Evidence review
BPC-157 Oral and Nasal: What the Record Shows
Does BPC-157 work when taken by mouth or as a nasal spray, and how do those forms compare with injection?
The answer
That is not known, because no published study has measured how much BPC-157 reaches the bloodstream when it is swallowed or sprayed into the nose, in people or in any animal, and none has compared either route with injection. The claim that it survives stomach acid comes from its originators' own reviews; the one oral trial in people, registered in 2015, has posted no results; and PubMed holds no study of nasal BPC-157 at all. The form does not change its legal position: as of September 2026 no pharmacy may lawfully compound it in any form.
- Molecules
- BPC-157
- US status
- PCAC-recommended · pending
- Sources
- 18
- Reviewed
- September 2026
Why the route is the question
BPC-157 is sold in three broad forms: injectable vials, capsules or other oral products, and nasal sprays. The injectable is the form the human reports used, and the oral and nasal forms are sold as alternatives to it. Whether they work the same way depends on something that has to be measured rather than assumed: how much of the peptide survives the trip and reaches the blood, which pharmacologists call bioavailability.
Even for injection that figure exists only in animals. In the one formal pharmacokinetic study, in rats and beagle dogs, about 14 to 19 percent of an injection into muscle reached the circulation in rats and 45 to 51 percent in dogs; unchanged BPC-157 had a half-life of under 30 minutes, and it was broken down quickly into small peptide fragments and then single amino acids [1]. That study gave the peptide into a vein or a muscle only. It has no oral arm and no nasal arm [1].
A 2026 pharmaceutics review of the whole literature put the gap plainly: no pharmaceutical-grade formulation of BPC-157 has been developed or validated, the peptide lacks permeability data, the measurements that show whether a drug can cross the gut wall, and its human pharmacokinetic profile remains critically undercharacterized [2].
Does BPC-157 survive the stomach?
The case for oral BPC-157 rests on one repeated claim, that the peptide is stable in human gastric juice. It comes from the Zagreb group that first described the compound and named it after a protein found in gastric juice. A 2020 review by that group calls it "native to and stable in human gastric juice (for more than 24 h)" [3], and a 2012 review says it "may be the new drug stable in human gastric juice" [4]. Both state stability as a property of the molecule; neither abstract reports the experiment behind it. The 2026 pharmaceutics review repeats the same description [2].
Surviving the stomach is also only the first step. A peptide that stays intact in gastric juice still has to cross the lining of the gut and escape the enzymes of the intestine and liver before any of it reaches the blood, and none of those steps has been measured for BPC-157 [2]. PubMed indexes 70 records that pair BPC-157 with oral administration, such as the peptide given to rats in drinking water or by stomach tube, and none is indexed as a clinical trial [5]. Of the 8 records that pair it with pharmacokinetics, bioavailability or absorption, the only pharmacokinetic study is the injection study above [5, 1], and a search for the arginate salt, often described as the stable oral form, returns no record at all [5].
Has oral BPC-157 been tested in people?
Once, on paper, and no result has been posted. A phase 1 trial of oral BPC-157 tablets in healthy volunteers, randomized, placebo-controlled and masked, was registered by its sponsor in December 2015 to measure safety and, as secondary outcomes, blood levels over time [6]. Its record was last updated the day it was posted, it carries an unknown status, and it has posted no results [6]. Of the 4 records PubMed tags as human among the oral studies, none gave BPC-157 to a person by mouth [5].
The originating group has also written that a bowel-disease formulation of the peptide, coded PL 14736, was tested in phase II trials [4]. PubMed indexes no report of those trials: across every name the peptide goes by, including PL 14736, it holds no record under the clinical-trial publication type [7].
The second oral study on the registry is of a different kind. A gummy containing BPC-157 was registered by the company that sells it, with its intervention entered as a dietary supplement; it enrolled 40 people in a single group with no comparison, ran from September to November 2025, was first posted in August 2026 after it had finished, and has posted no results [6]. An uncontrolled study of a seller's own product, registered after the fact, cannot show that the peptide was absorbed or that it did anything.
| Route | Human record | Result available |
|---|---|---|
| By mouth, tablets | Phase 1, randomized, placebo-controlled; 42 planned; registered 2015 [6] | None; status unknown |
| By mouth, gummy | Single group, no control; 40 people; sponsored by its seller [6] | None posted |
| Nasal spray | No study registered or published [6, 5] | Not applicable |
| Injection into the knee | 16 patients, chart review, no control [8] | Pain relief reported; no comparison |
| Injection around the bladder | 12 women, single arm [9] | No adverse events reported |
| Into a vein | 2 adults, no control [10] | No side effects reported |
- RouteBy mouth, tabletsHuman recordPhase 1, randomized, placebo-controlled; 42 planned; registered 2015 [6]Result availableNone; status unknown
- RouteBy mouth, gummyHuman recordSingle group, no control; 40 people; sponsored by its seller [6]Result availableNone posted
- RouteNasal sprayResult availableNot applicable
- RouteInjection into the kneeHuman record16 patients, chart review, no control [8]Result availablePain relief reported; no comparison
- RouteInjection around the bladderHuman record12 women, single arm [9]Result availableNo adverse events reported
- RouteInto a veinHuman record2 adults, no control [10]Result availableNo side effects reported
What about BPC-157 nasal spray?
