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Tesamorelin: GHRH Analog Research Overview

Tesamorelin is a synthetic analog of growth hormone-releasing hormone studied in randomized controlled trials in HIV-associated lipodystrophy, where it is approved as a prescription medicine. Research-grade material is supplied for laboratory work only.

Tesamorelin at a glance

Compound class
Synthetic GHRH(1-44) analog
Receptor target
GHRH receptor (pituitary somatotrophs)
Approved scope
Egrifta / Egrifta SV — HIV-associated lipodystrophy only
Physical form
Lyophilized powder, sealed vial
Catalog use
In-vitro laboratory research only

What tesamorelin is

Tesamorelin is a synthetic analog of human growth hormone-releasing hormone. Labeling describes it as a 44-amino-acid GHRH(1-44) analog, structurally modified relative to native GHRH to improve stability. It acts at the GHRH receptor on pituitary somatotroph cells, and the literature describes it as stimulating endogenous growth hormone release rather than supplying growth hormone directly.

That mechanistic distinction matters in research design. A GHRH analog acts upstream, so responses depend on an intact hypothalamic-pituitary axis; exogenous growth hormone bypasses that dependency.

Published clinical research

The core evidence base for tesamorelin comes from randomized, placebo-controlled trials in HIV-infected patients with abdominal fat accumulation. A 2010 trial reported in the Journal of Acquired Immune Deficiency Syndromes evaluated tesamorelin against placebo with a safety extension and reported reductions in visceral adipose tissue.

Follow-on analyses examined what accompanied that visceral fat reduction. A 2011 report in AIDS looked at inflammatory markers, a 2012 report in Clinical Infectious Diseases examined associated metabolic profile changes, and a 2017 report in AIDS examined liver enzymes. A 2015 PLoS One analysis looked at predictors of treatment response, and a 2011 review in Drugs summarized the compound's use in HIV-associated lipodystrophy.

Two limitations are important when reading this literature. First, the population studied is specific — HIV-associated lipodystrophy — not healthy adults or general research subjects. Second, published follow-up indicates that visceral fat effects reversed after treatment was discontinued.

Regulatory status

Tesamorelin is FDA-approved as Egrifta and Egrifta SV for the reduction of excess visceral abdominal fat in HIV-infected patients with lipodystrophy. That approval is narrow. It does not extend to general body-composition, anti-aging, athletic, or wellness use, and no such use is approved.

Research-grade tesamorelin is not the approved product. It is supplied here as a laboratory research material only.

Laboratory handling considerations

Supplied as lyophilized powder in a sealed vial. GHRH-family peptides are generally treated as moisture- and temperature-sensitive: keep sealed, equilibrate before opening, reconstitute with an appropriate solvent, aliquot rather than repeatedly freezing and thawing, and protect solutions from prolonged room-temperature exposure. Record the lot number with your data.

Documentation for this compound

Tesamorelin lots we list are submitted for independent analysis covering identity and chromatographic purity, with results tied to the lot number on the vial. Certificates are published in the COA library and are available on request for your specific lot.

Research-use-only scope

This monograph summarizes published scientific literature for educational and reference purposes only. It is not medical, veterinary, clinical, or dosing guidance, and nothing here should be read as a claim that this compound is safe, effective, or approved for use in humans or animals.

Material supplied by North Summit Labs is intended strictly for in-vitro laboratory research by qualified professionals. It is not a drug, supplement, food, cosmetic, or medical device, and it is not for human or animal consumption. Investigators are responsible for complying with their own institutional oversight, biosafety, and legal requirements.

Frequently asked questions

What is tesamorelin?

A synthetic analog of growth hormone-releasing hormone that acts at the GHRH receptor to stimulate endogenous growth hormone release, described in labeling as a GHRH(1-44) analog.

What was tesamorelin approved for?

It is FDA-approved as Egrifta and Egrifta SV specifically for reducing excess visceral abdominal fat in HIV-infected patients with lipodystrophy. No other indication is approved.

How does tesamorelin differ from sermorelin?

Both are GHRH-receptor agonists. Tesamorelin is described as a stabilized GHRH(1-44) analog, while sermorelin is the GHRH(1-29) fragment. Their published evidence bases also differ substantially in size and population.

Did the published effects persist after treatment stopped?

Published follow-up in the HIV-lipodystrophy trials reported that visceral fat reductions reversed after discontinuation.

References

  1. Falutz J, Potvin D, et al. Effects of tesamorelin, a growth hormone-releasing factor, in HIV-infected patients with abdominal fat accumulation: a randomized placebo-controlled trial with a safety extension. J Acquir Immune Defic Syndr. 2010;53:311-322. View source
  2. Stanley TL, Falutz J, et al. Effects of tesamorelin on inflammatory markers in HIV patients with excess abdominal fat: relationship with visceral adipose reduction. AIDS. 2011;25:1281-1288. View source
  3. Stanley TL, Falutz J, et al. Reduction in visceral adiposity is associated with an improved metabolic profile in HIV-infected patients receiving tesamorelin. Clin Infect Dis. 2012;54:1642-1651. View source
  4. Fourman LT, Czerwonka N, et al. Visceral fat reduction with tesamorelin is associated with improved liver enzymes in HIV. AIDS. 2017;31:2253-2259. View source
  5. Dhillon S. Tesamorelin: a review of its use in the management of HIV-associated lipodystrophy. Drugs. 2011;71:1071-1091. View source

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