Peptide profile
KPV: FDA Status, Research and Uses
Key takeaway
KPV is a 3 amino acid peptide (lysine, proline, valine) that matches the tail end of the hormone alpha-MSH. It is not FDA approved, and FDA found no human studies of it by any route. It has been studied only in animals and lab tests, mainly for inflammation, gut colitis and eye surface repair [1, 7, 8].
At a glance
Where it stands
Checked
- FDA approvedNoNo approved product
- Pharmacy compounding (503A)HHS interim policyOn HHS's interim enforcement policy (Appendix A), released Oct 28, 2026. HHS does not intend to take action against a state-licensed pharmacy, federal facility or licensed physician compounding KPV acetate for topical and oral forms, with a patient-specific prescription and the policy's other conditions (FDA-registered source with a certificate of analysis, single ingredient, adverse event reporting). It is not FDA approval and not a place on the 503A bulks list; HHS may revisit it if a safety or quality problem arises. The July 2026 advisory committee voted in favor of listing it, and FDA's final rule is still pending.
- Outsourcing facilities (503B)Not nominatedNot listed in any 503B category on FDA's 503B list updated March 21, 2025.
- WADA (sport)UnclearNot named on the 2026 or 2027 List. S0 (non-approved substances) may apply, since it covers substances no government has approved for human use. The 2027 List, in force January 1, 2027, adds peptides as an S0 example.
Same data as the Status Tracker. Checked against 11 sources
- HHS: Enforcement Discretion Policy Regarding 503A Compounding Using Certain Peptide Bulk Drug Substances (Appendix A and B)
- Federal Register: HHS notice of availability, FR Doc. 2026-22192 (filed Oct 28, 2026; publishes Oct 30, 2026)
- FDA: Bulk drug substances nominated for use in compounding under section 503A (updated May 14, 2026)
- FDA: Certain bulk drug substances for use in compounding that may present significant safety risks
- FDA: Evaluation of KPV-related bulk drug substances, PCAC briefing, July 2026
- FDA: PCAC briefing document introduction, July 23-24, 2026
- FDA: Bulk drug substances nominated for use in compounding under section 503B (updated March 21, 2025)
- WADA: 2026 Prohibited List
- openFDA Drugs@FDA query: KPV (no matches)
- openFDA drug shortages query: KPV
- DEA Diversion: Controlled Substances - Alphabetical Order
Key facts
- Length
- 3 amino acids (lysine, proline, valine) [1]
- Half-life
- Not established. FDA found no pharmacokinetic studies in animals or humans [1]
- Route in studies
- Drinking water and systemic dosing in mice, eye drops in rabbits, and lab tests on human cadaver skin [8, 10, 11, 12]
- First studied
- 1989 or earlier (anti-inflammatory tests in mice) [7]
How it works
KPV is made of three amino acids: lysine (K), proline (P) and valine (V) [1]. These are the last three building blocks, numbers 11 to 13, of alpha-MSH, a natural hormone made in the pituitary gland. A 1989 mouse study reported that this short piece reduced skin swelling in a dose-related way [7, 1].
Full alpha-MSH acts mainly by binding melanocortin receptors. Several lines of evidence suggest KPV does not. In lab tests KPV did not displace alpha-MSH from these receptors, and in mice its effects did not depend on them [1, 10]. Researchers have proposed instead that KPV blocks NF-kappaB, a switch that turns on inflammatory genes, and that it limits the effects of the signal interleukin 1 [1, 10].
In human gut and immune cell lines, KPV entered cells through a transporter called PepT1. At nanomolar levels it lowered inflammatory signals [8]. In a lab test on human cadaver skin, KPV did not pass through intact skin at detectable levels. Microneedles and a mild electric current raised delivery [12]. FDA notes that poor skin uptake could limit both side effects and usefulness of a skin cream [1]. None of these findings have been tested in people [1].
What the research shows
4 animal studies1 lab study
2008Animal study Colitis in mice and human cell lines (Dalmasso et al.)
Studied for gut inflammation
Mice and human cell lines Cell studies plus two chemical colitis models in mice, KPV given in drinking water
KPV lowered inflammatory signaling in cells and reduced colitis markers in mice [8].
Read the study2006Animal study Corneal scrape model (Bonfiglio et al.)
Studied for eye surface repair
Rabbits Corneal surface removed, eye drops four times a day for 4 days vs saline
At 60 hours, 8 of 8 corneas given KPV or a nitric oxide donor were fully covered vs none on placebo [11].
Read the study2003Animal study Peritonitis models in mice (Getting et al.)
Mice Crystal-induced and interleukin 1 induced inflammation of the abdominal lining
KPV reduced white blood cell buildup. The effect did not appear to use melanocortin receptors [10].
Read the study1989Animal study Ear swelling in mice (Hiltz and Lipton)
Mice Chemical ear swelling model, graded doses vs saline and a corticosteroid
The alpha-MSH 11-13 fragment reduced ear swelling in a dose-related way [7].
Read the study2017Lab study Skin permeation test (Pawar et al.)
Human cadaver skin (lab) Lab permeation study with iontophoresis and microneedles
No detectable KPV crossed intact skin. Microneedles raised it to 4.4 micrograms per square cm per hour [12].
