Reference

Compounds

Every compound we have graded, one page each. The letter is the best-supported outcome; the page holds the full matrix.

Graded76
Grade A20
Grade D20
Added weeklyYes
Grade
Status
76 of 76

BPC-157

D

Synthetic pentadecapeptide from a gastric protein. Striking animal results; no controlled human trials.

Human trials0 controlled
StatusNot approved

Semaglutide

A

GLP-1 receptor agonist. Among the most-studied molecules of the decade; approved for diabetes and obesity.

Human trials30+ RCTs
StatusApproved (Rx)

Retatrutide

B

Triple GIP / GLP-1 / glucagon agonist. Two phase 3 obesity trials and a phase 3 diabetes trial are published; not approved anywhere.

Human trials3 phase 3 RCTs published (n=2,339; n=1,152; n=537); 2 phase 3 topline
StatusInvestigational

Tirzepatide

A

Dual GIP / GLP-1 agonist. Approved; beat semaglutide in a direct head-to-head trial.

Human trials15+ RCTs
StatusApproved (Rx)

Tesamorelin

B

GHRH analogue. Approved for one narrow indication; the general-population claims are extrapolation.

Human trialsSeveral RCTs
StatusApproved (Rx, US)

Ipamorelin

C

Selective GH secretagogue. One real randomised trial in humans — and it was negative.

Human trials1 RCT (negative) + small early-phase
StatusNot approved

GHK-Cu

C

Copper-binding tripeptide. Modest human evidence for topical skin use; injected use has none.

Human trialsSmall topical trials
StatusCosmetic ingredient

Epitalon

D

Synthetic tetrapeptide from a Russian gerontology institute. The human studies mostly tested a different product.

Human trialsUncontrolled, single group
StatusNot approved

TB-500

D

Fragment of thymosin beta-4. Human trials exist only as an eye drop; the injectable use has none.

Human trials0 for injected use
StatusNot approved

Cagrilintide

B

Long-acting amylin analogue. Strong phase 3 data in combination with semaglutide; not yet approved.

Human trialsPhase 3 published
StatusInvestigational

Semax

D

Russian-developed heptapeptide, registered in Russia, unstudied elsewhere.

Human trialsRussian-language, largely uncontrolled
StatusNot approved (outside Russia)

Selank

D

Russian anxiolytic peptide, registered in Russia. Same evidence problem as Semax.

Human trialsRussian-language, small
StatusNot approved (outside Russia)

PT-141

A

An approved medicine — for one indication, in one population, with a 40% nausea rate.

Human trials2 phase 3 RCTs (n=1,267)
StatusApproved (Rx, US)

Sermorelin

C

Was an approved medicine for diagnosing growth-hormone deficiency in children. Withdrawn commercially; adult use is off-label with thin data.

Human trialsApproved paediatric use; small adult studies
StatusWithdrawn (US brand)

CJC-1295

C

Long-acting GHRH analogue. Raises growth hormone for days; development stopped and no outcome trial exists.

Human trialsEarly-phase only; programme discontinued
StatusNot approved

AOD-9604

D

A fat-loss peptide that was properly tested in humans — and failed.

Human trials900+ participants; no effect
StatusNot approved

MOTS-c

D

Mitochondrial-derived peptide with striking mouse metabolic data and no human trial.

Human trials0 controlled
StatusNot approved

Liraglutide

A

First-generation daily GLP-1 receptor agonist. Approved for diabetes and obesity; generics arriving.

Human trials20+ RCTs
StatusApproved (Saxenda, Victoza)

Survodutide

B

GLP-1/glucagon dual agonist. Phase 3 published for obesity and liver disease; not yet approved.

Human trials2 phase 3 RCTs published (n=725; n=752)
StatusInvestigational

Mazdutide

A

GLP-1/glucagon dual agonist. Approved in China for obesity and type 2 diabetes; phase 2 elsewhere.

Human trials3 phase 3 RCTs
StatusApproved in China only

Kisspeptin

C

Reproductive-axis neuropeptide. Small academic trials in fertility and low sexual desire; not approved.

Human trials10+ small studies
StatusNot approved

Thymosin α1

B

Immune-modulating thymic peptide. Approved in China and ~30 other countries; failed its largest trial.

Human trials20+ RCTs
StatusApproved outside US/EU (Zadaxin)

LL-37

C

The human cathelicidin antimicrobial peptide. Two randomised wound-healing trials; not approved.

Human trials2 RCTs (topical)
StatusNot approved

SS-31 (elamipretide)

C

Mitochondria-targeting tetrapeptide. Newly approved for one ultra-rare disease after a decade of failed trials in bigger ones.

