Evidence review
CJC-1295 and Ipamorelin: The Record Behind Each Half
CJC-1295 and ipamorelin were each tested in small human studies. The pair has never been tested together, and neither has a lawful compounding route.
The combination sold as "CJC-1295/ipamorelin" has never been tested in a human trial. Each half has a short record of its own: CJC-1295 raised growth hormone and IGF-1 in two small studies of healthy adults in 2006, and ipamorelin's only published randomized trial, in bowel surgery, missed its efficacy endpoint. Neither can be lawfully compounded in the US as of September 2026.
Two different ways to push growth hormone
The two molecules work on different receptors, which is the whole sales logic for pairing them.
CJC-1295 is a growth hormone-releasing hormone (GHRH) analog. It is built on the first 29 amino acids of human GHRH, the part that carries the activity, with four substitutions and a reactive group added to its end1. It acts where the body's own GHRH acts, telling the pituitary to release growth hormone.
Ipamorelin is a ghrelin mimetic, a five-amino-acid peptide that stimulates growth hormone through the receptor used by the growth hormone-releasing peptides. Novo Nordisk scientists described it in 1998 as "the first selective growth hormone secretagogue"2. In rats and swine it released growth hormone about as potently as GHRP-6. Unlike GHRP-6 and GHRP-2, it did not raise ACTH or cortisol, even at doses more than 200 times its effective dose2. That selectivity was shown in animals.
The pitch is that one signal sets the pulse and the other amplifies it. That is a reasonable hypothesis from physiology. It is not a finding, because nobody has run the experiment in people.
CJC-1295 with and without DAC
Sellers offer two products under this name, and only one of them is CJC-1295.
The molecule that ConjuChem developed and named CJC-1295 is the version with the reactive group, a maleimidopropionamide on a lysine at the end of the chain. That group binds the peptide to albumin in the blood, which stretches its life from minutes to days. In rats it was still in plasma beyond 72 hours1. This is the product sold as "with DAC". In healthy adults its half-life was estimated at 5.8 to 8.1 days3.
"CJC-1295 without DAC", also sold as "mod GRF 1-29", is the same modified 29-amino-acid chain without the albumin-binding group. It is a different molecule with a much shorter life in the body, and the human studies below were not done on it. A PubMed search for "mod GRF", "modified GRF", "tetrasubstituted GRF" or "CJC-1295 without DAC" returns no human trial of it in September 2026.
The human record for CJC-1295
Two published studies, both in healthy volunteers, both from 2006.
CJC-1295 in people
| Study | Who | Design | What it measured |
|---|---|---|---|
| Teichman 2006 | Healthy adults aged 21 to 61 | Two randomized, placebo-controlled, ascending-dose trials of 28 and 49 days | Growth hormone rose 2- to 10-fold for 6 days or more after one injection; IGF-1 rose 1.5- to 3-fold for 9 to 11 days. No serious adverse reactions reported |
| Ionescu 2006 | Healthy men aged 20 to 40 | Overnight sampling before and one week after one injection of 60 or 90 µg/kg | Growth hormone pulses kept their rhythm; trough levels rose 7.5-fold, mean GH 46%, IGF-1 45% |
| NCT00267527 | Adults with HIV-associated abdominal fat | Phase 2, placebo-controlled, 12 weeks, 120 planned | Terminated in 2006. No reason given and no results posted |
The first study established what the molecule does to the hormones: a single dose raised growth hormone for days and IGF-1 for over a week, with a cumulative effect after repeated doses3. The second found that growth hormone kept its pulsing pattern and that the rise came mostly from higher baseline levels between pulses4.
The only patient trial registered for it, in people with HIV-associated abdominal fat, was run by ConjuChem and ended as "terminated" in 20065. The record gives no reason, has no posted results, and a PubMed search for its registry number returns nothing. No trial in any patient group has reported an outcome for CJC-1295, whether body composition, strength, sleep or recovery.
FDA's own summary adds a safety line. In the section of its Category 2 page for nominations that were withdrawn, the agency states that it "has identified serious adverse events associated with CJC-1295 including increased heart rate and systemic vasodilatory reaction. Available clinical data are limited"6.
