Unfavorable PCAC vote

AOD-9604

Also known as AOD-9604 free base, AOD-9604 acetate, Tyr-hGH 177-191

LAST VERIFIEDAug 12, 2026Against linked primary sources
PL
WHAT THIS MEANS NOWNo final legal change
FDA REVIEW STATUSCommittee did not favor
HUMAN STUDIESHuman trials; obesity benefit not established
WHAT COMES NEXTFDA response
FDA scientific review
Meeting announced
03Committee vote
04Final FDA decision
FDA approved?No
FDA-approved indicationNone
Compounding-list statusNot on the final 503A Bulks List; FDA action pending
Advisory-committee statusUnfavorable advisory recommendation — December 2024
Final FDA decisionNo final FDA action identified
WHY IT GETS ATTENTION

AOD-9604 is widely framed as a fat-loss fragment of human growth hormone without the full hormone's broader effects.

Reality check

Human safety trials exist, but a sponsor-linked summary does not establish meaningful obesity benefit, and PCAC did not recommend either reviewed form.

AT A GLANCE

What a visitor should know.

PUBLIC INTERESTHighHow much attention this peptide is receiving
HUMAN STUDIESMultiple human trialsAnimal and laboratory results are kept separate
EVIDENCE GAPWideHow far public interest has moved beyond human evidence
NEW EVIDENCEMonitoringNo post-briefing change in human-evidence classification has been verified in Peplyst's monitored source set.
Technical details: aliases, tracked claims, and data record
NAMES WE TRACK

4 names in this peptide family.

AOD-9604AOD-9604 free baseAOD-9604 acetateTyr-hGH 177-191

AOD-9604 free base and acetate remain distinct nominated bulk drug substances. Evidence from the studied oral and intravenous products is not silently transferred to a differently formulated compounded injection.

MOST RECENT FDA UPDATE

PCAC did not recommend AOD-9604 for the 503A Bulks List

The committee voted 0–12 against recommending the reviewed free-base and acetate forms.

What this tells us

FDA received an unfavorable expert recommendation.

What it does not tell us

The vote was non-binding, was not an FDA approval decision, and did not itself create a final legal change.

WHAT COMES NEXTFDA response

FDA may adopt, reject, or otherwise respond to the committee recommendation. The vote itself did not amend the 503A Bulks List.

Read the FDA source
REGULATORY HISTORY

How the FDA record developed.

This timeline separates early nominations and scientific reviews from committee votes and final FDA decisions.

December 4, 2024
PCAC vote

PCAC did not recommend AOD-9604 for the 503A Bulks List

The committee voted 0–12 against recommending the reviewed free-base and acetate forms.

Read the source ↗
November 15, 2024
FDA review

FDA completed its scientific briefing

FDA evaluated AOD-9604 free base and acetate for compounded products proposed for obesity.

Read the source ↗
2015 and 2018
Compounding nominations

AOD-9604 entered FDA's 503A nomination record

AOD-9604-related substances were nominated for possible inclusion on the 503A Bulks List; the nominations were later withdrawn and FDA continued the review on its own initiative.

Read the source ↗
STUDIES AND EVIDENCE

What has actually been studied?

Human studies appear on the left. Animal, cell, and laboratory studies appear on the right because they cannot establish that a treatment works in people.

H
Human evidenceStudies or observations involving people
Six randomized, double-blind, placebo-controlled trials (2001–2006)

A 2013 sponsor-linked article summarized six trials in 893 adults. It focused on safety and tolerability; it does not establish a clinically meaningful obesity benefit, and FDA's later review identified remaining evidence and product-quality gaps.

Read the FDA review
P
Preclinical evidenceAnimal, cell, or laboratory research
Obese-mouse study (2001)

AOD-9604 reduced weight gain and fat mass in obese mice. Animal findings do not establish weight-loss benefit or safety in people.

Read the study on PubMed
SAFETY & UNCERTAINTY

Important unknowns.

  • A published sponsor-linked summary describes six randomized, double-blind, placebo-controlled trials involving 893 adults, with safety as its main focus.
  • FDA identified formulation, impurity, immunogenicity, and broader safety uncertainties that the published trial summary does not resolve.
  • Evidence from oral or intravenous study products should not be transferred automatically to a compounded injectable product.

These are evidence and regulatory uncertainties, not an individualized assessment of whether a treatment is appropriate.

SOURCE DOCUMENTS

Read the original sources.