Human trialsSeveral RCTs (mostly negative) + one approval
StatusApproved (Rx, US; Barth syndrome only)

Oxytocin (intranasal)

C

A real hormone with a real injectable licence — and a nasal-spray reputation its trials do not support.

Human trialsMany RCTs (intranasal mostly null)
StatusApproved (Rx) as injection; intranasal use unlicensed

Melanotan II

C

A tanning-and-erection peptide with real small-trial signals and real, documented harms.

Human trialsSmall early-phase trials
StatusNot approved

Hexarelin

C

A potent GH-releasing peptide whose effect fades with continued use — and that was never developed further.

Human trialsEarly-phase human studies
StatusNot approved

GHRP-2

C

A GH-releasing peptide approved in Japan as a diagnostic — not as the muscle drug it is sold as.

Human trialsDiagnostic-grade + small studies
StatusApproved (diagnostic, Japan)

GHRP-6

C

The original GH-releasing peptide — a good diagnostic tool, an unproven physique drug.

Human trialsDiagnostic studies + small work
StatusNot approved

NAD+ and precursors

C

Not a peptide, but sold in the same market — supplements that raise a coenzyme, with clinical benefit still unproven.

Human trialsSeveral RCTs of precursors
StatusSold as supplement (NR/NMN); IV NAD+ unlicensed

KPV

D

An anti-inflammatory tripeptide with real mouse data and no human trial at all.

Human trials0 controlled
StatusNot approved

Humanin

D

A mitochondria-encoded peptide with striking lab biology and only observational human data.

Human trials0 controlled
StatusNot approved

Dihexa

D

A potent synaptogenic molecule in rodents, and nothing at all in humans.

Human trials0 controlled
StatusNot approved

5-Amino-1MQ

D

A metabolic enzyme inhibitor with mouse fat-loss data and no human trial.

Human trials0 controlled
StatusNot approved

Orforglipron

A

The first oral small-molecule GLP-1 agonist, approved in the US for weight management in April 2026. A pill, not an injection — and not a peptide.

Human trialsPhase 3 programme published
StatusApproved (Rx) — United States

Amycretin

C

A GLP-1 and amylin agonist in one molecule, now named zenagamtide. The largest early-phase weight loss yet reported — in 125 people; two phase 2 diabetes trials published since.

Human trials1 phase 1b/2a RCT (n=125); 2 phase 2 RCTs in type 2 diabetes
StatusInvestigational (early phase)

Human growth hormone (somatropin)

A

An approved medicine for growth-hormone deficiency, and the original anti-ageing drug the evidence does not support.

Human trialsMany RCTs + meta-analysis
StatusApproved (Rx) for deficiency; anti-ageing use unlawful in the US

HCG (human chorionic gonadotropin)

A

A real fertility medicine, and the subject of one of the most thoroughly refuted weight-loss claims in medicine.

Human trialsApproval-grade + meta-analysis
StatusApproved (Rx) for fertility and hypogonadism; not for weight loss

Glutathione

C

The body's main antioxidant, sold by injection for skin lightening on inconclusive evidence.

Human trialsSmall RCTs; systematic reviews inconclusive
StatusSupplement; injectable use unapproved

IGF-1 LR3

D

A laboratory reagent sold as a muscle drug. No human trial has ever tested it.

Human trials0 controlled
StatusNot approved; research reagent

DSIP (delta sleep-inducing peptide)

C

A sleep peptide that was actually tested in insomnia in the 1980s — and mostly did not work.

Human trialsSeveral small trials, 1981–1998
StatusNot approved

MK-677 (ibutamoren)

B

An oral, non-peptide growth-hormone secretagogue — the one with a year-long randomised trial, which found more lean mass and no less fat.

Human trials2 large RCTs (n=65 over 2 yr; n=563 over 1 yr) + small studies
StatusNot approved

Dulaglutide

A

Once-weekly GLP-1 medicine approved since 2014. A cardiovascular-outcomes trial in nearly 10,000 people; weight loss well below the newer drugs.

Human trialsREWIND (n=9,901) + AWARD programme
StatusApproved (Rx)

Exenatide

A

The first GLP-1 medicine, from lizard venom, approved in 2005. Neutral in its cardiovascular trial; negative as a Parkinson's treatment.

Human trialsEXSCEL (n=14,752) + DURATION programme + Parkinson's phase 3
StatusApproved (Rx)

Gonadorelin (GnRH)

B

The natural hormone at the top of the reproductive axis. A licensed diagnostic and fertility treatment — and a TRT-clinic add-on with no trial for that use.

