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Pemziviptadil is a long-acting recombinant fusion protein analogue of vasoactive intestinal peptide (VIP), designed for once-weekly subcutaneous administration. It consists of VIP fused to an elastin-like polypeptide (ELP) biopolymer to extend its half-life and improve pharmacokinetics. Pemziviptadil acts as a selective agonist at the vasoactive intestinal peptide receptor 2 (VPAC2), increasing both cardiac contraction and relaxation while avoiding gastrointestinal side effects associated with VPAC1 activation. The drug is being developed for the treatment of cardiomyopathy associated with Duchenne Muscular Dystrophy (DMD), pulmonary arterial hypertension (PAH), heart failure, and other cardiovascular diseases. It has received orphan drug designation from the US FDA for PAH and DMD cardiomyopathy[1][7][8][10].
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