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.
14 compounds
Apraglutide
Human RCTA once-weekly GLP-2 analogue that hit its phase 3 endpoint in short bowel syndrome and would replace daily teduglutide injections — if the FDA had not asked for another trial first.
Gut & Gastrointestinal
BPC-157 (gut use)
Animal data onlyA stable fragment of a protein found in gastric juice, originally developed as an inflammatory bowel disease drug, that people take orally to try to heal ulcers, leaky gut and NSAID-induced stomach damage.
Gut & Gastrointestinal
Colostrum-derived peptides
Human RCTOral immunoglobulin and growth-factor fractions from bovine colostrum, taken in gram quantities to bind gut antigens and support mucosal barrier repair — the most accessible and best-tolerated thing in this category.
Gut & Gastrointestinal
Glepaglutide
Human RCTZealand Pharma's twice-weekly GLP-2 analogue for short bowel syndrome, delivered by autoinjector — it worked in phase 3 but got a Complete Response Letter and is now repeating the trial.
Gut & Gastrointestinal
KPV (gut use)
Animal data onlyThe three-amino-acid business end of alpha-MSH, taken orally to shut down NF-kB-driven inflammation directly in the colon without the tanning or libido effects of the parent hormone.
Gut & Gastrointestinal
Larazotide Acetate
Human RCTAn oral octapeptide that tightens intestinal tight junctions by blocking zonulin signalling — the most clinically advanced 'leaky gut' drug ever developed, and it failed its phase 3 in coeliac disease.
Gut & Gastrointestinal
Linaclotide
Approved drugAn orally active 14-amino-acid peptide capsule approved for IBS-C and chronic constipation that pulls fluid into the gut lumen and simultaneously turns down visceral pain signalling.
Gut & Gastrointestinal
Motilin / Motilin agonists
Human trialsThe hormone that fires the stomach's housekeeping contractions between meals, and the drug class built to mimic it for gastroparesis — where erythromycin remains the only agent that actually reached the clinic.
Gut & Gastrointestinal
Plecanatide
Approved drugAn approved once-daily oral peptide for chronic constipation and IBS-C that copies the body's own uroguanylin, switching on only in the acidic upper small intestine and causing somewhat less diarrhoea than linaclotide.
Gut & Gastrointestinal
Rifaximin-adjacent antimicrobial peptides
Animal data onlyA research class of orally delivered antimicrobial peptides intended to reshape the gut microbiome the way rifaximin does — killing selectively in the lumen with essentially no systemic absorption.
Gut & Gastrointestinal
Secretin
Approved drugThe first hormone ever discovered, now used as an FDA-approved intravenous diagnostic that makes the pancreas dump bicarbonate on command so radiologists and endoscopists can see how it is working.
Gut & Gastrointestinal
Sincalide
Approved drugAn FDA-approved intravenous cholecystokinin fragment that forces the gallbladder to contract on demand, used to measure gallbladder ejection fraction and to test pancreatic enzyme output.
Gut & Gastrointestinal
Teduglutide
Approved drugAn FDA-approved daily injection that makes the remaining small bowel physically grow taller villi and absorb more, letting short bowel syndrome patients cut back on IV nutrition.
Gut & Gastrointestinal
Uroguanylin / Guanylin
Animal data onlyThe body's own intestinal peptides that control fluid secretion and, unexpectedly, gut-to-brain satiety signalling — the natural templates that plecanatide and linaclotide were built from.
Gut & Gastrointestinal