Summary
DSIP (delta sleep-inducing peptide) is a nine amino acid peptide isolated in 1977 from blood draining the brains of rabbits in induced sleep and later found in humans. Three small double blind trials (neither patients nor researchers knew who got the peptide) in chronic insomnia in the late 1980s and early 1990s gave inconsistent results, with modest changes in sleep on some measures and none on others, and a 2006 review concluded its role in the body is still unresolved. It is not FDA approved; FDA removed it from the 503A Category 2 list (compounding ingredients flagged for significant safety risks) on April 15, 2026, but the Pharmacy Compounding Advisory Committee (FDA's outside expert panel) voted against adding it to the 503A bulks list (ingredients pharmacies may use to compound drugs for individual patients) on July 23 to 24, 2026.
What is DSIP (delta sleep-inducing peptide)?
DSIP (delta sleep-inducing peptide) is an endogenous nonapeptide (9 amino acids) first isolated from the cerebral venous blood of rabbits during induced sleep. It is also known as Delta sleep-inducing peptide, Emideltide, DSIP peptide, Deltaran.
How does it work?
Uncertain. DSIP does not bind a known dedicated receptor. Proposed actions include modulation of GABAergic and glutamatergic transmission, effects on the hypothalamic pituitary axis (it lowers stress induced ACTH and cortisol release in some animal studies), and influence on the circadian regulation of slow wave sleep. Its very short plasma half life and poor blood brain barrier penetration raise doubts about how injected DSIP acts on the brain at all.
| Cluster | Other peptides |
|---|---|
| Routes | Intravenous infusion (clinical trials); Subcutaneous injection (as sold, no human data); Intranasal (as sold, no human data) |
| Conditions studied | Sleep disorders |
| Record | v3, draft, verified Sep 27, 2026 |
What does the evidence say about DSIP (delta sleep-inducing peptide)?
Evidence is limited to small double blind placebo controlled trials from 1987 to 1992 in chronic insomnia, none larger than a few dozen patients. Schneider-Helmert 1987 reported improved 24 hour sleep wake behavior in severe chronic insomnia; Monti 1987 found only short lived effects; Bes 1992 found effects that did not persist and were inconsistent across measures. No modern trial exists, and a 2006 review called DSIP an unresolved riddle. Human evidence is therefore graded as randomized but weak, old, and unreplicated.
| Evidence type | Indexed studies | Participants (human) |
|---|---|---|
| Human randomized trials | 3 | n/a |
| Human observational studies | 1 | n/a |
| Animal studies | 0 | n/a |
| All indexed studies | 4 | n/a |
Human evidence
Schneider-Helmert 1987: severe chronic insomnia patients given intravenous DSIP in a double blind crossover design showed improvements in sleep efficiency and daytime alertness. Monti 1987: chronic insomniacs given DSIP for several nights showed some improvement in sleep latency early in treatment that was not sustained. Bes 1992: double blind study in chronic insomnia found small effects on some polysomnographic measures with no consistent overall benefit. No dose response, long term, or oral study exists, and no trial has tested the subcutaneous form sold today.
Animal evidence
In rabbits and rats, DSIP infused into the brain or bloodstream increased delta (slow wave) EEG activity in some experiments and not in others; the original sleep inducing effect was difficult to replicate across laboratories. Rodent studies also report reduced stress hormone release, antioxidant effects, and anticonvulsant activity. The animal literature is decades old and contradictory.
