PeptidePedia
Limited Human Evidence

Ipamorelin

A selective ghrelin receptor agonist studied as a growth hormone secretagogue with minimal effects on cortisol or prolactin.

In plain English

Ipamorelin is a synthetic pentapeptide and selective agonist of the ghrelin receptor (GHSR-1a). Unlike older GH secretagogues, it stimulates GH release without meaningfully raising cortisol or prolactin in human trials. Originator development reached Phase 2 for postoperative ileus before being discontinued — not for efficacy, but for commercial reasons. Today ipamorelin is widely used as a research peptide, typically paired with a GHRH analog like CJC-1295. People commonly research ipamorelin for body composition, sleep, and recovery, but rigorous long-term human data are limited.

What it is

Ipamorelin is a synthetic pentapeptide (Aib-His-D-2-Nal-D-Phe-Lys-NH2) and a selective ghrelin receptor agonist.

Mechanism (summary)

Ipamorelin activates the GHSR-1a (ghrelin receptor) on pituitary somatotrophs, releasing growth hormone. Unlike GHRP-6 and GHRP-2, it produces minimal increases in cortisol, prolactin, ACTH, and aldosterone.

Why people research it

  • Postoperative ileus (gut motility after surgery)
  • Growth hormone secretion
  • Body composition
  • Recovery and sleep

Human evidence

Phase 2 trials in postoperative ileus showed accelerated GI recovery vs. placebo. Endocrine studies show selective GH release without significant cortisol/prolactin changes. Long-term anti-aging or body-composition RCTs are lacking.

Animal / lab evidence

Robust GH release across species with a clean endocrine selectivity profile.

Key studies

Each summary explains the design, what was found, and what it doesn't prove.

Animal1998·Pigs and rats
Ipamorelin, the first selective growth hormone secretagogue

In animals, ipamorelin released growth hormone cleanly, without raising stress hormones the way older drugs did.

Finding: Ipamorelin selectively released GH without meaningfully raising cortisol, prolactin, or ACTH.
Limitations: Preclinical study; selectivity profile was later largely confirmed in humans.
Human RCT2014·Adults undergoing major bowel surgery
Ipamorelin Accelerates Gastrointestinal Recovery After Bowel Surgery: A Phase 2 RCT

After bowel surgery, patients on ipamorelin recovered gut function faster than patients on placebo.

Finding: Ipamorelin shortened time to GI recovery (first bowel movement, tolerance of solid food) vs. placebo.
Limitations: Mid-stage trial; subsequent development was discontinued.

History

Discovered by Helsinn (then by Novo Nordisk) in the 1990s. Phase 2 in postoperative ileus reached completion; commercial development was discontinued.

Important:

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