Now reading Entry 039 / 102 Last revised Jan 22, 2026 18 sources 4 comparisons Methodology →
A specimen of the Hormonal drawer Drawer C · Hormonal

Ipamorelin

Research Only

A growth hormone secretagogue that stimulates GH release without significant effects on cortisol or prolactin. Developed by Novo Nordisk (Denmark); limited clinical development despite promising early data.

NNC 26-0161 · NNC-26-0161

Research evidence
Moderate

4 human studies

Preclinical
50%
Human research
22%

Based on 18 cited sources

Numeric assessment unreviewed

A historical numeric score is recorded but has not passed a current, compound-specific assessment review. No numeric score is displayed.

This is a limitation of the numeric assessment, not a measured absence of benefit. It does not re-review the separately recorded catalogue classification or establish efficacy or safety.

Scoring context and limitations
~
Evidence Level
moderate
FDA Category 1 reclassification pending formal rule publication (2026), returning to compounding eligibility.
Research Only
Identity
SCALE · 1:1 N-TERMINUS C-TERMINUS 5 AA · 711.85 Da
Also Known As
NNC 26-0161 • NNC-26-0161
Class
Pentapeptide Growth Hormone Secretagogue
Length
5 amino acids
Mol. weight
711.85 Da
Sequence
Aib-H-D-2Nal-D-Phe-K-NH2
Molecular Structure
Aib
H
Nal
dF
K
Hydrophobic
Polar
Positive
Negative

The proposed mechanisms of ipamorelin are based on clinical and preclinical studies. Human data exists but is limited to short-term Phase 1/2 trials.

How It Works (Simplified)

Ipamorelin acts as a selective growth hormone secretagogue through the ghrelin receptor:

GHS-R1a Agonism

Binds to the ghrelin receptor (GHS-R1a) on pituitary somatotrophs, triggering growth hormone release through Gq/11 protein activation.

Selective GH Release

Stimulates growth hormone secretion without elevating cortisol or prolactin levels, unlike older GH secretagogues (GHRP-6, GHRP-2).

Pulsatile Pattern

Mimics natural GH release pattern with discrete pulses rather than constant elevation, preserving physiological hormone rhythms.

Tolerability

High receptor selectivity results in minimal side effects compared to less selective GH secretagogues, with no significant appetite stimulation.

Key Research: Raun K et al. (Novo Nordisk, Denmark, 1998) identified ipamorelin as first selective GH secretagogue. PMID:9849822

Important Limitations

  • Not approved by FDA, EMA, or any regulatory agency
  • Phase 2 clinical trial for post-operative ileus failed to meet primary endpoint
  • Long-term safety data not available
  • Prohibited in athletic competition by WADA
  • Translation from preclinical to human outcomes is not fully established
i. GHS-R1a/Gq/11 Pathway · GH Release
IpamorelinGHS-R1a (ghrelin receptor)Gq/11 activationPLCIP3/DAGCa²⁺ releaseGH secretion
ii. IGF-1 Cascade · Downstream Effects
GH releaseHepatic IGF-1 productionSystemic anabolic effects
Mechanism Selective GHS-R1a (ghrelin receptor) agonism via Gq/11 signaling
Established 8 direct studies
Benefit shown to stimulate growth hormone release without affecting cortisol or prolactin
Evidence Level
Moderate
2 Human
5 Animal
2 In Vitro
Mechanism Phospholipase C activation and intracellular Ca2+ mobilization
Established 5 direct studies
Benefit shown to produce dose-dependent GH release with physiologic pulsatility
Evidence Level
Moderate
2 Human
4 Animal
3 In Vitro
Mechanism GHS-R1a activation in bone tissue
Supported 3 direct studies
Benefit may increase bone mineral content
Evidence Level
Low
3 Animal
1 In Vitro
Mechanism GHS-R1a activation with preserved peptidase resistance
Supported 4 direct studies
Benefit appears to be well-tolerated in clinical settings
Evidence Level
Low
1 Human
3 Animal
Mechanism Confidence
Established
Supported
Emerging
Evidence Level
High
Moderate
Low
Very Low

