SANA (salicylate-based nitroalkene, clinical code MVD1) is 5-(2-nitroethenyl)salicylic acid, a synthetic derivative of salicylate, the parent of aspirin, developed by Eolo Pharma.
Human trialsNon-peptide compound reference
Also known as: MVD1, SANA, 5-(2-nitroethenyl)salicylic acid, 2-Hydroxy-5-(2-nitrovinyl)benzoic acid, (E)-2-Hydroxy-5-(2-nitrovinyl)benzoic acid, Salicylate nitroalkene, Benzoic acid, 2-hydroxy-5-(2-nitroethenyl)-
Amounts reported for SANA are listed under Reported protocols, each with its source and study kind. No amount ladder is inferred from them. This is educational source context, not a protocol or recommendation.
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Clinical context
Human study rows are described per source under Reported protocols; they belong to their trial populations and are not a general amount.
Storage, handling and interpretation
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Reported protocols for SANA
What published studies and recent community write-ups report about amounts, timing and course length. 3 clinical, 1 preclinical and 1 community-reported rows, each linked to its source. These are descriptions of what others report, not instructions, and nothing here is medical advice.
Context
Dose
Frequency
Route
Course
Source
Clinical3 rows
Phase 1A single ascending dose (first-in-human)17 healthy adults of normal weight or overweight, aged 18-60, at a clinical research unit in Adelaide, Australia
200, 400 or 800 mg as a single oral dose (capsules)
Once, on day 1
Oral
Single dose with inpatient observation to day 4 and a follow-up visit on day 8Not applicable
Each cohort randomised 2:1 to MVD1 or placebo. The drug was well tolerated at 200 and 400 mg, but at 800 mg two participants developed proteinuria and glucosuria from reversible renal tubular damage that the investigators judged definitely drug-related, and the safety committee ended single-dose escalation there. The sponsor's employees and shareholders are among the authors.
Phase 1B multiple ascending dose in overweight and obesity24 healthy adults with overweight or obesity (BMI 28-35), aged 25-60, housed as inpatients on a high-carbohydrate diet
100, 150 or 200 mg per dose (200, 300 or 400 mg per day)
Twice daily, about 12 hours apart
Oral capsules
14 days of twice-daily dosing plus a final morning dose on day 15None; follow-up visit on day 22
Six people took the drug and two took placebo in each cohort. In the 200 mg twice-daily cohort body weight fell by about 3% over 15 days, and fasting glucose, insulin, HOMA-IR and fructosamine improved, while placebo did not change; the authors compare the weight change to semaglutide over the same period but stress that the trial was powered for safety, not efficacy. No event was judged definitely drug-related; the most common possibly related events were headache and soft stools, liver tests stayed normal, and day 15 pharmacokinetics matched day 1, so the drug did not accumulate.
Trial registration (ACTRN12622001519741)Planned 18 normal-weight or overweight adults (single doses) and 24 adults with obesity (multiple doses); 41 of a target 42 were enrolled
Single doses of 200, 400 or 800 mg; multiple doses of 200, 300 or 400 mg per day
Once (part A); daily total split into twice-daily doses on days 1-14 with a single dose on day 15 (part B)
Registered prospectively with the Australian New Zealand Clinical Trials Registry in December 2022 under protocol MVD1-AU-001, with Eolo Pharma Pty Ltd as sponsor. The record lists safety and tolerability as the primary outcomes, with change in body weight folded into the part B safety endpoints, which is why the weight result in the paper is exploratory.
Preclinical1 row
Diet-induced obesity in mice (prevention and treatment)C57BL/6 mice fed a high-fat diet, including AMPK-alpha1, UCP1 and CKMT1 knockout strains
400 mg/kg per day mixed into the food (200 and 300 mg/kg per day also tested); 200 mg/kg per day once obesity was established; 20 mg/kg per day by subcutaneous injection gave a similar effect
Daily
Oral in the diet; once-daily subcutaneous injection in a phosphate buffer and PEG 400 vehicle
8 weeks for prevention; 3 weeks of treatment after 5 weeks of high-fat feedingNot applicable
SANA blocked weight gain and fat accumulation without changing food intake, prevented liver steatosis and normalised glucose tolerance, and did so at doses where salicylate was ineffective; 200 mg/kg per day also beat metformin at 300 mg/kg per day on glycaemic control. The effect disappeared when creatine was depleted and was blunted in CKMT1 knockout mice, which the authors use to argue for creatine-dependent thermogenesis. Eight weeks of 400 mg/kg per day in lean mice showed no renal or liver toxicity, and the saturated metabolite M1 was inactive.
Community-reported1 row
Independent compound summary of the human doses
200, 400 or 800 mg single doses; 200, 300 or 400 mg a day split twice daily (restating the phase 1 trial)
Twice daily, 12 hours apart, in the multiple-dose part
Oral
15 days, the longest human exposure on recordNot described
Community resource2026
This 2026 wiki entry lists only the trial doses and states that none is a recommendation, that single-dose escalation stopped at 800 mg because of kidney tubular damage, and that anything sold online as SANA or MVD1 is an unregulated research chemical whose identity and purity nobody checks. It also notes a separate 2026 transplantation paper in which the molecule activated the immune ion channel TMEM176B in mice, a second target with unstudied consequences in people.