Key studies
| Study | Design and population | Outcome | Grade |
|---|---|---|---|
| Effects of delta-sleep-inducing peptide on 24-hour sleep-wake behaviour in severe chronic insomnia1987 PMID 3622582 | Double blind placebo controlled crossover studyAdults with severe chronic insomnia | Intravenous DSIP improved sleep efficiency and daytime performance measures relative to placebo in a small sample | Evidence: Human RCT evidence |
| Study of delta sleep-inducing peptide efficacy in improving sleep on short-term administration to chronic insomniacs1987 PMID 3583493 | Double blind placebo controlled short term studyAdults with chronic insomnia | Early improvement in sleep latency that was not sustained across the treatment period | Evidence: Human RCT evidence |
| Effects of delta sleep-inducing peptide on sleep of chronic insomniac patients. A double-blind study1992 PMID 1299794 | Double blind placebo controlled polysomnographic studyAdults with chronic insomnia | Small changes on some polysomnographic measures with no consistent overall improvement in sleep | Evidence: Human RCT evidence |
| Delta sleep-inducing peptide (DSIP): a still unresolved riddle2006 PMID 16539679 | Narrative reviewAnimal and human literature 1977 to 2005 | Concludes that DSIP's sleep promoting role is unproven and its receptor and physiological function remain unknown | Evidence: Human observational evidence |
Conditions studied
| Condition | Grade | Note |
|---|---|---|
| Sleep disorders | Evidence: Human RCT evidence | Small, older randomized placebo-controlled trials in insomnia with inconsistent results on sleep measures; PCAC voted against 503A listing in July 2026. |
Is DSIP (delta sleep-inducing peptide) legal in the United States?
FDA and compounding status
Not an FDA approved drug. DSIP was placed on the FDA 503A Category 2 list in 2023 and was one of the peptides FDA now lists as withdrawn from 503A Category 2 (page current as of April 22, 2026) after the nominations were withdrawn. At the July 23 to 24, 2026 Pharmacy Compounding Advisory Committee meeting the committee voted against adding DSIP to the 503A bulks list, citing inadequate evidence of safety and effectiveness. Pending FDA's final action, compounding pharmacies have no basis to compound it. Not eligible for 503B outsourcing.
WADA status
WADA prohibited. Athletes subject to anti-doping testing should treat this as prohibited at all times unless the current prohibited list says otherwise.
Regulatory timeline
- PCAC
PCAC votes against adding DSIP to the 503A bulks list
At the July 23 to 24, 2026 meeting, the Pharmacy Compounding Advisory Committee did not recommend delta sleep-inducing peptide (DSIP) for the 503A bulks list, citing the state of the evidence. FDA makes the final determination by rulemaking.
Regulatory: Not eligible for compoundingSource: Pharmacy Compounding Advisory Committee - FDA
FDA lists BPC-157 and 16 other peptides as withdrawn from 503A Category 2
FDA's Category 2 page, revised in April 2026 and current as of April 22, 2026, moved BPC-157, AOD-9604, CJC-1295, dihexa, DSIP, epitalon, injectable GHK-Cu, ipamorelin, KPV, LL-37, melanotan II, MOTS-c, PEG-MGF, selank, semax, thymosin alpha-1, and thymosin beta-4 fragment (TB-500) to a list of bulk drug substances nominated but withdrawn by their nominators. A withdrawn substance is no longer in 503A Category 2, but withdrawal is not an approval and does not place a substance on the 503A bulks list; a 503A pharmacy still needs a listing before it may compound it. Ipamorelin acetate remains in 503B Category 2. Seven of the withdrawn peptides (BPC-157, KPV, TB-500, MOTS-c, semax, epitalon, and DSIP) were taken to the Pharmacy Compounding Advisory Committee in July 2026.
- FDA
FDA places a batch of nominated peptides in 503A Category 2
In September 2023 FDA updated its 503A bulk drug substances category lists to place a group of nominated peptides in Category 2, which means FDA identified significant safety risks and the substances may not be used in 503A compounding while the evaluation continues. Kisspeptin-10 and ibutamoren (MK-677) were added on September 29, 2023 and remain in Category 2 on the FDA page current as of April 22, 2026. BPC-157, CJC-1295, ipamorelin, AOD-9604, dihexa, DSIP, epitalon, KPV, MOTS-c, selank, semax, melanotan II, LL-37, thymosin alpha-1, and thymosin beta-4 fragment (TB-500) were also placed in Category 2 under the 503A interim policy; that same page now lists them as nominated but withdrawn (see the April 2026 event). Hexarelin, PNC-27, and 5-amino-1MQ have never appeared on the FDA category lists.
Full tracker for DSIP (delta sleep-inducing peptide) or the category-wide tracker.
