What the studies show
Inhaled VIP lowered pulmonary pressures acutely in small open studies; a development programme did not reach approval.
A few small or poorly-controlled human studies. Enough to be interesting; not enough to count on. Most of what gets called “clinically proven” online lives here.
- 1Inhaled vasoactive intestinal peptide in pulmonary hypertension — clinical studies.PubMed searchSmall studies; no approval.
In context
Vasoactive intestinal peptide is a natural hormone that relaxes smooth muscle and blood vessels and dampens inflammation, made throughout the gut, lungs and nervous system. As the drug aviptadil it is licensed in the UK and some other countries — combined with phentolamine as an injection into the penis — for erectile dysfunction. Its pandemic moment came as an intravenous treatment for COVID-19 respiratory failure: the NIH-run TESICO trial of 461 patients was stopped for futility, with no improvement in outcomes or survival. The nasal-spray use promoted for 'chronic inflammatory response syndrome' from mould exposure has never been tested in a controlled trial.
VIP (vasoactive intestinal peptide) is licensed narrowly (ed, some countries); other uses unapproved. Legal status differs by country — see the regulation section or the jurisdiction pages.
Questions
Is VIP (vasoactive intestinal peptide) proven to help with pulmonary hypertension?
What studies are behind the grade?
Is VIP (vasoactive intestinal peptide) approved for this?
Other outcomes for VIP (vasoactive intestinal peptide)
- ACOVID-19 respiratory failure (intravenous)1 large RCT (n=461) — stopped for futility
- ASurvival in COVID-19 respiratory failureTESICO
- BErectile dysfunction (intracavernosal, with phentolamine)Licensing trials
- D'Mould illness' / CIRS (nasal spray)None controlled
- AAdverse effectsadverseTESICO + licensing data
Written and maintained by LYO Research — how pages are written and checked. Reviewed 10 September 2026. Grades count human evidence only; see how LYO grades. Not medical advice. Correct this page →