Larazotide
Larazotide Acetate (AT-1001)
Evidence & Status
- Moderate Evidence
- Moderate
At a Glance
A synthetic octapeptide under investigation, including celiac-disease and Long-COVID research contexts.
Plain English
Larazotide remains investigational; trial status does not establish a treatment recommendation.
Overview
A synthetic octapeptide investigated in celiac disease. It is investigational and has no FDA-approved indication.
Research Summary
NCT01396213 is a completed Phase 2B celiac-disease study. NCT03569007 is a Phase 3 trial terminated by the sponsor on July 21, 2022; it is not described as a completed negative Phase 3 study. NCT05747534 is a recruiting Phase 2 Long-COVID/PASC protocol and supports protocol/status only, not efficacy or established treatment.
Research Areas
- Intestinal barrier function
- Tight junction modulation
- Celiac disease
- Non-celiac gluten sensitivity
- Leaky gut
- Inflammatory bowel disease
Safety & Risks
Serious Risks
- Long-term safety data are limited.
- No FDA-approved indication.
Reported Side Effects
- Headache
- Nausea
- Diarrhea (mild; generally well-tolerated in trials)
Legal Status by Region
- United States
- Investigational only; not approved
- United Kingdom
- Investigational only
- Australia
- Investigational only
- Canada
- Investigational only
Citations & Sources
- Larazotide acetate for persistent symptoms of celiac disease despite a gluten-free diet: a randomized controlled trial
Gastroenterology · 2015
PMID 25683116 · DOI 10.1053/j.gastro.2015.02.008
- A Double-blind Placebo-controlled Study to Evaluate Larazotide Acetate for the Treatment of Celiac Disease
Registry NCT01396213
- Study to Evaluate the Efficacy and Safety of Larazotide Acetate for the Relief of CeD Symptoms
Registry NCT03569007
- AT1001 for the Treatment of Long COVID
Registry NCT05747534