Evidence review

Semax vs Selank: Two Russian Peptides Compared

How do Semax and Selank differ, and what is the evidence and legal status of each?

The answer

They share an origin and a gap. Both are short synthetic peptides developed in Russia, and every trial-type record for either one was published in Russian; Semax was studied in stroke and nerve disease, Selank in anxiety. Neither is approved or lawfully compoundable in the United States as of September 2026, though a federal advisory panel voted in July 2026 to recommend Semax for the compounding list and did not vote on Selank.

Molecules
Semax, Selank
US status
PCAC-recommended · pending (1) · Nomination withdrawn (1)
Sources
14
Reviewed
September 2026

What are Semax and Selank?

Semax and Selank are both seven-amino-acid peptides made in Russia, and both carry the same stabilizing tail of proline, glycine and proline. What sits in front of that tail is different. Semax begins with a fragment of adrenocorticotropic hormone, the pituitary hormone that drives the adrenal glands; Selank begins with tuftsin, a small fragment of an antibody protein with effects on the immune system.

The marketing follows the parent molecules. Semax is sold as a nootropic for focus and memory, on the strength of animal work showing that it raises brain-derived neurotrophic factor, a protein that supports nerve cells, and its receptor in the rat hippocampus [1]. Selank was developed as an anti-anxiety drug meant to work without the sedation of benzodiazepines, and anxiety is what its Russian trials tested [5, 6]. The table sets the two records side by side.

Semax and Selank compared, as of September 2026
MeasureSemaxSelank
Built fromA fragment of adrenocorticotropic hormone, with a proline-glycine-proline tailTuftsin, an immune peptide fragment, with the same tail
Studied in people forStroke, optic nerve disease and motor neuron disease [2, 3, 4]Anxiety disorders and neurasthenia [5, 6]
PubMed records216, of which 49 tagged Humans [2]89, of which 22 tagged Humans [5]
Trial-type records4, all in Russian [2]3, all in Russian, in one journal [5]
US approvalNone; no application in Drugs@FDA [14]None
503A bulks list, May 2026In no category [8]In no category [8]
FDA safety findingImmunogenicity risk; too little safety information to know whether it would cause harm [9]Immunogenicity risk; important information on human safety lacking [9]
Advisory committee voteRecommended for the 503A list, reported 8–5 with one abstention [10, 11]Not on the agenda [11]
Index statusPendingNomination withdrawn; research-only supply
  • MeasureBuilt from
    SemaxA fragment of adrenocorticotropic hormone, with a proline-glycine-proline tail
    SelankTuftsin, an immune peptide fragment, with the same tail
  • MeasureStudied in people for
    SemaxStroke, optic nerve disease and motor neuron disease [2, 3, 4]
    SelankAnxiety disorders and neurasthenia [5, 6]
  • MeasurePubMed records
    Semax216, of which 49 tagged Humans [2]
    Selank89, of which 22 tagged Humans [5]
  • MeasureTrial-type records
    Semax4, all in Russian [2]
    Selank3, all in Russian, in one journal [5]
  • MeasureUS approval
    SemaxNone; no application in Drugs@FDA [14]
    SelankNone
  • Measure503A bulks list, May 2026
    SemaxIn no category [8]
    SelankIn no category [8]
  • MeasureFDA safety finding
    SemaxImmunogenicity risk; too little safety information to know whether it would cause harm [9]
    SelankImmunogenicity risk; important information on human safety lacking [9]
  • MeasureAdvisory committee vote
    SemaxRecommended for the 503A list, reported 8–5 with one abstention [10, 11]
    SelankNot on the agenda [11]
  • MeasureIndex status
    SemaxPending
    SelankNomination withdrawn; research-only supply

What has each been tested for in people?

Semax has four trial-type records in PubMed, and all four are Russian-language: a 1997 study of 30 patients in the acute period of ischemic stroke compared with 80 on conventional therapy [3], a 2000 study in optic nerve disease [4], a 2007 study of 27 patients with motor neuron disease [2], and a 2018 study that followed 110 patients through stroke rehabilitation [2]. None enrolled healthy adults, and none measured memory or attention in people without a neurological diagnosis [2]. The nootropic claim is an inference from rat biology and from patients with brain injury.

