Semaglutide 2.4 mg Once a Week in Adults with Overweight or Obesity (STEP 1)
Phase 3 trial showing semaglutide 2.4 mg weekly achieved mean weight loss of 14.9% at 68 weeks.
nejm-semaglutide-step1-2021Guide
This site tracks dozens of compounds, and each one is assigned to a category that reflects its primary biological mechanism and intended research context. These categories are not rigid pharmacological classifications: some compounds could reasonably be placed in more than one group: but they provide a consistent framework for understanding why certain compounds are grouped together and how they relate to each other. This guide explains each of the nine categories used on the site: what the category means, the shared mechanism across its members, which compounds are currently tracked within it, and a summary of the regulatory landscape. The categories are: GLP-1 receptor agonists, growth hormone releasing peptides (GHRP), growth hormone releasing hormones (GHRH), recovery peptides, cognitive peptides, immune peptides, skin and cosmetic peptides, longevity compounds, and small molecules. For each category, the goal is to give readers a clear mental model so that when they encounter a compound name elsewhere on the site, they can immediately place it in context.
GLP-1 receptor agonists are compounds that mimic or enhance the action of glucagon-like peptide-1, an incretin hormone naturally secreted by L-cells in the intestine in response to food. GLP-1 stimulates insulin secretion, suppresses glucagon, slows gastric emptying, and promotes satiety: all in a glucose-dependent manner. Native GLP-1 has a half-life of approximately two minutes due to rapid degradation by the DPP-4 enzyme, so pharmaceutical GLP-1 agonists are engineered for extended half-lives through amino acid modifications, fatty acid conjugation, or albumin binding. This category on the site includes both single GLP-1 receptor agonists and multi-receptor agonists that also target GIP and/or glucagon receptors, since they are commonly grouped together in public discussion and share overlapping clinical contexts. These are among the most heavily researched and widely prescribed compounds tracked on this site, with multiple FDA approvals for Type 2 diabetes and chronic weight management.
Phase 3 trial showing semaglutide 2.4 mg weekly achieved mean weight loss of 14.9% at 68 weeks.
nejm-semaglutide-step1-2021Cardiovascular outcomes trial showing semaglutide reduced major adverse CV events in non-diabetic patients with obesity.
nejm-semaglutide-select-2023FDA approval of Ozempic (semaglutide) injection for Type 2 diabetes, NDA 209637.
fda-ozempic-approval-2017FDA approval of Wegovy (semaglutide 2.4 mg) injection for chronic weight management, NDA 215256.
fda-wegovy-approval-2021Phase 3 trial of tirzepatide for obesity showing mean weight loss of 22.5% at 72 weeks at the highest dose.
nejm-tirzepatide-surmount1-2022FDA approval of Mounjaro (tirzepatide) injection for Type 2 diabetes, NDA 215866.
fda-mounjaro-approval-2022FDA approved Zepbound (tirzepatide) in November 2023 for chronic weight management in adults with obesity, used with diet and exercise. NDA 217806.
fda-zepbound-approval-2023Retatrutide phase 2 obesity trial (NEJM 2023): at 12 mg, mean body weight fell 17.5% at week 24 and 24.2% at week 48; GI adverse events were most common.
nejm-retatrutide-phase2-2023Completed Phase 3 master protocol NCT05929066. The registry identifies TRIUMPH-1 as a randomized, double-blind, placebo-controlled study in adults without type 2 diabetes who have obesity or overweight.
clinicaltrials-retatrutide-triumph1Eli Lilly and Company. Lilly's triple agonist, retatrutide, delivered powerful weight loss in pivotal Phase 3 obesity trial. News release, 2026-05-21.
research-reta-04FDA warning letter discussing peptide products marketed online and the limits of research-use-only positioning.
fda-gram-peptides-warning-2026Growth hormone releasing peptides (GHRPs) are a class of synthetic peptides that stimulate growth hormone release through the ghrelin receptor: also called the growth hormone secretagogue receptor (GHS-R). This is a different pathway from growth hormone releasing hormone (GHRH), which acts through its own dedicated receptor. GHRPs mimic the action of ghrelin, the endogenous ligand for the GHS-R, and were among the first compounds identified that could stimulate GH release without directly administering growth hormone itself. Despite extensive pharmacological characterization, no GHRP has ever received FDA approval for any indication. The most widely discussed GHRP on this site is ipamorelin, a first-generation pentapeptide identified in the late 1990s. MK-677 (ibutamoren) is mechanistically related: it is an orally active, non-peptide ghrelin receptor agonist: and is often discussed alongside GHRPs despite not being a peptide itself. AOD-9604, an HGH fragment peptide, is also grouped nearby because it relates to the growth hormone axis, though it acts through a lipolytic mechanism rather than GH release.
