Anti-InflammatoryTier 2 β€” Good human studies

Larazotide

AT-1001 Β· Larazotide Acetate

Tight junction regulatory peptide that reduces intestinal permeability. Clinically studied in coeliac disease with demonstrated reduction of intestinal leakiness.

πŸ’‰ Oral🧊 Room temperature; follow compounding pharmacy instructions

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Mechanism of Action

Octa-peptide that competes with zonulin receptor binding, preventing tight junction opening. Directly reduces intestinal permeability without immunosuppression.

Clinical Applications

  • βœ“Coeliac disease (phase 3 clinical studies)
  • βœ“Leaky gut syndrome
  • βœ“Food sensitivities related to intestinal permeability
  • βœ“IBD management
  • βœ“SIBO and dysbiosis

Dosing Protocol

Recommended Dosing

Oral. 0.5–1 mg three times daily, with meals. Cycles of 8–12 weeks. Well tolerated in phase 2/3 trials up to 24 weeks.

Safety & Contraindications

Possible Side Effects

  • ⚠Headache (most reported in trials)
  • ⚠Nausea
  • ⚠Diarrhoea (paradoxical, transient)
  • ⚠Generally very well tolerated

Contraindications

  • βœ•Pregnancy
  • βœ•Known hypersensitivity

Combinations & Synergies

πŸ”— BPC-157synergistic gut repair and permeability control
πŸ”— KPVtight junction repair plus mucosal anti-inflammation