Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Evidence synthesis · §3

SS-31 (elamipretide) in primary mitochondrial myopathy and bioenergetic disorders: tolerability and… — included and excluded studies

The included-studies table with extracted data, the exclusions with reasons, and the risk-of-bias judgements.

Document identifier
CEI-ES-115/3
Series
Evidence synthesis
Version
3.1
Published
14 Nov 2024
Last reviewed
14 May 2025
Next review
14 Nov 2026
Identifier
10.71829/cei.syn.115
Certainty
Moderate
Cycle
2024 Q4
Review type
Safety review
Search executed
23 Sep 2024

Templated review frame. This review question was generated by crossing an indication with a compound for which contributing trials exist. Its prose frame is templated and is shared with other questions of the same shape. Its included studies, its summary of findings and its certainty rating are computed from the underlying records and are not templated. The Institute publishes these questions because the alternative is to leave a question the document set can answer unanswered, and it labels them because the alternative is to present a templated frame as an authored one.

§3Included and excluded studies

Every study contributing to this review is listed below with the data extracted from it. The extraction table is published at the level of the individual outcome and study so that the synthesis can be checked without the reader having to retrieve each source.

§3.1Included studies

Table 4. Included studies with the characteristics extracted from each.

StudyDesignRandomisedDurationAnchor outcome as reportedYear
MMPOWER-3SS-31 (elamipretide)Randomised, double-blind, placebo-controlled21824 weeksNeither primary endpoint was met. The Institute records MMPOWER-3 as a negative phase 3 result and treats it as informative evidence rather than as an absence…2022
MMPOWER-2SS-31 (elamipretide)Randomised crossover304 weeks per periodAn increase in six-minute walk distance in a crossover design with a small sample2018
2 included studies. Each links to its structured abstract, which carries a field-by-field provenance table distinguishing extracted figures from Institute reconstructions.

Contributing participants across studies reporting a randomised total: 248. Studies for which the Institute does not hold a randomised total contribute to the qualitative synthesis and not to any pooled figure.

§3.2Excluded at full text, with reasons

Table 5. Reports excluded at full text, by reason. A review that reports an exclusion count without reasons cannot be checked against its own protocol.

Reason for exclusionReports
Not a randomised comparison9
Population outside the review question9
Intervention outside the review question9
Comparator not eligible8
No eligible outcome reported7
Duplicate report of an included study6
Conference abstract without extractable data5
Retracted or subject to an expression of concern5
35 reports excluded at full text in total.

§3.3Risk of bias across included studies

Table 6. Risk-of-bias judgement recorded for each included study on the review's anchor outcome.

StudyRisk of biasInconsistencyIndirectnessImprecisionPublication bias
MMPOWER-3SomeLowLowLowLow
MMPOWER-2SomeLowLowLowLow
Judgements are the Institute's own and are recorded per outcome. A study may carry a different judgement in a different review that assesses a different outcome from it.

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. Szeto HH. First-in-class cardiolipin-protective compound as a therapeutic agent to restore mitochondrial bioenergetics. British Journal of Pharmacology 2014;171(8):2029–2050. doi:10.1111/bph.12461 · PMID 24117165

Identifiers are reproduced only where the Institute holds them. Where a digital object identifier or PubMed identifier is not shown, the Institute has recorded the journal and year and has not constructed an identifier.

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