Larazotide

Also known as: AT-1001, Larazotide Acetate, Tight Junction Modulator

A tight junction regulator peptide for celiac disease and intestinal permeability.

Overview

Larazotide acetate is an 8-amino acid peptide that regulates intestinal tight junctions. It was developed primarily for celiac disease to prevent gluten-induced intestinal permeability (leaky gut). It works locally in the GI tract without significant systemic absorption.

Mechanism of Action

Larazotide blocks zonulin receptors on intestinal epithelial cells, preventing tight junction disassembly. This maintains the intestinal barrier and reduces paracellular permeability triggered by gluten or other stressors.

Pharmacokinetics

Acts locally in the GI tract with minimal systemic absorption. Taken orally before meals containing gluten.

Dosing Protocols

Note: These are research protocols from literature. This is not medical advice.

1

Clinical Trials

Dose

0.5-1 mg

Frequency

Three times daily

Duration

Before meals

Taken 15 min before gluten exposure

Stacking Recommendations

Peptides that may be combined based on complementary mechanisms in research settings.

Rationale: Gut healing

Synergy: Barrier protection plus tissue repair

Rationale: Anti-inflammatory

Synergy: Reduce gut inflammation while protecting barrier

Research Areas

Celiac DiseaseIntestinal PermeabilityLeaky GutAutoimmune ConditionsGluten Sensitivity

Key Research Findings

  • 1Reduced GI symptoms in celiac patients on gluten-free diet
  • 2Decreased intestinal permeability markers
  • 3Phase 3 trials for celiac disease completed
  • 4Local GI action with minimal systemic effects

Side Effects & Contraindications

Reported Side Effects

  • Headache (rare)
  • Nausea (rare)
  • Generally well-tolerated

Contraindications

  • Hypersensitivity to components

Safety Considerations

Generally well-tolerated. Does not replace gluten-free diet for celiac patients. Minimal systemic absorption reduces side effect profile.

Storage Requirements

Room temperature

Scientific References

Quick Reference

Sequence
Gly-Gly-Val-Leu-Val-Gln-Pro-Gly
Molecular Weight
711 g/mol
Half-Life
Local GI action
Bioavailability
Oral (local action)
Research Stage
clinical phase 3
Administration
Oral capsules