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Bottom line

A growth-hormone-axis combination pairing sermorelin, a GHRH(1-29) analog with historical FDA-approved finished-drug products, and ipamorelin, an growth-hormone secretagogue. Each component has separate evidence, but no published randomized trial was identified for the specific combination. Evidence for either component alone cannot establish the combination's efficacy, safety, dose ratio, or stability.

No established or recommended human dose.

Name and formulation variability

Market observationClaimed componentsClaimed amountsVerification limits
Market listing 1 (accessed 2026)Sermorelin, ipamorelinSeller-specificIdentity, purity, and sterility were not independently verified
Market listing 2 (accessed 2026)Sermorelin, ipamorelinSeller-specificSeller testing page; not evidence of clinical equivalence or combination efficacy

Also known as: Sermorelin/Ipamorelin and GHRH(1-29) + Ipamorelin. Informal labels such as "clean GH stack" are marketing language, not a validated clinical characterization.

Separate histories, untested pair
Sermorelin and ipamorelin development histories stop before the marketed pairTwo vertical timelines show historical sermorelin records and separate ipamorelin preclinical, human pharmacology, and negative phase 2 evidence. Both stop before a dotted market association.SERMORELINhistorical Geref recordsseparate pediatric studyIPAMORELINpreclinical selectivityhuman PK / PDnegative phase-2efficacy studymarketed pairNO COMBINATION RCT / NO CO-FORMULATION STUDYIDENTITYHYPOTHESIZED / SHARED DOMAINMARKET ASSOCIATIONEVIDENCE GAP
Historical authorization and separate development findings remain attached to their exact products and studies. Legend: solid outlines identify the substances described on the page; dashed lines show hypothesized or shared biological domains; dotted lines show market association only; barred lines mark missing combination or compatibility evidence.
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Sermorelin has historical Geref records and a separate pediatric study. Ipamorelin has preclinical selectivity findings, human pharmacology, and a negative phase 2 efficacy study. Both histories stop before the marketed pair; no combination randomized trial or co-formulation study was identified.

Market source note

Market listing 1 is the RCDbio source recorded on this page; market listing 2 is Peptigrity. They are retained only to establish that the pairing is marketed, not to support identity, quality, efficacy, safety, or compatibility.

Component evidence

ComponentDevelopment historyCombination evidenceCompatibility
SermorelinHistorical Geref diagnostic and pediatric-treatment records; a separate pediatric study. The former authorizations were product-specific and later withdrawn.No published randomized study of the specific combination identifiedNo published co-formulation stability study identified
Ipamorelin selectivity work; separate healthy-volunteer PK/PD; a negative randomized phase-2 postoperative-ileus efficacy study.No published randomized study with sermorelin identifiedNo published co-formulation stability study identified

Raun et al. reported that ipamorelin did not increase ACTH or cortisol beyond the GHRH response in conscious swine, unlike GHRP-2 and GHRP-6 in that animal model. That preclinical comparison does not establish an off-target advantage in humans or validate the sermorelin-ipamorelin combination. Gobburu et al. characterized ipamorelin PK/GH response in healthy men, while Beck et al. found no significant benefit on the primary or secondary efficacy endpoints in postoperative ileus.

Study detail

The sermorelin study was an open-label pediatric report. Ipamorelin's record includes preclinical selectivity work, small healthy-volunteer pharmacology cohorts, and a randomized postoperative-ileus study that found no significant benefit on its primary or secondary efficacy endpoints. None tested the marketed pair.

Combination-specific studies

No published human was identified that tests sermorelin + ipamorelin as a specific combination.

Safety and interaction uncertainties

  • Historical pharmaceutical-grade sermorelin data cannot establish the safety or quality of current material

  • Ipamorelin's selectivity claim comes primarily from animal pharmacology and should not be generalized to combination safety in humans

  • No combination-specific safety data

  • No published compatibility, sterility, or co-formulation stability data were identified

Regulatory and product-quality notes

  • Geref diagnostic (NDA 19-863) was approved December 28, 1990; the pediatric treatment presentation (NDA 20-443) was approved September 26, 1997

  • The sponsor reported discontinuation in 2008, and FDA withdrew both NDA approvals effective June 18, 2009. FDA later determined that the products were not withdrawn for reasons of safety or effectiveness

  • Neither component is currently FDA-approved for any indication

  • The 2026 List explicitly names sermorelin among GHRH analogues and ipamorelin among growth-hormone secretagogues and their mimetics in section S2.2.4; both are prohibited at all times

  • Research-grade material is not pharmaceutical GMP

Evidence gaps

  • No combination study (human or animal)

  • No dose-ratio optimisation

  • No co-stability data

  • Research-grade Sermorelin purity/consistency not equivalent to former pharmaceutical product

The seller names behind market listing 1 and 2 are retained in Sources 8 and 9 solely to document market use of the pairing. See United States regulation, WADA and sport, and the related CJC-1295 + Ipamorelin analysis.

