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Synthetic or endogenous tripeptide fragment; melanocortin-derived anti-inflammatory research peptide

KPV

Also known as Lys-Pro-Val, KPV acetate, alpha-MSH 11-13, melanocortin-derived tripeptide

Research-only in the United States; KPV is not FDA-approved, is not on FDA's current 503A bulks list, and FDA plans PCAC consultation on KPV-related bulk substances on July 23, 2026.

  • Healing
  • Not legal · US
  • injection
  • 2001
Not currently legal in the US
Editorially verified
KPV, a tripeptide fragment of α-MSH, is being investigated for anti-inflammatory effects most prominently in gut-health and inflammatory-bowel-disease research.

What it is

KPV is a three-amino-acid peptide, Lys-Pro-Val, derived from the C-terminal region of alpha-melanocyte-stimulating hormone[6 ,10 ]. Alpha-MSH and related melanocortin peptides have long been studied for immunomodulatory and anti-inflammatory activity, and KPV is one of the shortest fragments investigated for retaining some of those effects[6 ,10 ].

At the biological level, KPV has been studied in inflammatory signaling rather than as a hormone-replacement therapy. Experimental work has investigated whether KPV can reduce inflammatory mediator production, inhibit NF-kappaB-related pathways, alter epithelial-cell responses, or act through melanocortin receptor-related mechanisms[611 ]. The pathway biology is not fully reducible to one receptor or one disease model.

Popular peptide discourse often frames KPV as a “gut healing” or “anti-inflammatory” peptide. The research basis for those phrases is mostly preclinical, including murine inflammatory bowel disease models and nanoparticle delivery systems designed to target inflamed intestinal tissue[9 ,12 ]. No FDA-approved KPV product exists for inflammatory bowel disease, wound healing, dermatology, allergy, autoimmune disease, or any other indication.

KPV has been studied in vitro and in animal models using route-specific experimental delivery systems, including targeted oral nanoparticle delivery in a mouse colitis model[12 ]. This page does not provide dosing, route, or compounding guidance.

Regulatory status

KPV is not FDA-approved in the United States. No FDA-approved KPV prescribing label was identified for any indication during this review.

503A status — withdrawn nomination, PCAC consultation pending

FDA’s 503A page states that state-licensed physicians and pharmacists may compound using bulk drug substances only if the substance meets a USP/NF monograph pathway, is a component of an FDA-approved drug product when no monograph exists, or appears on FDA’s 503A bulks list[1 ]. KPV is not listed in 503A Category 1 or on the 503A bulks list in FDA’s April 22, 2026 category document[2 ].

FDA’s April 22, 2026 category document states that KPV was removed from Category 2 because the nomination was withdrawn, but FDA announced that it intends to consult PCAC on July 23, 2026 regarding potential inclusion of KPV-related bulk drug substances, including KPV acetate and KPV free base, on the 503A bulks list[2 ]. Until FDA completes that process and updates the relevant lists or rules, this draft treats KPV as not currently available through FDA-compliant routine compounding channels.

FDA safety statement

FDA’s significant-safety-risk page states that FDA has not identified human exposure data for drug products containing KPV administered by any route and lacks important information about whether KPV would cause harm in humans[4 ]. That is a regulatory safety statement, not a conclusion that KPV is proven harmful.

503B and controlled-substance status

For 503B outsourcing facilities, FDA states that a bulk drug substance must be on the 503B bulks list or the compounded drug must appear on FDA’s shortage list at the relevant time[3 ]. No 503B pathway for KPV was identified. KPV is not listed in federal controlled-substance schedules in 21 CFR Part 1308 as reviewed on May 7, 2026[5 ].

Research summary

KPV’s research base begins with melanocortin pharmacology. Getting, Schioth, and Perretti dissected the anti-inflammatory effects of core and C-terminal alpha-MSH peptides and examined KPV as a short sequence with anti-inflammatory potential[6 ]. Elliott and colleagues investigated alpha-MSH, KPV, and ACTH signaling in human keratinocyte cells, providing dermatology-relevant mechanistic data rather than clinical efficacy data[7 ].

NF-kappaB and bronchial epithelial mechanisms

NF-kappaB-related mechanisms are a recurring theme. Kelly and colleagues reported that immobilized alpha-MSH 10-13 inhibited TNF-alpha-stimulated NF-kappaB activity[8 ]. Land later studied melanocortin-related peptides in human bronchial epithelial cells and reported inhibition of inflammation cues, with discussion of MC3R agonist roles[11 ]. These studies support plausible anti-inflammatory biology but do not establish patient outcomes.

