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MOTS-c protocol

MOTS-c is a small peptide made by your mitochondria. It has been studied in mice. A first phase 2a human trial started in 2026. It is not approved.

Not approved · no human efficacy trialAnalog CB4211 tested in a small phase 1
ProtocolMixingResultsSide effectsHow it worksSources

The protocol at a glance

No human dose is known. The registered phase 2a gives MOTS-c as a fixed daily injection under the skin for 12 weeks. The dose is not public.

ItemWhat is known
Human doseNot established (not public)
Related drug CB4211Company reports 25 mg daily under the skin for 4 weeks
Mouse studies0.5 mg/kg/day for 8 weeks or 5 mg/kg/day for 7 days (IP)

CB4211 is a MOTS-c analog; its dose is from CohBar’s 2021 release. Mouse doses are from Lee C et al., Cell Metab 2015. Do not convert them to human doses.

Community reports

Community protocols usually split a weekly total into three injections for several weeks. This is community talk, not a trial plan.

What people say they do, collected from community discussions. Not tested in a trial; shown so you can compare it with the evidence above.

Mixing

No mixing table here: this one is used as a capsule, nasal spray or skin product, or has no human amount to calculate from. The general mixing calculator works for any vial.

What the trials found

No MOTS-c human results exist yet. What there is:

0completed human efficacy trials
-21%ALT liver enzyme with analog CB4211 (25 mg, 4 weeks), company-reported, about 10 people

NCT03998514 (CB4211 phase 1a/1b, completed, no posted results); CohBar topline release, Aug 2021.

Side effects

  • No human safety data for MOTS-c itself.
  • For the analog CB4211, the company reported only mild injection-site reactions and no serious events in a small trial.

How it works

Muscle and AMPK

A 16-amino-acid peptide coded in mitochondrial DNA. In mice it acts mainly on muscle and activates the AMPK energy sensor.

Insulin sensitivity

In mice it prevented weight gain and insulin resistance on a high-fat diet.

Sources

  • Lee C et al. The mitochondrial-derived peptide MOTS-c promotes metabolic homeostasis and reduces obesity and insulin resistance. Cell Metab 2015 (PubMed 25738459)
  • ClinicalTrials.gov NCT03998514 (CB4211 phase 1a/1b)
  • CohBar topline release on CB4211 phase 1a/1b, August 2021