What published studies of DSIP (delta sleep-inducing peptide) used
Ranges below are reported from published studies and labeling only. PeptideAgent does not recommend doses or protocols.
Human trials used intravenous DSIP at approximately 25 nmol/kg (about 0.02 mg/kg) given in the evening for a small number of nights (Schneider-Helmert 1987; Monti 1987). No subcutaneous, intranasal, or oral human dose has been studied.
Routes reported
| # | Route |
|---|---|
| 1 | Intravenous infusion (clinical trials) |
| 2 | Subcutaneous injection (as sold, no human data) |
| 3 | Intranasal (as sold, no human data) |
What are the side effects and interactions of DSIP (delta sleep-inducing peptide)?
Side effects
| # | Reported side effect |
|---|---|
| 1 | No adverse effects beyond placebo were reported in the small trials, but total human exposure is a few dozen patients |
| 2 | Headache and drowsiness reported anecdotally |
| 3 | Injection site reactions reported anecdotally |
| 4 | No long term safety data |
Interactions
| # | Interaction |
|---|---|
| 1 | No formal interaction studies exist |
| 2 | Additive sedation with hypnotics, alcohol, opioids, or benzodiazepines is plausible but untested |
Contraindications
| # | Contraindication |
|---|---|
| 1 | Pregnancy and breastfeeding (no data) |
| 2 | Competitive athletes subject to WADA testing (prohibited under S0) |
| 3 | Uncontrolled depression or sleep apnea, where an untested sedative peptide can mask treatable causes of poor sleep |
How do people access DSIP (delta sleep-inducing peptide) legally?
Typical cost: Products sold as research chemicals are not lawful for human use and are not verified for identity or purity. Not available through licensed compounding or telehealth channels.
Verified access options
Step 1
Not available as an FDA approved product.
Step 2
Not compounded following the July 2026 advisory committee vote against listing.
Step 3
Products labeled research use only are not lawful for human use and are not verified for purity.
Access paths are verified against public regulatory records and prescriber licensing. We never list unlicensed vendors.
What's actually offered, and what that means for you
Licensed compounding pharmacies, clinics, and telehealth prescribers openly offer many unapproved peptides, and prescribers write prescriptions for them. That does not make DSIP (delta sleep-inducing peptide) lawful. DSIP (delta sleep-inducing peptide) is not FDA approved and not on the 503A bulks list, so a pharmacy has no lawful basis to compound it. [5] [8]
Enforcement is uneven. FDA mostly acts through warning letters to compounders and online sellers, Category 2 safety listings, and import alerts that let it detain shipments, rather than stopping every pharmacy. State pharmacy boards oversee pharmacies day to day, and their rules differ. [8] [9] [10] [11] [12]
What changes for you
- No FDA review of the product: FDA does not check a compounded drug's safety, effectiveness, or quality before it is sold. [12]
- Identity, purity, sterility, and dose accuracy can vary from batch to batch. [8]
- Insurance rarely covers it, so you usually pay cash.
- For tested athletes, DSIP (delta sleep-inducing peptide) is prohibited at all times on the WADA list, whatever the source. [7]
What to check
These checks lower some risks, but they do not make an unlawfully compounded product lawful or safe. Check for:
- A 503A pharmacy licensed in your state (your state board of pharmacy publishes license lookups). [12]
- A real evaluation by a licensed prescriber, not just an online form.
- A certificate of analysis for the specific batch.
Frequently asked questions
Is DSIP legal in the United States?
It is not FDA approved, and it cannot currently be compounded (custom-made by a pharmacy). FDA removed DSIP from its 503A Category 2 list (compounding ingredients flagged for significant safety risks) on April 15, 2026, but at the July 2026 meeting the Pharmacy Compounding Advisory Committee (FDA's outside expert panel) voted against adding it to the bulks list of ingredients pharmacies may use, so pharmacies have no lawful pathway to make it. Products sold as research chemicals are not lawful for human use. [5] [6]
Does DSIP work for insomnia or sleep?
