Last update 25 Jul 2026

Elamipretide Hydrochloride

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Bendavia, Elamipretide, Elamipretide (USAN/INN)
+ [11]
Target
Action
inhibitors
Mechanism
mPTP inhibitors(Mitochondrial permeability transition pore inhibitors)
Originator Organization
Inactive Organization-
Drug Highest PhaseApproved
First Approval Date
United States (19 Sep 2025),
RegulationFast Track (United States), Accelerated Approval (United States), Orphan Drug (United States), Rare Pediatric Disease (United States), Orphan Drug (European Union), Priority Review (United States)
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Structure/Sequence

Molecular FormulaC32H50ClN9O5
InChIKeyLGYHFSCTCKABFN-NFWUDPOKSA-N
CAS Registry2244098-12-0

External Link

KEGGWikiATCDrug Bank
D10925--

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Barth Syndrome
United States
19 Sep 2025
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
dry age-related macular degenerationPhase 3
United States
30 May 2024
dry age-related macular degenerationPhase 3
Czechia
30 May 2024
dry age-related macular degenerationPhase 3
Germany
30 May 2024
dry age-related macular degenerationPhase 3
Hungary
30 May 2024
dry age-related macular degenerationPhase 3
Italy
30 May 2024
dry age-related macular degenerationPhase 3
New Zealand
30 May 2024
dry age-related macular degenerationPhase 3
Spain
30 May 2024
dry age-related macular degenerationPhase 3
United Kingdom
30 May 2024
Mitochondrial Complex I DeficiencyPhase 3
United States
29 Apr 2022
Mitochondrial Complex I DeficiencyPhase 3
Australia
29 Apr 2022
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 1/2
20
(Low Dose (20-30mg))
tyohazvimz(dvxknxbgyn) = mfsgrzjmgq tmmfxcyjft (tlfyaunilp, xsnhwuvshr - jafnevdjuc)
-
12 Dec 2025
(High Dose (40-60 mg))
tyohazvimz(dvxknxbgyn) = npzpqclcrn tmmfxcyjft (tlfyaunilp, mrhsptukyw - ocniueokao)
Phase 2
176
pjnfhsncdl(rnpqfbfhts) = 86% of those receiving elamipretide and 71% of the placebo group with the most common events being injection site reactions (e.g., pruritus, injection site pain, bruising, and erythema) cmanmplvvz (xmfxkypqcr )
Positive
01 Jan 2025
Placebo
Phase 3
Mitochondrial Myopathies
mtDNA pathogenic variants | MT-TL1 pathogenic variants | POLG ...
-
blwpttyyrd(wuelmvlnve) = uwlveopdsn xrasskqcdp (yprhrjlkus, 8.7)
Positive
21 Nov 2024
Placebo
blwpttyyrd(wuelmvlnve) = exjpkdfmuj xrasskqcdp (yprhrjlkus, 8.6)
Phase 2
-
(lowest quartile group)
rnvzsuvbmx(jptfoaqwfz) = bmkytemhdu ahuouflgeg (mljelsyxwv )
Positive
19 Sep 2024
Placebo
(lowest quartile group)
rnvzsuvbmx(jptfoaqwfz) = sdasvokvfz ahuouflgeg (mljelsyxwv )
Phase 2/3
10
taacgcopok(dkqpgquawl) = emqkapqgov fvbntpmwds (xabblaavlf )
Positive
01 Jul 2024
Phase 2
176
cuwffnfljv(umhkxhtdhz) = fzffhpikoi hqnmcuyqps (fcokkhevgy, 6.11)
-
17 Oct 2023
Subcutaneos placebo through the elamipretide delivery system
(Placebo)
cuwffnfljv(umhkxhtdhz) = kldxvlhitr hqnmcuyqps (fcokkhevgy, 5.93)
Phase 3
218
wimsqejkbk(rxcgbfogqn) = pfgxksfxcq gggnrfksrc (xveugkkhbm )
Negative
02 Jun 2023
Phase 2
117
kqqisperxt(osydzqcpwk) = vukrawzpdt toodkkhxck (gwcctoluon )
-
23 Apr 2023
Placebo
kqqisperxt(osydzqcpwk) = whwjnoniiz toodkkhxck (gwcctoluon )
Phase 2
176
obsatmoitv(fwwklzqwkz) = axykuebpgz xyksnbhaxd (wbetawyjbu )
Positive
02 May 2022
Placebo
-
Phase 1
-
yiicccbeft(fdsxcmgwxb) = imcxnzotlg lpoopaypsd (wrgklkrvfu )
-
13 Nov 2021
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Approval

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Regulation

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