Growth Hormone
Historically Approved
Sermorelin
Also known as: GRF 1-29, Geref, GHRH analogue, sermorelin acetate
Synthetic GHRH 1-29 fragment. Studied in growth-hormone-axis research.
Research overview
Sermorelin (GRF 1-29, formerly sold as Geref) is a synthetic peptide made of the first 29 amino acids of human growth hormone-releasing hormone (GHRH), the shortest fragment with the full activity of the natural hormone. It was a licensed medicine in the US: the FDA approved it in 1990 as a test of the pituitary's ability to release growth hormone (GH), and in 1997 to treat children with idiopathic growth hormone deficiency and growth failure. The manufacturer discontinued it in 2008, and in 2013 the FDA determined that it had not been withdrawn for reasons of safety or because it did not work. These research materials are not the licensed product.
In an open-label study of 110 children with growth hormone deficiency, growth rate rose over a year of treatment (Thorner et al., JCEM 1996), although a review noted smaller growth responses than with growth hormone itself. In adults the evidence is thin: an uncontrolled six-week study in 11 healthy men aged 64 to 76 found more overnight GH release but no change in IGF-1 or in muscle and fat measured by body scan (Vittone et al., Metabolism 1997). There are no large controlled trials in adults and no long-term adult safety data. Supplied for laboratory research use only.
Mechanism of action
Sermorelin binds the GHRH receptor, a G-protein coupled receptor on the growth-hormone-producing cells (somatotrophs) of the anterior pituitary, which signals mainly through cyclic AMP and triggers growth hormone release, as natural GHRH does. Because it acts through the pituitary, its effect stays under the body's normal controls on growth hormone, such as somatostatin and IGF-1 feedback. Like natural GHRH, it is short-lived in the blood. This is established from its past clinical and diagnostic use in people as well as animal studies.
