PeptideAmerica

Neuropeptides

Kisspeptin-10

KP-10; metastin(45–54)

US status
No lawful route
Class
Neuropeptides
Approved product
None
Route
None lawful; compounding is affirmatively barred

Regulatory record

4 dated actions on record; FDA final action still open (hollow marker).
September 2023
FDA places Kisspeptin-10 in Category 2 of the interim 503A bulks list, with a date added of September 29, 2023. The stated concern is a risk of immunogenicity for certain routes of administration, complexities of peptide-related impurities and characterization of the active ingredient, and no or only limited safety information for the proposed routes.
October 2024
The Pharmacy Compounding Advisory Committee votes 0 in favor, 11 against, and 0 abstaining on whether Kisspeptin-10 should be placed on the 503A bulks list. The minutes record that the committee unanimously agreed it should not be included, for lack of convincing safety and efficacy data. The use evaluated was treatment of secondary hypogonadism in men.
August 2026
Kisspeptin-10 remains in Category 2 of the 503A list published May 14, 2026, and is the only peptide among the six substances in that category. Placement in Category 2 bars a licensed pharmacy from compounding the substance.
FDA final action
None as of August 2026.

Status verified for this index · August 2026

Definition

Kisspeptin-10 is the shortest active fragment of kisspeptin, the hypothalamic peptide that gates release of gonadotropin-releasing hormone and therefore the entire reproductive axis. Administered to a person, it produces a measurable rise in luteinizing hormone; that response is the reason it is studied and the reason it is sold.

Its regulatory position is unlike anything else in this index. Every other unapproved molecule here sits on no list. This one is named, by FDA, on a list that prohibits it.

Evidence

The human literature is real, specific, and almost entirely physiological. Across four name variants PubMed returns 324 indexed records, of which 119 carry the Humans subject heading, 9 the clinical-trial publication type, and 5 the randomized-controlled-trial type [1].

All nine trial-type records were opened and read, and three of them do not belong to this molecule in people: one studies kisspeptin-54, a different fragment; one is conducted in rhesus monkeys; one in female goats [1]. Counting nine would have overstated the record by a third, and the two animal studies carry the clinical-trial publication type regardless.

The six that remain are human endocrine-probe studies. They establish that kisspeptin-10 is a potent stimulator of luteinizing hormone and increases pulse frequency in men [2], and the most recent shows that continuous subcutaneous administration sustains gonadotropin secretion over twelve days in healthy men rather than desensitizing the axis [3]. What none of them reports is a clinical outcome: no fertility endpoint, no symptom scale, no hypogonadism trial. The record establishes that the compound does something measurable to a hormone, which is a different claim from establishing that it treats anything.

Lawful access

There is no lawful United States supply route, and this molecule's position is stronger than that: compounding it is affirmatively barred. FDA placed Kisspeptin-10 in Category 2 of the interim section 503A bulks list with a date added of September 29, 2023, on the stated grounds that compounded drugs containing it may pose a risk for immunogenicity for certain routes of administration, may have complexities with regard to peptide-related impurities and characterization of the active ingredient, and that the agency has no or only limited safety-related information for the proposed routes [4].

On October 29, 2024 the Pharmacy Compounding Advisory Committee voted 0 in favor, 11 against, and 0 abstaining on whether Kisspeptin-10 should be placed on the 503A bulks list. The minutes record that the committee unanimously agreed it should not be included, for lack of convincing safety and efficacy data. The use FDA evaluated was treatment of secondary hypogonadism in men [5].

It remains in Category 2 on the list FDA published on May 14, 2026, where that category contains six substances in total: cesium chloride, domperidone, germanium sesquioxide, ibutamoren mesylate, kisspeptin-10, and quinacrine hydrochloride for intrauterine administration [6]. Kisspeptin-10 is the only peptide among them. Every other peptide this index tracks has left that category or was never in it; this one is still there, and placement in it bars a licensed pharmacy from compounding the substance. The research-only page covers what an absent route means for a buyer.

Elsewhere in this index

Filed under

Reference tables

Same class

References

  1. PubMed, National Library of Medicine. Census run 2026-08-31 across four name variants — "kisspeptin-10" OR "kisspeptin 10" OR "metastin 45-54" OR "KP-10 peptide" — returning 324 indexed records, 119 carrying the Humans MeSH term, 9 under "clinical trial"[Publication Type] and 5 under "randomized controlled trial"[Publication Type]. All 9 trial-type records were retrieved and read individually; one studies kisspeptin-54 rather than the decapeptide, one is conducted in rhesus monkeys and one in female goats, leaving 6 human studies of this fragment. The publication-type filter was proved live in the same run against a control term returning 8,904 records under the clinical-trial type and 6,113 under the randomized type; the invalid tag clinicaltrial[pt] returned 0 for that control term in the same run, and a deliberately invalid record identifier errored in the same run. Source
  2. George JT, Veldhuis JD, Roseweir AK, et al. Kisspeptin-10 is a potent stimulator of LH and increases pulse frequency in men. J Clin Endocrinol Metab. 2011;96(8):E1228–E1236. PMID 21632807
  3. Yeung AC, Phylactou M, Koysombat K, et al. Chronic subcutaneous kisspeptin-10 stimulates gonadotropin secretion for 12 days in healthy men. Eur J Endocrinol. 2026;195(2):206–216. PMID 42549827
  4. US 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, Category 2 table, entry for Kisspeptin-10 (503A, date added September 29, 2023). Read 2026-08-31. Source
  5. US Food and Drug Administration. Final Summary Minutes of the Pharmacy Compounding Advisory Committee Meeting, October 29, 2024, question 4 and the accompanying table of uses evaluated. Read 2026-08-31. Source
  6. US Food and Drug Administration. Bulk Drug Substances Nominated for Use in Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act, updated May 14, 2026. Read in full 2026-08-31; Category 2 lists six substances, of which Kisspeptin-10 is the only peptide. Source