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Larazotide is an investigational orally administered octapeptide studied as a tight-junction regulator (permeability modulator) of the intestinal epithelium, evaluated in celiac disease research.
Larazotide (larazotide acetate; development codes AT-1001 / INN-202) is an investigational synthetic octapeptide with the sequence GGVLVQPG. It has been studied as a regulator of intestinal epithelial tight junctions, a class often referred to in the literature as intestinal permeability modulators [1].
The peptide has been evaluated primarily in celiac disease research, including randomized clinical trials examining symptom and permeability-related endpoints in adults maintaining a gluten-free diet [2]. As an investigational agent it has not received general marketing authorization at the time of writing.
Because it acts locally in the gut lumen and is described as minimally absorbed, larazotide is studied as an orally administered peptide, distinguishing it from many systemically acting peptides.
Larazotide is reported to act at the intestinal epithelium, where the published mechanism describes stabilization of tight junctions and reduction of paracellular permeability associated with zonulin-related signaling [1]. This is characterized in the literature as counteracting increased intestinal permeability seen in certain inflammatory and autoimmune research contexts.
All mechanistic and effect descriptions are drawn from cited studies and characterize the peptide's biology, not outcomes for any individual.
Phase 2b celiac disease trial: A randomized, double-blind, placebo-controlled trial evaluated larazotide acetate across dose groups in adults with celiac disease on a gluten-free diet, reporting change in gastrointestinal and non-gastrointestinal symptom scores versus placebo over the study period [2]. Reported here for scientific reference only.
Gluten-challenge permeability studies: Controlled research used gluten-challenge designs to assess larazotide's effect on intestinal permeability measures and symptom endpoints, reporting the protocol-defined outcomes [1].
Preclinical barrier-function studies: In vitro epithelial-monolayer and animal studies characterized the peptide's effect on tight-junction integrity and paracellular permeability [3].
Combinations examined in the research literature. Descriptive only — not a recommendation to combine compounds.