GH secretagogues
GHRP-6
Growth hormone releasing peptide-6; growth hormone releasing hexapeptide
- US status
- No lawful route
- Class
- GH secretagogues
- Approved product
- None
- Route
- None lawful; sold as research-use-only material
Regulatory record
- September 2023
- FDA places growth hormone releasing peptide-6 in Category 2 under the section 503B interim policy, with a date added of September 29, 2023. The agency states that compounded drugs containing GHRP-6 may pose a risk for immunogenicity for certain routes of administration due to the potential for aggregation and peptide-related impurities, and that it has identified limited safety-related information, with the available data revealing concerns including a potential effect on cortisol and an increase in blood glucose from decreased insulin sensitivity.
- May 2026
- The section 503A bulks list FDA published May 14, 2026 lists GHRP-6 in Category 3, the file for substances nominated without adequate support to evaluate. It sits in neither of the other two 503A categories, and Category 3 carries no authorization to compound.
- September 2026
- Drugs@FDA holds no approved product with GHRP-6 as an active ingredient, and the substance was not among the seven peptides the advisory committee reviewed in July 2026.
- FDA final action
- None as of September 2026.
Every entry above is dated; the record is current as of the review date.
Definition
GHRP-6 is a synthetic hexapeptide that releases growth hormone through the ghrelin receptor. It is the older and more widely studied of the two growth hormone-releasing peptides this index tracks, and it was the compound that established the receptor pathway itself: the earliest human work showed that the peptide releases growth hormone independently of growth hormone-releasing hormone and acts synergistically with it.
Like its sibling, it is sold in the United States as research-use-only material. Its federal file is the same two-list arrangement, and the same two-list arrangement is what a single-source summary of its status gets wrong.
Evidence
Across five name variants PubMed returns 801 indexed records, of which 316 carry the Humans subject heading, 56 the clinical-trial publication type, and 25 the randomized-controlled-trial type [1]. The publication-type filter was proved live in the same run against a control term returning 8,906 records under the clinical-trial type and 6,115 under the randomized type; the invalid tag returned zero for that control term; and a deliberately invalid record identifier errored in the same run [1].
Fifty-six is not fifty-six trials of this compound, and the reading is the reason to say so. All 56 titles were retrieved and opened. The union draws in hexarelin, ghrelin itself, the non-peptide mimetics that were developed from the hexapeptide, and animal work in cattle, dogs and rats, because the phrase that identifies the compound also identifies its whole pharmacological neighborhood [1]. A count published without that reading would attribute a receptor family's literature to one molecule sold from it.
What is left, after reading, is a provocation and diagnostic literature. The characteristic study administers the peptide and measures growth hormone, adrenocorticotropic hormone or cortisol release, often in comparison with growth hormone-releasing hormone or the insulin tolerance test; a trial in growth hormone-deficient adults proposed the combination as a diagnostic alternative to that test [2]. A separate study measured its effect on sleep architecture alongside the hormonal response [3]. One pharmacokinetic study administered the peptide to nine healthy male volunteers [4].
The one indexed record that reports a therapeutic outcome is not a trial of GHRP-6 alone: a 2026 phase 3 open-label randomized trial in acute ischemic stroke tested epidermal growth factor combined with growth hormone releasing hexapeptide, and it was conducted outside the United States [5]. A combination product studied for a neurological indication abroad is not evidence for the uses the compound is sold for here, and the distance is worth naming rather than leaving to inference.
Lawful access
There is no lawful United States supply route. Drugs@FDA holds no approved product with GHRP-6 as an active ingredient; in the same session and the same query form, bremelanotide returned one application and liraglutide returned fourteen, and a deliberately invented ingredient name returned none [6].
The section 503A bulks list FDA published May 14, 2026 lists GHRP-6 in Category 3, the file for substances nominated without adequate support to evaluate, and in neither of the other two categories [7]. Category 3 is a statement about the nomination, not about the published literature and not about safety. A substance can hold eight hundred indexed records and a Category 3 file at the same time, and this one does.