Read the study
Doses used in studies
No human dose of KPV has been established. FDA found no clinical studies or human exposure data for KPV by any route [1]. The doses below come from animal and lab studies only.
In mouse colitis studies, KPV was given at 100 micromolar in drinking water [9]. In rabbits, eye drops of 1, 5 or 10 mg per mL (30 microliters) were given four times a day for 4 days [11]. The product proposed for compounding was a 0.1% cream or gel, and FDA found no human data for it [1].
Dosing is set by a licensed provider.
Side effects and safety
The safety of KPV in humans is unknown. FDA says it found no human exposure data on KPV by any route and lacks important information on whether it would cause harm [2]. FDA's adverse event database and the medical literature had no reports of side effects, because no human use has been documented [1].
FDA also found no animal toxicity studies of KPV, including acute, repeat-dose and gene damage studies [1]. FDA notes that even very short peptides can clump, and that there is no data on immune reactions to KPV [1]. There is no FDA label or boxed warning because no KPV product is approved [1].
Legal and regulatory history
HHS issued an interim enforcement policy for certain peptides used in 503A compounding. Until a final rule decides whether KPV goes on the 503A bulks list, HHS does not intend to take action against state-licensed pharmacies, federal facilities or licensed physicians who compound it under the policy's conditions [15]. For KPV acetate, the policy covers topical and oral dosage forms [15]. For oral forms, the compounder must document adequate oral bioavailability in humans [15]. Conditions include a single active ingredient, bulk substance from an FDA-registered facility with a certificate of analysis, reporting of serious adverse events to FDA and a patient-specific prescription [15]. The policy is not FDA approval and does not place KPV on the 503A bulks list [15]. HHS may revisit it if a safety signal or product quality issue arises [15]. A Federal Register notice of availability, which calls the policy a draft, publishes October 30, 2026 [16]. Source
FDA's Pharmacy Compounding Advisory Committee discussed KPV for the 503A bulks list, for wound repair and inflammatory conditions. FDA staff proposed that KPV and KPV acetate NOT be added. FDA's final decision comes after the committee process [4, 5]. HHS's October 28, 2026 policy states the committee voted in favor of inclusion [15]. Source
FDA's 503A categories list, updated May 14, 2026, does not place KPV in category 1, 2 or 3. FDA lists it with substances previously in category 2 whose nominations were withdrawn [3, 2]. Source
A Federal Register notice (91 FR 20465) announced the July 2026 advisory committee meeting covering KPV [13]. Source
The WADA 2026 Prohibited List took effect. It does not name KPV, but its S0 class bans any drug substance with no government approval for human use. WADA has not said whether that covers KPV [6]. Source
Common questions
What is KPV peptide?
Is KPV FDA approved?
No. FDA says KPV has no USP monograph and is not part of any FDA-approved drug [1].
Has KPV been tested in humans?
No. FDA found no clinical studies or human exposure data for KPV by any route [1].
Can a US pharmacy compound KPV?
KPV is still not on the 503A bulks list and is not FDA approved, and FDA's final rule is pending [1, 3, 15]. FDA staff proposed against adding it in July 2026 [5]. Since October 28, 2026, an HHS interim policy says HHS does not intend to take action against state-licensed pharmacies, federal facilities or licensed physicians who compound KPV acetate under set conditions [15]. It covers topical and oral forms [15]. The policy is not FDA approval, and HHS may revisit it [15].
Is KPV the same as alpha-MSH?
Does KPV absorb through the skin?
In a lab test on human cadaver skin, no KPV crossed intact skin at detectable levels [12].
Is KPV banned by WADA?
Unclear. KPV is not named. WADA's S0 class bans any drug substance with no current government approval for human use, but WADA has not said whether that covers KPV [6].
What are the side effects of KPV?
They are unknown. FDA found no human data and no animal toxicity studies [1].
Sources
- FDA: Evaluation of KPV-related bulk drug substances, PCAC briefing, July 2026
- FDA: Certain bulk drug substances for use in compounding that may present significant safety risks
- FDA: Bulk drug substances nominated for use in compounding under section 503A (updated May 14, 2026)
- FDA: July 23-24, 2026 meeting of the Pharmacy Compounding Advisory Committee
- FDA: PCAC briefing document introduction, July 23-24, 2026
- WADA: 2026 Prohibited List
- Hiltz and Lipton 1989, FASEB J (PubMed)
- Dalmasso et al. 2008, Gastroenterology (PubMed)
- Dalmasso et al. 2008, Gastroenterology, full text (PMC)
- Getting et al. 2003, J Pharmacol Exp Ther (PubMed)
- Bonfiglio et al. 2006, Exp Eye Res (PubMed)
- Pawar et al. 2017, J Pharm Sci (PubMed)
- Federal Register: PCAC notice of meeting, April 16, 2026 (91 FR 20465)
- FDA: Bulk drug substances nominated for use in compounding under section 503B (updated March 21, 2025)
- HHS: Enforcement Discretion Policy Regarding 503A Compounding Using Certain Peptide Bulk Drug Substances (Oct 28, 2026)
- Federal Register: HHS notice of availability, FR Doc. 2026-22192 (publishes Oct 30, 2026)
