Supplement · graded by use, four uses
Sermorelin (GHRH 1-29)
Growth hormone and IGF-1 response in older adults.
Grade D, not yet tested: no human randomized trial has been run. This D records missing trials, not a finding that it does not work. How to read a grade →
Sermorelin is a lab-made hormone that tells the body to release growth hormone. It is sold to slow aging. No study has compared it with a dummy treatment and reported results. Two tiny studies from one group found that growth hormone rose. No study shows better strength, thinking or longer life.
The D belongs to one of the four uses graded on this record. The other three carry their own letters.
As studied, and the trials
Untested against placebo An inactive substitute made to look like the real treatment, so participants cannot tell which one they received.. Corpas et al. (J Clin Endocrinol Metab, 1992; PMID PubMed ID: the permanent number the US National Library of Medicine gives a published paper. Each one links to that paper's record on PubMed. 1379256): 10 old men took 0.5 mg and 1 mg twice daily for 14 days each in random order, with no placebo arm; growth hormone and IGF-1 rose, more at the higher dose. Vittone et al. (Metabolism, 1997; PMID 9005976): 11 men aged 64 to 76, 6 weeks, uncontrolled; nocturnal growth hormone rose, IGF-1 did not. This site defines a randomized controlled trial People are assigned to the treatment or a comparison by chance, so the groups differ only in what they received. It is the design that can show cause and effect. as people randomly assigned to treatment or placebo, and neither study had a placebo or untreated arm, so neither of them is a randomized trial against placebo. Under review since October 2026: Vitiello et al. (Neurobiol Aging, 2006), the trial named in the cognition row, is a six-month placebo-controlled trial of GHRH(1-29) in healthy older adults and may report growth hormone and IGF-1 results; the row stays D until it is read in full. A rise in growth hormone would in any case show that the drug acted, not that health changed.
As studied, and the trials
The only study of sermorelin itself that measured body composition, PMID 9005976, was open-label Everyone in the trial knows which treatment they are receiving, so expectations can shape the results, especially for symptoms people report themselves. and uncontrolled and found no change in DEXA fat or muscle, weight or BMI over 6 weeks. No randomized trial of sermorelin has measured body composition (PubMed, October 2026). The trials in this class that found lean-mass gains used different molecules: the [Nle27] analog (Khorram et al., 1997; PMID 9141536) and GHRH(1-44) at 4 mg twice daily for 3 months (Veldhuis et al., J Clin Endocrinol Metab, 2004; PMID 15579798), shown as context without grade weight. D, Route 1 No human randomized trial has been run, so the record rests on animal or mechanistic evidence only. One of the two routes to the lowest letter on EBL's scale.: untested in a randomized trial.
As studied, and the trials
One placebo-controlled trial of GHRH(1-29) reports cognitive outcomes: Vitiello et al. (Neurobiol Aging, 2006; PMID 16399214), 89 healthy older adults over 6 months, better scores on several of the tests measured. It was identified by an outside audit, is being read in full, and the row is under review until then. The positive cognition trial in this drug class (Baker et al., Arch Neurol, 2012; PMID 22869065) used tesamorelin, a different molecule, and Friedman et al. (JAMA Neurol, 2013; PMID 23689947) is a brain spectroscopy substudy of that same trial, not a second trial; both are shown in this entry's caveat and carry no part of any grade here.
As studied, and the trials
No human randomized trial of sermorelin or GHRH(1-29) reports a mortality, frailty or longevity endpoint The outcome a trial measures to decide whether the treatment worked, such as heart attacks, blood pressure or a symptom score.. Every human study of this molecule measured hormone levels, growth velocity or short-term body composition.
Read the grade that matches your goal. How EBL grades by use →
- Dose studied
- Varied across the cited trials
- Form graded
- Compounded sermorelin acetate
- Evidence behind the D
- PMID 1379256 →PMID 9005976 →
A letter describes the human evidence, not the product, the manufacturer, or the ingredient's worth.