There is no study of it. Across all five names, PubMed holds exactly one record that mentions BPC-157 alongside the nose, and it is not a study of nasal delivery: in a 1997 rat experiment the peptide was injected into the abdomen, and an irritant, capsaicin, was the substance placed in the nose [11, 5]. ClinicalTrials.gov returns no registered study of nasal BPC-157 [6].
FDA has addressed the form directly in enforcement. In a June 2023 warning letter to an online seller, the agency recorded that the firm took orders for "BPC-157" as an injectable and as a nasal spray, and stated that the products it listed were unapproved new drugs [12]. The same letter explained the agency's concern with nasal products in general: they "may be rapidly absorbed through the highly vascularized nasal mucosa directly into systemic blood circulation," and if toxic substances are introduced into the nose, harm such as bleeding, ulceration or a hole in the nasal septum may occur [12].
Oral versus injection: what can be compared?
Nothing, on the published record. A comparison needs a measurement for each route, and there is an injection figure only in rats and dogs, no oral figure in any species, and no nasal figure at all [1, 2, 5]. Claims that one form works as well as another, or that a larger oral amount makes up the difference, are not drawn from data, because the data do not exist. The animal numbers themselves cannot be carried over to people [2].
The uncertainty about the material is the same in every form. FDA's stated concerns about BPC-157, immune reactions and peptide-related impurities, attach to the substance, and the agency wrote that it lacked sufficient information to know whether the drug would cause harm when given to people [13]. The BPC-157 safety record sets out what is and is not known about harm, and the human trial record reads the three injection reports in full.
Is oral or nasal BPC-157 legal?
The route does not change the answer. BPC-157 is not an approved drug in any form, FDA removed it from Category 2 of its compounding list in April 2026 without adding it to Category 1, and the July 2026 advisory committee vote to recommend it for the section 503A list, reported as 8 to 6 with one abstention, is advisory until FDA issues a final rule [14, 15, 16]. As of September 2026 no licensed pharmacy may lawfully compound it as an injection, a capsule or a spray; the pending status page carries the dated record.
FDA's enforcement record treats BPC-157 as a drug whatever its form. Its 2023 letter called the listed injectable and nasal products new drugs that could not lawfully be sold without approval [12], and in October 2020 a Kentucky compounding pharmacy pleaded guilty to distributing unapproved new drugs whose list, in the Justice Department's account of the plea agreement, includes BPC-157 [17]. A registry entry that describes a BPC-157 gummy as a dietary supplement is the sponsor's own description, not a finding by FDA [6].
For athletes the form is also irrelevant. The World Anti-Doping Agency's 2026 Prohibited List names BPC-157 in section S0, non-approved substances, prohibited at all times, and the list makes no exception for the route [18].
Elsewhere in this index
More research on these molecules
- BPC-157 Side Effects: The Safety RecordWhat are the side effects of BPC-157, and what is actually known about its safety?
- GLOW and KLOW Peptide Blends: What Is in ThemWhat are the GLOW and KLOW peptide blends, and has either been tested in people?
- The Wolverine Stack: BPC-157 With TB-500What is the Wolverine stack, and has BPC-157 with TB-500 been tested in people?
- BPC-157: No Controlled Human Trial on RecordHas BPC-157 ever been tested in a human clinical trial?
Monographs
- BPC-157PCAC-recommended · pending
Reference tables
- The July 2026 vote ledgerHow did the advisory committee vote on each peptide, and what does a vote do?
- The 2026 recordWhat happened to United States peptide compounding law in 2026, in order?
- The nomination trackerWhat became of each peptide's nomination to the 503A bulks list?
- Removal is not permissionThe peptides removed from Category 2 in April 2026 — are they lawful now?
- The human trial record, by moleculeHow many human clinical trials exist for each peptide in this index?
- The WADA Prohibited ListWhich peptides in this index are prohibited in sport, and under which class?
- Final-action watchHas the FDA finalized anything on the peptides recommended in July 2026?
Sources
Research and regulatory records cited in this review.
- He L, Feng D, Guo H, et al. Pharmacokinetics, distribution, metabolism, and excretion of body-protective compound 157, a potential drug for treating various wounds, in rats and dogs. Front Pharmacol. 2022;13:1026182. Intravenous and intramuscular administration only. PMID 36588717 Checked September 2026. Related molecule record.
- Mateescu DM, Gavrilescu DM, Constantinescu FE, et al. BPC-157 as an investigational peptide therapeutic: biopharmaceutical challenges, formulation strategies, and translational development barriers. Pharmaceutics. 2026;18(5):625. Abstract re-read September 2026. PMID 42198317 Checked August 2026. Related molecule record.