Human trialsDecades of pulsatile-therapy studies; meta-analysis of 420 men; no trial of the TRT use
StatusLicensed (diagnostic / pulsatile); TRT use unstudied

Afamelanotide (Melanotan I)

A

The original tanning peptide — which became an approved medicine for a rare light-sensitivity disease, as a 60-day implant.

Human trials2 phase 3 RCTs (n=168) + long-term registry data
StatusApproved (Rx) — erythropoietic protoporphyria

Setmelanotide

B

An approved obesity peptide — for a few thousand people worldwide with specific genetic defects, on trials of ten and eleven patients.

Human trialsSingle-arm phase 3 trials (n=10, n=11) with placebo-withdrawal; BBS trial (n=38); acquired hypothalamic obesity phase 3 RCT (n=120)
StatusApproved (Rx) — rare genetic obesity; hypothalamic obesity in Canada

Follistatin 344

D

A myostatin-blocking protein sold as a muscle-building injection. The only human data is a six-patient gene-therapy trial — of a different thing.

Human trials0 for the injected protein; 1 gene-therapy trial (n=6)
StatusNot approved; research reagent

Noopept (omberacetam)

D

A Russian dipeptide-derived nootropic, registered there since 2007, with one published trial — whose abstract is not even indexed.

Human trials1 Russian comparative trial vs piracetam (2008); no independent replication
StatusNot approved (outside Russia)

Cerebrolysin

C

A pig-brain peptide mixture given by infusion for stroke and dementia in some fifty countries. Cochrane: no effect on death after stroke, more serious adverse events.

Human trials7 RCTs in stroke (n=1,773); 6 RCTs in vascular dementia (n=597); many small trials
StatusApproved in Austria, Russia, China and others; not US/UK/EU-wide

Teriparatide

A

The first medicine that builds bone rather than slowing its loss. Approved since 2002 on a trial that cut spinal fractures by two-thirds.

Human trialsFracture Prevention Trial (n=1,637) + head-to-head VERO trial
StatusApproved (Rx)

Leuprolide (leuprorelin)

A

A GnRH analogue that switches the sex-hormone axis off. Forty years as a standard prostate-cancer treatment, and the drug behind most puberty suppression and IVF protocols.

Human trialsRandomised trials since 1984; decades of use
StatusApproved (Rx)

Pramlintide

A

The first amylin drug, approved in the US in 2005 for diabetes. Modest weight loss in trials — and the ancestor of cagrilintide.

Human trialsApproval programme + 12-month obesity RCT (n=411)
StatusApproved (Rx, US only)

Octreotide

A

A synthetic version of the hormone that switches growth hormone off. Approved since 1988 for acromegaly and hormone-secreting tumours — and it slows those tumours' growth.

Human trialsPROMID RCT (n=85) + approval programmes + decades of use
StatusApproved (Rx)

PEG-MGF

D

A pegylated fragment of a muscle-made IGF-1 variant, sold for repair and growth. Never injected into a human in any study.

Human trials0 — every human study measures the body's own MGF
StatusNot approved; research reagent

Adipotide

D

A peptide designed to kill the blood vessels that feed fat. Dramatic in obese monkeys, kidney-toxic in the same monkeys, and never reported in a human.

Human trials0 published; a phase 1 in prostate cancer was registered and never reported
StatusNot approved; investigational (stalled)

AHK-Cu

D

GHK-Cu's less-studied cousin, sold for hair growth. One laboratory study on plucked follicles; no human trial.

Human trials0 — one ex vivo follicle study
StatusCosmetic ingredient; no clinical evidence

VIP (vasoactive intestinal peptide)

B

A 28-amino-acid gut and nerve hormone. Licensed in a few countries for erectile dysfunction; a 461-person COVID trial found nothing; sold as a nasal spray for 'mould illness' with no trial at all.

Human trialsTESICO RCT (n=461) + earlier sponsor RCT; small trials in ED and pulmonary hypertension
StatusLicensed narrowly (ED, some countries); other uses unapproved

ARA-290 (cibinetide)

C

An 11-amino-acid fragment of erythropoietin that repairs without raising red cells. A real phase 2 in a rare neuropathy; sold online for everything else.

Human trialsPhase 2 RCTs in sarcoidosis neuropathy (n=64) and diabetes; no phase 3
StatusNot approved; investigational

CagriSema

B

Cagrilintide and semaglutide in one pen. Two published phase 3 trials: 20.4% weight loss at 68 weeks — less than the company had hoped, more than either drug alone.

