What it is
Kisspeptin is an endogenous human peptide hormone that sits upstream of GnRH in the reproductive hormone cascade, stimulating the hypothalamus to release GnRH, which in turn drives LH and FSH secretion. The full-length hormone (kisspeptin-54) is cleaved into shorter fragments, including kisspeptin-10, the shortest fragment retaining full receptor-binding activity. Kisspeptin-10 has an extremely short plasma half-life, on the order of a few minutes, shorter than kisspeptin-54’s.
The human trial record, and which form was actually used
This is important to state precisely: most of the substantial human trial work on kisspeptin, run mainly by groups at Imperial College London and Massachusetts General Hospital, used kisspeptin-54, not kisspeptin-10, specifically because the longer fragment’s somewhat longer half-life makes it more practical to dose.
A Phase 2, multi-dose, open-label, randomized trial in 60 women at high risk of ovarian hyperstimulation syndrome (OHSS) during IVF used a single injection of kisspeptin-54, at doses from 3.2 to 12.8 nmol/kg, to trigger oocyte maturation as an alternative to hCG or GnRH agonist triggers; oocyte maturation occurred in 95% of women, live birth rates reached 45% overall (62% at the 9.6 nmol/kg dose), and no woman developed moderate, severe or critical OHSS.
A separate study in eight healthy postmenopausal women used a continuous 24-hour kisspeptin-54 infusion (12.5 mcg/kg/h) to probe how circulating estradiol modulates kisspeptin-stimulated LH pulsatility, finding that postmenopausal women were largely resistant to kisspeptin’s stimulatory effect unless given estradiol replacement.
Kisspeptin-10 specifically has been used in earlier, smaller mechanistic dose-response and bolus-injection studies establishing that it raises LH and testosterone in men and stimulates the reproductive axis in both sexes, but the larger, better-powered trials with clinical outcomes (the IVF trigger trial, the postmenopausal infusion study) used kisspeptin-54.
What is not established
Whether findings from kisspeptin-54 trials, including the IVF trigger and postmenopausal infusion studies, transfer directly to kisspeptin-10, given the shorter fragment’s even shorter half-life and the studies’ use of continuous infusion or single supervised injections rather than a periodic self-administered subcutaneous shot.
Any established dose, frequency or indication for kisspeptin-10 specifically outside a supervised research or fertility-clinic setting. No trial reviewed for this entry tested a general “reproductive health” self-injection protocol.