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# KPV

Medium Evidence 

A tripeptide derived from alpha-MSH, studied for anti-inflammatory and gut-protective properties.

Aliases KPV tripeptide +2 more 

Evidence Medium Evidence 

Last Updated  2026-07-21 

Reading Time  2 min 

## Table of Contents

1.  [What It Is](#what-it-is)
2.  [Regulatory Status](#regulatory-status)
3.  [Evidence Snapshot](#evidence-snapshot)
4.  [Commonly Discussed Benefits](#benefits)
5.  [Safety & Cautions](#safety)
6.  [Comparisons](#comparisons)
7.  [Calculator Tools](#calculator)
8.  [Citations](#citations)

## What It Is

KPV is a tripeptide (Lys-Pro-Val) derived from the C-terminal end of alpha-melanocyte-stimulating hormone (α-MSH). Research has explored its anti-inflammatory properties, particularly in the context of inflammatory bowel disease (IBD) models. Studies suggest it may exert anti-inflammatory effects through NF-κB pathway modulation without the melanotropic effects of the full α-MSH peptide. In 2026, expanded Phase II and nascent Phase III KPV clinical trial initiatives are exploring a broader spectrum of inflammatory and autoimmune conditions beyond initial IBD focus areas. Advanced delivery systems have shown promise: a KPV-based conjugate (proKPV) achieved 3.8-fold greater colonic accumulation than free KPV in colitis models, with enhanced efficacy even at a 20-fold lower dose — demonstrating superior therapeutic outcomes to 5-ASA (first-line colitis drug) in attenuating body weight loss, reducing disease activity scores, and suppressing pro-inflammatory cytokine production. KPV is one of four peptides scheduled for PCAC review on July 23, 2026, alongside BPC-157, TB-500, and MOTS-C, for potential addition to the 503A Bulks List. KPV's proposed therapeutic indications for the PCAC review include wound healing and inflammatory conditions. Public comments via docket FDA-2025-N-6895 are accepted until July 22, 2026. In a Phase IIb clinical trial, oral KPV (5 mg three times daily) achieved 67% endoscopic remission in ulcerative colitis patients at 12 weeks versus 23% placebo, with a 58% reduction in faecal calprotectin -- a key biomarker of intestinal inflammation. Based on these results, the FDA granted KPV fast-track designation in October 2025, accelerating its regulatory pathway toward potential Phase III evaluation.

Also known as:  KPV tripeptide, Lysine-Proline-Valine, alpha-MSH fragment 

## Regulatory Status

Category 1 — Bulk Compounding (PCAC review July 23, 2026) 

Moved from Category 2 back to Category 1 per HHS announcement February 27, 2026. FDA PCAC will review KPV (free base and acetate) on July 23, 2026 for potential 503A Bulks List inclusion for wound healing and inflammatory conditions. Public comment docket FDA-2025-N-6895 open until July 22, 2026.

Effective: February 2026

[View FDA Source](https://www.fda.gov/advisory-committees/advisory-committee-calendar/july-23-24-2026-meeting-pharmacy-compounding-advisory-committee-07232026)

## Evidence Snapshot

Medium Evidence 

Low 

Medium 

High 

Study Type

Model

Outcome

Link

Animal (mouse)

DSS-induced colitis model — oral KPV

Reduced disease severity, improved weight recovery, and lowered inflammatory cytokine levels in colon tissue

[Source](https://pmc.ncbi.nlm.nih.gov/articles/PMC2431115/)

Animal (mouse, 2026)

ProKPV conjugate in colitis — self-immolative delivery system

3.8-fold greater colonic accumulation than free KPV; superior to 5-ASA at 20-fold lower dose; significant attenuation of body weight loss and disease activity

[Source](https://www.science.org/doi/10.1126/sciadv.aea2989)

In vitro

Human colonocytes — NF-κB pathway modulation

Direct inhibition of NF-κB activation and downstream inflammatory cascades without melanotropic effects

[Source](https://pubmed.ncbi.nlm.nih.gov/18061177/)

Human (Phase IIb)

Oral KPV 5mg TID in ulcerative colitis patients, 12 weeks

67% endoscopic remission vs 23% placebo; 58% reduction in faecal calprotectin vs 12% placebo; FDA fast-track designation granted October 2025

[Source](https://www.realpeptides.co/kpv-clinical-trials-2026/)

## Commonly Discussed Benefits

[Inflammation](/benefits/inflammation)[Gut Health](/benefits/gut-health)[Skin](/benefits/skin)[Immune Support](/benefits/immune-support)

Researching KPV ? Track it, set reminders, and keep notes in the free app.

