Reproductive neuropeptide; KISS1 gene product and endogenous agonist of the kisspeptin receptor (KISS1R/GPR54); upstream stimulator of GnRH neurons

Kisspeptin

Investigationalaka Kisspeptin-54, Metastin, KP-54, KISS1

Kisspeptin, signalling through the KISS1R (GPR54) receptor, is a key upstream regulator of gonadotropin-releasing hormone (GnRH) neurons; loss-of-function mutations in its receptor cause absent puberty. Human experimental-medicine studies, notably kisspeptin-54 to trigger oocyte maturation in IVF and to probe reproductive disorders, have shown promising physiology, but kisspeptin remains investigational and unapproved.

Mechanism

In plain terms, kisspeptin is the switch that turns on the reproductive hormone system, prompting the brain to release the hormones that drive the ovaries and testes. Technically, kisspeptin binds KISS1R (GPR54), a Gq/11-coupled receptor on hypothalamic GnRH neurons, stimulating GnRH release; this in turn drives pituitary secretion of luteinising hormone (LH) and follicle-stimulating hormone (FSH). Its central role in initiating puberty and regulating fertility underlies its study as a more physiological trigger of the reproductive axis.

Regulatory Status by Region

  • United States (FDA)Not approved for any indication; investigational and studied only in clinical research.
  • Australia (TGA)Not on the Australian Register of Therapeutic Goods (ARTG); an unapproved substance with no registered therapeutic product.
  • European Union (EMA)No EMA marketing authorisation; not an approved medicine in the EU.
  • WADAProhibited in males under Section S2: WADA added kisspeptin to the 2024 Prohibited List as an example of a testosterone-stimulating peptide (a luteinising-hormone releasing factor); it is prohibited in males only, not in females.

See the full regulatory status matrix

Key Studies

Related Clinical Trials

Latest research

See all recent Kisspeptin research

Common Questions

What is Kisspeptin?
Kisspeptin is a natural reproductive neuropeptide (the product of the KISS1 gene) that acts as a master activator of the hormonal axis controlling puberty and fertility. It is investigational: it is being studied in human reproductive medicine (for example, as a trigger for egg maturation in IVF and in disorders of reproduction) but is not approved as a medicine by any regulator.
Is Kisspeptin approved for medical use?
Kisspeptin is investigational: it is being studied in clinical research and is not an approved medicine. United States (FDA): Not approved for any indication; investigational and studied only in clinical research. European Union (EMA): No EMA marketing authorisation; not an approved medicine in the EU. Australia (TGA): Not on the Australian Register of Therapeutic Goods (ARTG); an unapproved substance with no registered therapeutic product.
How does Kisspeptin work?
In plain terms, kisspeptin is the switch that turns on the reproductive hormone system, prompting the brain to release the hormones that drive the ovaries and testes. Technically, kisspeptin binds KISS1R (GPR54), a Gq/11-coupled receptor on hypothalamic GnRH neurons, stimulating GnRH release; this in turn drives pituitary secretion of luteinising hormone (LH) and follicle-stimulating hormone (FSH).
Is Kisspeptin legal in Australia?
Kisspeptin in Australia (TGA): Not on the Australian Register of Therapeutic Goods (ARTG); an unapproved substance with no registered therapeutic product.
Is Kisspeptin banned in sport?
Kisspeptin under the World Anti-Doping Agency (WADA) code: Prohibited in males under Section S2: WADA added kisspeptin to the 2024 Prohibited List as an example of a testosterone-stimulating peptide (a luteinising-hormone releasing factor); it is prohibited in males only, not in females.