Informational only. Not medical advice.INFORMATIONAL PLATFORM ONLY — NOT MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT
Informational only. Not medical advice.INFORMATIONAL PLATFORM ONLY — NOT MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT
Head-to-head comparison of SS-31 and Thymalin — mechanism, dosing, side effects, legal status, and pricing.
SS-31 (elamipretide) is a mitochondria-targeted tetrapeptide (D-Arg-Dmt-Lys-Phe-NH2) developed by Hazel Szeto (Cornell) and clinically advanced by Stealth BioTherapeutics. It concentrates in the inner mitochondrial membrane by binding cardiolipin. In September 2025, the FDA granted accelerated approval to elamipretide (brand name FORZINITY) as the first therapy for Barth syndrome — the first FDA-approved mitochondria-targeted drug. It remains investigational for other indications.
Thymalin is a heterogeneous polypeptide extract from calf thymus (a mixture, not a single defined peptide) developed in the 1970s by V. Kh. Khavinson and V. G. Morozov at the Military Medical Academy / St. Petersburg Institute of Bioregulation and Gerontology. Registered as a pharmaceutical in the USSR/Russia for immunocorrection. Distinct from Thymulin (Bach's zinc-dependent nonapeptide pGlu-Ala-Lys-Ser-Gln-Gly-Gly-Ser-Asn, originally called FTS) and from Thymosin alpha-1 (a 28-amino-acid synthetic peptide). Not FDA-approved in the US; research-use only.
SS-31
Thymalin
Category
Legal Status
Mechanism
Dose Range
Route
Frequency
COA-verified vendors · trust score ≥70 required · single-vial price — bulk/bundle deals may be lower
SS-31
Thymalin
COA corpus from Disclosed Labs — independently tested batches only.
SS-31
65
COAs
99.8%
Avg purity
12
Labs
Thymalin
13
COAs
99.5%
Avg purity
6
Labs
The original SS-peptide class was described by Zhao, Szeto and colleagues (J Biol Chem 2004, PMID 15178689), showing ~1000-fold concentration at the inner mitochondrial membrane and protection against oxidative cell death. Szeto's 2014 review (Br J Pharmacol, PMID 24117165) reframed the mechanism as cardiolipin-binding rather than antioxidant scavenging. The TAZPOWER trial (NCT03098797) in Barth syndrome, with its 168-week open-label extension (Thompson et al., Genet Med 2024, PMID 38602181), supported FDA accelerated approval of FORZINITY in September 2025 at 40 mg SubQ daily. The Phase 3 MMPOWER-3 trial in primary mitochondrial myopathy (Karaa et al., Neurology 2023, PMID 37268435) FAILED co-primary endpoints of 6-minute walk test and fatigue score, though a post-hoc nuclear-DNA subgroup showed improvement. Phase 2 ReCLAIM-2 in geographic atrophy missed primary endpoints but reduced ellipsoid-zone attenuation; a Phase 3 trial is ongoing. Earlier heart failure trials (PROGRESS-HF) showed only modest signals.
Key references
Evidence base is almost entirely single-lab (Khavinson/Morozov, St. Petersburg). Long-term observational work in elderly Russian cohorts reported reduced all-cause mortality and lower incidence of respiratory infections with Thymalin (alone or with Epithalamin) over 6–8 years, but these were not blinded Western RCTs and have not been independently reproduced. No FDA-registered clinical trials.
Key references
SS-31 (Recovery) and Thymalin (Immune) are in different categories and target different biological pathways. This is a common pattern in multi-compound research protocols. Researchers should monitor the biomarkers from both profiles and watch for interactions listed in each compound’s contraindications. Consult a licensed healthcare provider before combining any research compounds.
This platform provides informational tools only, not medical advice. This comparison is for educational purposes only. Consult a licensed provider.
Dosing Notes
Half-life
Side Effects
Contraindications
Lab Testing
Disclosed Labs