VIP (Vasoactive Intestinal Peptide)
Also known as: Aviptadil
VIP activates VPAC1 and VPAC2 receptors, raising intracellular cyclic AMP to drive vasodilation, smooth-muscle relaxation and immune modulation.
- Drug class
- Neuropeptide; VPAC1/VPAC2 receptor agonist
- Primary targets
- VPAC1, VPAC2
- Dose reference
- Route-dependent (investigational); e.g. inhaled aviptadil 50 mcg four times daily in studies
- Half-life
- ~1 minute (plasma)
- Developer / origin
- Relief Therapeutics / NRx Pharmaceuticals (aviptadil)
- Reference year
- 1970
- Evidence score
- 2/5 - Weak / mixed
Weak / mixed
VIP biology and VPAC receptor pharmacology are well characterized, but synthetic aviptadil failed its flagship COVID-19 respiratory trials and has only small or non-US-approved support elsewhere; popular intranasal use is unproven.
Mostly animal, ex vivo, cell, or indirect evidence.
Evidence basis
- Large randomized TESICO trial of IV aviptadil for COVID-19 was negative
- Only a small open-label sarcoidosis study showed a pulmonary signal
- Aviptadil-phentolamine (Invicorp) approved for ED in some European countries, not US
- Intranasal VIP for CIRS/mold illness has no published RCT
How to read this entry
Dose references and half-life values are pulled from trial protocols, labels, reviews, or published summaries where available. They are context for research and comparison, not a personal dosing recommendation.
Status matters: approved drugs have regulated indications; investigational compounds are still being studied; research-only peptides do not have established human dosing, safety, or efficacy for consumer use.
VIP (Vasoactive Intestinal Peptide) guides
Read the matching guide or adjacent research pages for more context.
Peptide calculators
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