Product Overview

Sermorelin evidence summary

Sermorelin is a synthetic 29–amino acid analog of human growth hormone–releasing hormone (GHRH) that stimulates endogenous growth hormone (GH) secretion from the anterior pituitary.[1] It is the shortest peptide retaining full GHRH biological activity and acts via direct activation of pituitary GHRH receptors to elicit a physiologic, pulsatile GH pattern.[1][2][3][4][5]

Clinical Applications & Effects

  • Diagnosis of GH deficiency: IV sermorelin (1 µg/kg) is used as a rapid, relatively specific provocative test in children, with fewer false positives than some alternatives.[1]
  • Treatment of idiopathic GH deficiency: Nightly s.c. sermorelin (30 µg/kg) increases height velocity and supports catch-up growth in prepubertal children over 12–36 months.[1]
  • Aging & body composition: GHRH analogs (incl. sermorelin) can restore age-related declines in GH/IGF-I, increasing lean mass, reducing fat mass, and improving skin thickness—without metabolic/cardiovascular risks typical of exogenous GH therapy.[2][3][6][7][8][5]
  • Functional outcomes: Reports include improved well-being, libido, and insulin sensitivity in men; effects on sleep/cognition are variable.[6][8]
  • Safety: Generally well tolerated; transient flushing and injection-site pain are most common. Long-term data show favorable safety without increased tumorigenesis or major metabolic derangements.[1][3][6]

Pharmacology & Dosing

  • Typical pediatric dosing: 30 µg/kg s.c. at bedtime for growth disorders.[1]
  • Adult regimens vary; studies have used ~1–4 mg twice daily for aging-related indications.[1][7]
  • Feedback regulation is preserved with chronic use, lowering risk of sustained supraphysiologic GH exposure.[2][4][5]

Comparative Efficacy

  • Height-velocity gains are typically less than with recombinant GH (somatropin), but sermorelin offers a more physiologic approach suited to select cases.[1]
  • GHRH analogs/GH secretagogues remain effective in aging and some GH-deficient states, but are less effective in hypothalamic deficits or pituitary stalk disconnection.[9][10]

Emerging & Extra-Endocrine Effects

  • Preclinical work suggests cardioprotection, metabolic regulation, immune modulation, and tissue repair potential beyond endocrine indications.[3][11][9][5]

Summary: Sermorelin (10 mg) is a well-tolerated GHRH analog with established roles in diagnosing and treating pediatric GH deficiency and growing evidence for mitigating age-related GH/IGF-I decline, improving body composition, and supporting functional health in older adults. Its physiologic mechanism and safety profile make it a rational alternative to exogenous GH therapy where appropriate.[2][3][6][11][4][9][1][7][8][5][10]

References

  1. Prakash A, Goa KL. BioDrugs. 1999;12(2):139-57. doi:10.2165/00063030-199912020-00007.
  2. Merriam GR, Schwartz RS, Vitiello MV. Endocrine. 2003;22(1):41-8. doi:10.1385/ENDO:22:1:41.
  3. Oikonomakos I, Siow R, Bornstein SR, Steenblock C. Horm Metab Res. 2025. doi:10.1055/a-2641-1207.
  4. Merriam GR, Buchner DM, Prinz PN, et al. Endocrine. 1997;7(1):49-52. doi:10.1007/BF02778062.
  5. Smith RG, Thorner MO. J Gerontol A Biol Sci Med Sci. 2023;78(Suppl 1):38-43. doi:10.1093/gerona/glad022.
  6. Khorram O, Laughlin GA, Yen SS. J Clin Endocrinol Metab. 1997;82(5):1472-9. doi:10.1210/jcem.82.5.3943.
  7. Veldhuis JD, Patrie JT, Frick K, et al. J Clin Endocrinol Metab. 2004;89(12):6325-30. doi:10.1210/jc.2004-0430.
  8. Vitiello MV, Schwartz RS, Moe KE, et al. Dialogues Clin Neurosci. 2001;3(3):229-36.
  9. Muller EE, Rigamonti AE, Colonna Vde G, et al. Neurobiol Aging. 2002;23(5):907-19. doi:10.1016/S0197-4580(02)00026-X.
  10. Camanni F, Ghigo E, Arvat E. Front Neuroendocrinol. 1998;19(1):47-72. doi:10.1006/frne.1997.0158.
  11. Schally AV, Zhang X, Cai R, et al. Endocrinology. 2019;160(7):1600-1612. doi:10.1210/en.2019-00111.

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