See the full evidence record →No human randomized trial has tested this at the dose and form graded, so there is nothing for a higher letter to rest on. A Route 1 Grade D records the absence of trials. It is not a finding against the compound, and it is not a finding that the compound is safe, because neither has been established. It may turn out to work once someone tests it. The grade moves when a qualifying human trial reports.
No trial has compared sermorelin with placebo; two tiny studies measured growth hormone only, and no health outcome has a trial.
Why this gradeGrade D, not yet tested. The reasoning, and what the grade does not cover.
Grade D on Route 1: untested. This site counts a randomized controlled trial as people randomly assigned to treatment or placebo. The only randomized study of sermorelin (Corpas 1992, PMID 1379256) randomized the order of two active doses in 10 older men with no placebo arm, and the other studies of the molecule were uncontrolled (Vittone 1997, PMID 9005976), so neither is a randomized trial against placebo. Under review since October 2026: a six-month placebo-controlled trial of GHRH(1-29) in healthy older adults (Vitiello et al., Neurobiol Aging, 2006; PMID 16399214) reports cognitive outcomes, and the growth hormone and cognition rows stay D until it is read in full.
WHAT THIS GRADE DOES NOT COVERany benefit a reader would feel; compounded preparations, whose potency is not reviewed before dispensing; and the marketing claims about lean mass and cognition, which rest on other molecules.
A grade describes the human evidence for a named use. It is not advice, and it is not a judgment on any individual prescription. How the letters are decided →
Who responds: this record's trial reading reports no subgroup that identifies who responds.
How this letter has changed · latest: October 2026 · Corrected
An outside audit of October 2026 identified Vitiello et al. (Neurobiol Aging, 2006; PMID 16399214), a six-month placebo-controlled trial of growth hormone-releasing hormone (GHRH 1-29) in 89 healthy older adults with cognitive outcomes. The record said no placebo-controlled trial of sermorelin exists; that sentence is withdrawn. The absence search used the drug's names and missed a trial indexed under the hormone's name. Both rows carry a review flag and stay D until the paper is read in full.PMID 16399214
The hormone-response use was graded C on Corpas et al. (J Clin Endocrinol Metab, 1992; PMID 1379256), which randomized only the order of two active doses in 10 men, and Vittone et al. (Metabolism, 1997; PMID 9005976), which was uncontrolled. The site's written definition of a randomized controlled trial is people randomly assigned to treatment or placebo; neither study had a placebo arm, so sermorelin has not been tested in a randomized trial on any outcome. The use moves to D on Route 1 and the headline follows. Applied the written grade definition at the editor's request of October 2026 to settle the calls the definitions decide (Arnold Sandlow, D.C.).PMID 1379256 PMID 9005976
The title read Grade C for the hormone response while the headline letter was D, and the hormone row called two studies from the same National Institute on Aging group independent. Under the site's convention the headline follows the best use, so it is C; every health outcome stays D on Route 1 on its own row. The hormone row now says Corpas 1992 (PMID 1379256) randomized dose order only, with no placebo, and Vittone 1997 (PMID 9005976) was uncontrolled. The cognition row and ref called Friedman 2013 (PMID 23689947) a second positive trial; it is a spectroscopy substudy of Baker 2012 (PMID 22869065). Veldhuis 2004 (PMID 15579798), GHRH(1-44), is added as context beside the other different-molecule trials. DEXA lean and fat mass are retyped as a surrogate. The editor may prefer the headline held at D for health outcomes, as the record formerly had it. Applied the written grade definition under the editor's standing instruction of October 2026 (Arnold Sandlow, D.C.).PMID 1379256 PMID 15579798 PMID 22869065 PMID 23689947 PMID 9005976
Every change to a letter on this site is dated and published. The full evidence log →
Commercial disclosure
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Doses and schedules differed across the four cited human studies of this molecule. See the cited trials for the dosing each used.