Raun et al. (1998) original pharmacology publication (PMID 9860070) describing ipamorelin as a pentapeptide growth hormone secretagogue with selectivity for GH release over cortisol and prolactin in animal models.
pubmed-ipamorelin-pharmacology-1998Svensson et al. (2000) study (PMID 10674575) demonstrating that oral MK-677 replicated the pulsatile GH profile seen with IV secretagogues in healthy older adults, with sustained IGF-1 increases over 4 weeks.
pubmed-mk677-gh-profile-2000Bach et al. (2002) 12-month Phase 2 trial (PMID 12004295) showing MK-677 improved functional status in elderly patients with hip fracture. Despite positive pharmacodynamic data, Merck did not advance MK-677 to FDA approval.
pubmed-mk677-hip-fracture-2002ClinicalTrials.gov registry entry (NCT01016781) for the MK-677 hip fracture recovery trial sponsored by Merck. MK-677 is not FDA-approved for any indication.
clinicaltrials-gov-mk677-hip-fractureHeffernan MA et al. (2001) preclinical study (PMID 11285201) demonstrating that the C-terminal fragment of hGH (residues 177-191, the basis of AOD-9604) inhibits fat cell formation in 3T3-L1 cells, establishing the rationale for AOD-9604 as a lipolytic agent.
pubmed-heffernan-aod9604-2001ClinicalTrials.gov registry search for AOD-9604 clinical trials, including the Phase 2 obesity program by Metabolic Pharmaceuticals that failed to meet primary weight loss endpoints. AOD-9604 is not FDA-approved.
clinicaltrials-gov-aod-9604FDA risk page lists BPC-157: compounded BPC-157 may pose immunogenicity risk and peptide-related impurity concerns for certain routes of administration.
fda-bulk-risk-listFDA warning letter discussing peptide products marketed online and the limits of research-use-only positioning.
fda-gram-peptides-warning-2026Growth hormone releasing hormone (GHRH) is a peptide hormone produced in the hypothalamus that stimulates the anterior pituitary gland to secrete growth hormone. Synthetic GHRH analogs are designed to mimic this endogenous hormone and stimulate endogenous GH release, which in turn increases IGF-1 levels. This category includes the only growth hormone secretagogue-class peptide with current FDA approval: tesamorelin (Egrifta), approved for HIV-associated lipodystrophy. It also includes CJC-1295, a synthetic GHRH analog developed with drug affinity complex (DAC) technology for extended half-life that was never submitted for FDA approval, and sermorelin, a formerly FDA-approved diagnostic agent for pediatric growth hormone deficiency whose brand product (Geref) was discontinued by the manufacturer. GHRH analogs are mechanistically distinct from GHRPs: they act through a different receptor: and the two classes can have additive effects on GH release when studied together, which is the rationale for the common CJC-1295 + ipamorelin community protocol.
FDA-approved drug label for Egrifta (tesamorelin for injection), indicated for the reduction of excess visceral abdominal fat in HIV-infected patients with lipodystrophy. The only GHRH/GHS-class peptide with FDA approval.
fda-egrifta-labelPivotal Phase 3 randomized trial (Falutz et al., 2010; PMID 20879920) showing tesamorelin significantly reduced visceral adipose tissue (VAT) over 26 weeks in HIV-infected patients with lipodystrophy. This trial supported FDA approval of Egrifta.
nejm-tesamorelin-phase3-2010ClinicalTrials.gov registry entries for tesamorelin clinical trials, including the pivotal Phase 3 trials for HIV-associated lipodystrophy that supported FDA approval of Egrifta.
clinicaltrials-gov-tesamorelinTeichman et al. (2006) pharmacokinetic study (PMID 16569233) showing that CJC-1295 increased GH and IGF-1 levels in healthy subjects for up to 6 days after a single dose. The primary published human data for CJC-1295.
