Peptide basics

Tesamorelin vs sermorelin: both approved, and only one has a trial record

On this page
  1. What this comparison measures
  2. Registered human trials
  3. Furthest phase reached
  4. Regulatory status
  5. Publication trend, 2017 to 2026
  6. Attention against evidence
  7. Common questions

Tesamorelin has 18 registered studies in PepRack's snapshot and reaches phase 4. Sermorelin has 0 registered studies under its own name and therefore no phase.

Both hold approved US applications. Tesamorelin's EGRIFTA is recorded as a marketed prescription product; sermorelin's GEREF applications are recorded as discontinued.

Indexed publications 2017–2026 run 45 for tesamorelin and 17 for sermorelin. Both literatures are small in absolute terms.

This page compares records only. Neither approval nor trial count says whether either compound works, is safe, or is appropriate for anyone.

Both compounds are growth-hormone-releasing hormone analogues with approved US applications, which is why they are so often described in the same words. This page separates what those two records actually contain, and makes no claim about hormonal or body-composition effects for either.

What this comparison measures

These two are the growth-hormone-releasing hormone analogues on this site that hold approved US applications. Because a one-word summary — approved — is true of both, this page reports the things that summary hides: how many studies exist, what phase they reached, whether the approved product is still marketed, and how large each literature is.1245

Registered human trials

In the snapshot of 1 August 2026, a registry search for tesamorelin returned 24 loose matches, of which 18 were verified as naming it an intervention. For sermorelin the search returned 27 loose matches and verified none.12

Tesamorelin's phase distribution in the snapshot is 2 phase-1, 7 phase-2, 1 phase-3, 2 phase-4 and 4 without a phase label. That is a small but complete-looking arc, from early studies through a registration trial to post-approval work.1

The registered programme sits largely in HIV-associated conditions. The pivotal work was registered under the development code TH9507 in HIV-associated lipodystrophy, and the corresponding trial report was published in 2007.98

Furthest phase reached

Tesamorelin reaches phase 4, which is only available to a compound with an approved product, and it does so with 2 registrations. Sermorelin has no registered phase at all.12

This is the sharpest illustration on the site that approval and phase-4 activity are separate facts. Sermorelin has an approval and no phase-4 record; the two do not automatically travel together, because post-marketing studies have to actually be registered by someone.125

Regulatory status

Tesamorelin is the active ingredient of EGRIFTA, recorded in Drugs@FDA under application 022505 with a prescription marketing status in the openFDA index. Its approved labelling states the condition it was approved to treat.347

Sermorelin acetate is the active ingredient of GEREF, recorded under NDA 019863 and NDA 020443. In the openFDA index every product under both applications carries a marketing status of discontinued.56

  • Both compounds hold approved US applications; that much of the one-word summary is accurate for each.
  • Only tesamorelin's approved product is recorded as currently marketed.
  • Only tesamorelin has registered studies under its own name.456712

Publication trend, 2017 to 2026

A PubMed title/abstract search across 2017 to 2026 returns 45 records for tesamorelin and 17 for sermorelin. Neither series exceeds 13 records in any single year, and both sit at or below 6 for most of the decade.1011

For two compounds with approved applications, those are strikingly small numbers. Approval concentrates research effort into the approved question and rarely produces a large ongoing literature afterwards, particularly where the indication is narrow.1011

Tesamorelin has an approved, marketed product, 18 registered studies and a phase-4 record — one of the few compounds on this site with all three.

Sermorelin holds approved applications whose products are recorded as discontinued, and no registered study under its own name.

Attention against evidence

Between February and July 2026, the tesamorelin Wikipedia article averaged 8,990 views a month with a peak of 9,996; the sermorelin article averaged 8,297 with a peak of 8,819. The two are read at nearly the same rate.1212

Equal readership across an eighteen-study record and an empty one is the reason this site publishes several measures side by side. Attention does not distinguish these two compounds; the record does.12

Common questions

Are both compounds really FDA-approved?

Both hold approved US applications. Tesamorelin's EGRIFTA is recorded with prescription marketing status; sermorelin's GEREF applications are recorded as discontinued. The word approved covers both situations, which is why this page reports marketing status separately.

Why does tesamorelin have 18 studies and sermorelin none?

Tesamorelin's programme was registered under its own name and its development code, so the studies are countable. Sermorelin's name expands into the broader GHRH family in registry search, and none of the 27 matches names sermorelin as an administered intervention.

Does tesamorelin's approval apply to general body-composition use?

An approval covers the condition stated in the approved labelling and nothing else. This page reports that the labelling exists and links to it; it does not restate or extend what the product was approved for.

Which has more evidence?

Tesamorelin, on every measure reported here: registered studies, furthest phase, marketing status and publication count. That is a description of the record. It is not a statement that tesamorelin works, is safe, or is appropriate for anyone.

Sources

  1. Secondary source
    ClinicalTrials.gov registry search: studies with an intervention matching “Tesamorelin”U.S. National Library of Medicine, ClinicalTrials.gov, 2026clinicaltrials.gov/search?intr=TesamorelinBack to text
  2. Secondary source
    ClinicalTrials.gov registry search: studies with an intervention matching “Sermorelin”U.S. National Library of Medicine, ClinicalTrials.gov, 2026clinicaltrials.gov/search?intr=SermorelinBack to text
  3. Product label
    EGRIFTA (tesamorelin for injection) — Prescribing Information, BLA 022505U.S. Food and Drug Administration, 2010www.accessdata.fda.gov/drugsatfda_docs/label/2010/022505s000lbl.Back to text
  4. Regulatory
    Drugs@FDA overview for EGRIFTA (tesamorelin), application 022505U.S. Food and Drug Administration, 2026www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overviewBack to text
  5. Regulatory
    Drugs@FDA overview for GEREF (sermorelin acetate), application NDA 019863U.S. Food and Drug Administration, 2026www.accessdata.fda.gov/scripts/cder/daf/index.cfm?event=overviewBack to text
  6. Regulatory
    Drugs@FDA application records for products whose active ingredient is sermorelin (openFDA)U.S. Food and Drug Administration, 2026api.fda.gov/drug/drugsfda.json?search=products.active_ingredientBack to text
  7. Regulatory
    Drugs@FDA application records for products whose active ingredient is tesamorelin (openFDA)U.S. Food and Drug Administration, 2026api.fda.gov/drug/drugsfda.json?search=products.active_ingredientBack to text
  8. Primary study
    Metabolic effects of a growth hormone-releasing factor in patients with HIVFalutz J, Allas S, Blot K, et al.. New England Journal of Medicine, 2007 · doi:10.1056/NEJMoa072375 · PMID 18057338doi.org/10.1056/NEJMoa072375Back to text
  9. Primary study
    TH9507 in Patients With HIV-Associated Lipodystrophy (NCT00123253)ClinicalTrials.gov registry record, 2005clinicaltrials.gov/study/NCT00123253Back to text
  10. Secondary source
    PubMed title/abstract search: “Tesamorelin”, publication years 2017–2026National Library of Medicine, PubMed, 2026pubmed.ncbi.nlm.nih.gov/?term=%22Tesamorelin%22%5Btiab%5D%20AND%Back to text
  11. Secondary source
    PubMed title/abstract search: “Sermorelin”, publication years 2017–2026National Library of Medicine, PubMed, 2026pubmed.ncbi.nlm.nih.gov/?term=%22Sermorelin%22%5Btiab%5D%20AND%2Back to text
  12. Secondary source
    Wikimedia REST API — English Wikipedia pageviewsWikimedia Foundation, 2026wikimedia.org/api/rest_v1/#/Pageviews%20dataBack to text