Peptide Record

Tesamorelin · Endocrine · graded 2026-07-30

Growth hormone axis

This grade describes how much evidence exists for Tesamorelin against growth hormone axis — not whether it works, and not whether it is safe. It is computed from the inputs below by a fixed rule with no editorial adjustment.

Why this grade

Not hidden behind a control — showing the work is the point
Score decomposition — every input and its contribution
ComponentPointsScale
Best study type
The strongest design that produced evidence for this outcome, not the average design.
+5Human RCT 5 · Human observational 4 · Animal 2 · Preclinical 1 · None 0
Largest human sample
Largest single human study, not a pooled total across studies.
+2n ≥ 200 → 3 · 50–199 → 2 · < 50 → 1 · no human study → 0
Independent replication
Distinct research groups at the best study tier above, resolved through author and institution records.
+3≥ 3 groups → 3 · 2 → 2 · 1 → 1 · 0 → 0
Directional consistency
Share of studies at the best study tier reporting effect in the same direction — the same studies the replication row counts, not every record on the pair.
Measured over 5 stated directions across 10 studies at the best tier. A ratio over three readings and the same ratio over ninety are the same number and are not the same evidence.
+1≥ 90% concordant → 3 · ≥ 70% → 2 · ≥ 50% → 1 · below → 0 · fewer than 3 readings → 0
Bias risk
A deduction, never a bonus. A flag is counted only where a record states one; silence is not a pass and is not a flag.
0−1 per flag, floor −3: industry funding · no preregistration · no blinding
Total11Sum of the rows above, floored at 0.
What the bias row had to work with — how many of this pair’s records disclosed each field at all
FieldFlag statedStated the oppositeNot statedSilent
industry_funded
industry-funded deducts a point; declared non-commercial does not; silence does neither.
0034100%
preregistered
not preregistered deducts a point; preregistered does not; silence does neither.
023294%
blinded
not blinded deducts a point; blinded does not; silence does neither.
043088%

Grade A additionally requires a total of at least 11 and replication of at least 2: a high score carried by one research group is not replicated evidence, however large the trial.

Doses administered in studies

Sourced figures, not a protocol

Studied doses — not yet collected

Dose, route and n are extracted from study full text, and full text is paywalled for most records in this corpus. No dose has been extracted for this pair yet. Read that as an extraction gap, not as evidence that the studies below administered nothing.

This is a gap in our collection, not a finding about studied doses. Read it as “we have not looked yet”, never as “there is nothing there”. How extraction works and where it fails

Cited sources

34 records · ordered by source hierarchy

These are the records the grade above was computed from — the same set, by the same rule, read from one definition shared with the grader. Records attributed to an alias for a materially different product are not among them; where this pair has any, they are listed separately below.