pubmed-cjc1295-pharmacokinetics-2006PubMed index of clinical literature on sermorelin (Geref) for diagnostic testing of growth hormone deficiency in pediatric patients. Sermorelin was formerly FDA-approved as Geref; the brand product has been discontinued by the manufacturer.
pubmed-sermorelin-gh-deficiency-1997FDA risk page lists BPC-157: compounded BPC-157 may pose immunogenicity risk and peptide-related impurity concerns for certain routes of administration.
fda-bulk-risk-listFDA warning letter discussing peptide products marketed online and the limits of research-use-only positioning.
fda-gram-peptides-warning-2026Recovery peptides are a functional grouping rather than a single receptor family: these are compounds discussed primarily in the context of tissue repair, injury recovery, and wound healing. On this site, the two primary recovery peptides are BPC-157 and TB-500. BPC-157 is a pentadecapeptide derived from human gastric juice that has been studied in animal models for tendon, ligament, and muscle healing, but has no published human clinical trials and no FDA approval. TB-500 is a synthetic version of a fragment of thymosin beta-4, a naturally occurring peptide involved in actin binding and cell migration, and is similarly discussed in injury recovery contexts without FDA approval. Both compounds are widely sold as research-use-only chemicals and are among the most discussed peptides in online fitness and recovery communities. Several recovery peptides, including BPC-157 and TB-500, were scheduled for discussion at the July 2026 FDA Pharmacy Compounding Advisory Committee meeting, reflecting regulatory interest in the compounding of these substances.
FDA Pharmacy Compounding Advisory Committee meeting notice for July 23 to 24, 2026, scheduling peptide bulk substances for discussion.
fda-pcac-july-2026FDA risk page lists BPC-157: compounded BPC-157 may pose immunogenicity risk and peptide-related impurity concerns for certain routes of administration.
fda-bulk-risk-listFDA warning letter discussing peptide products marketed online and the limits of research-use-only positioning.
fda-gram-peptides-warning-2026Cognitive peptides are compounds discussed primarily in the context of cognitive enhancement, neuroprotection, and attention. This is a diverse group spanning different mechanisms and evidence levels. Semax is a heptapeptide ACTH analog registered as a medicine in Russia for cognitive and attention-enhancing effects, with studies primarily from Russian institutions and no FDA approval. Selank is a synthetic heptapeptide tuftsin analog registered in Russia as an anxiolytic, with predominantly Russian-language preclinical and limited clinical literature. Noopept is a dipeptide nootropic registered as a pharmaceutical in Russia for mild cognitive impairment, sold as a supplement in the US without FDA drug approval. Dihexa is an angiotensin IV analog developed to activate the HGF/c-Met receptor system, studied only in animal models with no human clinical trials. Cerebrolysin is a porcine brain-derived peptide preparation approved in over 40 countries for neurological indications including stroke and dementia, but not FDA-approved in the United States. The common thread is that all of these compounds are discussed in biohacking and cognitive enhancement communities, but their evidence bases vary widely: from small Russian clinical trials to purely preclinical animal data.
Russian-language clinical and preclinical publications on Semax (a heptapeptide ACTH analog) describing cognitive and attention-enhancing effects. Studies are primarily from Russian institutions and lack independent Western replication.
pubmed-semax-cognitive-2006Sedative-Hypnotic Agents That Impact Gamma-Aminobutyric Acid Receptors: Focus on Flunitrazepam, Gamma-Hydroxybutyric Acid, Phenibut, and Selank.
pubmed-selank-gaba-review-2021Selank, a Peptide Analog of Tuftsin, Attenuates Aversive Signs of Morphine Withdrawal in Rats.
pubmed-selank-morphine-withdrawal-2022[Noopept in the treatment of mild cognitive impairment in patients with stroke].
pubmed-noopept-stroke-mci-2011[Clinical and electroencephalographic characteristic of noopept in patients with mild cognitive impairment of posttraumatic and vascular origin].
pubmed-noopept-eeg-mci-2008Evaluation of metabolically stabilized angiotensin IV analogs as procognitive/antidementia agents.
pubmed-dihexa-mccoy-jpet-2013The procognitive and synaptogenic effects of angiotensin IV-derived peptides are dependent on activation of the hepatocyte growth factor/c-met system.