[Track in App](https://app.peptrackerpro.com/?add=kpv)

## Safety & Cautions

-   Phase IIb data is promising but Phase III trials are still needed
-   No long-term human safety data beyond 12 weeks
-   Not FDA-approved for any condition
-   FDA fast-track designation does not guarantee approval
-   PCAC review scheduled July 23, 2026 for compounding eligibility

## Comparisons

See how KPV compares to related peptides:

[KPV vs BPC-157](/compare/kpv-vs-bpc-157) [KPV vs Difelikefalin](/compare/kpv-vs-difelikefalin) [KPV vs Efzofitimod](/compare/kpv-vs-efzofitimod) [KPV vs MOTS-c](/compare/kpv-vs-mots-c) [KPV vs TB-500](/compare/kpv-vs-tb-500) [KPV vs Thymosin Alpha-1](/compare/kpv-vs-thymosin-alpha-1) [KPV vs Zosurabalpin](/compare/kpv-vs-zosurabalpin)

## Calculator Tools

Use our research tools to explore dosing and reconstitution data:

[Reconstitution Calculator](/calculators)

## Citations

1.  \[1\]  Brzoska T. et al. — Alpha-MSH and its derivatives: anti-inflammatory effects. Ann N Y Acad Sci. 2008 [PubMed](https://pubmed.ncbi.nlm.nih.gov/)
2.  \[2\]  PepT1-mediated tripeptide KPV uptake reduces intestinal inflammation — Gastroenterology 2008 [PubMed](https://pubmed.ncbi.nlm.nih.gov/18061177/)
3.  \[3\]  Inflammation-triggered self-immolative conjugates enable oral peptide delivery — Science Advances 2026 [PubMed](https://www.science.org/doi/10.1126/sciadv.aea2989)
4.  \[4\]  Anti-Inflammatory Peptides as Promising Therapeutics Against IBD: A Systematic Review — JGH Open 2025 [PubMed](https://onlinelibrary.wiley.com/doi/full/10.1002/jgh3.70212)
5.  \[5\]  FDA — July 23-24, 2026 Meeting of the Pharmacy Compounding Advisory Committee [PubMed](https://www.fda.gov/advisory-committees/advisory-committee-calendar/july-23-24-2026-meeting-pharmacy-compounding-advisory-committee-07232026)
6.  \[6\]  KPV Phase IIb Clinical Trial Results -- Endoscopic Remission in Ulcerative Colitis. 2025 [PubMed](https://www.realpeptides.co/kpv-clinical-trials-2026/)

### Keep researching in the app

-   Log KPV to your private tracker 
-   Set a dosing reminder 
-   Compare it side-by-side with your stack 

[Open PepTracker Pro Free](https://app.peptrackerpro.com/?add=kpv) [Browse more peptides](/peptides)

## Related Peptides

### BPC-157

Medium Evidence 

A pentadecapeptide derived from human gastric juice, studied for tissue repair and gut-protective properties.

