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MOTS-c

Mitochondrial-derived 16-amino-acid peptide

Also known as: MOTS C· spacing variant
Metabolismexercise physiology
Generic peptide vial illustrationMOTS-c
Entity typePeptide
Evidence reviewed2026-09-18
Canonical recordMOTSC
Page updated2026-09-20
Evidence profileHuman trial underway; no published administered-drug efficacy result
Human evidenceTrial underway
Regulatory statusNot FDA-approved
Choose your depthStart simple, then open the evidence or technical detail only if you need it.
Quick answerPlain languageEvidenceOutcomes and studiesStudiesPrimary recordsTechnicalMechanism, route and identifiers

In plain English

30-second evidence answer

What does the evidence mean in simple terms?

MOTS-c is being studied in people, but we did not identify a published human treatment trial showing that giving MOTS-c provides an established health benefit. Most benefit claims still depend on preclinical evidence.

Still uncertain: Human metabolic benefit, therapeutic dose, long-term safety or performance benefit.

New to terms such as “preclinical”, “randomized” or “investigational”? Use the plain-English glossary →

What does the evidence mean in simple terms? table
What is it?Mitochondrial-derived 16-amino-acid peptide
Entity typePeptide
Research focusMetabolism, exercise physiology, ageing biology
Human evidenceHuman studies show endogenous MOTS-c biology during exercise, and a genuine randomized Phase 2a trial of administered subcutaneous MOTS-c is recruiting in adults with prediabetes and overweight/obesity; no efficacy results are posted yet.
Regulatory statusNot FDA-approved; FDA highlights absence of human drug-product exposure data.
Main limitationsHuman metabolic efficacy, therapeutic dose, chronic safety or performance benefit.
SafetyHuman drug safety, immunogenicity and long-term exposure are unknown.
Evidence reviewed2026-09-18
i
Human studies show endogenous MOTS-c biology during exercise, and a genuine randomized Phase 2a trial of administered subcutaneous MOTS-c is recruiting in adults with prediabetes and overweight/obesity; no efficacy results are posted yet.
Outcome-level evidence

Evidence is not one score.

Each record below answers a narrower question about an outcome, population or context. Evidence status and the study finding are shown separately so strong evidence is not mistaken for a positive effect.

How to read this →

Metabolic / exercise benefits from exogenous MOTS-c

Evidence gap
No verified therapeutic human exposure evidence identified

Context: Humans interested in metabolic or performance enhancement

Finding: Human endogenous biology exists, but it is not evidence that injected MOTS-c improves human performance or metabolism.

Uncertainty / evidence gap: No verified controlled human therapeutic dosing/efficacy evidence identified.

Administered MOTS-c efficacy in humans

Registered trial
Registered Phase 2a trial; no results posted

Context: Adults with metabolic risk

Finding: MOTS-c has entered prospective clinical testing.

Uncertainty / evidence gap: No human efficacy result is available yet.

Verified 2026-09-18Primary source ↗

Exercise biology / endogenous MOTS-c

Indirect human evidence
Human endogenous-biomarker evidence, not drug-exposure evidence

Context: Healthy people during exercise

Finding: Human biology supports relevance of the endogenous peptide.

Uncertainty / evidence gap: Endogenous exercise response does not demonstrate benefit from exogenous injections.

Evidence rule: an outcome-specific evidence label is not a recommendation, a safety rating or an overall score for the compound.

Evidence synthesis

  • ✓Human endogenous biology exists, but it is not evidence that injected MOTS-c improves human performance or metabolism.
  • ✓MOTS-c has entered prospective clinical testing.
  • ✓Human biology supports relevance of the endogenous peptide.

Important limitations

  • !Endogenous measurement is often misrepresented online as treatment evidence.
  • !Registry does not publicly state the fixed dose; trial registration is not proof of benefit.
  • !Small exercise studies; assay and tissue/circulation relationships vary across studies.

Selected study & evidence records

MOTS-c response to acute exercise in humans

2021 · Randomized exercise physiology study · n=30

Human physiology study measured endogenous MOTS-c; it was not a therapeutic administration trial.

Study detail → Primary source ↗

MOTS-MET: MOTS-c for insulin sensitivity in adults with prediabetes and overweight/obesity

2026 · Randomized, double-blind, placebo-controlled clinical trial · n=120 planned

Recruiting; no results posted as of this review.

Study detail → Primary source ↗

MOTS-c is an exercise-induced mitochondrial-encoded regulator of physical decline

2021 · Human endogenous biomarker substudy plus extensive preclinical experiments · n=10

Exercise increased endogenous MOTS-c in muscle and circulation in the human component.

Study detail → Primary source ↗

Safety and unknowns

Human drug safety, immunogenicity and long-term exposure are unknown.

There is no established human therapeutic safety profile for exogenous MOTS-c; immunogenicity, peptide impurities and product-quality risks remain relevant.

Technical details

Mechanism / biologyMitochondrial-derived peptide implicated in cellular stress responses, metabolism and AMPK-related signalling.
Route / formulation boundaryEndogenous exercise-induced MOTS-c measurements are not evidence that injected MOTS-c is effective or safe.
Identity / data-quality noteUse the canonical compound identity and studied formulation when interpreting evidence.
Study / label regimen evidenceStudy-regimen evidence reviewed. No controlled exogenous human administration regimen identified; human studies largely measure endogenous MOTS-c rather than administering it as a drug.
Identifiers & alternate namesMOTS C · MOTSC

Source depth & provenance

WhichPeps does not rely on a single headline study when the evidence base is broader. Primary research, registries, regulators and supporting records are kept distinct.

3structured study records
3outcome records
7linked source records

How to read these counts: they show evidence coverage, not evidence strength. One large, well-designed study can be more informative than several weak or indirect records.

Show supporting and discovery sources

Study pages above contain the records used for public evidence summaries. The links below include supporting, regulatory and literature-discovery sources; a registry or search result is not treated as proof of benefit.

Evidence rule: WhichPeps keeps human, animal, laboratory, regulatory and product/formulation evidence distinct. Common names help people find the page; they do not change the underlying scientific identity.