pubmed-dihexa-hgf-cmet-2014Cerebrolysin for vascular dementia
pubmed-cerebrolysin-cochrane-2019FDA risk page lists BPC-157: compounded BPC-157 may pose immunogenicity risk and peptide-related impurity concerns for certain routes of administration.
fda-bulk-risk-listImmune peptides are compounds discussed primarily in the context of immune modulation, antimicrobial activity, and inflammatory response. This category includes thymosin alpha-1, LL-37, and KPV: three compounds with distinct mechanisms that share an immunological context. Thymosin alpha-1 is a naturally occurring thymic peptide that modulates immune function by enhancing T-cell maturation, dendritic cell activity, and cytokine production. It is marketed as Zadaxin and is approved in over 30 countries for chronic hepatitis B, hepatitis C, and as an immune adjuvant, but is not FDA-approved in the United States. LL-37 is the sole human cathelicidin antimicrobial peptide, with well-characterized broad-spectrum activity against bacteria, fungi, and enveloped viruses in laboratory studies, but no FDA-approved therapeutic products. KPV is a tripeptide (Lys-Pro-Val) derived from alpha-melanocyte-stimulating hormone (alpha-MSH) with reported anti-inflammatory effects in preclinical animal models, but no published human clinical trials. All three are tracked as regulatory watch items, with BPC-157 and several other peptides also scheduled for FDA advisory committee discussion.
ClinicalTrials.gov registry search showing 100+ interventional studies of thymosin alpha-1 across infectious disease, oncology, and immune support contexts, including COVID-19 trials.
clinicaltrials-gov-thymosin-alpha-1King R, Tuthill C (2016) comprehensive review (PMID 26653168) of thymosin alpha-1's immune-modulating mechanism, clinical development history, and therapeutic applications including hepatitis, oncology, and sepsis.
pubmed-king-tuthill-2016SciClone Pharmaceuticals product information for Zadaxin (thymosin alpha-1), approved in over 30 countries for chronic hepatitis B, hepatitis C, and immune adjuvant use. Not FDA-approved in the United States.
sciclone-zadaxin-product-infoDürr UHN, Sudheendra US, Ramamoorthy A (2006) foundational review (PMID 16459200) of LL-37 structure, mechanism, broad-spectrum antimicrobial activity, and role as the sole human cathelicidin.
pubmed-durr-ll37-2006Kahlenberg JM, Kaplan MJ (2013) review (PMID 23836012) of LL-37's dual role in innate immunity and autoimmunity, describing both protective antimicrobial effects and pro-inflammatory potential in autoimmune disease.
pubmed-kahlenberg-ll37-2013ClinicalTrials.gov registry search for interventional studies involving LL-37/cathelicidin, showing limited clinical trial activity. LL-37 is not FDA-approved for any indication.
clinicaltrials-gov-ll-37Preclinical studies of KPV (Lys-Pro-Val), a tripeptide derived from alpha-melanocyte-stimulating hormone (alpha-MSH), showing anti-inflammatory effects in animal models of intestinal and systemic inflammation. No human clinical trials have been published.
pubmed-kpv-anti-inflammatoryFDA Pharmacy Compounding Advisory Committee meeting notice for July 23 to 24, 2026, scheduling peptide bulk substances for discussion.
fda-pcac-july-2026FDA risk page lists BPC-157: compounded BPC-157 may pose immunogenicity risk and peptide-related impurity concerns for certain routes of administration.
fda-bulk-risk-listSkin and cosmetic peptides are compounds used primarily in topical skincare formulations for proposed effects on collagen production, wrinkle appearance, and skin repair. GHK-Cu has a mixed record: a broad author-linked review covers cellular, animal, and cosmetic research, while a randomized topical study completed by 13 participants found no objective post-laser advantage despite higher patient satisfaction. Argireline (acetyl hexapeptide-8) is a synthetic hexapeptide fragment of SNAP-25 marketed as a topical 'Botox alternative.' Matrixyl (palmitoyl pentapeptide-4) is a matrikine peptide used in anti-wrinkle cosmetics. Cosmetic, medical, and injectable claims require different evidence and regulatory analysis. FDA's withdrawn-nomination table separately identifies limited human safety data for injectable GHK-Cu; GHK-Cu is not in the page's active Category 2 table.