Sources

  1. FDA. Determination that Geref products were not withdrawn for reasons of safety or effectiveness. 78 FR 14095 (March 4, 2013). Includes the 1990 and 1997 approvals, 2008 sponsor notices, and June 18, 2009 effective withdrawal. https://www.govinfo.gov/content/pkg/FR-2013-03-04/pdf/2013-04827.pdf

  2. FDA Orphan Drug Designations and Approvals. Sermorelin acetate (Geref), pediatric treatment marketing approval September 26, 1997. https://www.accessdata.fda.gov/scripts/opdlisting/oopd/detailedIndex.cfm?cfgridkey=24687&sid=g1_mnxuuiosj4sj6y

  3. Thorner M, et al.; Geref International Study Group. Once daily subcutaneous growth hormone-releasing hormone therapy accelerates growth in growth hormone-deficient children during the first year of therapy. J Clin Endocrinol Metab. 1996;81(3):1189-1196. PMID: 8772599. https://pubmed.ncbi.nlm.nih.gov/8772599/

  4. Raun K, et al. Ipamorelin, the first selective growth hormone secretagogue. Eur J Endocrinol. 1998;139(5):552-561. PMID: 9849822. https://pubmed.ncbi.nlm.nih.gov/9849822/

  5. Gobburu JV, et al. Pharmacokinetic-pharmacodynamic modeling of ipamorelin, a growth hormone releasing peptide, in human volunteers. Pharm Res. 1999;16(9):1412-1416. PMID: 10496658. https://pubmed.ncbi.nlm.nih.gov/10496658/

  6. Beck DE, et al. 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. 2014;29(12):1527-1534. PMID: 25331030. https://pubmed.ncbi.nlm.nih.gov/25331030/

  7. PubChem. Sermorelin (CID 16132413). https://pubchem.ncbi.nlm.nih.gov/compound/16132413

  8. RCDbio. Sermorelin + Ipamorelin Blend. Vendor page used only to document a marketed blend name; claims were not independently verified. https://rcdbio.co/product/sermorelin-ipamorelin-blend-peptide/

  9. Peptigrity. Sermorelin + Ipamorelin testing. Vendor page used only to document formulation variability; claims were not independently verified. https://peptigrity.com/peptides/sermorelin-ipamorelin

  10. World Anti-Doping Agency. 2026 Prohibited List, section S2.2.4. https://www.wada-ama.org/sites/default/files/2025-09/2026list_en_final_clean_september_2025.pdf

Expertenstimmen

Was Experten sagen

Kommentare sind Meinungen und nicht Teil der Evidenzprüfung; eine Aufnahme bedeutet keine Befürwortung.

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Fragen

What does the marketed Sermorelin plus Ipamorelin blend contain?

The market name pairs sermorelin, a GHRH analog with historical finished-product records, and investigational ipamorelin. Seller-declared material is not equivalent to the former authorized sermorelin products.

Has Sermorelin plus Ipamorelin been studied as a combination?

No published randomized human study of the specific pair was identified. Each component's development history remains separate from the marketed mixture.

What safety uncertainties apply to Sermorelin plus Ipamorelin?

No combination-specific human safety, sterility, compatibility, or co-formulation stability evidence was identified. Historical pharmaceutical-grade sermorelin evidence cannot establish the quality or safety of current research-market material.

Do historical sermorelin product approvals cover the current blend?

No. The Geref authorizations were specific to named products and indications, and the approvals were later withdrawn after discontinuation. They do not authorize an ipamorelin mixture or current seller material.

What did the cited ipamorelin efficacy study show?

The randomized phase-2 postoperative-ileus study reported no significant benefit on its primary or secondary efficacy endpoints. Its specific population and result do not support a broader blend claim.

Has co-formulation stability been established for Sermorelin plus Ipamorelin?

No published co-formulation stability study was identified. Separate component identity or pharmacology does not establish stability or compatibility in a combined material.