Sermorelin is no longer an FDA-approved product. Material dispensed today is compounded, and compounded preparations are not reviewed by FDA for potency or purity before they reach a patient.
The cited studies gave sermorelin by injection under the skin: twice daily in one (PMID 1379256) and once nightly in another (PMID 9005976).
Checked against the published summaries; the full papers could not be read. What the cited trials did, not a schedule. Every supplement, by trial timing →
The headline letter on this page is the lowest of the four below, because the endpoints people ask about (body composition, cognition, mortality) are the ones with the least evidence behind them. Each use carries its own letter and its own citations.
Two small human studies of GHRH(1-29) itself disagree. PMID 1379256 found growth hormone and IGF-1 rose at the higher of two doses over 14 days in 10 men. PMID 9005976 found nocturnal growth hormone release rose while IGF-1 did not change over 6 weeks in 11 men, in an uncontrolled design. Small and mixed human trial data is C. A hormone level is a biomarker, not a health outcome.
The only study of sermorelin itself that measured body composition, PMID 9005976, found no change in DEXA fat or muscle, weight or BMI over 6 weeks; it was open-label and uncontrolled. The single placebo-controlled trial in this class that did find a lean-mass increase, PMID 9141536, used the [Nle27] analog rather than sermorelin and found the effect in men only. C reflects small and mixed human data, not a demonstrated effect.
No human randomized trial of sermorelin or GHRH(1-29) reports a cognitive outcome. The two positive cognition trials in this drug class used tesamorelin, a different molecule; they are shown in this entry's caveat and carry no part of any grade here.
No human randomized trial of sermorelin or GHRH(1-29) reports a mortality, frailty or longevity endpoint. Every human study of this molecule measured hormone levels, growth velocity or short-term body composition.
Sermorelin acts on the growth hormone axis. It has been studied in humans only in small, short trials, none longer than six weeks in adults. Use is a decision for a clinician, especially in pregnancy, alongside medication, or with a health condition.
No human drug-interaction study of sermorelin has been published. Check for drug interactions with your clinician or pharmacist.
Human studies exist in which drugs change the GH response to GHRH, and none of them names sermorelin. Eighteen records returned in August 2026 and this is the most interesting of the six, because several are genuine human co-administration studies: pyridostigmine measurably enhances, and acipimox potentiates, the growth hormone response to GHRH. Sermorelin is GHRH 1-29. But those papers are indexed under Growth Hormone-Releasing Hormone with no fragment named, so it cannot be said from them which peptide was given. The record's claim that no human drug-interaction study of sermorelin has been published is therefore literally accurate and incomplete: a reader should know the GHRH-response literature exists and that pharmacodynamic interaction at this receptor is measurable in people. Basis: pharmacological mechanism, not a human study. Searched PubMed in August 2026: 1 query, 18 human results.
The human studies of sermorelin itself measured growth hormone secretion, IGF-1, and in one case growth velocity in children. Growth hormone and IGF-1 are biomarkers of the axis the drug acts on, not health outcomes. The one adult study that measured body composition found no change. A six-month placebo-controlled trial of GHRH(1-29) in healthy older adults (Vitiello et al., Neurobiol Aging, 2006; PMID 16399214) reports cognitive outcomes and is under review.
Primary evidenceNine papers, each linked to its PubMed record.