Author-linked review of cellular, animal, skin-penetration, and cosmetic research involving GHK and GHK-Cu. The authors were affiliated with Skin Biology Research and Development, so the review is useful for mapping hypotheses but is not independent clinical efficacy evidence.
pubmed-ghk-skin-regeneration-review-2015Randomized topical study with 13 completers after CO2 laser resurfacing. Objective erythema, wrinkle, and overall skin-quality outcomes did not differ between groups, while patient satisfaction was higher with the GHK-Cu regimen.
pubmed-ghkcu-postlaser-2006Randomized, placebo-controlled four-week study of topical acetyl hexapeptide-8 in 60 Chinese participants. The small, short study reported subjective and skin-roughness outcomes and did not compare the product with botulinum toxin.
pubmed-argireline-clinical-2013The efficacy study of the combination of tripeptide-10-citrulline and acetyl hexapeptide-3. A prospective, randomized controlled study
pubmed-argireline-combination-2017Topical palmitoyl pentapeptide provides improvement in photoaged human facial skin
pubmed-palmitoyl-pentapeptide-clinical-2005Dermal Stability and In Vitro Skin Permeation of Collagen Pentapeptides (KTTKS and palmitoyl-KTTKS)
pubmed-kttks-permeation-2014FDA risk page lists BPC-157: compounded BPC-157 may pose immunogenicity risk and peptide-related impurity concerns for certain routes of administration.
fda-bulk-risk-listLongevity compounds are substances discussed primarily in the context of extending lifespan, delaying age-related disease, and promoting healthspan. This is a heterogeneous category that includes both peptides and non-peptide molecules, unified by their proposed geroprotective mechanisms rather than a shared receptor or pathway. Rapamycin (sirolimus) is an FDA-approved mTOR inhibitor used for transplant rejection prophylaxis and lymphangioleiomyomatosis (LAM); it is the most discussed longevity therapeutic based on robust lifespan extension in mice (NIA ITP studies) but has no FDA approval for aging. NAD+ precursors (NR and NMN) are widely promoted to restore declining NAD+ levels and support sirtuin-mediated longevity pathways; NR is FDA-GRAS as a supplement, while NMN is subject to an FDA DSHEA exclusion determination. Spermidine is a naturally occurring polyamine that induces autophagy and has shown preliminary cognitive benefits in the SmartAge trial. Epitalon is a Russian-developed peptide with telomerase activation claims from a single research group, lacking independent Western replication. Metformin, while technically a small molecule, is often discussed in longevity contexts due to its AMPK activation and the ongoing TAME trial. The key challenge for this category is separating biomarker changes (e.g., raised NAD+, increased telomerase) from proven clinical outcomes, and separating preclinical mouse data from human evidence.
FDA-approved prescribing label for Rapamune (sirolimus), indicated for prophylaxis of organ rejection in kidney transplant patients and for the treatment of lymphangioleiomyomatosis (LAM).
fda-rapamune-labelLandmark NIA Interventions Testing Program (ITP) study showing that rapamycin, fed beginning at 600 days of age, significantly extended lifespan in genetically heterogeneous mice (both sexes).
nih-itr-rapamycin-lifespan-2009Multi-site replication confirming lifespan extension by rapamycin across genetically diverse mouse populations, supporting the robustness of the original ITP finding.
nih-itr-rapamycin-repeat-2020Double-blind, placebo-controlled trial (Mannick et al.) showing that low-dose rapamycin analog (everolimus) improved immune response to influenza vaccine in older adults, providing early human translational evidence.
nature-mannick-2014-rapamycin-immuneFDA GRAS (Generally Recognized As Safe) notice response for nicotinamide riboside (NR) chloride, the ingredient in Tru Niagen, supporting its use as a dietary supplement ingredient.
niagen-gras-fda-2016FDA determination that NMN (nicotinamide mononucleotide) is excluded from the dietary supplement definition under DSHEA because it was first authorized for investigation as a new drug. This triggered marketplace disruption for NMN supplements.
fda-nmn-dshea-determination-2022Randomized, placebo-controlled trial (Yoshino et al., including Shin-ichiro Imai) showing that 10 weeks of NMN supplementation increased muscle insulin sensitivity in prediabetic women. A key human proof-of-concept study.