How a course is commonly described
1
Days 1-14Clinical
In the only human course, volunteers with overweight or obesity took 100, 150 or 200 mg every 12 hours as inpatients eating a high-carbohydrate diet. The most common complaints were headache and soft stools, and no event was judged definitely drug-related.
2
Day 15Clinical
A final morning dose was followed by weight and blood measurements. The 200 mg twice-daily cohort had lost about 3% of body weight, and fasting glucose, insulin, HOMA-IR and fructosamine had improved, with placebo unchanged; day 15 drug levels matched day 1.
3
Day 22Clinical
The registered protocol closed with a safety visit one week after the last dose, including a final body weight. Nothing is published about what happens after longer or repeated courses in people.
Every human number for SANA comes from one 15-day safety trial with six treated people per dose group. Weight and glucose were exploratory endpoints, and the authors themselves write that efficacy must be tested in a longer, larger phase 2 study, which had not been reported by October 2026.
The animal doses (200-400 mg/kg per day in food, or 20 mg/kg per day injected) are tens of times higher per kilogram than the roughly 2 mg/kg per day given to people in the highest multiple-dose cohort, and the rodent effects on fat mass took weeks to appear.
SANA is an oral small molecule, so no reconstitution or injection is involved. The vendor lists capsules without a stated strength on the product page, while the trial used 100-200 mg capsules; the rows above describe what sources report, not endorsements of use.
Plus 2 community resources (dosing guides, forum threads and vendor write-ups), reported above but not linked.
Overview
SANA (salicylate-based nitroalkene, clinical code MVD1) is 5-(2-nitroethenyl)salicylic acid, a synthetic derivative of salicylate, the parent of aspirin, developed by Eolo Pharma, a company that grew out of the Institut Pasteur de Montevideo in Uruguay. In mice on a high-fat diet it prevented and reversed obesity, fatty liver and insulin resistance by raising creatine-dependent heat production in fat tissue, a mechanism that does not depend on UCP1 or AMPK and that salicylate itself does not share at comparable doses. The only human data are a 15-day phase 1A/B first-in-human trial in 41 volunteers published in Nature Metabolism in June 2025, in which 200 mg twice daily produced about 3% weight loss and better insulin resistance scores in six people with overweight or obesity, while a single 800 mg dose caused reversible kidney tubular damage in two lean volunteers. Eolo said it planned a phase 2 trial in 2025 and none had been reported by October 2026; the compound is not approved anywhere and is sold online as capsules.
What researchers are exploring
These themes describe recurring questions in published research. They are not claims of effectiveness or recommendations for use.
1
Metabolic research
Energy balance, body composition and incretin signaling.
2
Phase 1A single ascending dose (first-in-human)
Each cohort randomised 2:1 to MVD1 or placebo. The drug was well tolerated at 200 and 400 mg, but at 800 mg two participants developed proteinuria and glucosuria from reversible renal tubular damage that the.
3
Phase 1B multiple ascending dose in overweight and obesity
Six people took the drug and two took placebo in each cohort. In the 200 mg twice-daily cohort body weight fell by about 3% over 15 days, and fasting glucose, insulin, HOMA-IR and fructosamine improved, while placebo.
4
Trial registration (ACTRN12622001519741)
Registered prospectively with the Australian New Zealand Clinical Trials Registry in December 2022 under protocol MVD1-AU-001, with Eolo Pharma Pty Ltd as sponsor. The record lists safety and tolerability as the.
5
Diet-induced obesity in mice (prevention and treatment)
SANA blocked weight gain and fat accumulation without changing food intake, prevented liver steatosis and normalised glucose tolerance, and did so at doses where salicylate was ineffective; 200 mg/kg per day also beat.
6
Independent compound summary of the human doses
This 2026 wiki entry lists only the trial doses and states that none is a recommendation, that single-dose escalation stopped at 800 mg because of kidney tubular damage, and that anything sold online as SANA or MVD1 is.
What the current evidence can support
Study models remain visible so laboratory and animal findings are not mistaken for established human outcomes.
Human
Human studies and registrations
3 protocol rows on this page come from human trials, trial registrations, regulator labels or reviews of human data. Approval status and populations are stated per row.
Animal
Preclinical models
1 protocol row describe animal, cell or toxicology work. Amounts from these rows do not translate to people.
Not graded
Community-reported use
1 row record what blogs, vendor write-ups or forums describe for SANA. None has been verified against primary literature.
Chemistry identifiers
Sequence, synonyms and registry identifiers as recorded in PubChem, the National Library of Medicine's open chemistry database. Formula, mass and CAS number are summarized at the top of the page.