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Ipamorelin

Ghrelin-receptor/GH secretagogue peptide

GH-axis physiology and…
Generic peptide vial illustrationIpamorelin
Entity typePeptide
Evidence reviewed2026-09-18
Canonical recordIPAMORELIN
Page updated2026-09-20
Evidence profileHuman Phase I/II exposure; tested Phase II indication was negative; no lifestyle efficacy established
Human evidenceEarly phase
Regulatory statusNot FDA-approved
Choose your depthStart simple, then open the evidence or technical detail only if you need it.
Quick answerPlain languageEvidenceOutcomes and studiesStudiesPrimary recordsTechnicalMechanism, route and identifiers

In plain English

30-second evidence answer

What does the evidence mean in simple terms?

Ipamorelin has been given to people in early clinical studies, so human exposure is documented. However, the tested Phase 2 indication did not show the hoped-for benefit, and lifestyle claims such as fat loss, muscle gain or anti-ageing remain unproven.

Still uncertain: Muscle gain, fat loss, recovery, anti-ageing benefit, safe chronic subcutaneous use or a validated wellness dose.

New to terms such as “preclinical”, “randomized” or “investigational”? Use the plain-English glossary →

What does the evidence mean in simple terms? table
What is it?Ghrelin-receptor/GH secretagogue peptide
Entity typePeptide
Research focusGH-axis physiology and motility research
Human evidenceHuman evidence includes early PK/GH-response studies and a randomized Phase II postoperative-ileus trial. In that trial, IV ipamorelin 0.03 mg/kg twice daily did not significantly improve the primary or key secondary efficacy endpoints versus placebo.
Regulatory statusNot FDA-approved; FDA lists safety concerns for compounded ipamorelin.
Main limitationsMuscle gain, fat loss, recovery, anti-ageing benefit, safe chronic subcutaneous use or a validated wellness dose.
SafetyFDA notes immunogenicity/impurity concerns and serious adverse events in an IV gastric-motility study, including deaths, with insufficient information for other injection uses.
Evidence reviewed2026-09-18
i
Human evidence includes early PK/GH-response studies and a randomized Phase II postoperative-ileus trial. In that trial, IV ipamorelin 0.03 mg/kg twice daily did not significantly improve the primary or key secondary efficacy endpoints versus placebo.
Outcome-level evidence

Evidence is not one score.

Each record below answers a narrower question about an outcome, population or context. Evidence status and the study finding are shown separately so strong evidence is not mistaken for a positive effect.

How to read this →

Growth-hormone stimulation

Human evidence
Early human pharmacology

Context: Healthy adults

Finding: Human endocrine target engagement is demonstrated.

Uncertainty / evidence gap: No established lifestyle outcome such as muscle gain, fat loss, recovery or anti-ageing.

Verified 2026-09-18Primary source ↗

Fat loss / muscle gain / recovery benefit

Evidence gap
No demonstrated clinical lifestyle-outcome efficacy in identified human PK/PD research

Context: Healthy adults

Finding: Human target engagement is real.

Uncertainty / evidence gap: No controlled evidence identified for muscle gain, fat loss, injury recovery or anti-ageing outcomes.

Verified 2026-09-18Primary source ↗

Postoperative ileus recovery

Human evidence
Randomized double-blind Phase II human evidence

Context: Adults after bowel resection

Finding: A legitimate Phase II human efficacy test was negative.

Counter-evidence / null result: Primary endpoint P=0.15; no significant key/secondary efficacy benefit.

Verified 2026-09-18Primary source ↗

Human safety and route/formulation uncertainty

Regulatory context
Clinical exposure plus regulator safety concern

Context: Compounded injectable ipamorelin

Finding: Safety cannot be generalized from short IV clinical exposure to compounded subcutaneous wellness use.

Safety / tolerability context: No adequate subcutaneous safety dataset identified.

Evidence rule: an outcome-specific evidence label is not a recommendation, a safety rating or an overall score for the compound.

Evidence synthesis

  • ✓Human endocrine target engagement is demonstrated.
  • ✓Human target engagement is real.
  • ✓A legitimate Phase II human efficacy test was negative.
  • ✓Safety cannot be generalized from short IV clinical exposure to compounded subcutaneous wellness use.

Important limitations

  • !Small early-phase studies.
  • !Human program is small and early.
  • !Specific inpatient postoperative population, IV route and short duration.
  • !Attribution of individual serious events should follow FDA's review rather than be independently inferred from the trial abstract.

Selected study & evidence records

Human pharmacokinetics and GH response to ipamorelin

1999 · Dose-escalation pharmacokinetic/pharmacodynamic study · n=8

Ipamorelin showed a roughly 2-hour terminal half-life and dose-related GH responses, with GH peak around 0.67 hours.

Study detail → Primary source ↗

Ipamorelin for postoperative ileus after bowel resection

2014 · Multicenter, randomized, double-blind, placebo-controlled proof-of-concept trial · n=117 enrolled; 114 safety/mITT

Median time was 25.3 hours with ipamorelin versus 32.6 hours placebo; difference was not statistically significant (P=0.15). Key and secondary efficacy analyses were not significant.

Study detail → Primary source ↗

Safety and unknowns

FDA notes immunogenicity/impurity concerns and serious adverse events in an IV gastric-motility study, including deaths, with insufficient information for other injection uses.

FDA cites serious adverse events in the IV clinical programme and says adequate safety information for other injectable routes is lacking; compounded-product impurity and immunogenicity issues also matter.

Technical details

Mechanism / biologyAgonist at the growth-hormone secretagogue receptor, producing a pulse of GH release.
Route / formulation boundaryThe Phase II evidence was intravenous in postoperative patients and cannot be transferred to subcutaneous wellness/bodybuilding use.
Identity / data-quality noteUse the canonical compound identity and studied formulation when interpreting evidence.
Study / label regimen evidenceVerified study/label regimen evidence is available. Published human pharmacology regimen. Open descriptive regimen evidence →
Identifiers & alternate namesIPA

Source depth & provenance

WhichPeps does not rely on a single headline study when the evidence base is broader. Primary research, registries, regulators and supporting records are kept distinct.

2structured study records
4outcome records
6linked source records

How to read these counts: they show evidence coverage, not evidence strength. One large, well-designed study can be more informative than several weak or indirect records.

Show supporting and discovery sources

Study pages above contain the records used for public evidence summaries. The links below include supporting, regulatory and literature-discovery sources; a registry or search result is not treated as proof of benefit.

Evidence rule: WhichPeps keeps human, animal, laboratory, regulatory and product/formulation evidence distinct. Common names help people find the page; they do not change the underlying scientific identity.