Growth hormone axis

    CJC-1295 vs Tesamorelin: Research Comparison

    CJC-1295 and tesamorelin are both synthetic analogues of GHRH, the hormone that signals the pituitary to release growth hormone. Tesamorelin is the full 44-amino-acid hormone with a fatty-acid group added. CJC-1295 is the first 29 amino acids with four substitutions, sold with or without a DAC linker.

    Side-by-side comparison

    AttributeCJC-1295Tesamorelin
    StructureGHRH(1-29) with four substitutions, with or without DACFull GHRH(1-44) with a hexenoyl group
    ReceptorGHRH receptorGHRH receptor
    DeveloperConjuChemTheratechnologies
    Human dataShort hormone-level studies of the DAC version in healthy adultsTwo phase 3 placebo-controlled trials in more than 800 people with HIV
    Licensed statusNot approved by the FDA or EMALicensed in the US since 2010 for one use in people with HIV; not licensed in the UK or EU

    Detailed analysis

    Both compounds act on the GHRH receptor on growth-hormone-producing cells in the pituitary, which triggers the body's own growth hormone release and in turn raises IGF-1. They differ in structure and in how long they last. Tesamorelin's hexenoyl group makes it resistant to the enzyme DPP-4, so it breaks down more slowly than natural GHRH (Ferdinandi et al., 2007). CJC-1295 with DAC bonds to albumin and, in healthy adults, kept growth hormone raised for six days or more after a single administration (Teichman et al., 2006). On human data: The US FDA approved tesamorelin in 2010 for one use in adults with HIV-associated lipodystrophy, based on two phase 3 placebo-controlled trials (Falutz et al., 2007 and 2010). The European application was withdrawn in 2012 after questions about clinical meaning and long-term safety. CJC-1295 has only short studies in healthy volunteers that measured hormone levels, and the version without DAC has almost no published data.

    Key differences

    • ·Both act on the GHRH receptor; tesamorelin is the full 44-amino-acid hormone, CJC-1295 is a modified 29-amino-acid fragment.
    • ·Tesamorelin has phase 3 trials in one patient group; CJC-1295 has only short studies in healthy volunteers.
    • ·Tesamorelin is licensed in the US for one use; CJC-1295 is not approved by the FDA or EMA.

    Research summary

    Tesamorelin has animal studies and phase 3 human trials in people with HIV (Falutz et al., 2007). CJC-1295 has rat studies (Jetté et al., 2005) and short hormone-level studies of the DAC version (Teichman et al., 2006). Long-term safety is not established for either. Supplied for laboratory research use only.

    Frequently asked questions