Corpas et al. (Journal of Clinical Endocrinology and Metabolism, 1992; PMID 1379256) - 14-day randomized dose-comparison in 10 older men: growth hormone and IGF-1 rose at the high dose only; body composition was not measured. Vittone et al. (Metabolism, 1997; PMID 9005976) - 6-week open-label uncontrolled study in 11 men aged 64 to 76: nocturnal growth hormone release rose, while IGF-1, IGFBP-3, growth-hormone-binding protein, DEXA fat and muscle, weight, BMI, glucose, insulin, lipids and muscle histology did not change. Kirk et al. (Clinical Endocrinology, 1994; PMID 7955460) - uncontrolled study in 18 children with idiopathic short stature: growth velocity rose from 4.8 to 7.2 cm per year and returned toward baseline after treatment stopped. Mendias and Awan (Sports Medicine, 2026; PMID 41966639) - narrative review placing sermorelin among compounded peptides for which rigorous human safety data are scarce. Grade D on Route 1 for every use: no trial has compared sermorelin with placebo, on the hormone response or on any longevity, body-composition or cognitive outcome. The strongest trials in this drug class used different molecules and are shown to the reader without carrying any grade: Khorram et al. (JCEM, 1997; PMID 9141536) used [Nle27]GHRH(1-29)NH2, Baker et al. (Archives of Neurology, 2012; PMID 22869065) used tesamorelin, with Friedman et al. (JAMA Neurology, 2013; PMID 23689947) a brain GABA spectroscopy substudy of the same trial rather than a second cognition trial, and Veldhuis et al. (JCEM, 2004; PMID 15579798) used GHRH(1-44) at 1 or 4 mg twice daily for 3 months in 22 men, raising GH, IGF-1 and fat-free mass at the higher dose; and Sigalos et al. (American Journal of Men's Health, 2017; PMID 28830317) gave sermorelin combined with GHRP-2 and GHRP-6.
Four of the papers a reader will find under this heading study a different molecule or a different drug. Sermorelin is unmodified GHRH(1-29)NH2. Khorram 1997, PMID 9141536 used [Nle27]GHRH(1-29)NH2, a stabilized analog; Baker 2012, PMID 22869065 and Friedman 2013, PMID 23689947 used tesamorelin, a stabilized GHRH(1-44) analog and the only molecule in this class with a well-powered double-blind placebo-controlled trial. Sigalos 2017, PMID 28830317 gave sermorelin together with GHRP-2 and GHRP-6, so nothing in it can be attributed to sermorelin alone. They are retained because the substitution of these trials for sermorelin evidence is the single most common claim made for the drug, and a reader who searches will land on them. They support no claim about sermorelin.
No human randomized trial of this molecule on a cognitive endpoint was identified. The synonym-expanded stem returns 34 randomized trials overall and 214 human records, so the zero is an absence of cognition trials, not an absence of literature.
- Query run
- (sermorelin[tiab] OR "GHRH(1-29)"[tiab] OR "GHRH 1-29"[tiab] OR "GRF(1-29)"[tiab] OR "GRF 1-29"[tiab] OR "growth hormone-releasing hormone(1-29)"[tiab]) AND randomized controlled trial[pt] AND (cognition[tiab] OR cognitive[tiab] OR memory[tiab])
- Database
- PubMed
- Date run
- 2026-07
- Human randomized trials returned
- 0
No human randomized trial of this molecule on a mortality, frailty or longevity endpoint was identified. The same synonym-expanded stem returns 34 randomized trials overall, so the zero is specific to the endpoint.
- Query run
- (sermorelin[tiab] OR "GHRH(1-29)"[tiab] OR "GHRH 1-29"[tiab] OR "GRF(1-29)"[tiab] OR "GRF 1-29"[tiab] OR "growth hormone-releasing hormone(1-29)"[tiab]) AND randomized controlled trial[pt] AND (mortality[tiab] OR longevity[tiab] OR "all-cause"[tiab] OR frailty[tiab])
- Database
- PubMed
- Date run
- 2026-07
- Human randomized trials returned
- 0
Sermorelin was approved by the FDA in 1997 as Geref for pediatric growth hormone deficiency. The manufacturer discontinued it in 2008; the Federal Register records that the drug was not withdrawn from sale for reasons of safety or effectiveness. It is no longer an FDA-approved product and is available only through compounding.
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These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. The grade on this page describes the strength of published human trial evidence in the populations studied. It is not a recommendation for any individual and is not medical advice. Starting, stopping or changing any supplement or medication is a decision for your physician.
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