Respiratory function
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MOLECULE PROFILE

Aviptadil

Peptide or peptide-related

VIP-receptor signaling with vascular and immune effects.

Sources checked · October 16, 2026

Published for review · Scientific, medical, translation and citation review pending. Reported uses are not authorized indications. Frequency reflects mentions in supplied sources, not sales or global clinical prevalence.

Identity and synonyms

Identity follows the supplied name and synonyms; no additional identity description is supplied.

Synonyms: VIP · Vasoactive intestinal peptide

Peptide or peptide-related · Peptide or peptide derivative

Detailed molecular class: Vasoactive peptide

Supplied sequence or chemical reference

See identity note; no supplier sequence accepted as verification.

Mechanism

VIP-receptor signaling with vascular and immune effects.

Evidence and critical reading

Reported scientific and empirical uses

Respiratory function · Cardiovascular and vascular function

VIP/aviptadil is mentioned for lung, vasodilation and recovery; separate molecule, product and diagnosis.

Human evidence

TESICO randomized trial did not demonstrate day-90 benefit in COVID-associated hypoxemic respiratory failure; stopped for futility.

Preclinical evidence

Mechanistic lung protection cannot overturn a neutral clinical trial.

Critical reading and limitations

TESICO did not show clinical benefit and stopped for futility; registration is not efficacy evidence.

Evidence applies to the exact molecule, formulation, route, population and endpoint studied. Supplier identity, purity and clinical equivalence are unverified.

Source-specific regimens

Descriptive source observations, not individual recommendations.

Regulatory product labeling

No numerical human dose is assigned: reviewed sources did not verify a regimen attributable to this material, route and indication. Other molecules’ doses, animal exposures, vial amounts and dietary requirements are not substituted.

Human-study exposure

No numerical human dose is assigned: reviewed sources did not verify a regimen attributable to this material, route and indication. Other molecules’ doses, animal exposures, vial amounts and dietary requirements are not substituted.

Empirical handbook

No numerical human dose is assigned: reviewed sources did not verify a regimen attributable to this material, route and indication. Other molecules’ doses, animal exposures, vial amounts and dietary requirements are not substituted.

Regulation and safety

Jurisdiction-specific regulatory context

Jurisdiction-specific approval not verified in this card; do not infer global nonapproval.

Adverse effects and unknowns

Hemodynamic and gastrointestinal effects matter; outcome and adverse-event interpretation must follow exact trial setting.

Hemodynamic/GI effects matter; the hospital study does not validate nonspecific home use.

Contraindications

See supported safety statements and exact product label; a complete contraindication set has not been established for this catalog material.

A complete list must match the exact authorized product. For experimental materials without verified human labeling, a complete contraindication set is not established here. No list does not mean safety.

Interactions

Only explicitly cited interactions may be asserted; unstudied combinations remain unknown, not interaction-free.

Separate documented interaction, pharmacologic plausibility and unknown interaction. Absence of a blend trial does not establish compatibility.

Studies and trials

Selected studies

PMID37348524 · Randomized controlled trial

COVID-19 respiratory failure; 461 treated.

Hospital IV.

No significant day-90 clinical benefit; futility.

Trial product/population; does not authenticate supplier material or permit simple indirect comparisons.

n = 471

Trials attributed in the package

No trials are attributed in this record.

Trial registration does not establish efficacy or validate commercial material.

Query candidates; attribution pending

Aviptadil · 9 unfiltered query results, not authenticated trials

Query verification: October 16, 2026

Exact phrase intervention query; first three most recently updated records, not exhaustive. Aliases may be missed and heterogeneous products may appear. The total is the unfiltered registry query count, not authenticated trials. Source-integrity holds are excluded from ordinary listings.

View trial registry query

NCT05137795 · Inhaled ZYESAMI (Aviptadil Acetate) for Treatment of Severe COVID-19Registry status: WithdrawnLast update posted: May 14, 2026Query verification: October 16, 2026

NCT04488081 · I-SPY COVID-19 TRIAL: An Adaptive Platform Trial for Critically Ill PatientsRegistry status: Active, not recruitingLast update posted: March 16, 2026Query verification: October 16, 2026

NCT04843761 · ACTIV-3b: Therapeutics for Severely Ill Inpatients With COVID-19Registry status: CompletedLast update posted: October 24, 2025Query verification: October 16, 2026

Source issues and references

References include queries and bibliographic handbook attributions; not all are clinical studies. Human review remains pending.

  1. PMID37348524

    Intravenous aviptadil and remdesivir for treatment of COVID-19-associated hypoxaemic respiratory failure in the USA (TESICO): a randomised, placebo-controlled trial.

    Brown SM, Barkauskas CE, Grund B, Sharma S, Phillips AN, Leither L, Peltan ID, Lanspa M, Gilstrap DL, Mourad A, Lane K, Beitler JR, Serra AL, Garcia I, Almasri E, Fayed M, Hubel K, Harris ES, Middleton EA, Barrios MAG, Mathews KS, Goel NN, Acquah S, Mosier J, Hypes C, Salvagio Campbell E, Khan A, Hough CL, Wilson JG, Levitt JE, Duggal A, Dugar S, Goodwin AJ, Terry C, Chen P, Torbati S, Iyer N, Sandkovsky US, Johnson NJ, Robinson BRH, Matthay MA, Aggarwal NR, Douglas IS, Casey JD, Hache-Marliere M, Georges Youssef J, Nkemdirim W, Leshnower B, Awan O, Pannu S, O'Mahony DS, Manian P, Awori Hayanga JW, Wortmann GW, Tomazini BM, Miller RF, Jensen JU, Murray DD, Bickell NA, Zatakia J, Burris S, Higgs ES, Natarajan V, Dewar RL, Schechner A, Kang N, Arenas-Pinto A, Hudson F, Ginde AA, Self WH, Rogers AJ, Oldmixon CF, Morin H, Sanchez A, Weintrob AC, Cavalcanti AB, Davis-Karim A, Engen N, Denning E, Taylor Thompson B, Gelijns AC, Kan V, Davey VJ, Lundgren JD, Babiker AG, Neaton JD, Lane HC, ACTIV-3b/Therapeutics for Severely Ill Inpatients with COVID-19 (TESICO) Study Group.

    October 16, 2026

  2. R41

    TESICO aviptadil randomized trial, 2023

  3. pdf01

    PEPNEXA 2.pdf

    October 16, 2026

  4. pdf02

    ELLA PEPTIDES.pdf

    October 16, 2026

  5. pdf03

    zlz list 26.8.5.pdf

    October 16, 2026

  6. pdf05

    PEPNEXA.pdf

    October 16, 2026

  7. pdf07

    US Peptide MangerCorp(1).pdf

    October 16, 2026

  8. pdf09

    PeptideFactory.pdf

    October 16, 2026

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