Reproductive & Endocrine

Kisspeptin-10

Kisspeptin-10 (KP-10) — C-terminal decapeptide of metastin, H-YNWNSFGLRF-NH₂·Also known as: KP-10, Metastin (45-54), KISS-1 (112-121), Kisspeptin 10 (human), kp10

FDARegulatory status

Not approved for human use. Sold in the United States only as a research chemical for in-vitro and preclinical work. No kisspeptin-10 formulation has completed NDA review; the clinical pipeline for final oocyte maturation in IVF is being advanced by longer-acting analogs (kisspeptin-54 and MVT-602 / TAK-448), not KP-10 itself.

WADARegulatory status

Not specifically listed on the 2026 WADA Prohibited List. Kisspeptin agonists stimulate endogenous LH and therefore testosterone; WADA's S2.2 'peptide hormones and their releasing factors' language captures hypothalamic–pituitary releasing factors broadly, so athletes should assume kisspeptin analogs fall within the spirit of the ban even without a named listing. Out-of-competition use to manipulate the HPG axis carries anti-doping risk.

Regulatory note ·Kisspeptin-10 is an investigational decapeptide with a well-defined mechanism (KISS1R/GPR54 agonism) and a modest but growing human experimental literature led by the Imperial College group (Abbara, Dhillo). The 2024 Phase 2 data for the longer-acting analog MVT-602 vs. hCG as an IVF trigger (Abbara 2024) is the strongest human efficacy evidence in the broader kisspeptin program, but MVT-602 is a distinct molecule. No kisspeptin-10 formulation is FDA-approved. There is no peer-reviewed published long-term safety cohort for KP-10 use in humans.

§ The quick take

TL;DR · Editor’s summary

Kisspeptin-10 is one of the most mechanistically well-characterized investigational peptides in reproductive endocrinology and simultaneously one of the most over-promised in the off-label market. The receptor biology is solid: KP-10 is the 10-amino-acid C-terminal fragment of metastin, binds KISS1R/GPR54 with a Ki of ~0.04 nM (roughly 8-fold tighter than full-length kisspeptin-54), and acts on GnRH neurons in the hypothalamus to produce rapid, reproducible LH (and downstream testosterone or estradiol) rises in healthy humans. That diagnostic-probe signal is a legitimate B: acute IV KP-10 produces 2- to 5-fold LH increases in healthy men, healthy women across the menstrual cycle, and in men with type 2 diabetes and mild biochemical hypogonadism, and the Imperial College group has used it to probe hypothalamic vs pituitary causes of hypogonadotropic hypogonadism. Beyond diagnosis, the clinical story is weaker than marketing implies.

KP-10's plasma half-life in humans is roughly 4 minutes, which is why the programs that have actually produced Phase 2 efficacy data — Abbara 2015 kisspeptin-54 for IVF trigger in high-OHSS-risk responders, and the 2024 MVT-602 (TAK-448) trial against hCG — use longer-acting analogs, not KP-10. In hypothalamic amenorrhea, open-label kisspeptin-54 work restored cyclicity but showed tachyphylaxis on repeat dosing. There are no published multi-week, placebo-controlled efficacy trials of KP-10 itself for any clinical endpoint. There is no published long-term safety cohort.

And the HSDD / libido claim that has become the retail pitch for injectable kisspeptin is supported by two small fMRI experimental-medicine studies, not by a Phase 2 efficacy trial. KP-10 is not FDA-approved for any indication. Athletes should treat kisspeptin agonists as within the spirit of WADA S2.2 even though KP-10 is not named on the 2026 Prohibited List.

§ Grade matrix

The grade
per outcome.

One peptide can earn very different grades for different uses. Here is every outcome we’ve graded for Kisspeptin-10, sorted by strength of evidence.

B

Diagnostic probe of GnRH/LH axis (hypogonadotropic hypogonadism, pubertal delay)

Promising

Intravenous KP-10 reproducibly evokes an acute LH rise in healthy men, healthy women across the menstrual cycle, and in men with type 2 diabetes and mild hypogonadism (2- to 5-fold LH increase). Used at Imperial College as an investigational test of hypothalamic GnRH neuron responsiveness to distinguish hypothalamic from pituitary causes of hypogonadotropic hypogonadism. Mechanism is unambiguous; diagnostic role is still investigational and not standardized.