Reported positives

  • Improved sleep quality and deeper sleep reported
  • Subtle body composition improvements over time
  • Fewer side effects compared to other GH secretagogues
  • Improved recovery from exercise reported

Reported negatives

  • Effects subtle and slow to manifest
  • Injection timing and fasting requirements inconvenient
  • Head rush or flushing shortly after injection
  • Results plateau after extended use

“Popular GH secretagogue considered milder than GHRP options. Often combined with CJC-1295.”

Self-reported, unverified accounts — not clinical evidence and no substitute for the cited research. Anecdotes are prone to selection bias and placebo effects.

NCT ID Title Peptide Phase Status Completion
NCT00672074
Ipamorelin for Postoperative Ileus
Ileus
Ipamorelin Phase 2 Completed Dec 2009 (date type unverified)
NCT01280344
Dose-Finding Study of Ipamorelin for Post-Surgical GI Recovery
Gastrointestinal Dysmotility
Ipamorelin Phase 2 Completed Jun 2013 (date type unverified)
NCT00672074 Completed

Ipamorelin for Postoperative Ileus

Ipamorelin Phase 2 Completion: Dec 2009 (date type unverified)
NCT01280344 Completed

Dose-Finding Study of Ipamorelin for Post-Surgical GI Recovery

Ipamorelin Phase 2 Completion: Jun 2013 (date type unverified)
Phase 01 1
First Dose

Based on Phase 1 data: GH release begins within 15-30 minutes of injection. Peak GH levels occur approximately 30-60 minutes post-injection. Effects are acute and pulsatile.

PMID:9849822
Phase 02 2
Week 1-2

With daily or twice-daily dosing, GH pulsatility patterns established. Early studies showed dose-dependent GH release without significant cortisol or prolactin elevation. No desensitization observed.

PMID:9849822
Phase 03 3
Week 2-8

Sustained GH/IGF-1 elevations with continued use. Gastrointestinal motility effects noted in post-operative trials. Body composition changes may begin to become apparent.

PMID:25331030
Phase 04 4
Week 8+

Limited long-term data. Phase 2 POI trials used short-term administration. Extended use outcomes not well-characterized in clinical trials. No approved indications exist.

Research-based observations

This timeline reflects observations from published clinical and preclinical studies. Individual responses may vary significantly. This is not a guarantee of effects or a dosing schedule. Consult qualified healthcare providers for personalized guidance.

Synergistic
Compatible
Caution
Avoid

Frequently combined in research. Ipamorelin (ghrelin receptor) and CJC-1295 (GHRH receptor) act through complementary pathways, potentially producing additive GH release effects.

GHRH + GHRP synergy demonstrated in human studies. Sermorelin amplifies the GH pulse while ipamorelin initiates release. Combined effect may exceed either alone.

Both act on ghrelin receptor with different selectivity profiles. Ipamorelin is more selective with less cortisol/prolactin effects. No clear benefit to combining same-mechanism agents.

Same receptor target (GHS-R1a). GHRP-2 is more potent but less selective. No established rationale for combination.

GH secretagogues may affect glucose metabolism. Monitor blood glucose if using with GLP-1 agonists in diabetic patients.

Research Note: Interaction data is based on published literature, mechanistic understanding, and theoretical considerations. Most peptide combinations lack direct clinical study. This information is for educational purposes only and does not constitute medical advice. Always consult qualified healthcare providers.

This dossier synthesizes available evidence from peer-reviewed literature, regulatory documents, and clinical trial registries. Evidence strength labels summarize the cited material for this entry and should be read alongside its population, model, and study limitations.

For complete methodology details, see our Methodology page.

Important Disclaimer

This dossier is for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.

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Safety profile Ipamorelin: adverse events, contraindications and monitoring →

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