Inflammatory bowel disease models

Inflammatory bowel disease models are the main source of “gut” claims. Kannengiesser and colleagues reported that KPV had anti-inflammatory potential in murine models of inflammatory bowel disease[9 ]. Xiao and colleagues later used hyaluronic acid-functionalized nanoparticles for oral targeted KPV delivery and reported alleviation of ulcerative-colitis-like inflammation in mice[12 ]. These animal-delivery studies are promising for drug-development research but cannot be interpreted as evidence that oral KPV sold online treats ulcerative colitis or Crohn disease in humans.

Wound-healing claims

Cutaneous and wound-related claims are more indirect. Melanocortin peptides, including KPV-related fragments, have been discussed as future therapeutics for cutaneous wound healing[13 ]. That review-level discussion should not be converted into claims that KPV heals wounds in humans, because clinical trial evidence for KPV itself was not identified.

Where the evidence ends

The evidence base has a major gap: no large randomized clinical trials of KPV in humans were identified as of May 7, 2026. FDA’s compounding safety page also states that it has not identified human exposure data for drug products containing KPV by any route[4 ]. The quality-of-evidence assessment is therefore preclinical and mechanistic only.

Route of administration is a central limitation. The oral nanoparticle study used a targeted delivery system intended to concentrate KPV at inflamed intestinal tissue in an animal model[12 ]. That cannot be extrapolated to ordinary oral capsules, subcutaneous injections, nasal sprays, or topical products. Different routes would have different absorption, degradation, distribution, sterility, and safety issues.

Several common claims remain unsubstantiated. No controlled human trial was identified showing that KPV induces remission in ulcerative colitis, prevents Crohn disease flares, repairs “leaky gut,” reduces systemic inflammation, or improves skin healing. Those claims should be kept out of the editorial research summary unless future human trials support them.

KPV should also be distinguished from broader melanocortin biology. Alpha-MSH and melanocortin receptors have a substantial scientific literature, but KPV is a specific short fragment with its own evidence limitations[6 ,10 ]. A study of a related melanocortin agonist, full alpha-MSH, or an immobilized peptide construct does not automatically establish the activity of soluble KPV in humans[611 ].

Public discourse

No qualifying public-discourse entries were identified for this page. Search results were dominated by clinic pages, vendors, podcast-adjacent marketing pages, and anonymous social media discussion. No accessible named-source podcast, article, or transcript with a verifiable quote meeting the page standard was identified.

Public discourse reflects the views of the speakers cited and does not represent medical advice or the editorial position of ProPeptideGuide.

Side effects and safety

Because KPV is not an FDA-approved drug, there is no FDA-reviewed adverse-event table, contraindication list, drug-interaction profile, or pregnancy/lactation guidance. This should be stated plainly because preclinical anti-inflammatory activity is sometimes mistaken for clinical safety.

FDA: absence of human exposure data

FDA’s safety concern is absence of adequate human exposure information. FDA states that it has not identified human exposure data for drug products containing KPV administered by any route and lacks important information about whether KPV would cause harm in humans[4 ].

Theoretical risks

Theoretical risks include immune modulation in people with infection, autoimmune disease, inflammatory bowel disease, malignancy, or concurrent immunomodulating drugs. These risks are theoretical and route-dependent, but they are clinically relevant because KPV is often promoted for inflammatory conditions in which patients may already be using prescription immunosuppressants.

Product-quality risks

Product-quality risks are substantial for non-approved peptides: uncertain identity, sterility, endotoxin contamination, degradation, aggregation, salt-form ambiguity, and inaccurate labeling. These concerns are especially important for injectable products, but oral or topical products are not automatically safe.

Patients interested in KPV often have inflammatory bowel disease, autoimmune disease, or chronic wounds, which are medically complex conditions with evidence-based therapies and meaningful risks from delayed treatment. The absence of human KPV data is therefore not a minor technicality; it is central to patient safety and claim substantiation.

Available through

KPV is not currently available through FDA-compliant prescription or compounding channels in the United States as of 2026-05-07[14 ]. ProPeptideGuide does not link to or endorse grey-market vendors.

Frequently asked questions

Is KPV FDA-approved?
No. KPV is not FDA-approved for inflammatory bowel disease, wound healing, autoimmune disease, dermatology, or any other indication.
Why do people call KPV a gut-healing peptide?
That phrase appears to come mainly from animal colitis models and nanoparticle-delivery research. No large human clinical trials proving benefit in ulcerative colitis or Crohn disease were identified.
Is KPV the same as alpha-MSH?
No. KPV is a short C-terminal tripeptide fragment derived from alpha-MSH, not the full alpha-MSH peptide.
What is FDA's compounding status for KPV?
KPV was removed from Category 2 after nomination withdrawal, and FDA plans PCAC consultation on KPV-related bulk substances on July 23, 2026. It is not currently identified as a FDA-compliant routine compounding option.
Are there human safety data?
FDA states that it has not identified human exposure data for drug products containing KPV by any route.
Does KPV have proven human anti-inflammatory effects?
No controlled human efficacy trial was identified. The anti-inflammatory evidence cited in this page comes from in vitro studies, animal models, and review-level discussion.
Is KPV a controlled substance?
KPV is not listed in 21 CFR Part 1308 as reviewed on May 7, 2026.