- Sikiric P, Drmic D, Sever M, et al. Fistulas healing. Stable gastric pentadecapeptide BPC 157 therapy. Curr Pharm Des. 2020;26(25):2991-3000. PMID 32329684 Checked September 2026. Related molecule record.
- Sikiric P, Seiwerth S, Rucman R, et al. Focus on ulcerative colitis: stable gastric pentadecapeptide BPC 157. Curr Med Chem. 2012;19(1):126-132. PMID 22300085 Checked September 2026. Related molecule record.
- PubMed, National Library of Medicine. Searches run September 2026 on five BPC-157 name variants (232 records). With oral-route terms (oral, orally, per-orally, drinking water, intragastric, gavage): 70 records, 4 tagged Humans and each read (an editorial, a review and two rat studies, one also measuring sphincter pressure in pancreatitis patients not given the peptide), 0 under the clinical-trial type. With intranasal or nasal: 1 record, a rat study. With arginate: 0. With pharmacokinetic, bioavailability, absorption or plasma-concentration terms: 8 records, each title read; the one pharmacokinetic study among them gave the peptide intravenously and intramuscularly only. Controls in the same run: aspirin 8,916 under the clinical-trial type; the invalid tag returned 0; the invalid identifier 99999999 errored. Source Checked September 2026. Related molecule record.
- ClinicalTrials.gov, National Library of Medicine, v2 API, read September 2026. NCT02637284, a phase 1, randomized, quadruple-masked, placebo-controlled study of oral BPC-157 tablets in healthy volunteers, 42 planned, started October 2015, status unknown, first posted and last updated December 22, 2015, no results. NCT07752381, a single-group, open-label study of a BPC-157 gummy registered by its seller as a dietary supplement, 40 enrolled, September 1 to November 1, 2025, first posted August 7, 2026, no results. "BPC-157 nasal" returned 0 studies. Source Checked September 2026. Related molecule record.
- PubMed, National Library of Medicine. Searches run September 2026 across five BPC-157 name variants including PL 14736: 232 records, 57 tagged Humans, 0 under the clinical-trial, randomized-controlled-trial and case-report publication types, with the aspirin control and the 99999999 identifier in the same run. Source Checked September 2026. Related molecule record.
- Lee E, Padgett B. Intra-articular injection of BPC 157 for multiple types of knee pain. Altern Ther Health Med. 2021;27(4):8-13. PMID 34324435 Checked September 2026. Related molecule record.
- Lee E, Walker C, Ayadi B. Effect of BPC-157 on symptoms in patients with interstitial cystitis: a pilot study. Altern Ther Health Med. 2024;30(10):12-17. PMID 39325560 Checked September 2026. Related molecule record.
- Lee E, Burgess K. Safety of intravenous infusion of BPC157 in humans: a pilot study. Altern Ther Health Med. 2025;31(5):20-24. PMID 40131143 Checked September 2026. Related molecule record.
- Kalogjera L, Ries M, Baudoin T, et al. Dose-dependent protective effect of BPC 157 on capsaicin-induced rhinitis in rats. Eur Arch Otorhinolaryngol. 1997;254 Suppl 1:S9-S11. The peptide was injected into the abdominal cavity; capsaicin was applied to the nose. PMID 9065615 Checked September 2026. Related molecule record.
- US Food and Drug Administration. Warning letter, Warrior Labz SARMS, MARCS-CMS 655280, June 12, 2023. Content current as of June 20, 2023; read September 2026. Source Checked September 2026. Related molecule record.
- US Food and Drug Administration. Certain bulk drug substances for use in compounding that may present significant safety risks (the Category 2 rationale for BPC-157). Content current as of April 22, 2026. Read September 2026. Source Checked September 2026. Related molecule record.
- US Food and Drug Administration. Pharmacy Compounding Advisory Committee meeting, July 23–24, 2026. Source Checked August 2026. Related molecule record.
- McDermott Will & Schulte. Bulk-list bound? PCAC backs majority of peptides in two-day public meeting. July 27, 2026. Read August 2026. A secondary account, cited because FDA has published no vote record for the meeting. Source Checked August 2026. Related molecule record.
- LumaLex Law. The July 2026 PCAC Peptide Meeting. July 25, 2026. Read August 2026. A second, independent account; it prints BPC-157 at 8–6–1. Source Checked August 2026. Related molecule record.
- US Attorney's Office, Eastern District of Kentucky, US Department of Justice. Nicholasville compounding pharmacy and its owner plead guilty to unlawful distribution of prescription drugs. Press release, October 29, 2020. Read September 2026. Source Checked September 2026. Related molecule record.
- World Anti-Doping Agency. The 2026 Prohibited List, in effect from January 1, 2026. Section S0, Non-Approved Substances, prohibited at all times, naming BPC-157. Read September 2026. Source Checked September 2026. Related molecule record.