14 studiesUpdated 2026-04-20
C

Trigger for final oocyte maturation in IVF (reducing OHSS vs hCG)

Mixed

Strongest evidence is for kisspeptin-54 (Abbara 2015, JCI, n=60 high-responder IVF) and the longer-acting analog MVT-602 / TAK-448 (Abbara 2024). KP-10 itself has a plasma half-life of only ~4 minutes in humans, which limits its utility as a single-bolus trigger. No published randomized trial has used KP-10 (rather than KP-54 or MVT-602) as the trigger agent in an IVF live-birth endpoint.

9 studiesUpdated 2026-04-20
C

Restoration of pulsatile LH secretion in functional hypothalamic amenorrhea

Mixed

Small open-label studies (Jayasena and colleagues, Imperial College) showed that twice-weekly kisspeptin-54 injection restored LH pulsatility and menstrual cyclicity in women with hypothalamic amenorrhea, with attenuation after prolonged dosing suggesting tachyphylaxis. Mechanistically extends to KP-10, but KP-10 itself was not the investigational product in the published HA trials.

6 studiesUpdated 2026-04-20
D

Polycystic ovary syndrome (PCOS) — reversing hyperandrogenemia / LH hypersecretion

Weak

Preclinical models (Kauffman and others, reviewed in J Neuroendocrinol 2024) show that pharmacologic inhibition of kisspeptin neurons — not agonism — reverses PCOS-like phenotypes. Kisspeptin-10 agonism is not the therapeutic direction for PCOS; the role is mechanistic and diagnostic rather than disease-modifying. No human RCT supports KP-10 as a PCOS treatment.

4 studiesUpdated 2026-04-20
C

Male hypogonadism / endogenous testosterone elevation

Mixed

Acute IV bolus and continuous infusion studies in men (including George 2013 in men with type 2 diabetes and mild biochemical hypogonadism) show 2- to 5-fold LH rises and associated testosterone increases over hours to days. No published multi-week efficacy or safety trial in hypogonadal men on clinically meaningful androgen-deficiency endpoints. Not a replacement for testosterone or hCG in established hypogonadism protocols.

5 studiesUpdated 2026-04-20
D

Hypoactive sexual desire disorder / libido

Weak

Two small Imperial College experimental-medicine studies (Comninos and colleagues) showed kisspeptin infusion enhanced sexual and attachment-related limbic activity on fMRI and modestly altered self-rated arousal measures in men and women with HSDD. Mechanistic signal only — no Phase 2 efficacy trial, no validated clinical endpoint improvement.

4 studiesUpdated 2026-04-20
Ins.

Cerebral aneurysm prevention / metabolic regulation / oncology imaging

Insufficient

Recent preclinical work (Stroke 2025 aneurysm model; DOTA-kisspeptin-10 radiopharmaceutical development; scattered metabolic signals) is early and exploratory. No human evidence supports any of these as grade-able outcomes today.

3 studiesUpdated 2026-04-20

§ Why this grade

Sub-scores for this outcome.

Diagnostic probe of GnRH/LH axis (hypogonadotropic hypogonadism, pubertal delay)

Every grade rolls up six weighted sub-scores, each rated 1 to 5 with a written justification. Here is how the top-outcome grade was constructed.

Mechanism understood

5 / 5

KISS1R/GPR54 Gq/11-coupled signaling, TRPC activation and K⁺ channel suppression in GnRH neurons, KNDy pulse-generator architecture, and ARC-vs-AVPV feedback dichotomy are all characterized in rodents and validated by the 2003 human loss-of-function phenotype (de Roux, Seminara) and the 2024 Physiological Reviews synthesis. Receptor affinity, ligand structure-activity, and downstream pathways are all published.

Human studies (count + quality)

3 / 5

Multiple acute-dose IV KP-10 studies in healthy men and women and in men with type 2 diabetes and mild biochemical hypogonadism reproduce the 2- to 5-fold LH rise. These are small (n typically 5–25), single-dose or short-infusion, and open-label. The diagnostic role — distinguishing hypothalamic from pituitary causes of hypogonadotropic hypogonadism — is investigational and not standardized in any guideline.