[Recovery](/benefits/recovery)[Gut Health](/benefits/gut-health)[Wound Healing](/benefits/wound-healing)[Joint Health](/benefits/joint-health)+2 more 

[View Details](/peptides/bpc-157) [\+ Compare](/compare?select=bpc-157)[](https://app.peptrackerpro.com/?add=bpc-157)

### Difelikefalin

High Evidence 

Difelikefalin (Korsuva in the U.S., Kapruvia in Europe) is a synthetic tetrapeptide built entirely from D-amino acids - D-Phe-D-Phe-D-Leu-D-Lys capped with a 4-aminopiperidine-4-carboxylic acid - that acts as a selective agonist at the kappa opioid receptor. Its defining property is what it cannot do: the molecule is hydrophilic and bulky enough that it does not meaningfully cross the blood-brain barrier, so it reaches kappa receptors on peripheral sensory nerve endings, keratinocytes and immune cells while leaving the central kappa receptors that produce dysphoria and hallucinations largely untouched. It has no activity at the mu opioid receptor, so it carries neither euphoria nor respiratory depression. In the Phase 3 KALM-1 and KALM-2 trials in hemodialysis patients with moderate-to-severe chronic-kidney-disease-associated pruritus, roughly 40-51% of difelikefalin-treated patients achieved a clinically meaningful (>=3-point) reduction on the 10-point Worst Itching Intensity NRS at 12 weeks versus roughly 20-28% on placebo. The FDA approved intravenous difelikefalin in August 2021; the EU approved it as Kapruvia in April 2022.

[Pain Relief](/benefits/pain-relief)[Inflammation](/benefits/inflammation)[Skin](/benefits/skin)[disease-modification](/benefits/disease-modification)+1 more 

[View Details](/peptides/difelikefalin) [\+ Compare](/compare?select=difelikefalin)[](https://app.peptrackerpro.com/?add=difelikefalin)

### Efzofitimod

Medium Evidence 

A first-in-class, intravenous immunomodulatory fusion peptide derived from histidyl-tRNA synthetase that selectively binds neuropilin-2 (NRP2) to dampen inflammation in the lung; in Phase 3 development for pulmonary sarcoidosis, an interstitial lung disease.

[Inflammation](/benefits/inflammation)[Immune Support](/benefits/immune-support)

[View Details](/peptides/efzofitimod) [\+ Compare](/compare?select=efzofitimod)[](https://app.peptrackerpro.com/?add=efzofitimod)

### MOTS-c

Low Evidence 

A mitochondrial-derived peptide studied for metabolic regulation, exercise mimetic effects, and longevity.

[Metabolism](/benefits/metabolism)[Fat Loss](/benefits/fat-loss)[Longevity](/benefits/longevity)[Muscle Growth](/benefits/muscle-growth)+2 more 

[View Details](/peptides/mots-c) [\+ Compare](/compare?select=mots-c)[](https://app.peptrackerpro.com/?add=mots-c)

### TB-500

Medium Evidence 

A naturally occurring peptide involved in cell migration and tissue repair, studied for wound healing and recovery.

[Recovery](/benefits/recovery)[Wound Healing](/benefits/wound-healing)[Inflammation](/benefits/inflammation)[Muscle Growth](/benefits/muscle-growth)+1 more 

[View Details](/peptides/tb-500) [\+ Compare](/compare?select=tb-500)[](https://app.peptrackerpro.com/?add=tb-500)

### Thymosin Alpha-1

High Evidence 

A thymic peptide approved in some countries for immune modulation, studied for viral infections and cancer adjunct therapy.

[Immune Support](/benefits/immune-support)[Longevity](/benefits/longevity)[Inflammation](/benefits/inflammation)

[View Details](/peptides/thymosin-alpha-1) [\+ Compare](/compare?select=thymosin-alpha-1)[](https://app.peptrackerpro.com/?add=thymosin-alpha-1)

### Zosurabalpin

Medium Evidence 

A first-in-class tethered macrocyclic peptide antibiotic that kills carbapenem-resistant Acinetobacter baumannii (CRAB) by blocking the bacterium's lipopolysaccharide (LPS) transporter, now advancing into a global Phase 3 trial.

[antibacterial activity](</benefits/antibacterial activity>)[drug-resistant infection](</benefits/drug-resistant infection>)[Gram-negative pathogens](</benefits/Gram-negative pathogens>)

[View Details](/peptides/zosurabalpin) [\+ Compare](/compare?select=zosurabalpin)[](https://app.peptrackerpro.com/?add=zosurabalpin)

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