
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 quatro em cada dimensão.
Mais alto é melhor. Números tabulares, metodologia em página própria, e sim — a fiabilidade do vendedor conta porque o risco de contrafação é real.
| # | COMPOSTO | EVIDÊNCIA | MECANISMO | HUMANO | VENDEDOR | SEGURANÇA | TOTAL |
|---|---|---|---|---|---|---|---|
| 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 |
Prós e contras
| O QUE FUNCIONA | O QUE NÃO FUNCIONA |
|---|---|
| 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. |
Alternativas testadas
Três compostos do mesmo conjunto comparativo.
- #6 · TAMBÉM TESTADO5.2CJC-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 · TAMBÉM TESTADO6.0SermorelinGHRH(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 · TAMBÉM TESTADO5.2IpamorelinGHRP-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.
Referências
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
Outras análises desta categoria
- #6 · TAMBÉM TESTADOCJC-1295Long-acting GHRH analogue. Strong mechanism, defined PK profile, very limited published human evidence beyond Phase 1.5.2/10
- #7 · TAMBÉM TESTADOIpamorelinSelective 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 · TAMBÉM TESTADOSermorelin29-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