FDA safety category

Ipamorelin acetate

Also known as Ipamorelin, NNC 26-0161

LAST VERIFIEDAug 12, 2026Against linked primary sources
PL
WHAT THIS MEANS NOWFDA safety concern
FDA REVIEW STATUSFDA safety concern
HUMAN STUDIESPhase 2 trial; no efficacy signal
WHAT COMES NEXTFurther FDA evaluation
01FDA scientific review
02Meeting announced
03Committee vote
04Final FDA decision
FDA approved?No
FDA-approved indicationNone
Compounding-list statusNot on the final 503A Bulks List; nomination withdrawn
Advisory-committee statusNo 503A PCAC recommendation identified
Final FDA decision503B category 2 since September 29, 2023; no FDA approval
WHY IT GETS ATTENTION

Ipamorelin is popular as a supposedly selective growth-hormone secretagogue and is often discussed alongside CJC-1295.

Reality check

A phase 2 postoperative study did not show efficacy, and FDA placed ipamorelin acetate in a 503B safety-concern category.

AT A GLANCE

What a visitor should know.

PUBLIC INTERESTHighHow much attention this peptide is receiving
HUMAN STUDIESLimited human evidenceAnimal 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
MOST RECENT FDA UPDATE

FDA placed ipamorelin acetate in 503B category 2

FDA listed the substance among bulk drug substances that raise significant safety risks for 503B evaluation.

What this tells us

FDA made a formal safety-concern classification in the outsourcing-facility pathway.

What it does not tell us

Category 2 is not a PCAC vote, an FDA approval decision, or a finding that every adverse event was caused by ipamorelin.

WHAT COMES NEXTFurther FDA evaluation

Category 2 means FDA identified significant safety risks for 503B evaluation. It does not substitute for an approval review or a 503A committee vote.

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.

September 29, 2023
FDA safety classification

FDA placed ipamorelin acetate in 503B category 2

FDA listed the substance among bulk drug substances that raise significant safety risks for 503B evaluation.

Read the source ↗
May 13, 2021
Product recall

A compounder recalled an ipamorelin-containing sterile product

Innoveix recalled all of its sterile compounded products, including a semorelin/ipamorelin product, because of a lack of sterility assurance.

Read the source ↗
April 1, 2020
Firm-specific warning letter

FDA cited one compounder's ipamorelin products

FDA said the firm's products did not qualify for the claimed 503A exemptions under the circumstances described in the letter.

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
Phase 2 randomized, double-blind, placebo-controlled trial (2014)

In 114 patients after bowel surgery, intravenous ipamorelin did not significantly improve the main or secondary efficacy outcomes versus placebo. The study context and route should not be generalized to other products or uses.

Read the study on PubMed
P
Preclinical evidenceAnimal, cell, or laboratory research
Rat postoperative-ileus study (2009)

Ipamorelin improved gastric emptying in a rat model. The later human phase 2 trial did not show a corresponding efficacy benefit.

Read the study on PubMed
SAFETY & UNCERTAINTY

Important unknowns.

  • FDA cites a study reporting serious adverse events, including death, with intravenous use for gastric motility; that record does not by itself establish causation.
  • FDA identified immunogenicity, unnatural-amino-acid, impurity, and active-ingredient characterization concerns.
  • A 2021 recall involved lack of sterility assurance across a compounder's products; it was a product-quality event, not proof of peptide-specific harm.

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

SOURCE DOCUMENTS

Read the original sources.