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Study breakdown

Ipamorelin: The First Growth Hormone Peptide That Only Boosts GH Without Other Hormones

Clinical TrialStrong evidence
The takeaway

Ipamorelin was identified as the first truly selective GH secretagogue — it potently releases growth hormone without increasing cortisol, prolactin, or other hormones like older GHRP compounds do.

200x dose with no cortisol rise

Even at 200 times the effective GH-releasing dose, ipamorelin did not increase cortisol, ACTH, or prolactin — unprecedented selectivity

What the researchers found

Ipamorelin released GH with potency similar to GHRP-6 but did not increase ACTH, cortisol, prolactin, or FSH even at doses 200-fold higher than effective GH-releasing doses, making it the first truly selective GH secretagogue.

Why it matters

Older GH-releasing peptides boosted cortisol and prolactin along with GH, limiting their therapeutic use. Ipamorelin's selectivity means it could stimulate growth hormone without these unwanted hormonal side effects.

How the study worked

Clinical pharmacology study describing ipamorelin's development from a chemistry program. Tested in vitro and in vivo including human subjects. GH, cortisol, ACTH, prolactin, and other hormones measured after various doses.

What this study cannot tell us

Clinical data available at time of publication was limited. Long-term safety and efficacy studies were not yet completed. Selectivity in healthy volunteers may differ from patient populations.

How to read the evidence

Strong evidence from comprehensive pharmacological characterization including human clinical data showing selectivity across a wide dose range.

When this study was published

Published in 1998. Ipamorelin has since become one of the most studied and commonly referenced GH secretagogues in the field.

The bigger picture

The quest for a clean GH-releasing agent has been a major goal in endocrinology. Ipamorelin's selectivity represented a breakthrough, showing it was possible to separate GH release from other hormonal effects. This principle has influenced all subsequent GH secretagogue development.

Questions still open

  • What structural features give ipamorelin its selectivity?
  • Does ipamorelin maintain selectivity during long-term use?
  • Can ipamorelin treat GH deficiency states without the side effects of other secretagogues?

Common questions

Why is selectivity important for a GH peptide?
Older GH-releasing peptides like GHRP-6 also raised stress hormones (cortisol) and prolactin. This limits their use because these side effects can cause problems. Ipamorelin only raises GH, making it theoretically safer and cleaner.
How does ipamorelin compare to GHRP-6?
Both release similar amounts of growth hormone, but ipamorelin does it without affecting cortisol, ACTH, or prolactin. This selectivity makes ipamorelin potentially more suitable for therapeutic use with fewer side effects.

Read the original research

Ipamorelin, the first selective growth hormone secretagogue.

European journal of endocrinology, 139(5), 552-61

Citation

Raun, K; Hansen, B S; Johansen, N L; Thøgersen, H; Madsen, K; Ankersen, M; Andersen, P H. (1998). Ipamorelin, the first selective growth hormone secretagogue.. European journal of endocrinology, 139(5), 552-61.