What is Adipotide?
Adipotide is an experimental peptidomimetic that takes a radically different route than GLP-1 agents: instead of dampening appetite, it specifically attacks the blood vessels that supply white fat tissue and triggers targeted cell death there. Without supply, the fat depot shrinks.
Honestly and importantly up front: clinical development was stopped over kidney toxicity. This is not a harmless fat-loss compound.
Comparison
Three ways to target fat tissue
Compounds from the TPD lexicon with different approaches, as described there. Tap a card to open its entry.
Simplified from the lexicon entries. There is no direct comparison in a study. 1
How it works
Adipotide binds prohibitin, a protein unusually abundant on the blood vessels of white fat tissue. Via an attached cell-death-triggering part it specifically destroys these vessels. The fat tissue loses its blood supply and regresses.
Where it acts
Where adipotide acted in studies
Tap a point or a card. Colour = prohibitin, grey = observed. All from animal studies.
- White fat tissue
Cell death in the vessels of white fat, fat depots shrank (mice, monkeys)1
Prohibitin - Kidney
Dose-dependent disturbance of the kidney tubules, sugar and protein in the urine, mostly reversible (monkeys)1
Observed in trials - Blood sugar
Better glucose tolerance in mice after just two to three days, independent of weight (peptide built on the same principle)3
Observed in trials
Known targets2
Compound PubChem CID 163360068: one described target, Docking site of the targeting part on fat vessels, not an agonist.
- Gene
- PHB1
- UniProt
- P35232
- ChEMBL
- CHEMBL4295750
- Action
- Docking site of the targeting part on fat vessels, not an agonist
What you need
Supplies
2 things, numbered as in the picture
Tick off what you already have. Vial and BAC water are our real shop photos at the same size.
-
Adipotide vial
The adipotide vial (lyophilized powder).
-
Water and supplies
Bacteriostatic water, U-100 insulin syringes, alcohol swabs.
Reconstitution
Use the peptide calculator. A 2mg vial with 2ml water gives 1mg per ml. Just add the water to the vial and let it dissolve.
Step by step
Dissolving the powder
Four steps, the same for every vial size.
- 1Wipe the cap
Clean the rubber stopper with an alcohol swab.
- 2Add BAC water
Just add it, it does not matter if it hits the powder directly.
- 3Swirl or shake
Until everything has dissolved, both are fine.
- 4Draw up
With the U-100 insulin syringe.
Dosing
Dosing
Dosing, titration and syringe
Loading the dosing information …
- Getting started and stepping up, drawn as a staircase
- Units on the U-100 syringe for every step
- How long one vial lasts
Injection
Adipotide was given subcutaneously in the animal studies. Given the safety record, particular restraint is warranted here.
The injection is subcutaneous, into the fat layer under the skin. Common spots are the abdomen (keep about two finger-widths clear of the navel), the front and the inner side of the thigh, or the back of the upper arm.
The short version:
Injection
Where and at what angle
Pick a spot or switch the angle. Subcutaneous means: into the fat layer, not the muscle.
Rotate the spot each time, never the same one twice in a row.
Rule of thumb: where there is more fat under the skin, insert straight at 90 degrees. In lean people with little fat, 45 degrees, so the needle stays in the fat layer. Simplified diagram.
-
Clean the spot with an alcohol swab and let it dry
-
Pinch up a small fold of skin
-
Insert the needle: at 90 degrees where there is more fat under the skin, at 45 degrees in lean people with little fat
-
Inject slowly, wait a moment, then withdraw
-
Put the needle straight into the sharps container
Rotate the site each time so the tissue does not get irritated. Never the same spot twice in a row.
What the research shows
A widely noted study (Barnhart, Kolonin, 2011) showed about 11 percent weight loss in 28 days in obese monkeys, with improved insulin resistance. The catch was in the same study: changes in kidney function appeared. Exactly this kidney toxicity is why adipotide never moved beyond the experimental stage.
Study results
What the trials measured
Interactive: switch tabs, tap points, show or hide arms. Arms are named relative to each other, no dosing advice.
Body fat of obese rhesus monkeys1
Change from baseline, in percent
Values from the full text. The weight of the treated monkeys fell by 7.4 to 14.7 percent, that of the control animals changed by +1.0 to -3.5 percent. The study gives no mean for this. Monkeys, not humans.
Insulin resistance of obese rhesus monkeys1
Change in the insulinogenic index, in percent
Values from the full text. A high index means a lot of insulin at normal blood sugar. The study reads the decrease as better insulin sensitivity.
Research status
Where the research stands
No trial is registered under the name adipotide. The search finds a phase 1 trial from the same clinic as the monkey study with the compound prohibitin-TP01 in men with prostate cancer and obesity. It ended with 4 participants and no results have been published. As of 26 Oct 2026. 5
- Preclinical Mice, rats and three monkey species
- Phase 1 1 trial, 0 completed, 1 stopped early
- Phase 2 no registered trial
- Phase 3 no registered trial
- Approval not yet
Apart from 1 phase 1 trial there is no registered trial in phase 2 or later. 5
Side effects
- Kidney toxicity (changes in proximal tubule function), the central stop reason.
- Nausea, fluid-balance changes.
- No solid human safety data.
Practice
-
The kidney toxicity is real and the reason for the development stop, take it seriously.
-
No established, safe dosing protocol.
-
Clearly experimental, when in doubt fall back on proven alternatives (GLP-1).
Storage
Before mixing the powder is robust, normal room temperature (around 20 to 25 degrees) is fine, ideally kept in the dark. After mixing, keep in the fridge (2 to 8 degrees), do not freeze. It stays good there for at least 4 to 6 months with barely any loss of potency, in practice considerably longer. Swirl or shake to mix, both are fine.
Shelf life
How long it keeps
Robust, no fridge needed. Best kept in the dark.
At least 4 to 6 months with barely any loss of potency. The bacteriostatic water brings a preservative.
- Keep it dark
- Dissolved: 2 to 8 degrees
- Note the mixing date on the vial