References

  1. U.S. Food and Drug Administration. Bulk Drug Substances Used in Compounding Under Section 503A of the FD&C Act . Content current as of September 26, 2024 . Source
  2. U.S. Food and Drug Administration. Bulk Drug Substances Nominated for Use in Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act . Updated April 22, 2026 . Source
  3. U.S. Food and Drug Administration. Bulk Drug Substances Used in Compounding Under Section 503B of the FD&C Act . Content current as of January 7, 2025 . Source
  4. U.S. Food and Drug Administration. Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks . Content current as of April 22, 2026 . Source
  5. 21 CFR Part 1308 — Schedules of Controlled Substances . Electronic Code of Federal Regulations . Accessed May 7, 2026 . Source
  6. Getting SJ, Schioth HB, Perretti M. Dissection of the anti-inflammatory effect of the core and C-terminal (KPV) alpha-melanocyte-stimulating hormone peptides . Journal of Pharmacology and Experimental Therapeutics . 2003;306(2):631-637 . PMID: 12750433
  7. Elliott RJ, Szabo M, Wagner MJ, Kemp EH, MacNeil S, Haycock JW. alpha-Melanocyte-stimulating hormone, MSH 11-13 KPV and adrenocorticotropic hormone signalling in human keratinocyte cells . Journal of Investigative Dermatology . 2004;122(4):1010-1019 . PMID: 15102092
  8. Kelly JM, Moir AJ, Carlson K, Yang Y, MacNeil S, Haycock JW. Immobilized alpha-melanocyte stimulating hormone 10-13 (GKPV) inhibits tumor necrosis factor-alpha stimulated NF-kappaB activity . Peptides . 2006;27(2):431-437 . PMID: 16274845
  9. Kannengiesser K, Maaser C, Heidemann J, Luegering A, Ross M, Brzoska T, et al.. Melanocortin-derived tripeptide KPV has anti-inflammatory potential in murine models of inflammatory bowel disease . Inflammatory Bowel Diseases . 2008;14(3):324-331 . PMID: 18092346
  10. Brzoska T, Luger TA, Maaser C, Abels C, Bohm M. Alpha-melanocyte-stimulating hormone and related tripeptides: biochemistry, antiinflammatory and protective effects in vitro and in vivo, and future perspectives for the treatment of immune-mediated inflammatory diseases . Endocrine Reviews . 2008;29(5):581-602 . doi:10.1210/er.2007-0027 PMID: 18612139
  11. Land SC. Inhibition of cellular and systemic inflammation cues in human bronchial epithelial cells by melanocortin-related peptides: mechanism of KPV action and a role for MC3R agonists . International Journal of Physiology, Pathophysiology and Pharmacology . 2012;4(2):59-73 . PMID: 22837805
  12. Xiao B, Xu Z, Viennois E, Zhang Y, Zhang Z, Zhang M, et al.. Orally Targeted Delivery of Tripeptide KPV via Hyaluronic Acid-Functionalized Nanoparticles Efficiently Alleviates Ulcerative Colitis . Molecular Therapy . 2017;25(7):1628-1640 . doi:10.1016/j.ymthe.2016.11.020 PMID: 28143741
  13. Bohm M, Luger T. Are melanocortin peptides future therapeutics for cutaneous wound healing? . Experimental Dermatology . 2019;28(3):326-333 . doi:10.1111/exd.13887 PMID: 30661264

International availability

Regulatory status differs by jurisdiction. Each entry below is sourced to the local regulator or pharmacopoeia and dated.

  1. European Union (EMA)

    Unapproved

    No central EMA marketing authorization.

    EMA medicines databaseVerified May 7, 2026

  2. United Kingdom (MHRA)

    Unapproved

    No MHRA marketing authorization.

    MHRA products lookupVerified May 7, 2026

  3. Australia (TGA)

    Unapproved

    Not entered on the Australian Register of Therapeutic Goods.

    TGA ARTGVerified May 7, 2026

  4. World Anti-Doping Agency (WADA)

    Banned / warned

    Prohibited at all times under S0 (Non-Approved Substances) for athletes in regulated sport.

    WADA Prohibited ListVerified May 7, 2026

ProPeptideGuide does not facilitate cross-border importation or evade local prescription requirements. This section describes regulatory status for reference; obtaining a prescription medicine requires a lawful local prescription in the relevant jurisdiction.

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