U.S. regulatory status

KPV

Also known as Lysine-proline-valine, Lys-Pro-Val, KPV acetate

In limboPCAC recommended listing (8-6, Jul 23, 2026) - advisory only; still not on the 503A list

Is KPV legal right now?

KPV is a tripeptide (lysine-proline-valine) derived from the C-terminal end of alpha-MSH, studied mainly in laboratory and animal models of wound healing and inflammatory conditions.

It is not an FDA-approved drug and is not on the FDA’s Section 503A Bulk Drug Substances List, so pharmacies have no affirmative federal authorization to compound it. On July 23, 2026 the FDA’s Pharmacy Compounding Advisory Committee voted 8-6, with 1 abstention, to recommend adding it - against the recommendation of the FDA’s own review staff, who proposed against listing all seven peptides before the committee.

The vote is advisory and does not bind the FDA. Nothing about KPV’s legal status changed on the day of the vote.

Before it could be compounded lawfully the FDA would have to accept the recommendation and complete notice-and-comment rulemaking - a process the agency has not begun and that is generally estimated at 12 to 24 months.

In limbo: Moved on paper - nominated, removed from a restricted list, or recommended by an FDA committee - but not added to the 503A list. The headline implies a change; the legal status has not moved.

Verified Sep 22, 2026 (ET) · status held since Jul 23, 2026

Primary source: Federal Register All 12 sources

The committee vote

July 23, 2026

The question put to the FDA Pharmacy Compounding Advisory Committee (PCAC) “Should KPV (free base) be placed on the list? - and, as a separate vote, KPV acetate?”

Recommended by the committee

8 in favour
6 against
1 abstained

15 votes recorded. Tally reported by Healio and the FDA Law Blog (Hyman, Phelps & McNamara). The panel was not the same size for every substance - the meeting roster seats temporary voting members for single topics - so the totals legitimately differ between votes. The FDA has not yet published the minutes, so treat the counts as reported, not official.

What this does not do: an advisory committee recommendation is not an FDA decision and does not bind the agency. KPV is not on the 503A Bulk Drug Substances List, and a pharmacy compounding it today has no more federal authorisation than it did the day before the vote. Only a completed FDA rulemaking can change that.

Where it sits in the process

Nominated (completed)
Under review (advisory committee recommended it - not yet legal)
Rulemaking (upcoming)
Compounding-legal (upcoming)

Recommended by the committee - not yet legal. Next step: FDA rulemaking.

What changed last

Jul 23, 2026
FDA advisory committee (PCAC) voted 8-6, with 1 abstention, to recommend adding KPV to the 503A list, against the FDA review staff’s own recommendation. Advisory only - KPV is still not on the list and still not legal to compound.
Not legalizedView on healio.com

Status elsewhere

KPV: regulatory status by jurisdiction
Jurisdiction	Status	Note
United States (FDA)	In limbo	Not on the 503A Bulks List. PCAC recommended adding it on Jul 23, 2026 (8-6, 1 abstention); the recommendation is advisory and the FDA has not acted.
Australia (TGA)	Unscheduled	Not individually named in the Poisons Standard; supply for human use is unlawful without ARTG registration, and the TGA is enforcing against unapproved peptides.
United Kingdom (MHRA)	Restricted	No UK marketing authorisation; supply for human use treated as an unlicensed medicine.
European Union (EMA)	Restricted	No EU marketing authorisation; not found in EMA’s centralised medicines database, so sale as a medicine is unlawful EU-wide, with enforcement handled at member-state level.
Canada (Health Canada)	Restricted	Not authorized for sale; listed in an April 2026 Health Canada advisory among unauthorized injectable peptide drugs it has seized, with peptides generally regulated as prescription drugs in Canada.
Sport / anti-doping (WADA)	Restricted	Not individually named, but prohibited at all times under the S0 catch-all for non-approved substances.

The U.S. status is watched by automation every six hours. Statuses elsewhere change less often and are covered by a monthly wide-net sweep, then re-verified whenever a lead surfaces - this entry’s last-verified date covers every row above. How we track it

Sources & transparency

Sources for this entry

Federal Register - PCAC notice of meeting (Docket FDA-2025-N-6895) Federal Register · primaryKPV (free base and acetate) on the July 23, 2026 agenda.
FDA - 503A bulk drug substances: Category 1 & Category 2 lists FDA · primaryKPV is not on the 503A (Category 1) list; the FDA 503A categories govern compounding eligibility.
FDA - PCAC meeting page, July 23-24, 2026 FDA · primaryOfficial meeting record. FDA has not yet published the minutes or vote tallies.
FDA - PCAC July 23-24, 2026: questions put to the committee FDA · primaryFDA’s own vote questions. Confirms each substance was voted on twice - free base and acetate separately - and gives the session order.
FDA - PCAC July 23-24, 2026: meeting roster FDA · primaryVoting members plus temporary voting members seated for single topics, which is why the vote totals differ between substances.
Health Canada advisory on unauthorized injectable peptides (Apr 9, 2026) Health Canada · primaryBasis for the Canada (Health Canada) status row.
EMA medicines database search: KPV EU · primaryBasis for the European Union (EMA) status row.
Frier Levitt - FDA to remove peptides from the Category 2 list (2026) AnalysisKPV among the peptides removed from Category 2 in April 2026; removal does not authorize compounding.
FDA Law Blog - FDA’s Pep(tide) Rally (Hyman, Phelps & McNamara) AnalysisConfirms KPV on the July 2026 PCAC agenda; the vote is advisory and any listing requires rulemaking.
Healio - FDA committee recommends looser restrictions for several peptides AnalysisReported per-substance vote tallies; also records that FDA review staff recommended against all seven.
Mintz - FDA’s Advisory Committee Votes on Peptides: What It Does and Doesn’t Do AnalysisLegal analysis: the vote is not an agency action and nothing has legally changed.
MHRA guidance: supply of unlicensed medicinal products (specials) AnalysisBasis for the United Kingdom (MHRA) status row.

Last verified by a human: Sep 22, 2026 (ET) · how we verify
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