  • HUMAN-TRIAL10
  • ANIMAL2
  • PRECLINICAL22
SourceStudyDesignnBias flagsDate
HUMAN-TRIALGrowth Hormone Releasing Hormone Reduces Circulating Markers of Immune Activation in Parallel with Effects on Hepatic Immune Pathways in Individuals with HIV-infection and Nonalcoholic Fatty Liver Disease.
PMID 33852720 · DOI 10.1093/cid/ciab019 · matched on "Tesamorelin"
human-rct61none stated2021-08-16
HUMAN-TRIALRelationship of IGF-1 and IGF-Binding Proteins to Disease Severity and Glycemia in Nonalcoholic Fatty Liver Disease.
PMID 33125080 · DOI 10.1210/clinem/dgaa792 · matched on "Tesamorelin"
human-rct61none stated2021-01-23
HUMAN-TRIALEfficacy and safety of tesamorelin in people with HIV on integrase inhibitors.
PMID 38905488 · DOI 10.1097/qad.0000000000003965 · matched on "Tesamorelin"
human-rct38none stated2024-10-01
HUMAN-TRIALRelationship of adiponectin to endogenous GH pulse secretion parameters in response to stimulation with a growth hormone releasing factor.
PMID 21531600 · DOI 10.1016/j.ghir.2011.03.009 · matched on "Tesamorelin"
human-observational13none stated2011-06-01
HUMAN-TRIALEfficacy and safety of once-weekly somatrogon in adults with growth hormone deficiency: a randomized phase 3 study.
PMID 41879875 · DOI 10.1007/s11102-026-01661-1 · matched on "Tesamorelin"
human-rctnone stated2026-03-25
HUMAN-TRIALEffects of Tesamorelin on Neurocognitive Impairment in Persons With HIV and Abdominal Obesity.
PMID 39813152 · DOI 10.1093/infdis/jiaf012 · matched on "Tesamorelin"
human-rctnone stated2025-06-02
HUMAN-TRIALEffects of tesamorelin on hepatic transcriptomic signatures in HIV-associated NAFLD.
PMID 32701508 · DOI 10.1172/jci.insight.140134 · matched on "Tesamorelin"
human-rctnone stated2020-08-20
HUMAN-TRIALEffects of tesamorelin on non-alcoholic fatty liver disease in HIV: a randomised, double-blind, multicentre trial.
PMID 31611038 · DOI 10.1016/s2352-3018(19)30338-8 · matched on "Tesamorelin"
human-rctnone stated2019-12-01
HUMAN-TRIALPopulation pharmacokinetic and pharmacodynamic analysis of tesamorelin in HIV-infected patients and healthy subjects.
PMID 25895899 · DOI 10.1007/s10928-015-9416-2 · matched on "Tesamorelin"
human-observationalnone stated2015-06-01
HUMAN-TRIALThe effects of tesamorelin on phosphocreatine recovery in obese subjects with reduced GH.
PMID 24178787 · DOI 10.1210/jc.2013-3436 · matched on "Tesamorelin"
human-rctnone stated2014-01-01
ANIMALNon-clinical pharmacology and safety evaluation of TH9507, a human growth hormone-releasing factor analogue.
PMID 17214611 · DOI 10.1111/j.1742-7843.2007.00008.x · matched on "TH9507"
animalnone stated2007-01-01
ANIMALPulmonary delivery of TH9507, a growth hormone releasing factor analogue, in the dog.
PMID 15113616 · DOI 10.1016/j.ijpharm.2004.02.012 · matched on "TH9507"
animalnone stated2004-05-19
PRECLINICALTesamorelin as an Adjunct to Exercise for Improving Physical Function in HIV (TRIUMPH): a clinical trial protocol.
PMID 42419889 · DOI 10.1136/bmjopen-2026-120740 · matched on "Tesamorelin"
not determined100none stated2026-07-08
PRECLINICALAnalysis of growth hormone releasing hormone and its analogs in urine using nano liquid chromatography coupled with quadrupole/orbitrap mass spectrometry.
PMID 41138283 · DOI 10.1016/j.jpba.2025.117207 · matched on "Tesamorelin"
not determinednone stated2026-01-15
PRECLINICALThe emerging landscape of performance-enhancing peptides modulating GH-IGF1 axis: bridging the gap between clinical evidence and patient self-administration.
PMID 42395176 · DOI 10.3389/fendo.2026.1822475 · matched on "Tesamorelin"
not determinednone stated2026-01-01
PRECLINICALChromatographic-mass spectrometric analysis of peptidic analytes (2-10 kDa) in doping control urine samples.
PMID 38197510 · DOI 10.1002/jms.4996 · matched on "Tesamorelin"
not determinednone stated2024-01-01
PRECLINICALAn antibody-free, ultrafiltration-based assay for the detection of growth hormone-releasing hormones in urine at low pg/mL concentrations using nanoLC-HRMS/MS.
