#40Mitochondrial & Longevity
Epitalon
synthetic tetrapeptide bioregulator
Evidence: other human studyReviewed 2026-08-09
July 2026 PCAC recommendation
Recommended for possible 503A list inclusion
Epitalon-related bulk drug substances for insomnia
Nonbinding advisory recommendation; not FDA drug approval and not a final addition to the 503A Bulks List as of 2026-08-09.Investigated uses
- Insomnia, circadian endpoints and longevity-related biomarkers in weak literature.
Mechanism and hypotheses
- No clinically established mechanism for insomnia, longevity or disease modification has been demonstrated.
- Hypothesized: Telomerase, circadian and epigenetic effects are predominantly laboratory or weak human hypotheses.
Human evidence
- FDA found no clinical efficacy study establishing Epitalon for insomnia; reported melatonin-metabolite changes are not clinical outcomes. Limitations: Sparse, difficult-to-verify literature and no robust controlled outcome evidence.
Safety highlights
- Human adverse-event reporting is sparse and not adequate to estimate incidence.
- Long-term effects on cell proliferation, telomere biology and immune response are unknown.
Regulatory context
No FDA-approved Epitalon drug was identified. In July 2026, PCAC recommended Epitalon-related bulk drug substances for possible inclusion on the 503A Bulks List for insomnia. The recommendation is nonbinding and was not a final FDA listing as of August 9, 2026.
Sources used for this entry
- Epitalon human evidence search — PubMed
- PubMed search: Epitalon — PubMed
- Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks — U.S. Food and Drug Administration
- July 23–24, 2026 Pharmacy Compounding Advisory Committee meeting — U.S. Food and Drug Administration
- Drugs@FDA database — U.S. Food and Drug Administration
- EMA medicines search — European Medicines Agency
- FDA advisory committee backs two more peptides, rejects one for compounding list — Regulatory Affairs Professionals Society
- 21 CFR 216.23 — Bulk drug substances that can be used to compound drug products in accordance with section 503A — Electronic Code of Federal Regulations