
Analysis
Theratechnologies-developed synthetic analogue of human GHRH. FDA-approved 2010 (as Egrifta) for the treatment of excess abdominal fat in HIV-infected adults with lipodystrophy. Subsequent investigation in NAFLD/NASH and metabolic indications.
Tesamorelin is a synthetic stabilised analogue of human GHRH(1-44) developed by Theratechnologies and approved by FDA in 2010 (brand: Egrifta) for the reduction of excess abdominal fat in HIV-infected adults with lipodystrophy. Falagas 2010 (Clin Infect Dis) and the subsequent Stanley 2014 (JAMA) trial are the key evidence base. The Phase 2/3 work in HIV-associated NAFLD/NASH (Stanley 2019, Lancet HIV) extends the dossier into liver-fat-reduction outcomes within the HIV cohort. Methodology v1.2 scores Tesamorelin 7.7, the highest score among the GHRH/GHRP class because it is the only molecule in the class with a regulated indication, an established supply chain through specialty pharmacies, and a full Phase 3 dossier. The score remains below the GLP-1 RAs because the trial population is narrow (HIV-associated lipodystrophy, not general weight management) and the off-label use the research-channel market promotes, anti-aging, general body-composition, athletic performance, has no supportive trial evidence. WADA prohibits tesamorelin under Class S2. Within its approved indication and supervised under specialist HIV care, tesamorelin is the most-validated peptide in the GHRH class. Outside that indication, the evidence base is thin.
Top vier auf jeder Dimension.
Höher ist besser. Zahlen sind tabellarisch, die Methodik steht auf der Methodik-Seite, und ja — Anbieter-Verlässlichkeit zählt, weil das Fälschungsrisiko real ist.
| # | SUBSTANZ | EVIDENZ | MECHANISMUS | HUMANDATEN | ANBIETER | SICHERHEIT | GESAMT |
|---|---|---|---|---|---|---|---|
| 6 | CJC-1295 GRF(1-29) analogue with DAC modification | 5.5 | 7.5 | 3.0 | 4.5 | 5.5 | 5.2 |
| 7 | Ipamorelin GHRP-class growth-hormone secretagogue | 5.5 | 7.0 | 3.0 | 4.5 | 6.0 | 5.2 |
| 8 | Tesamorelin synthetic GHRH analogue (Egrifta) | 8.0 | 8.0 | 7.5 | 7.5 | 7.5 | 7.7 |
| 9 | Sermorelin GHRH(1-29), formerly Geref | 5.5 | 7.0 | 5.0 | 6.0 | 6.5 | 6.0 |
Vor- und Nachteile
| WAS FUNKTIONIERT | WAS NICHT FUNKTIONIERT |
|---|---|
| Falagas et al. 2010 and Stanley et al. 2014 are the key Phase 3 trials; the regulated indication is real and the Phase 4 surveillance dossier is meaningful. | WADA-prohibited (S2), athletic-population sanctions risk. |
| NAFLD/NASH Phase 2/3 trials (Stanley 2019, Lancet HIV) extend the dossier into liver-fat reduction in the HIV population. | Off-label prescribing for general anti-aging or fat-loss indications outside the approved HIV-lipodystrophy population is not supported by published trial evidence. |
| Established supply chain through regulated specialty pharmacies, the only GHRH-class peptide with a quality-controlled commercial route. | Daily subcutaneous injection; adherence ceiling lower than weekly molecules. |
| Long-term safety record across HIV-lipodystrophy cohorts since 2010. | Cost remains a meaningful barrier in non-insured contexts. |
Alternativen, die wir getestet haben
Drei Substanzen, die im selben Vergleichsset auftauchten.
- #6 · EBENFALLS REZENSIERT5.2CJC-1295GRF(1-29) analogue with DAC modification
Long-acting GHRH analogue. Strong mechanism, defined PK profile, very limited published human evidence beyond Phase 1.
- #9 · EBENFALLS REZENSIERT6.0SermorelinGHRH(1-29), formerly Geref
29-amino-acid GHRH fragment; previously FDA-approved for paediatric GH deficiency (Geref, withdrawn 2008). Now a compounding-pharmacy product without a current FDA-approved label.
- #7 · EBENFALLS REZENSIERT5.2IpamorelinGHRP-class growth-hormone secretagogue
Selective ghrelin receptor agonist with cleaner GH-release profile than older GHRPs. Phase 2 in postoperative ileus failed; remains a research-channel-only peptide.
Quellen
4 cited- Falagas et al. 2010, Tesamorelin HIV-lipodystrophy Phase 3, Clin Infect Dis
- Stanley et al. 2014, Tesamorelin and visceral fat in HIV, JAMA
- Stanley et al. 2019, Tesamorelin for NAFLD in HIV, Lancet HIV
- FDA Drugs@FDA, Egrifta (tesamorelin) labeling
Weitere Reviews in dieser Kategorie
- #6 · EBENFALLS REZENSIERTCJC-1295Long-acting GHRH analogue. Strong mechanism, defined PK profile, very limited published human evidence beyond Phase 1.5.2/10
- #7 · EBENFALLS REZENSIERTIpamorelinSelective ghrelin receptor agonist with cleaner GH-release profile than older GHRPs. Phase 2 in postoperative ileus failed; remains a research-channel-only peptide.5.2/10
- #9 · EBENFALLS REZENSIERTSermorelin29-amino-acid GHRH fragment; previously FDA-approved for paediatric GH deficiency (Geref, withdrawn 2008). Now a compounding-pharmacy product without a current FDA-approved label.6.0/10