yoshino-2021-nmn-cellRandomized, double-blind trial (Dollerup et al.) showing that NR safely increased blood NAD+ in obese men but did not improve insulin sensitivity or body composition over 12 weeks, illustrating the biomarker-vs-outcome gap.
dollerup-2018-nr-humanEffects of Spermidine Supplementation on Cognition and Biomarkers in Older Adults With Subjective Cognitive Decline: A Randomized Clinical Trial
pubmed-spermidine-smartage-2022Mechanisms of spermidine-induced autophagy and geroprotection
pubmed-spermidine-autophagy-geroprotection-2022Studies by Khavinson and colleagues reporting that Epitalon (Ala-Glu-Asp-Gly) increases telomerase activity in human somatic cells. Research is primarily from a single Russian research group and lacks independent Western replication.
pubmed-epitalon-telomerase-khavinson-2003Reviews of Epitalon and related peptides in the context of aging biology, noting that telomerase and longevity claims rest on preclinical data from limited research groups without large-scale human clinical trials.
pubmed-epitalon-longevity-reviewFDA risk page lists BPC-157: compounded BPC-157 may pose immunogenicity risk and peptide-related impurity concerns for certain routes of administration.
fda-bulk-risk-listSmall molecules on this site are non-peptide organic compounds that are tracked alongside peptides because they appear in the same research, biohacking, and longevity discussions. These compounds are not peptides: they are not chains of amino acids: but they share overlapping communities of interest and are often discussed in the same contexts. Metformin is an FDA-approved biguanide antidiabetic that activates AMPK and is sometimes called 'poor man's rapamycin' in longevity circles; the TAME trial is investigating whether it can delay age-related disease onset in non-diabetic adults. Methylene blue is an FDA-approved medication for methemoglobinemia that has gained biohacking attention for proposed cognitive and mitochondrial benefits at low doses, supported only by preclinical data. 5-Amino-1MQ is a small molecule inhibitor of nicotinamide N-methyltransferase (NNMT) that has been promoted as 'exercise in a pill' based on preclinical mouse studies showing reversal of diet-induced obesity; no human clinical trials exist. The regulatory status of these compounds varies widely: from FDA-approved drugs with established safety profiles to research chemicals with no human safety data.
FDA label for Glucophage (metformin): indicated with diet and exercise to improve glycemic control in adults and children with type 2 diabetes.
fda-glucophage-metformin-labelClinicalTrials.gov: MILES (NCT02432287), pilot tied to TAME; randomized, double-blind metformin vs placebo in 16 adults, completed.
clinicaltrials-gov-tameNir Barzilai and colleagues outline the scientific rationale and design of the TAME trial, arguing that metformin's AMPK-activating, insulin-sensitizing effects make it a candidate to target aging biology.
barzilai-tame-concept-2016Observational retrospective cohort study (Bannister et al.) reporting that metformin-treated patients had lower mortality than matched non-diabetic controls, fueling interest in metformin as a longevity therapeutic.
bannister-2014-metformin-mortalityClinical review summarizing metformin's proposed mechanisms (AMPK activation, mTOR inhibition, insulin sensitization) and the evidence base for and against its use as a geroprotective agent.
choi-2021-metformin-metabolism-reviewProvayblue (methylene blue) FDA Label - NDA 020226
fda-provayblue-labelMitochondrial respiration as a target for neuroprotection and cognitive enhancement
pubmed-methylene-blue-mitochondrial-2014Therapeutic benefits of methylene blue on cognitive impairment during chronic cerebral hypoperfusion
pubmed-methylene-blue-cognitive-2014Selective and membrane-permeable small molecule inhibitors of nicotinamide N-methyltransferase reverse high fat diet-induced obesity in mice
pubmed-nnmt-inhibitor-obesity-2018Nicotinamide N-methyltransferase knockdown protects against diet-induced obesity
pubmed-nnmt-knockdown-obesity-2014Browse source-backed peptide and small-molecule explainers by category and regulatory status.
Definitions of key terms used across this guide: from GLP-1 and GHRH to HPLC and half-life.
A practical guide to understanding Certificates of Analysis for research-grade peptides.
Explainer covering the regulatory landscape of research-use-only suppliers and licensed telehealth prescribing.
