KPV

Last updated October 21, 2026. Approval line checked October 21, 2026. Compounding sources checked October 29, 2026.

FDA status

Not approved

Not approved. This record is not an FDA-approved drug product. Approval, where it exists, is specific to a drug product, indication, and route.

FDA primary source on file

Evidence tier

Animal Only. The tier is the highest indexed study type. It is not a safety rating and it is not an FDA approval. Confidence score 2/5. 180 PubMed citations indexed.

KPV in the literature

C-terminal tripeptide of alpha-MSH with potent anti-inflammatory activity mediated through NF-κB inhibition and melanocortin receptor (MC1R) activation in gut epithelial cells.

What the literature studies

Gut Inflammation & Immune Modulation

Evidence tier

Animal Only

Compounding record

HHS proposed 503A enforcement discretion (not final)

Confidence
2/5

Regulatory record

HHS proposed 503A enforcement discretion (not final). FDA substance context: KPV. Named in the proposed HHS 503A enforcement-discretion notice (Federal Register 2026-22192, October 2026). The policy is proposed, not final, and is not FDA approval. FDA's earlier record lists the nomination as withdrawn from Category 2 with potential significant safety risks. Research information is not evidence of FDA approval. Approval, where applicable, is specific to a drug product, indication and route.

Regulatory source checked October 29, 2026. This compounding label is separate from the approval line above.

Regulatory context and verification limits are documented below.

Questions

Educational only. Not medical advice. This page does not give doses or sourcing. See the medical and editorial disclaimer.

Short answer

KPV (Lys-Pro-Val) is the C-terminal tripeptide of alpha-MSH with anti-inflammatory activity in mouse colitis models; FDA states it has identified no human exposure data by any route, so human efficacy and safety are unknown, and it is not FDA-approved.

What it is

Tripeptide fragment of alpha-melanocyte-stimulating hormone (alpha-MSH) studied as an anti-inflammatory melanocortin-derived peptide [R1].

Legal / FDA status (as of Oct 27 2026)

Not FDA-approved. FDA lists KPV under nominated-but-withdrawn bulk substances and states: "FDA has not identified any human exposure data on drug products containing KPV administered via any route of administration" and therefore lacks important information on whether it would cause harm in humans [FDA-RISK]. Secondary reports say PCAC recommended KPV among peptides in July 2026 (advisory only) [AJMC].

Human evidence

No published randomized controlled trials of KPV as a human therapeutic were identified. FDA's own review found no human exposure data [FDA-RISK]. Claims about gut, skin, or "systemic inflammation" benefits in people are not supported by clinical trial evidence as of this check.

Animal / lab evidence

Murine IBD models (DSS colitis and T-cell transfer colitis) showed anti-inflammatory potential for KPV [R1]. Animal results are not evidence of effect or safety in people.

Risks and unknowns

Unknown human pharmacokinetics, immunogenicity, and long-term safety [FDA-RISK]. Gray-market capsules/injectables unverified. Melanocortin pathway peptides can have off-target pigment or autonomic effects in related compounds; KPV-specific human risk is uncharacterized.

What's coming

Possible inclusion discussions under interim peptide compounding policy - text and covered list not public [OIRA]. Any 503A listing still needs rulemaking after advisory input [AJMC].

Sources

  1. [R1] Kannengiesser K et al. Melanocortin-derived tripeptide KPV has anti-inflammatory potential in murine models of inflammatory bowel disease. Inflamm Bowel Dis 2008;14:324-331. PMID 18092346
  2. [FDA-RISK] FDA. Certain Bulk Drug Substances... (KPV entry). https://www.fda.gov/drugs/human-drug-compounding/certain-bulk-drug-substances-use-compounding-may-present-significant-safety-risks
  3. [AJMC] AJMC. FDA Panel Backs 6 Peptides for Compounding. Jul 31 2026. https://www.ajmc.com/view/fda-panel-backs-6-peptides-for-compounding
  4. [OIRA] OIRA. Pending EO 12866 Review, RIN 0910-ZD94. https://www.reginfo.gov/public/do/eoDetails?rrid=1568964

Last checked 2026-10-27

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