Under the separate section 503B policy, GHRP-6 is in Category 2, added September 29, 2023. FDA states there that compounded drugs containing it may pose a risk for immunogenicity for certain routes of administration due to the potential for aggregation and peptide-related impurities, and that it has identified limited safety-related information, with the available data revealing concerns including a potential effect on cortisol and an increase in blood glucose from decreased insulin sensitivity [8]. That is the only place in the federal record where an agency safety view of this compound is stated, and it is stated about outsourcing facilities rather than about pharmacies.
The substance was not among the seven peptides the advisory committee reviewed in July 2026 [7]. What is sold is research-use-only material, on the same terms as everything else in that file.
Elsewhere in this index
Filed under
- Research-onlyNo lawful route
- GH secretagogues6 molecules in this class
- The molecule indexEvery molecule, filterable by status and class
Evidence reviews
- Category 3: Nominated, Not ReviewedWhat does Category 3 of the FDA 503A bulks list actually mean?
- What the GHRP Trial Records MeasureDo the trial records for GHRP-2 and GHRP-6 support the uses the compounds are sold for?
Reference tables
- 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?
- The human trial recordHow 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?
Same class
- TesamorelinFDA-approved
- SermorelinCompoundable (503A)
- CJC-1295Nomination withdrawn
- IpamorelinNomination withdrawn
- GHRP-2No lawful route
References
- PubMed, National Library of Medicine. Census run 2026-09-01 across five name variants — "GHRP-6" OR "GHRP 6" OR "growth hormone releasing peptide-6" OR "growth hormone-releasing peptide 6" OR "growth hormone releasing hexapeptide" — returning 801 indexed records, 316 carrying the Humans MeSH term, 56 under "clinical trial"[Publication Type] and 25 under "randomized controlled trial"[Publication Type]. All 56 clinical-trial titles were retrieved through esummary and read; the union includes hexarelin, ghrelin, the mimetics MK-677 and L-692,429, and animal studies. In the same run the control term aspirin returned 8,906 records under the clinical-trial filter and 6,115 under the randomized filter; the invalid tag clinicaltrial[pt] returned 0 for that same control term; and esummary on the invalid record identifier 99999999 errored. Source
- Popovic V, Leal A, Micic D, Koppeschaar HP, Torres E, Paramo C, et al. GH-releasing hormone and GH-releasing peptide-6 for diagnostic testing in GH-deficient adults. Lancet. 2000 Sep 30;356(9236):1137-42. PMID 11030292
- Frieboes RM, Murck H, Maier P, Schier T, Holsboer F, Steiger A. Growth hormone-releasing peptide-6 stimulates sleep, growth hormone, ACTH and cortisol release in normal man. Neuroendocrinology. 1995 May;61(5):584-9. PMID 7617137
- Cabrales A, Gil J, Fernández E, Valenzuela C, Hernández F, García I, et al. Pharmacokinetic study of Growth Hormone-Releasing Peptide 6 (GHRP-6) in nine male healthy volunteers. Eur J Pharm Sci. 2013 Jan 23;48(1-2):40-6. PMID 23099431
- Hernández-Bernal F, Subirós-Martínez N, Gutiérrez-Ronquillo JH, Colina-Ávila E, Guevara-Rodríguez M, Estenoz-García D, et al. Phase III Open-Label, Randomized Clinical Trial of Epidermal Growth Factor and Growth Hormone Releasing Hexapeptide in Acute Ischemic Stroke. J Clin Neurosci. 2026 Oct;152:112195. PMID 42462342
- US Food and Drug Administration, openFDA Drugs@FDA endpoint. Absence probe run 2026-09-01: a search by active-ingredient name returned no records for GHRP-6. In the same run and the same query form, bremelanotide returned one application and liraglutide returned fourteen, and a deliberately invented ingredient name returned none — a positive and a negative control beside the zero. Source
- 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. Fetched and read in full 2026-09-01: GHRP-6 appears in Category 3 and in neither Category 1 nor Category 2. Source
- 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. Read 2026-09-01: the Category 2 table lists Growth hormone releasing peptide-6 (GHRP-6) under the 503B policy, date added September 29, 2023. Source