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ClinicalGut HealthOralUp to 3x daily

Larazotide

AT-1001 · INN-202

Synthetic octapeptide zonulin antagonist that blocks tight-junction disassembly. Phase 3 CedLara trial for celiac was terminated for futility in June 2022.

§ 01   Overview

Overview

Synthetic octapeptide zonulin antagonist that blocks tight-junction disassembly. Phase 3 CedLara trial for celiac was terminated for futility in June 2022.

Phase 3 CedLara terminated June 2022 for futility.

§ 02   Mechanism

Mechanism of action

Larazotide is an octapeptide that binds and neutralizes zonulin, the regulator of intestinal tight junctions. By preserving barrier integrity it reduces the paracellular passage of immunogenic peptides in celiac disease.

  • 01Rationale for barrier-preserving therapy in celiac
  • 02Positive signals in Phase 2

§ 03   Dosing

Dosing protocol

Standard Protocol

Dose Range
0.5 – 8 mg (trial doses)
Route
Oral
Timing
Before meals
Frequency
Up to 3x daily

§ 04   Evidence

Evidence & research

Clinical

Phase 3 CedLara terminated June 2022 for futility.

FDA Status

Not FDA-approved. Phase 3 program terminated.

§ 06   News

In the news

8 articles from the last 12 months · updates hourly

§ 07   Sourcing

Sourcing & supply

Regulatory status

Investigational, no compounding path

Currently in active clinical trials. No compounding pathway. No brand product. The only US channels are RUO vendors that the FDA has targeted with warning letters. Assume any sourcing carries significant regulatory and quality risk.

No suppliers in our directory currently stock this compound. For investigational or research-only compounds, legitimate channels may not exist outside clinical trials.

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§ 09   Safety

Safety & side effects

Side effects

  • 01Headache
  • 02Urinary tract symptoms

Contraindications

None specified.

§ 10   Questions

Larazotide FAQ

What is Larazotide?
Synthetic octapeptide zonulin antagonist that blocks tight-junction disassembly. Phase 3 CedLara trial for celiac was terminated for futility in June 2022. Larazotide is an octapeptide that binds and neutralizes zonulin, the regulator of intestinal tight junctions. By preserving barrier integrity it reduces the paracellular passage of immunogenic peptides in celiac disease.
What is Larazotide used for?
Reported uses include rationale for barrier-preserving therapy in celiac and positive signals in phase 2. Evidence strength is rated Clinical — see the evidence section for detail.
How is Larazotide dosed?
Commonly referenced dosing is 0.5 – 8 mg (trial doses), typically up to 3x daily, administered Oral. This is educational reference only; consult a licensed clinician before use.
What are the side effects of Larazotide?
Commonly reported side effects include headache and urinary tract symptoms. This list is not exhaustive.
Is Larazotide legal?
Currently in active clinical trials. No compounding pathway. No brand product. The only US channels are RUO vendors that the FDA has targeted with warning letters. Assume any sourcing carries significant regulatory and quality risk. FDA status: Not FDA-approved. Phase 3 program terminated..

§ 11   References

Selected references

  1. 01

    Leffler Gastroenterology 2015

    PMID: 25753138

  2. 02

    CedLara Phase 3 (terminated)

    NCT03569007

This site is for educational and research purposes only. It does not constitute medical advice. Always consult a qualified healthcare provider before using any peptide or supplement.