The human record for ipamorelin
Ipamorelin reached further into development than CJC-1295, but for a different purpose. Helsinn tested it as an intravenous treatment for postoperative ileus, the stalled gut after abdominal surgery. It was never tested in people as a body-composition or anti-aging drug.
Ipamorelin in people
| Study | Who | Design | Result |
|---|---|---|---|
| Gobburu 1999 | Healthy men, eight at each of five dose levels | Single 15-minute infusions at five doses | One growth hormone peak at about 40 minutes; half-life about 2 hours |
| Beck 2014, NCT00672074 | 117 enrolled after bowel resection, 114 analyzed | Phase 2, randomized, placebo-controlled; IV twice daily up to 7 days | Time to first tolerated meal 25.3 vs 32.6 hours, p = 0.15. No significant difference on any efficacy measure |
| NCT01280344 | 320 enrolled after bowel surgery | Phase 2, placebo-controlled; completed 2014 | No results posted and no publication found |
The pharmacology study found a short half-life of about 2 hours and a single burst of growth hormone after each infusion7. The surgery trial reported that ipamorelin "was well tolerated," with treatment-emergent adverse events in 87.5% of the ipamorelin group and 94.8% of the placebo group, and "no significant differences between ipamorelin and placebo in the key and secondary efficacy analyses"8. A second, larger surgery trial of 320 patients finished in 2014. Its registry record has no posted results, and a PubMed search for its number returns nothing9.
A registry search for "ipamorelin" also returns an observational study of combat veterans with PTSD, in which the word appears inside a supplementation arm. It is not a trial of ipamorelin.
FDA's text on ipamorelin cites a published study that "identified serious adverse events including death when ipamorelin was administered intravenously for improving gastric motility." It adds that FDA has not identified safety information for "certain other injectable routes"6. The subcutaneous injection sellers promote is one of those routes.
The combination record: zero
We ran the pair through both registries in September 2026. ClinicalTrials.gov returns no study for "CJC-1295 AND ipamorelin", against 789 for semaglutide as a control. PubMed returns 10 records that mention both. Nine are 2026 review articles and one is a horse doping assay. None tested the two together in a person.
Every dose, cycle and expected result attached to the stack therefore comes from somewhere other than a trial: extrapolation from the separate records above, clinic protocols, or forums. The same pattern holds for the tesamorelin and ipamorelin blend. Our growth hormone secretagogue review covers what the wider class has shown.
Where each half stands with FDA
The two halves are in different places, and neither is in a place that allows compounding.
CJC-1295 is in the withdrawn section of FDA's Category 2 page6. It is not on the 503A bulks list and not in Category 1, so no pharmacy route exists for it10. It was not among the peptides FDA's advisory committee discussed in July 2026.
Ipamorelin acetate is still in active Category 2 for 503B outsourcing facilities, added September 29, 2023. It is also listed in the withdrawn section, with FDA's note that it "also appears in the table above because it is in category 2 under the 503B interim policy"6. A compounding clinic offering either one is working outside both routes. The full table is in compounding status by peptide.
The lawful GHRH analog
If the goal is a GHRH-pathway product obtained through a pharmacy, the one with a route is sermorelin. It is the same first 29 amino acids of GHRH without CJC-1295's modifications. It was approved as Geref, and in 2013 FDA published a determination that Geref was not withdrawn for reasons of safety or effectiveness11. It is compounded under 503A today.
That does not make sermorelin's record large. Its adult studies are small too, and the trials of GHRH for aging are thin. But it is the only one of the three with a legal pathway and a published record in adults. The sermorelin page and sermorelin before and after set out what those studies measured, and sermorelin vs tesamorelin compares it with the approved GHRH analog.
Frequently asked questions
Has CJC-1295 with ipamorelin been studied in humans?
No. In September 2026, ClinicalTrials.gov had no study of the pair and PubMed had no human trial of it; the 10 PubMed records mentioning both are review articles and one equine doping assay. Each peptide has a small separate record.
What is the difference between CJC-1295 with and without DAC?
CJC-1295 as its developer defined it carries an albumin-binding group (the 'DAC'), which gave it a half-life of 5.8 to 8.1 days in healthy adults. The 'without DAC' product, also sold as mod GRF 1-29, lacks that group, lasts far shorter, and has no human trial of its own.
Is ipamorelin FDA approved?