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Phase 3 trial showing semaglutide 2.4 mg weekly achieved mean weight loss of 14.9% at 68 weeks.
nejm-semaglutide-step1-2021Cardiovascular outcomes trial showing semaglutide reduced major adverse CV events in non-diabetic patients with obesity.
nejm-semaglutide-select-2023FDA approval of Ozempic (semaglutide) injection for Type 2 diabetes, NDA 209637.
fda-ozempic-approval-2017FDA approval of Wegovy (semaglutide 2.4 mg) injection for chronic weight management, NDA 215256.
fda-wegovy-approval-2021Phase 3 trial of tirzepatide for obesity showing mean weight loss of 22.5% at 72 weeks at the highest dose.
nejm-tirzepatide-surmount1-2022FDA approval of Mounjaro (tirzepatide) injection for Type 2 diabetes, NDA 215866.
fda-mounjaro-approval-2022FDA approved Zepbound (tirzepatide) in November 2023 for chronic weight management in adults with obesity, used with diet and exercise. NDA 217806.
fda-zepbound-approval-2023Retatrutide phase 2 obesity trial (NEJM 2023): at 12 mg, mean body weight fell 17.5% at week 24 and 24.2% at week 48; GI adverse events were most common.
nejm-retatrutide-phase2-2023Phase 3 study NCT05882045 in participants with severe obesity and established cardiovascular disease. This is one study in the TRIUMPH program, not the TRIUMPH-1 pivotal obesity trial.
clinicaltrials-gov-retatrutide-triumphRaun et al. (1998) original pharmacology publication (PMID 9860070) describing ipamorelin as a pentapeptide growth hormone secretagogue with selectivity for GH release over cortisol and prolactin in animal models.
pubmed-ipamorelin-pharmacology-1998Svensson et al. (2000) study (PMID 10674575) demonstrating that oral MK-677 replicated the pulsatile GH profile seen with IV secretagogues in healthy older adults, with sustained IGF-1 increases over 4 weeks.
pubmed-mk677-gh-profile-2000Bach et al. (2002) 12-month Phase 2 trial (PMID 12004295) showing MK-677 improved functional status in elderly patients with hip fracture. Despite positive pharmacodynamic data, Merck did not advance MK-677 to FDA approval.
pubmed-mk677-hip-fracture-2002Heffernan MA et al. (2001) preclinical study (PMID 11285201) demonstrating that the C-terminal fragment of hGH (residues 177-191, the basis of AOD-9604) inhibits fat cell formation in 3T3-L1 cells, establishing the rationale for AOD-9604 as a lipolytic agent.
pubmed-heffernan-aod9604-2001FDA-approved drug label for Egrifta (tesamorelin for injection), indicated for the reduction of excess visceral abdominal fat in HIV-infected patients with lipodystrophy. The only GHRH/GHS-class peptide with FDA approval.
fda-egrifta-labelPivotal Phase 3 randomized trial (Falutz et al., 2010; PMID 20879920) showing tesamorelin significantly reduced visceral adipose tissue (VAT) over 26 weeks in HIV-infected patients with lipodystrophy. This trial supported FDA approval of Egrifta.
nejm-tesamorelin-phase3-2010Teichman et al. (2006) pharmacokinetic study (PMID 16569233) showing that CJC-1295 increased GH and IGF-1 levels in healthy subjects for up to 6 days after a single dose. The primary published human data for CJC-1295.
pubmed-cjc1295-pharmacokinetics-2006PubMed index of clinical literature on sermorelin (Geref) for diagnostic testing of growth hormone deficiency in pediatric patients. Sermorelin was formerly FDA-approved as Geref; the brand product has been discontinued by the manufacturer.
pubmed-sermorelin-gh-deficiency-1997FDA Pharmacy Compounding Advisory Committee meeting notice for July 23 to 24, 2026, scheduling peptide bulk substances for discussion.
fda-pcac-july-2026FDA risk page lists BPC-157: compounded BPC-157 may pose immunogenicity risk and peptide-related impurity concerns for certain routes of administration.
fda-bulk-risk-listFDA warning letter discussing peptide products marketed online and the limits of research-use-only positioning.
fda-gram-peptides-warning-2026Russian-language clinical and preclinical publications on Semax (a heptapeptide ACTH analog) describing cognitive and attention-enhancing effects. Studies are primarily from Russian institutions and lack independent Western replication.