Selank has three, all in Russian and all in one journal [5]. A 2008 study compared it with the benzodiazepine medazepam in 62 patients with generalized anxiety disorder or neurasthenia and reported similar anti-anxiety effects in the two groups [6]. A 2014 study compared it with phenazepam, another benzodiazepine, in 60 patients with anxiety and somatoform disorders and reported a pronounced anti-anxiety effect [7]. The third, from 2015, concerns optimizing the treatment of anxiety disorders with it [5].

The two records share one limit. No trial of either peptide appears in the English-language literature [2, 5], and FDA has approved neither. The Semax evidence review reads the four Semax trials in detail, and the human trial record prints both counts beside every other molecule in the index.

What are the side effects of Semax and Selank?

No controlled study published in English reports them, and no FDA label exists for either, so there is no reliable side-effect list for either peptide. The 2014 Selank study names tolerability in its title, yet its abstract reports no adverse-event figures [7]; the 2008 study's abstract reports none either [6]. Any list of Semax or Selank side effects met online is therefore not drawn from a counted comparison with placebo.

What FDA has published is a statement of what it does not know. For Selank, the agency found that compounded drugs containing it may pose a risk of immunogenicity, an immune reaction against the peptide, because of aggregation and peptide-related impurities, and that it lacks important information about the safety of Selank in humans [9]. For Semax it recorded the same immunogenicity concern and wrote that it has no, or only limited, safety information for the proposed routes and therefore lacks enough information to know whether the drug would cause harm if given to people [9]. Both statements remain published among the substances whose nominations were withdrawn.

Is either one legal in the United States?

Neither is an approved drug, and no licensed pharmacy may lawfully compound either one as of September 2026. Drugs@FDA holds no application under the name Semax [14], and neither peptide appears in any category of the section 503A bulks list FDA published on May 14, 2026 [8]. Both were once in Category 2 of FDA's interim list, the category for substances that may present significant safety risks, and both now sit in the agency's table of nominations withdrawn [9].

The difference is the July 2026 advisory meeting. The Pharmacy Compounding Advisory Committee voted to recommend adding Semax to the 503A list, by a margin reported as 8 to 5 with one abstention in two independent law-firm accounts; FDA has published no vote record, and the vote is advisory until the agency issues a final rule [10, 11]. Selank was not among the seven substances voted on at that meeting [11]. The vote ledger carries the tallies, and the pending page explains what an advisory vote does and does not change.

Both peptides also appear in federal enforcement records. In April 2020 FDA warned a Kentucky compounding pharmacy that products it made with Selank and twenty-one other substances were not eligible for the compounding exemptions [12]. In October 2020 that pharmacy, Tailor Made Compounding, pleaded guilty to distributing unapproved new drugs from October 2018 to April 2020; the Justice Department's account of the plea agreement names both Semax and Selank among them, and the company agreed to forfeit $1,788,906.82, its 2019 sales of those products [13].

Semax or Selank: what the comparison shows

The two peptides invite comparison, one pitched for focus and one for calm, and the record pairs them too: similar size, the same origin, the same language barrier around their trials, and the same FDA finding that human safety information is lacking. What separates them in the United States is procedural rather than scientific. Semax has a recommendation from an advisory committee and awaits rulemaking; Selank has no pending nomination at all.

Product sold under either name to US buyers is research-use-only chemical supply or an import, made outside pharmacy licensure and with nothing independent confirming what a vial or spray contains. The neuropeptides class page files both beside the other brain-targeted peptides in the index, including DSIP, the one substance that committee voted against at the same meeting.

Elsewhere in this index

More research on these molecules

Monographs

  • SemaxPCAC-recommended · pending
  • SelankNomination withdrawn

Reference tables

Sources

Research and regulatory records cited in this review.