Effect vs placebo

3 / 5

The LH-rise signal vs saline is large, reproducible, and mechanistically unambiguous across multiple labs. Points are held back because no large, blinded, placebo-controlled study has standardized a diagnostic cutoff or sensitivity/specificity for a clinical decision.

Long-term safety data

2 / 5

Longest published KP-10 human exposure windows are hours to days (acute and short infusion). No multi-week cohort. Kisspeptin-54 HA studies (weeks to months, open-label) are the longest exposures in the broader kisspeptin program — not KP-10. Immunogenicity is unstudied.

Side effect profile

4 / 5

Acute IV KP-10 has been well tolerated in the published diagnostic studies — no drug-related serious adverse events reported at investigational doses. Theoretical cancer-biology concern from KISS1R expression in some tumors, and the KP-54 HA program's tachyphysis signal, both remain unresolved for chronic KP-10.

Regulatory status

1 / 5

Not FDA-approved for any indication. Not listed by name on the 2026 WADA Prohibited List, but kisspeptin agonists fall within the spirit of S2.2 'peptide hormones and their releasing factors.' No approved analog in the U.S. for diagnostic use as of 2026-04-20.

§ What the science says

How Kisspeptin-10
works.

Plain-English explanation of the molecule and its proposed mechanism, written at an 8th-grade reading level so anyone can engage with it. Every claim is linked to a primary source below.

What it is

Kisspeptin-10 (KP-10) is a synthetic 10-amino-acid peptide with sequence Tyr-Asn-Trp-Asn-Ser-Phe-Gly-Leu-Arg-Phe-NH₂ (H-YNWNSFGLRF-NH₂), molecular formula C₆₃H₈₃N₁₇O₁₄, molecular weight 1302.45 Da, CAS 374675-21-5. It is the C-terminal decapeptide of metastin (kisspeptin-54), the full-length product of the KISS1 gene. The C-terminal amide is essential for activity. KP-10 is the minimal fragment that retains full agonist activity at the kisspeptin receptor (KISS1R, also called GPR54, AXOR12, or hOT7T175), and binds with roughly 8-fold higher affinity than kisspeptin-54 itself (Ki ~0.042 nM for KP-10 vs ~0.34 nM for KP-54). The KISS1 gene was originally identified as a metastasis-suppressor gene, and its role as the master upstream trigger of mammalian reproduction was established in 2003 when de Roux and Seminara independently linked loss-of-function GPR54 mutations to idiopathic hypogonadotropic hypogonadism.

How it works

  1. 01

    KISS1R / GPR54 agonism on hypothalamic GnRH neurons

    KP-10 binds KISS1R, a seven-transmembrane Gq/11-coupled (and secondarily Gi/o-coupled) GPCR expressed on most GnRH neurons. Receptor activation drives phospholipase C–β, IP₃-mediated intracellular calcium release, and diacylglycerol-driven PKC activation. The 2024 Physiological Reviews synthesis (Millar and colleagues, Physiol Rev 2024) consolidates two decades of work showing that kisspeptin–KISS1R signaling is indispensable for hypothalamic–pituitary–gonadal axis function, and that de Roux 2003 and Seminara 2003 independently established the loss-of-function human phenotype — idiopathic hypogonadotropic hypogonadism with absent puberty — that fixed KISS1R as the upstream trigger of the reproductive axis.

  2. 02

    Membrane depolarization via TRPC activation and K⁺ channel inhibition

    Patch-clamp work in mouse GnRH neurons (reviewed in Pielecka-Fortuna and colleagues, PMC4019505) shows that KP-10 produces a long-lasting (tens of minutes) depolarization via activation of transient receptor potential canonical (TRPC) nonselective cation channels and simultaneous suppression of A-type, inwardly rectifying (Kir), and G-protein-coupled inwardly rectifying (GIRK) potassium channels. Firing frequency increases 5- to 10-fold without tachyphylaxis over the recording window. This is the direct-excitation mechanism that underlies the rapid LH rise seen within minutes of IV KP-10 in humans.

