Peptide Record

Tesamorelin · Metabolic · graded 2026-07-30

Weight & fat loss

This grade describes how much evidence exists for Tesamorelin against weight & fat loss — 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.
+3n ≥ 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 8 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.
+2≥ 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.
-2−1 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.
211381%
preregistered
not preregistered deducts a point; preregistered does not; silence does neither.
131275%
blinded
not blinded deducts a point; blinded does not; silence does neither.
061063%

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

16 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-TRIAL8
  • PRECLINICAL8
SourceStudyDesignnBias flagsDate
HUMAN-TRIALVisceral fat reduction with tesamorelin is associated with improved liver enzymes in HIV.
PMID 28832410 · DOI 10.1097/qad.0000000000001614 · matched on "Tesamorelin"
human-observational806none stated2017-10-23
HUMAN-TRIALEffects of tesamorelin (TH9507), a growth hormone-releasing factor analog, in human immunodeficiency virus-infected patients with excess abdominal fat: a pooled analysis of two multicenter, double-blind placebo-controlled phase 3 trials with safety extension data.
PMID 20554713 · DOI 10.1210/jc.2010-0490 · matched on "TH9507"
human-rct806none stated2010-09-01
HUMAN-TRIALComparison of visceral fat measurement by dual-energy X-ray absorptiometry to computed tomography in HIV and non-HIV.
PMID 30804324 · DOI 10.1038/s41387-019-0073-1 · matched on "tesamorelina"
human-observational457none stated2019-02-25
HUMAN-TRIALTH9507 in Patients With HIV-Associated Lipodystrophy
NCT00123253 · matched on "TH-9507"
human-rct412industry-funded, not preregistered
HUMAN-TRIALEffects of tesamorelin, a growth hormone-releasing factor, in HIV-infected patients with abdominal fat accumulation: a randomized placebo-controlled trial with a safety extension.
PMID 20101189 · DOI 10.1097/qai.0b013e3181cbdaff · matched on "Tesamorelin"
human-rct404none stated2010-03-01
HUMAN-TRIALEffect of tesamorelin on visceral fat and liver fat in HIV-infected patients with abdominal fat accumulation: a randomized clinical trial.
PMID 25038357 · DOI 10.1001/jama.2014.8334 · matched on "Tesamorelin"
human-rct50none stated2014-07-23
HUMAN-TRIALAbdominal Obesity, Cardiovascular Inflammation, and Effects of Growth Hormone Releasing Hormone Analogue
NCT01632592 · matched on "Tesamorelin"
human-rct0none stated
HUMAN-TRIALReduction in visceral adiposity is associated with an improved metabolic profile in HIV-infected patients receiving tesamorelin.
PMID 22495074 · DOI 10.1093/cid/cis251 · matched on "Tesamorelin"
human-rctnone stated2012-06-01
PRECLINICALGrowth hormone axis treatments for HIV-associated lipodystrophy: a systematic review of placebo-controlled trials.
PMID 21265979 · DOI 10.1111/j.1468-1293.2010.00906.x · matched on "Tesamorelin"
not determined1511none stated2011-09-01
PRECLINICALDiffering Presentations of Excess Visceral Abdominal Fat in People Living With HIV: Two Clinical Cases Highlighting Distinct Therapeutic Pathways With Tesamorelin and Glucagon-Like Peptide-1 Receptor Agonists.
PMID 42139091 · DOI 10.1093/cid/ciag121 · matched on "Tesamorelin"
not determinednone stated2026-05-15
PRECLINICALSelected Industry Highlights From IDWeek 2025.
PMID 42139090 · DOI 10.1093/cid/ciag206 · matched on "Tesamorelin"
not determinedindustry-funded2026-05-15
PRECLINICALBody composition, hepatic fat, metabolic, and safety outcomes of Tesamorelin, a GHRH analogue, in HIV-associated lipodystrophy: A meta-analysis of randomized controlled trials.
PMID 41545261 · DOI 10.1016/j.orcp.2026.01.002 · matched on "Tesamorelin"
not determinednone stated2026-01-01
PRECLINICALApproach to the Patient With Lipodystrophy.
PMID 35137140 · DOI 10.1210/clinem/dgac079 · matched on "Tesamorelin"
not determinednone stated2022-05-17
PRECLINICALHow to diagnose a lipodystrophy syndrome.
PMID 22748602 · DOI 10.1016/j.ando.2012.04.010 · matched on "Tesamorelin"
not determinednone stated2012-06-01
PRECLINICALEpidemiology, assessment, and management of excess abdominal fat in persons with HIV infection.
PMID 20216906 · matched on "Tesamorelin"
not determinednone stated2010-01-01
PRECLINICALGood results for lipodystrophy drug.
PMID 17328664 · DOI 10.1089/apc.2007.9996 · matched on "Tesamorelin"
not determinednone stated2007-02-01

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

4 records · contributed nothing
SourceStudyDesignnBias flagsDate
HUMAN-TRIALTH9507 Extension Study in Patients With HIV-Associated Lipodystrophy
NCT00608023 · matched on "Egrifta"
human-rct263industry-funded, not preregistered
HUMAN-TRIALEffects of Growth Hormone Releasing Hormone in HIV
NCT01263717 · matched on "Egrifta"
human-rct54none stated
HUMAN-TRIALGrowth Hormone Releasing Hormone Analog to Improve Nonalcoholic Fatty Liver Disease and Associated Cardiovascular Risk
NCT03375788 · matched on "Egrifta"
human-rct51none stated
HUMAN-TRIALEgrifta Replacement and Sleep Disordered Breathing
NCT01788462 · matched on "Egrifta"
human-observational0not preregistered