharmacokinetics or half-lifePubMed · checked Oct 23, 2026
- Roshanravan B et al. 2021, in vivo mitochondrial ATP production improved after a single dose of elamipretidePubMed Central · checked Oct 23, 2026
- SS-31, Cognitive Vitality for ResearchersAlzheimer's Drug Discovery Foundation, via a reference work · checked Oct 23, 2026
Regulatory6
- FDA briefing document, PCAC July 23 to 24, 2026: MOTS-cFDA · checked Oct 23, 2026
- FDA briefing document, Cardiovascular and Renal Drugs Advisory Committee, October 10, 2024FDA · checked Oct 23, 2026
- Forzinity (elamipretide) prescribing information, NDA 215244FDA · checked Oct 23, 2026
- Interim 503A bulks listFDA · checked Oct 24, 2026
Competitor guide4
- MOTS-c vs SS-31outliyr.com · checked Oct 23, 2026
- MOTS-c vs SS-31bodyhackguide.co · checked Oct 23, 2026
- SS-31 + MOTS-c mitochondrial stack guidepeptiq.io · checked Oct 23, 2026
- Best mitochondrial peptides: SS-31 and MOTS-cpeptiq.io · checked Oct 23, 2026