  3. 03

    KNDy network — the GnRH pulse generator

    Kisspeptin / neurokinin B / dynorphin co-expressing (KNDy) neurons in the arcuate nucleus function as the mammalian GnRH pulse generator. NKB stimulates kisspeptin release via NK3R, dynorphin inhibits it via κ-opioid receptors, and the synchronized KNDy burst drives pulsatile kisspeptin output onto GnRH neurons (Clarkson and colleagues, and others, reviewed in the 2024 Physiol Rev synthesis). Optogenetic activation of ARC kisspeptin neurons in vivo produces frank LH pulses in a sex-steroid-dependent manner. KP-10 exogenously administered bypasses the KNDy generator and drives GnRH neurons directly — useful experimentally, but also why exogenous KP-10 cannot fully recapitulate physiologic pulsatility.

  4. 04

    Dual feedback populations — ARC vs AVPV/RP3V

    ARC kisspeptin neurons express ERα and are suppressed by estradiol and testosterone (negative feedback — basal gonadotropin tone). AVPV/RP3V kisspeptin neurons in females are stimulated by rising estradiol during the late follicular phase (positive feedback), producing the preovulatory kisspeptin surge onto GnRH neurons that generates the LH surge. GPR54-null and KISS1-null mice fail to show c-FOS induction in GnRH neurons during the LH surge, and loss-of-function humans fail to enter puberty — both confirm the absolute dependence of the surge on kisspeptin signaling.

  5. 05

    Pharmacokinetics in humans — short half-life of KP-10

    KP-10 has a plasma half-life of approximately 4 minutes in humans (Chan and colleagues; Jayasena and colleagues), with rapid clearance by peptidases and renal/hepatic elimination. Kisspeptin-54 has a plasma half-life of ~25–30 minutes, and the synthetic analog MVT-602 / TAK-448 extends the effective pharmacodynamic window to roughly 21–22 hours (Abbara 2024). This PK hierarchy is the single most important translational fact about KP-10: it is an excellent acute stimulation probe and a poor chronic-therapy scaffold without re-engineering.

  6. 06

    Emerging, non-reproductive biology — exploratory only

    KISS1R expression in some vascular smooth muscle, pancreatic islet, and tumor tissue has driven exploratory work outside reproduction: the 2025 Stroke paper on kisspeptin-10 preventing cerebral aneurysm development in a preclinical model (PMC12086517), DOTA-kisspeptin-10 as a ⁶⁸Ga / ¹⁷⁷Lu pan-tumor radiopharmaceutical scaffold (PMC11919473), and scattered reports on insulin secretion and energy homeostasis. These are mechanistic and preclinical signals — none yet translate to a graded human outcome.

§ Investigated uses

What it’s
been studied for.

Investigated does not mean proven. This list shows every use that appears in the published literature, regardless of evidence strength. See the grade matrix above for which ones have actually held up.

  • Acute diagnostic probe of GnRH / LH axis in healthy humans and in hypogonadotropic hypogonadism

    Multiple acute-dose IV studies in healthy men and women; investigational diagnostic use at Imperial College and a handful of academic centers

  • Final oocyte maturation trigger in IVF to reduce OHSS (program level — includes KP-54 and MVT-602)

    Abbara 2015 kisspeptin-54 Phase 2 (n=60 high-responder IVF); Abbara 2024 MVT-602 vs hCG. KP-10 itself not used as trigger in published trials

  • Restoration of pulsatile LH and menstrual cyclicity in functional hypothalamic amenorrhea

    Jayasena open-label kisspeptin-54 studies; tachyphylaxis reported with prolonged dosing

  • Male hypogonadism / testosterone axis stimulation

    Acute IV and continuous infusion studies including in men with type 2 diabetes and mild biochemical hypogonadism; no multi-week efficacy trial

  • Hypoactive sexual desire disorder (HSDD) — mechanistic fMRI studies

    Two small experimental-medicine studies in men and women; limbic activation and modest self-rated arousal signal

  • Polycystic ovary syndrome — mechanistic

    Dysregulated kisspeptin signaling implicated; therapeutic direction appears to be inhibition, not agonism

  • Cerebral aneurysm prevention (preclinical)

    2025 Stroke paper in rodent aneurysm model; not yet human

  • Tumor imaging and radionuclide therapy via DOTA-KP-10

    Early radiopharmaceutical development; preclinical only

§ The honest gaps

What we don’t
know yet.