No. It was tested by Helsinn as an intravenous treatment for postoperative ileus; the published phase 2 trial found no significant benefit over placebo. As of FDA's page current April 22, 2026, ipamorelin acetate is in Category 2 for 503B outsourcing facilities.
Is CJC-1295 still in FDA Category 2?
No. It sits in the section of FDA's page for nominations that were withdrawn. That did not make it compoundable: it is not on the 503A bulks list or in Category 1, and FDA's safety text about it still stands.
References
Show all 11 sources
- Jetté L et al (2005). Human growth hormone-releasing factor (hGRF)1-29-albumin bioconjugates activate the GRF receptor on the anterior pituitary in rats: identification of CJC-1295 as a long-lasting GRF analog. Endocrinology. https://pubmed.ncbi.nlm.nih.gov/15817669/
- Raun K et al (1998). Ipamorelin, the first selective growth hormone secretagogue. Eur J Endocrinol. https://pubmed.ncbi.nlm.nih.gov/9849822/
- Teichman SL et al (2006). Prolonged stimulation of growth hormone (GH) and insulin-like growth factor I secretion by CJC-1295, a long-acting analog of GH-releasing hormone, in healthy adults. J Clin Endocrinol Metab. https://pubmed.ncbi.nlm.nih.gov/16352683/
- Ionescu M; Frohman LA (2006). Pulsatile secretion of growth hormone (GH) persists during continuous stimulation by CJC-1295, a long-acting GH-releasing hormone analog. J Clin Endocrinol Metab. https://pubmed.ncbi.nlm.nih.gov/17018654/
- ConjuChem (2006). A Study to Evaluate CJC 1295 in HIV Patients With Visceral Obesity (NCT00267527). ClinicalTrials.gov. https://clinicaltrials.gov/study/NCT00267527
- U.S. Food and Drug Administration (2026). Category 2 of the Bulk Substances Nominated Under Sections 503A or 503B of the Federal Food, Drug, and Cosmetic Act (content current as of 04/22/2026). FDA.gov. https://www.fda.gov/drugs/human-drug-compounding/safety-risks-associated-certain-bulk-drug-substances-nominated-use-compounding
- Gobburu JV et al (1999). Pharmacokinetic-pharmacodynamic modeling of ipamorelin, a growth hormone releasing peptide, in human volunteers. Pharm Res. https://pubmed.ncbi.nlm.nih.gov/10496658/
- Beck DE et al (2014). Prospective, randomized, controlled, proof-of-concept study of the Ghrelin mimetic ipamorelin for the management of postoperative ileus in bowel resection patients. Int J Colorectal Dis. https://pubmed.ncbi.nlm.nih.gov/25331030/
- Helsinn Therapeutics (2014). Safety and Efficacy of Ipamorelin Compared to Placebo for the Recovery of Gastrointestinal Function (NCT01280344). ClinicalTrials.gov. https://clinicaltrials.gov/study/NCT01280344
- U.S. Food and Drug Administration (2026). Bulk Drug Substances Nominated for Use in Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act (updated May 14, 2026). FDA.gov. https://www.fda.gov/media/94155/download
- U.S. Food and Drug Administration (2013). Determination That GEREF (Sermorelin Acetate) Injection ... Were Not Withdrawn From Sale for Reasons of Safety or Effectiveness. Federal Register. https://www.federalregister.gov/documents/2013/03/04/2013-04827/determination-that-geref-sermorelin-acetate-injection-05-milligrams-basevial-and-10-milligrams
Medical disclaimer: This content is for general educational purposes only and is not medical advice, diagnosis, or treatment. Always consult a licensed healthcare professional before starting, stopping, or changing any treatment.
Continue reading
Browse all 35 articlesAmylin Analogs: The Next Class After Incretins
An amylin analog has been FDA-approved since 2005. What changed is not the hormone — it is how long the molecule lasts. The trials, in order.
ReadGrowth-Hormone Secretagogues: What the Evidence Actually Shows
These compounds reliably raise IGF-1. That is the surrogate. When trials measured function, fracture recovery or disease progression, the results changed.
ReadHealing Peptides and the Gap Between Anecdote and Trial
BPC-157 and TB-500 have thirty years of animal work and a thin human record. Here is exactly what is registered, what is published, and what neither shows.
Read