Human trials2 phase 3 RCTs published (n=3,417; n=1,206); 2 further phase 3 topline (Sep 2026)
StatusInvestigational (filed)

Eloralintide

C

Lilly's selective amylin agonist. A published 48-week phase 2 found up to 20% weight loss with fatigue, not nausea, as the signature side effect.

Human trials1 phase 2 RCT published (n=263); 1 phase 2b topline with tirzepatide (n=367); phase 3 running
StatusInvestigational (phase 3)

Maridebart cafraglutide

B

Amgen's once-monthly antibody with two GLP-1 peptides attached. Up to 16% weight loss at 52 weeks in a published phase 2, with a GIP-blocking twist.

Human trials1 phase 2 RCT (n=592); phase 3 running
StatusInvestigational (phase 3)

Ecnoglutide

B

A Chinese once-weekly GLP-1 analogue with a published phase 3: 13.2% weight loss at 40 weeks. Approved nowhere outside China's review process.

Human trials3 phase 3 RCTs published (obesity n=664; two in diabetes)
StatusInvestigational (phase 3 published)

Abaloparatide

A

The second bone-building peptide. An 18-month trial of 2,463 women cut new spinal fractures by more than 80%, with less high calcium than teriparatide.

Human trialsACTIVE RCT (n=2,463) + extension
StatusApproved (Rx)

Calcitonin (salmon)

A

A 32-amino-acid hormone that was an osteoporosis medicine for thirty years — until a cancer signal and a marginal fracture trial ended most of that use.

Human trialsPROOF RCT (n=1,255, 5 yr) + regulatory meta-analyses
StatusApproved (Rx, restricted)

Desmopressin

A

A nine-residue vasopressin analogue in use since the 1970s. Cuts night-time urination modestly; causes dangerous low sodium in about one older adult in thirteen. Banned in sport as a masking agent.

Human trialsCochrane review (14 RCTs, n=2,966) + decades of use
StatusApproved (Rx)

Thymalin

C

A calf-thymus peptide extract registered in Russia since the 1980s. Its longevity claim rests on one St Petersburg series without randomisation or blinding.

Human trials1 uncontrolled long-term series (n=266); Russian reports
StatusNot approved (Russia only)

Pinealon

D

A three-amino-acid 'brain bioregulator' from the epitalon school. Cell and rat studies; the human reports are Russian, uncontrolled and unindexed.

Human trials0 controlled
StatusNot approved

FOXO4-DRI

D

The senolytic peptide. One landmark mouse paper in Cell, no human study of any kind, and a grey market that sells it as an anti-ageing injection.

Human trials0
StatusNot approved (preclinical)

Petrelintide

C

Zealand and Roche's weekly amylin analogue. A published phase 2: 8–10% weight loss at 28 weeks in 493 adults, with nausea in one in five. Phase 3 started in September 2026.

Human trials1 phase 2 RCT (n=493) and 2 phase 1 RCTs published; phase 3 running
StatusInvestigational (phase 3)

Lixisenatide

A

A once-daily GLP-1 medicine with a neutral heart trial and one unexpected result: slower motor decline in early Parkinson's disease, in a 156-person phase 2.

Human trialsGetGoal programme; ELIXA (n=6,068); LIXIPARK (n=156)
StatusApproved (Rx)

Insulin

A

The original peptide medicine, in use since 1922. Included as the reference point: what a century of evidence looks like, and what the sharpest peptide side effect looks like.

Human trialsDCCT (n=1,441), UKPDS (n=3,867) and a century of use
StatusApproved (Rx)

Collagen peptides

C

The best-selling peptide supplement. Pooled trials show better skin hydration and elasticity — until the trials are sorted by who paid for them, when the effect disappears.

Human trials20+ small RCTs; meta-analyses disagree by funding and quality
StatusFood supplement

Carnosine

C

A muscle dipeptide sold as a supplement for ageing and blood sugar. Eight small trials pooled show lower fasting glucose and HbA1c in prediabetes and diabetes.

Human trials8 small RCTs (n=377) in a meta-analysis
StatusFood supplement

Vilon

D

A two-amino-acid 'thymic bioregulator' from the epitalon school. Mouse lifespan and tumour studies; no human trial.

Human trials0
StatusNot approved

Cortexin

C

A Russian brain-extract injection for stroke and cognitive decline, like cerebrolysin. One double-blind trial of 272 patients exists — with no numbers in its abstract.

Human trials1 double-blind RCT (n=272, Russian); open trials
StatusNot approved (Russia only)

Open data

Every grade, outcome and reference on this site is available as JSON and plain text, CC BY 4.0. Build on it; cite “LYO Research” with a link.

/api/v1/compounds/llms-full.txt/llms.txt