What it is
Vasoactive intestinal peptide (VIP) is a naturally occurring 28-amino-acid human neuropeptide hormone, produced throughout the gut, lungs, brain and immune system, with roles in smooth-muscle relaxation, vasodilation, secretion and immune signalling. Unlike most compounds on this site, VIP is not a novel research molecule; it is the same sequence as an endogenous human hormone, and synthetic copies or engineered analogues of it have been developed as actual drugs.
Its native plasma half-life is extremely short, on the order of one to two minutes, which has driven drug development toward either continuous infusion, inhalation, or chemically modified long-acting analogues rather than simple periodic injection of the native peptide.
The human trial record, and what it is actually testing
Aviptadil, a synthetic form of the same 28-amino-acid VIP sequence, has been studied intravenously and by inhalation for COVID-19-associated acute respiratory distress syndrome, in randomized, placebo-controlled, double-blind multicenter trials; results and trial fates were mixed, and at least one large inhaled-aviptadil COVID-19 trial (AVICOVID-3) was withdrawn before enrolling.
Pemziviptadil (PB1046), a sustained-release engineered VIP analogue built for once-weekly subcutaneous dosing rather than the native peptide’s minutes-long half-life, was studied in pulmonary arterial hypertension in a randomized, double-blind, placebo-controlled Phase 2 trial that was later terminated, and separately in a small open-label Phase 1 dose-titration study in the same population.
Native VIP itself, unmodified, has been given to small numbers of healthy volunteers and migraine patients by controlled infusion in mechanistic headache studies at Danish academic centers, and has been studied observationally in COPD-associated pulmonary hypertension. These are short-infusion physiology studies, not treatment trials, and none used a self-administered subcutaneous injection schedule.
No registered trial located for this entry tests periodic subcutaneous self-injection of native VIP for general immune, sleep, longevity or inflammatory purposes, which is how this compound is most often described in circulating research-peptide material.
What is not known
Whether a periodic subcutaneous injection of native VIP, a peptide with a one-to-two-minute plasma half-life, produces any sustained effect at all. The engineered analogues that were built specifically to get around that short half-life used different chemistry and different dosing schedules than a simple injection of the native sequence.
Whether native VIP has any established role in the general immune, inflammatory or “mold illness” protocols it is sometimes marketed for. No trial located for this entry tested that use.
Long-term safety of native VIP given repeatedly outside a hospital or research infusion setting.