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.
17 compounds
Angiotensin (1-7)
Human trialsThe protective counter-arm of the renin-angiotensin system, a short peptide that opposes fibrosis, inflammation and vasoconstriction rather than driving them.
Cardiometabolic, Vascular & Renal
Angiotensin II
Approved drugSynthetic human angiotensin II used as a rescue vasopressor drip when noradrenaline and vasopressin are not holding blood pressure up in septic or distributive shock.
Cardiometabolic, Vascular & Renal
Apelin-13
Human trialsAn endogenous peptide that makes the heart contract harder while dilating blood vessels, a rare combination that has made it a long-standing heart failure research target.
Cardiometabolic, Vascular & Renal
Bivalirudin
Approved drugA hirudin-derived direct thrombin inhibitor given as an IV drip during angioplasty and stenting, mainly when heparin cannot be used.
Cardiometabolic, Vascular & Renal
Carperitide
Approved drugRecombinant atrial natriuretic peptide, approved only in Japan, infused to vasodilate and offload the heart in acute heart failure.
Cardiometabolic, Vascular & Renal
Cenderitide
Human trialsA designer natriuretic peptide fusing C-type and mamba-venom peptides, built to unload the heart and protect the kidney without dropping blood pressure as hard as BNP does.
Cardiometabolic, Vascular & Renal
Desirudin
Approved drugA recombinant leech-derived thrombin inhibitor injected under the skin to prevent deep vein thrombosis after hip replacement, now largely off the market.
Cardiometabolic, Vascular & Renal
Ecallantide
Approved drugA recombinant kallikrein inhibitor injected to abort hereditary angioedema attacks upstream of bradykinin, but with a real anaphylaxis risk that keeps it clinician-administered.
Cardiometabolic, Vascular & Renal
Enlicitide decanoate
Approved drugThe first PCSK9 inhibitor you can swallow - a once-daily oral macrocyclic peptide that cuts LDL cholesterol by roughly half, matching injectable antibodies.
Cardiometabolic, Vascular & Renal
Eptifibatide
Approved drugA snake-venom-derived cyclic peptide drip that blocks the final common step of platelet clumping during heart attacks and stenting.
Cardiometabolic, Vascular & Renal
Icatibant
Approved drugA self-injected decapeptide that shuts off a hereditary angioedema attack by blocking the bradykinin receptor driving the swelling.
Cardiometabolic, Vascular & Renal
Lepirudin
Approved drugA recombinant hirudin drip that was the reference treatment for heparin-induced thrombocytopenia before it was withdrawn from the market.
Cardiometabolic, Vascular & Renal
Nesiritide
Approved drugRecombinant human BNP given as an IV drip to drop filling pressures and relieve breathlessness in acute decompensated heart failure - effective on haemodynamics but not on outcomes.
Cardiometabolic, Vascular & Renal
Pegcetacoplan
Approved drugA pegylated cyclic peptide that blocks complement C3, controlling paroxysmal nocturnal haemoglobinuria systemically and slowing geographic atrophy when injected into the eye.
Cardiometabolic, Vascular & Renal
Rusfertide
Human RCTA weekly injected hepcidin mimetic that locks iron away from red cell production, keeping haematocrit under control in polycythaemia vera without repeated phlebotomy.
Cardiometabolic, Vascular & Renal
Serelaxin
Human RCTRecombinant human relaxin, the pregnancy hormone that widens blood vessels and boosts renal blood flow, trialled as a 48-hour infusion in acute heart failure and ultimately unsuccessful.
Cardiometabolic, Vascular & Renal
Zilucoplan
Approved drugA once-daily self-injected macrocyclic peptide that blocks complement C5, giving myasthenia gravis patients an alternative to monthly infusion antibodies.
Cardiometabolic, Vascular & Renal