Peptide index
331 compounds across 19classes. Each one carries an evidence tier, because “there are studies” means something very different for semaglutide than it does for most of this list.
19 compounds
Bacitracin
Approved drugThe cyclic peptide antibiotic in almost every tube of over-the-counter wound ointment, effective against gram-positive skin flora topically and far too nephrotoxic to inject.
Antimicrobial & Antiviral Peptides
Bulevirtide
Approved drugA myristoylated 47-amino-acid lipopeptide that plugs the NTCP receptor hepatitis D uses to get into liver cells — the first and only approved treatment for chronic hepatitis delta, the deadliest form of viral hepatitis.
Antimicrobial & Antiviral Peptides
Caspofungin
Approved drugThe first echinocandin antifungal, a cyclic lipopeptide that dissolves the fungal cell wall and is first-line intravenous therapy for invasive candidiasis and candidaemia.
Antimicrobial & Antiviral Peptides
Colistin
Approved drugThe other polymyxin, given as an inactive prodrug that converts to active colistin in the body, revived as salvage therapy for carbapenem-resistant Acinetobacter, Pseudomonas and Klebsiella.
Antimicrobial & Antiviral Peptides
Dalbavancin
Approved drugA lipoglycopeptide with a two-week half-life, meaning a single intravenous dose can treat an entire skin infection and send the patient home without a line.
Antimicrobial & Antiviral Peptides
Daptomycin
Approved drugA calcium-dependent cyclic lipopeptide that punches holes in the gram-positive cell membrane, used mainly for MRSA bacteraemia and skin infection — and never for pneumonia, because lung surfactant destroys it.
Antimicrobial & Antiviral Peptides
Enfuvirtide
Approved drugA 36-amino-acid peptide that jams the HIV envelope's fusion machinery shut, the first peptide antiretroviral ever approved and still a salvage option in multidrug-resistant HIV.
Antimicrobial & Antiviral Peptides
Gramicidin
Approved drugA channel-forming linear pentadecapeptide, the first antibiotic ever used clinically, now confined to topical and eye-drop combinations because it destroys red blood cells if it reaches the bloodstream.
Antimicrobial & Antiviral Peptides
Melittin
In vitro onlyThe pore-forming peptide that makes up about half of dry bee venom, genuinely lytic against bacteria, viruses and tumour cells — and equally lytic against human red blood cells, which is why it has never become a drug.
Antimicrobial & Antiviral Peptides
Micafungin
Approved drugAn echinocandin antifungal with the cleanest drug-interaction profile of the class, used for candidaemia, oesophageal candidiasis and antifungal prophylaxis in stem-cell transplant.
Antimicrobial & Antiviral Peptides
Nisin
In vitro onlyA bacteriocin from cheese-making lactococci that has been eaten safely as a food preservative since the 1950s and is being re-examined as an oral gram-positive antimicrobial and microbiome tool.
Antimicrobial & Antiviral Peptides
Omiganan
Human trialsA cationic 12-mer derived from a bovine neutrophil peptide, trialled as a topical gel for catheter-site infection, rosacea, acne and HPV-related lesions without ever clearing a phase 3 endpoint.
Antimicrobial & Antiviral Peptides
Oritavancin
Approved drugA single-dose lipoglycopeptide with three separate mechanisms against gram-positive bacteria, useful for one-and-done skin infection treatment but notorious for scrambling coagulation lab tests for days afterwards.
Antimicrobial & Antiviral Peptides
Pexiganan
Human RCTA frog-skin-derived antimicrobial peptide developed as a topical cream for infected diabetic foot ulcers, rejected twice by the FDA because it never beat existing treatment.
Antimicrobial & Antiviral Peptides
Polymyxin B
Approved drugA 1940s cyclic lipopeptide shelved for decades because of kidney toxicity and dragged back into use as a last-resort agent against carbapenem-resistant gram-negative bacteria.
Antimicrobial & Antiviral Peptides
Rezafungin
Approved drugA once-weekly echinocandin engineered for chemical stability, approved for candidaemia and invasive candidiasis in patients with limited alternatives.
Antimicrobial & Antiviral Peptides
Teixobactin
Animal data onlyA soil-bacterium depsipeptide discovered in 2015 that binds two different cell wall precursors at once and has so far failed to select for resistance in the laboratory — still entirely preclinical.
Antimicrobial & Antiviral Peptides
Telavancin
Approved drugA once-daily vancomycin derivative with added membrane activity, approved for complicated skin infection and hospital-acquired pneumonia but carrying boxed warnings for kidney damage and fetal harm that have kept it a third-line drug.
Antimicrobial & Antiviral Peptides
Vancomycin
Approved drugThe global workhorse glycopeptide antibiotic for MRSA and severe gram-positive infection, given intravenously for systemic disease and orally — where it is not absorbed at all — for C. difficile colitis.
Antimicrobial & Antiviral Peptides