Not approved (research only)Mitochondrial-derived peptideLongevityMetabolic
MOTS-c
Not FDA-approved. FDA advisers voted 7–5 (2 abstentions) in July 2026 to recommend 503A compounding; FDA has not acted.
What is MOTS-c?
MOTS-c is a 16-amino-acid peptide encoded in mitochondrial DNA (within the 12S rRNA gene) that has been studied in animals for effects on metabolism and exercise capacity; it is not FDA-approved.
Key takeaways
- Discovered in the mid-2010s; research is mostly preclinical.
- July 2026 advisory vote: 7–5 with 2 abstentions to recommend compounding.
- No approved human use.
What makes MOTS-c different?
It is encoded by mitochondrial rather than nuclear DNA — a newer class of signaling peptides.
How does MOTS-c work?
Animal studies link MOTS-c to AMPK activation and improved insulin sensitivity in skeletal muscle.
What the clinical evidence actually shows
- Reviews (Front Endocrinol 2023; Int J Mol Sci 2022) summarize mainly animal and cell data.
- Free Radic Biol Med 2016: regulation of muscle and fat metabolism in models.
How much research exists on MOTS-c?
PubMed indexes 259 papers mentioning MOTS-c in the title or abstract, 207 of them from the last five years and 5 tagged as clinical trials (search run October 19, 2026; repeat the search).
Most relevant recent papers
- MOTS-c: A promising mitochondrial-derived peptide for therapeutic exploitation. — Front Endocrinol (Lausanne), 2023 · review
- The mitochondrial-derived peptide MOTS-c promotes metabolic homeostasis and reduces obesity and insulin resistance. — Cell Metab, 2015
- Mitochondrial-Derived Peptide MOTS-c Suppresses Ovarian Cancer Progression by Attenuating USP7-Mediated LARS1 Deubiquitination. — Adv Sci (Weinh), 2024
- MOTS-c is an exercise-induced mitochondrial-encoded regulator of age-dependent physical decline and muscle homeostasis. — Nat Commun, 2021
- The mitochondrial-derived peptide MOTS-c relieves hyperglycemia and insulin resistance in gestational diabetes mellitus. — Pharmacol Res, 2022
- MOTS-c attenuates lung ischemia-reperfusion injury via MYH9-Dependent nuclear translocation and transcriptional activation of antioxidant genes. — Redox Biol, 2025
Registered clinical studies
ClinicalTrials.gov lists 5 studies with MOTS-c as an intervention (see all). Most recent:
- MOTS-c for Improving Insulin Sensitivity in Adults With Prediabetes and Overweight/Obesity — NCT07505745 · Phase 2 · recruiting · started 2026-02-02
- Platelet Reactivity, B-amyloid, MOTS-c and Mortality of Type II Diabetics With CAD — NCT04027712 · unknown · started 2014-01-01
- Cohort Of DEafness-gene Screening — NCT06133946 · active not recruiting · started 2016-01-01
- The Cardiovascular Effect of GLP-1 Agonist, SGLT2 Inhibitor and Their Combination — NCT03878706 · recruiting · started 2017-11-03
- Comparison of the Effects of General Anesthesia and Combined Spinal-Epidural Anesthesia on Ferroptosis, Humanin and MOTS-c Levels in Renal Transplantation — NCT07678073 · N/A · recruiting · started 2026-03-01
Side effects
Human safety data are minimal.
Regulatory & access status
- Not FDA-approved. Included in the July 2026 advisory votes; FDA has not adopted them.
Sourcing & safety
Sold online as a research chemical, not for human use.
Doses in labels and trials
Reference only — copied from published research. Not a recommendation.
| Source | What it says |
|---|---|
| Human dose | No established or approved human dose exists. |
What the evidence does not show
- Any proven human health benefit.
- Long-term safety.
MOTS-c FAQ
Is MOTS-c FDA-approved?
No. FDA advisers voted 7–5 in July 2026 to recommend allowing compounding, but the FDA has not acted.
Where does MOTS-c come from?
It is encoded in mitochondrial DNA, within the 12S rRNA gene.
Related peptides & comparisons
References
MOTS-c calculators
Lab arithmetic only: convert a mass to a volume or syringe units at a known concentration with the units converter, or work out a concentration with the reconstitution calculator.
Where to get MOTS-c legally
There is no FDA-approved MOTS-c product. Compounded versions depend on FDA's compounding rules, and "research use only" products are not for human use.
Get MOTS-c via telehealth
Research suppliers that list MOTS-c
44 vendors in our directory listed a product matching MOTS-c in their public catalog on October 19, 2026. Listed alphabetically; a listing is not an endorsement. Research use only.
- Amino Amigos
- Ascension Peptides
- Atomik Labz
- Backroad Aminos
- Biocollex Research
- BioGenix Peptides
- BioLongevity Labs
- Biotech Peptides
- Bulk Peptide Supply
- Core Peptides
- Costides
- Eros Peptides
- Evolve BioPep
- Extreme Peptides
- JetPeps
- Liberty Peptides
- Licensed Peptides
- LotusPeptide
- Modern Aminos
- NuScience Peptides
- OmegAmino
- Paramount Peptides
- Peptide Crafters
- Peptide Partners
- Peptide Worldwide
- Peptide.Express
- Pharma Grade Peptides
- Pinnacle Peptide Labs
- Plum Labs Research
- Polaris Peptides
- Prime Lab Peptides
- Prime Peptides
- ProtideHealth
- Pure Lab Peptides
- Ramp Peptides
- Royal Peptides
- San Diego Peptides
- Science.bio
- Southern Aminos
- Sports Technology Labs
- Sunrise BioResearch
- Swiss Chems
- Verified Peptides
- Xcel Peptides
Prices per mg, where we could verify them, are on our price comparison.
MOTS-c dosing protocol
There is no FDA-label or published-trial dosing schedule we can reproduce for MOTS-c, so we don't publish one.