  1. Dolotov OV, Karpenko EA, Inozemtseva LS, et al. Semax, an analog of ACTH(4-10) with cognitive effects, regulates BDNF and trkB expression in the rat hippocampus. Brain Res. 2006;1117(1):54-60. PMID 16996037 Checked August 2026. Related molecule record.
  2. PubMed, National Library of Medicine. Semax census run September 2026 across three name variants: 216 records, 49 tagged Humans, 4 under the clinical-trial publication type and 1 under the randomized type; 93 records Russian-language and 125 English-language; the trial filters return 0 in English and all 4 in Russian. The four trial-type records are a 1997 acute-stroke study, a 2000 optic-nerve study, a 2007 motor-neuron-disease study of 27 patients and a 2018 post-stroke rehabilitation study of 110 patients, each read. Filters proved live against the control term aspirin in the same run. Source Checked September 2026. Related molecule record.
  3. Gusev EI, Skvortsova VI, Miasoedov NF, et al. [Effectiveness of semax in acute period of hemispheric ischemic stroke (a clinical and electrophysiological study)]. Zh Nevrol Psikhiatr Im S S Korsakova. 1997;97(6):26-34. Russian. PMID 11517472 Checked September 2026. Related molecule record.
  4. Polunin GS, Nurieva SM, Baiandin DL, Sheremet NL, Andreeva LA. [Evaluation of therapeutic effect of new Russian drug semax in optic nerve disease]. Vestn Oftalmol. 2000;116(1):15-18. Russian. PMID 10741256 Checked September 2026. Related molecule record.
  5. PubMed, National Library of Medicine. Selank census run August 2026 across three name variants: 89 records, 22 tagged Humans, 3 under the clinical-trial publication type and 2 under the randomized type; all three trial-type records are anxiety-disorder studies published in Russian in one journal between 2008 and 2015, each read. Filters proved live against a control term in the same run. Source Checked August 2026. Related molecule record.
  6. Zozulia AA, Neznamov GG, Siuniakov TS, et al. [Efficacy and possible mechanisms of action of a new peptide anxiolytic selank in the therapy of generalized anxiety disorders and neurasthenia]. Zh Nevrol Psikhiatr Im S S Korsakova. 2008;108(4):38-48. Russian. Abstract re-read September 2026: 62 patients, 30 given selank and 32 medazepam. PMID 18454096 Checked August 2026. Related molecule record.
  7. Medvedev VE, Tereshchenko ON, Israelian AIu, et al. [A comparison of the anxiolytic effect and tolerability of selank and phenazepam in the treatment of anxiety disorders]. Zh Nevrol Psikhiatr Im S S Korsakova. 2014;114(7):17-22. Russian. Abstract re-read September 2026: 60 patients; no adverse-event figures reported in the abstract. PMID 25176261 Checked August 2026. Related molecule record.
  8. US Food and Drug Administration. Bulk Drug Substances Nominated for Use in Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act, updated May 14, 2026. Read in full: neither Selank (read August 2026) nor Semax (read September 2026) appears in Category 1, 2 or 3. Source Checked August 2026. Related molecule record.
  9. US Food and Drug Administration. Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks, content current as of April 22, 2026, table of bulk drug substances nominated but withdrawn, entries for Selank acetate (TP-7) and Semax (heptapeptide). Read August and September 2026. Source Checked August 2026. Related molecule record.
  10. 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 minutes, transcript or vote summary for the July 23–24, 2026 meeting. Source Checked August 2026. Related molecule record.
  11. LumaLex Law. The July 2026 PCAC Peptide Meeting. July 25, 2026. Read August 2026. A second, independent account; it prints all seven votes of the July 23–24, 2026 meeting (BPC-157, KPV, TB-500, MOTS-c, Semax, Epitalon and emideltide), Semax at 8–5–1. Selank is not among them. Source Checked August 2026. Related molecule record.
  12. US Food and Drug Administration. Warning letter, Tailor Made Compounding LLC, case 594743, April 1, 2020. Read August 2026. Source Checked August 2026. Related molecule record.
  13. 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. The plea agreement, as the release describes it, names Semax and Selank among the unapproved new drugs distributed; the company agreed to forfeit $1,788,906.82. Source Checked September 2026. Related molecule record.
  14. US Food and Drug Administration, Drugs@FDA through the openFDA drugsfda endpoint. Queried September 2026 on the generic, substance and brand names for "semax": no matching application. Control in the same run: bremelanotide returned NDA 210557. Source Checked September 2026. Related molecule record.