The evidence is thin and old. Three small double blind trials from 1987 to 1992 in chronic insomnia found modest short term effects on some sleep measures and none on others, and no trial has been done since. A 2006 review concluded DSIP's role in sleep is unresolved. It has never been tested in the subcutaneous form sold online. [1] [2] [3] [4]
What are the side effects of DSIP?
The small intravenous trials did not report side effects beyond placebo, but fewer than 100 people have received it in published studies and none for more than a few nights. Anecdotal reports mention headache, grogginess, and injection site irritation. There is no long term safety data. [2] [3]
How is DSIP taken?
In the trials it was given intravenously in the evening at about 25 nmol/kg for a few nights. Products sold online are subcutaneous injection vials or nasal sprays, and no human study has used those routes or established a dose for them. [1] [2]
How much does DSIP cost?
No licensed pharmacy channel exists. Products sold as research chemicals are not lawful for human use and are not verified for identity or purity. [5]
Is DSIP banned by WADA?
Yes. DSIP has no approval from any government health authority for human use, so it is prohibited at all times under section S0 of the WADA Prohibited List. [7]
Why did the FDA advisory committee reject DSIP?
At the July 23 to 24, 2026 Pharmacy Compounding Advisory Committee meeting, DSIP was one of the nominated peptides the committee voted not to recommend for the 503A bulks list, while BPC-157, KPV, TB-500, MOTS-c, semax, and epitalon were recommended. The committee's standard is documented safety, effectiveness, and a history of use, and DSIP's human data consist of a few small trials from the 1980s. [4] [6]
DSIP vs epitalon for sleep: which has more evidence?
Neither has a modern randomized trial for sleep. DSIP has three small placebo controlled insomnia trials from decades ago with inconsistent results; epitalon's human data are mostly Russian observational reports. Epitalon was recommended by the advisory committee in July 2026 and DSIP was not, which changes their compounding outlook but not the strength of their sleep evidence. [3] [6]
Decisions about starting, stopping, or combining any treatment belong with a licensed clinician who knows your history.
From the blog
- PCAC recommended six peptides. What changes and what does not
FDA's compounding advisory committee backed BPC-157, KPV, TB-500, MOTS-c, semax, and epitalon for the 503A bulks list and rejected DSIP. Here is what the vote does and does not do.
Sources
Numbered citations above point to these primary sources. PubMed entries link to the indexed abstract.
- [1]Schneider-Helmert D. Effects of delta-sleep-inducing peptide on 24-hour sleep-wake behaviour in severe chronic insomnia. Eur Neurol 1987PubMed 3622582, 1987
- [2]Monti JM et al. Study of delta sleep-inducing peptide efficacy in improving sleep on short-term administration to chronic insomniacs. Int J Clin Pharmacol Res 1987PubMed 3583493, 1987
- [3]Bes F et al. Effects of delta sleep-inducing peptide on sleep of chronic insomniac patients. A double-blind study. Neuropsychobiology 1992PubMed 1299794, 1992
- [4]Kovalzon VM, Strekalova TV. Delta sleep-inducing peptide (DSIP): a still unresolved riddle. J Neurochem 2006PubMed 16539679, 2006
- [5]FDA: Bulk drug substances used in compounding under section 503A of the FD&C Act (links to the Category 1, 2, and 3 lists and the bulks list)FDA, 2026
- [6]FDA Pharmacy Compounding Advisory Committee meetings (July 2026 meeting on peptide nominations)FDA, 2026
- [7]WADA Prohibited List, section S0 non-approved substancesWADA, 2026
- [8]FDA: Certain bulk drug substances for use in compounding may present significant safety risks (Category 2)FDA
- [9]FDA: Compounding inspections, recalls, and other actions (warning letters to compounders)FDA
- [10]FDA warning letters database: July 30, 2019 letter to a 503A pharmacy that compounded BPC-157 acetate outside section 503AFDA, 2019
- [11]FDA Import Alert 66-41: Detention without physical examination of unapproved new drugs promoted in the U.S. (includes peptide entries)FDA
- [12]FDA: Compounding and the FDA, questions and answersFDA
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