PMID 35298973 · DOI 10.1016/j.jpba.2022.114726 · matched on "Tesamorelin"
not determinednone stated2022-05-30
PRECLINICALAdvances in the detection of growth hormone releasing hormone synthetic analogs.
PMID 34665524 · DOI 10.1002/dta.3183 · matched on "Tesamorelin"
preclinicalnone stated2021-11-01
PRECLINICALDelineating tesamorelin response pathways in HIV-associated NAFLD using a targeted proteomic and transcriptomic approach.
PMID 34006921 · DOI 10.1038/s41598-021-89966-y · matched on "Tesamorelin"
not determinednone stated2021-05-18
PRECLINICALComparison of magnetic bead surface functionalities for the immunopurification of growth hormone-releasing hormones prior to liquid chromatography-high resolution mass spectrometry.
PMID 32971474 · DOI 10.1016/j.chroma.2020.461548 · matched on "Tesamorelin"
not determinednone stated2020-11-08
PRECLINICALTesamorelin, liver fat, and NAFLD in the setting of HIV.
PMID 31611037 · DOI 10.1016/s2352-3018(19)30331-5 · matched on "Tesamorelin"
not determinednone stated2019-12-01
PRECLINICALGrowth hormone deficiency and human immunodeficiency virus.
PMID 28477736 · DOI 10.1016/j.beem.2017.02.006 · matched on "Tesamorelin"
not determinednone stated2017-02-01
PRECLINICALGrowth hormone in the aging male.
PMID 24054930 · DOI 10.1016/j.beem.2013.05.003 · matched on "Tesamorelin"
not determinednone stated2013-08-01
PRECLINICALPathophysiology of GHRH-growth hormone-IGF1 axis in HIV/AIDS.
PMID 23657561 · DOI 10.1007/s11154-013-9245-9 · matched on "Tesamorelin"
not determinednone stated2013-06-01
PRECLINICALNew drugs 2012, part 2.
PMID 22692631 · DOI 10.1097/01.nurse.0000415300.12785.13 · matched on "Tesamorelin"
not determinednone stated2012-07-01
PRECLINICALTesamorelin: a novel therapeutic option for HIV/HAART-associated increased visceral adipose tissue.
PMID 21695284 · DOI 10.1358/dot.2011.47.6.1603439 · matched on "Tesamorelin"
not determinednone stated2011-06-01
PRECLINICALEffects of a growth hormone-releasing hormone analog on endogenous GH pulsatility and insulin sensitivity in healthy men.
PMID 20943777 · DOI 10.1210/jc.2010-1587 · matched on "Tesamorelin"
not determinednone stated2011-01-01
PRECLINICALGrowth hormone-releasing factor agonists for the treatment of HIV-associated lipodystrophy.
PMID 20872317 · matched on "Tesamorelin"
not determinednone stated2010-10-01
PRECLINICALThe power of advocacy. A first-hand account of how testimony helped win an FDA panel's approval of a new drug.
PMID 20731068 · matched on "Tesamorelin"
not determinednone stated2010-07-01
PRECLINICALTesamorelin, a human growth hormone releasing factor analogue.
PMID 19243281 · DOI 10.1517/13543780802707658 · matched on "Tesamorelin"
not determinednone stated2009-03-01
PRECLINICALThe next generation of human growth hormone. How Serostim and tesamorelin measure up.
PMID 18828236 · matched on "Tesamorelin"
not determinednone stated2008-09-01
PRECLINICALSide effects and complications. Stimulating growth hormone.
PMID 17571442 · matched on "Tesamorelin"
not determinednone stated2007-03-01
PRECLINICALSide effects and complications. Tesamorelin--results from Phase III.
PMID 17575575 · matched on "Tesamorelin"
not determinednone stated2007-03-01
PRECLINICALComplications & side effects. Can TH9057 reduce fat deposits?
PMID 17219684 · matched on "Tesamorelin"
not determinednone stated2004-11-01

Rows are ordered by source hierarchy, so nothing below a regulatory filing appears above a human trial. A field marked uncertain is one where the extraction passes disagreed; it publishes as unknown rather than as a picked winner. A design reading “not determined” is a design nothing established, not a design of none. Explore the full corpus for Tesamorelin

Also collected, and not part of this grade

1 record · contributed nothing
SourceStudyDesignnBias flagsDate
PRECLINICALQualitative identification of growth hormone-releasing hormones in human plasma by means of immunoaffinity purification and LC-HRMS/MS.
PMID 26879649 · DOI 10.1007/s00216-016-9377-3 · matched on "Egrifta"
not determinednone stated2016-05-01