Every peptide page on this site is required to include this section. Absence of evidence is information. If we don’t flag the gaps, we’re lying by omission.

  • !

    There is no published long-term safety cohort for kisspeptin-10 in humans. The longest published exposure windows are in the low-dose kisspeptin-54 HA studies (weeks to a few months, open-label, small-n), not KP-10 itself.

  • !

    No placebo-controlled Phase 2 efficacy trial of KP-10 itself exists for any clinical endpoint. The efficacy data that is frequently cited for 'kisspeptin' is for kisspeptin-54 (Abbara 2015 IVF trigger) or for MVT-602 / TAK-448 (Abbara 2024), which are distinct molecules with different pharmacokinetics.

  • !

    Tachyphylaxis with chronic dosing is a real and reported limitation of kisspeptin receptor agonism in the HA studies. The dosing interval, route, and duration required to avoid desensitization while delivering clinically meaningful effect have not been solved for KP-10.

  • !

    KP-10's ~4-minute plasma half-life in humans makes any protocol built around subcutaneous self-injection for a sustained HPG-axis effect pharmacokinetically unsupported. Longer-acting analogs (KP-54, MVT-602) exist for that reason.

  • !

    Immunogenicity with repeat dosing is uncharacterized. Anti-drug-antibody formation is a known risk for chronic peptide therapy and has not been studied for KP-10.

  • !

    Endpoint data for the HSDD / libido claim is limited to mechanistic fMRI and self-report — no validated sexual-function endpoint, no multi-week treatment data, no dose-finding.

  • !

    Cancer biology is ambiguous. KISS1 was originally identified as a metastasis-suppressor gene, but KISS1R expression is upregulated in several tumor types and the DOTA-KP-10 radiopharmaceutical program treats KISS1R as a tumor target. Whether sustained KP-10 agonism is net pro- or anti-tumor in humans is unsettled.

  • !

    Pediatric use — despite kisspeptin's role as the puberty trigger and mechanistic interest in delayed-puberty diagnostics — has essentially no safety data outside small diagnostic-test exposures, and the 2024 work showing environmental KISS1R agonists may drive early puberty (PMC11384912) argues for caution on any off-label pediatric use.

§ On YouTube

What experts and
influencers say.

We index YouTube content discussing Kisspeptin-10and tag every speaker by credential and trust level. The goal is not to summarize the internet — it’s to tell you which voices to weight.

  • Kisspeptin and the master switch of puberty — a tour of the HPG axis

    Imperial College London (public lecture)·Academic reproductive endocrinology department

    Walks the KISS1R / GPR54 discovery, the 2003 loss-of-function phenotype, and the Imperial IVF-trigger and hypothalamic-amenorrhea program at a level appropriate for clinicians and graduate trainees. Useful as a mechanism refresher; does not pitch off-label KP-10 use.

    Verified credentials
  • Kisspeptin for IVF trigger — MVT-602 and the OHSS problem

    Academic reproductive medicine conference talk·Reproductive endocrinology, clinical trialist

    Explains why kisspeptin-54 and MVT-602 (not KP-10 itself) are the clinical candidates for final oocyte maturation trigger. Makes explicit that the half-life of KP-10 is too short for a single-bolus trigger and that MVT-602 has a ~21–22 hour pharmacodynamic window.

    Verified credentials
  • Kisspeptin-10 injection protocol for libido and testosterone — my results

    Unverified wellness / biohacker channel·Unverified

    Anecdotal self-administration claims extrapolated far beyond the published data. Conflates diagnostic-probe LH-rise data with durable testosterone or libido therapy. Does not disclose the ~4-minute half-life problem or the absence of multi-week efficacy or safety data.

    Caution — anecdotal

§ Citations

Every claim,
linked to source.

All 19 sources informing this page, with DOI or PubMed identifiers. Click through to the primary literature.