pubmed-semax-cognitive-2006Sedative-Hypnotic Agents That Impact Gamma-Aminobutyric Acid Receptors: Focus on Flunitrazepam, Gamma-Hydroxybutyric Acid, Phenibut, and Selank.
pubmed-selank-gaba-review-2021[Noopept in the treatment of mild cognitive impairment in patients with stroke].
pubmed-noopept-stroke-mci-2011Evaluation of metabolically stabilized angiotensin IV analogs as procognitive/antidementia agents.
pubmed-dihexa-mccoy-jpet-2013Cerebrolysin for vascular dementia
pubmed-cerebrolysin-cochrane-2019ClinicalTrials.gov registry search showing 100+ interventional studies of thymosin alpha-1 across infectious disease, oncology, and immune support contexts, including COVID-19 trials.
clinicaltrials-gov-thymosin-alpha-1King R, Tuthill C (2016) comprehensive review (PMID 26653168) of thymosin alpha-1's immune-modulating mechanism, clinical development history, and therapeutic applications including hepatitis, oncology, and sepsis.
pubmed-king-tuthill-2016Dürr UHN, Sudheendra US, Ramamoorthy A (2006) foundational review (PMID 16459200) of LL-37 structure, mechanism, broad-spectrum antimicrobial activity, and role as the sole human cathelicidin.
pubmed-durr-ll37-2006Preclinical studies of KPV (Lys-Pro-Val), a tripeptide derived from alpha-melanocyte-stimulating hormone (alpha-MSH), showing anti-inflammatory effects in animal models of intestinal and systemic inflammation. No human clinical trials have been published.
pubmed-kpv-anti-inflammatoryAuthor-linked review of cellular, animal, skin-penetration, and cosmetic research involving GHK and GHK-Cu. The authors were affiliated with Skin Biology Research and Development, so the review is useful for mapping hypotheses but is not independent clinical efficacy evidence.
pubmed-ghk-skin-regeneration-review-2015Randomized, placebo-controlled four-week study of topical acetyl hexapeptide-8 in 60 Chinese participants. The small, short study reported subjective and skin-roughness outcomes and did not compare the product with botulinum toxin.
pubmed-argireline-clinical-2013Topical palmitoyl pentapeptide provides improvement in photoaged human facial skin
pubmed-palmitoyl-pentapeptide-clinical-2005FDA-approved prescribing label for Rapamune (sirolimus), indicated for prophylaxis of organ rejection in kidney transplant patients and for the treatment of lymphangioleiomyomatosis (LAM).
fda-rapamune-labelLandmark NIA Interventions Testing Program (ITP) study showing that rapamycin, fed beginning at 600 days of age, significantly extended lifespan in genetically heterogeneous mice (both sexes).
nih-itr-rapamycin-lifespan-2009FDA GRAS (Generally Recognized As Safe) notice response for nicotinamide riboside (NR) chloride, the ingredient in Tru Niagen, supporting its use as a dietary supplement ingredient.
niagen-gras-fda-2016FDA determination that NMN (nicotinamide mononucleotide) is excluded from the dietary supplement definition under DSHEA because it was first authorized for investigation as a new drug. This triggered marketplace disruption for NMN supplements.
fda-nmn-dshea-determination-2022Effects of Spermidine Supplementation on Cognition and Biomarkers in Older Adults With Subjective Cognitive Decline: A Randomized Clinical Trial
pubmed-spermidine-smartage-2022Studies by Khavinson and colleagues reporting that Epitalon (Ala-Glu-Asp-Gly) increases telomerase activity in human somatic cells. Research is primarily from a single Russian research group and lacks independent Western replication.
pubmed-epitalon-telomerase-khavinson-2003FDA label for Glucophage (metformin): indicated with diet and exercise to improve glycemic control in adults and children with type 2 diabetes.
fda-glucophage-metformin-labelClinicalTrials.gov: MILES (NCT02432287), pilot tied to TAME; randomized, double-blind metformin vs placebo in 16 adults, completed.
clinicaltrials-gov-tameProvayblue (methylene blue) FDA Label - NDA 020226
fda-provayblue-labelSelective and membrane-permeable small molecule inhibitors of nicotinamide N-methyltransferase reverse high fat diet-induced obesity in mice
pubmed-nnmt-inhibitor-obesity-2018