  1. [01]

    In vivo and in vitro structure-activity relationships of the kisspeptin decapeptide

    Gutiérrez-Pascual E, Leprince J, Martínez-Fuentes AJ, et al. · Endocrinology / J Neuroendocrinol (SAR series) · 2009

  2. [02]

    The kisspeptin / GPR54 system in human reproduction

    Skorupskaite K, George JT, Anderson RA · Hum Reprod Update (review) · 2018

    Systematic reviewPMID 30205368
  3. [03]

    Kisspeptin–GPR54 signaling and the luteinizing hormone surge

    Clarkson J, Han SY, Piet R, et al. · Front Endocrinol / PMC6670827 · 2019

    Systematic reviewDOI
  4. [04]

    Kisspeptin excitation of GnRH neurons — TRPC activation and K⁺ channel inhibition

    Pielecka-Fortuna J, Chu Z, Moenter SM, and others (review) · Front Endocrinol / PMC4019505 · 2014

    Systematic reviewDOI
  5. [05]

    Emerging ideas about kisspeptin-GPR54 signaling in the neuroendocrine regulation of reproduction

    Roa J, Aguilar E, Dieguez C, Pinilla L, Tena-Sempere M · Trends Endocrinol Metab · 2007

    Systematic reviewPMID 17904653
  6. [06]

    Kisspeptins regulating fertility — mechanisms and clinical translation

    Dhillo WS and colleagues (review) · PMC12112093 · 2025

    Systematic reviewDOI
  7. [07]

    The kisspeptin-GnRH pathway in human reproductive health and disease

    Skorupskaite K, George JT, Anderson RA · Hum Reprod Update / PMC4063702 · 2014

    Systematic reviewDOI
  8. [08]

    Environmental compounds triggering early female puberty via KISS1R and GnRHR activation — Tox21 screen

    Shaw ND and colleagues · Endocrinology / PMC11384912 · 2024

    In vitroDOI
  9. [09]

    Coming of age in the kisspeptin era — sex differences, development, and puberty

    Kauffman AS · Mol Cell Endocrinol · 2010

    Systematic reviewPMID 20083160
  10. [10]

    Role of kisspeptin in the control of the hypothalamic–pituitary–gonadal axis

    Harter CJL, Kavanagh GS, Smith JT · Front Endocrinol / PMC9273750 · 2022

    Systematic reviewDOI
  11. [11]

    Beyond GnRH, LH and FSH: the role of kisspeptin on gonadotrope function

    Pineda R, Plaisier F, Millar RP, Ludwig M · J Neuroendocrinol · 2021

    Systematic reviewPMID 34410262
  12. [12]

    Kisspeptin directly regulates gonadotropin subunit gene expression in the pituitary

    Witham EA, Meadows JD, Hoffmann HM, et al. · Mol Endocrinol / PMC3725344 · 2013

    In vitroDOI
  13. [13]

    Kisspeptin neurons as an integration center of reproductive and metabolic signals

    Hudson AD, Kauffman AS · Mol Cell Endocrinol · 2022

    Systematic reviewPMID 34934400
  14. [14]

    Kisspeptin and neurokinin B in human ovulation and IVF — clinical applications of the MVT-602 and KP-54 programs

    Abbara A, Clarke SA, Dhillo WS, and colleagues · J Clin Endocrinol Metab / related · 2024

  15. [15]

    Novel therapeutic avenues for kisspeptin

    Clarke SA, Dhillo WS · Curr Opin Pharmacol · 2023

    Systematic reviewPMID 36413854
  16. [16]

    Advances in clinical applications of the kisspeptin-GnRH pathway in human reproduction

    Abbara A and colleagues · Reprod Biol Endocrinol / PMC9125910 · 2022

    Systematic reviewDOI
  17. [17]

    DOTA-kisspeptin-10 as a potential ⁶⁸Ga / ¹⁷⁷Lu pan-tumor radiopharmaceutical

    Oncology radiopharmaceutical development group · J Neuroendocrinol / PMC11919473 · 2025

    In vitroDOI
  18. [18]

    Kisspeptin-10 prevents the development of cerebral aneurysms via Egr-1 suppression in vascular smooth muscle

    Cerebrovascular research group · Stroke / PMC12086517 · 2025

    AnimalDOI
  19. [19]

    WADA 2026 Prohibited List (in force January 1, 2026) — Section S2 Peptide Hormones, Growth Factors, Related Substances and Mimetics

    World Anti-Doping Agency · WADA · 2026

    RegulatoryLink

Where to research further

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