Sermorelin
GHRH 1-29
aka GRF 1-29 · Geref · GHRH analogue · sermorelin acetate
A shortened GHRH analogue that research shows stimulates the pituitary to release endogenous growth hormone.
Sequence
YADAIFTNSYRKVLGQLSARKLLQDIMSR-NH2
Tyr-Ala-Asp-Ala-Ile-Phe-Thr-Asn-Ser-Tyr-Arg-Lys-Val-Leu-Gly-Gln-Leu-Ser-Ala-Arg-Lys-Leu-Leu-Gln-Asp-Ile-Met-Ser-Arg-NH2
Mechanism of action
Sermorelin is a synthetic peptide that mimics the action of growth hormone-releasing hormone (GHRH). It binds to the GHRH receptor on pituitary cells, stimulating the release of endogenous growth hormone. This process enhances the natural pulsatile secretion of growth hormone, which is crucial for growth and metabolism.
What the evidence actually shows
There are several human trials that have demonstrated sermorelin's ability to increase growth hormone levels and improve body composition. However, most studies are small and short-term, with limited data on long-term safety and efficacy.
Regulatory status
In the UK, sermorelin is not licensed for medical use and is considered a research compound.
Source ↗Pharmacokinetics
Dosing — what backs each figure
Sermorelin did have US approval - GEREF, NDA 020443 (0.5 and 1.0 mg vials) and NDA 019863 (0.05 mg amp), EMD Serono - for short stature due to idiopathic GHD in children who responded to a Geref stimulation test; it was discontinued for business rather than safety or effectiveness reasons (Federal Register determination, 2013). Published human dosing is weight-based in children (15 mcg/kg twice daily to 60 mcg/kg/day SC) plus a 1 mcg/kg IV diagnostic bolus; there is no approved or trial-sourced adult flat dose.
GHRH(1-29)-NH2 at 30 or 60 micrograms/kg/day for 6 months (randomized against GH 0.1 IU/kg/day, which produced significantly better growth)
children with proven growth hormone deficiency of hypothalamic origin (n=60) · subcutaneous (continuous administration)
GHRH(1-29)-NH2 15 micrograms/kg twice daily by subcutaneous injection for 1 year
prepubertal children with radiation-induced growth hormone deficiency (n=9), multicentre · subcutaneous
Ogilvy-Stuart et al., Clin Endocrinol (Oxf) 1997;46(5):571-8 ↗
Diagnostic use: GHRH 1 microgram/kg intravenously as a single bolus (typically combined with arginine 30 g IV) with serial GH sampling to 120 minutes
adults undergoing assessment for growth hormone deficiency · intravenous
- Dose
- Research literature cites ~100 to 300 mcg at night
- Frequency
- Daily
- Cycle
- 3-6 months· unsourced
Why this isn't evidence
The approved GEREF indication and every published sermorelin trial used weight-based dosing (15 mcg/kg twice daily up to 60 mcg/kg/day) in children with growth hormone deficiency, which for a 70 kg adult would be roughly 1-4 mg/day; the flat 100-300 mcg bedtime adult dose and the '3-6 month cycle' appear in no label or trial read here and are compounding-clinic convention.
This figure is shown because it is what circulates and what people search for — not because it is supported. Cycle lengths in particular tend to be convention copied between compounds rather than anything derived from a compound's own pharmacokinetics.
Handling and storage
Safety
- ·Injection site reactions
- ·Flushing
- ·Headache
- ·Severe allergic reactions
- ·Hyperglycemia
- ·Active malignancy
- ·Hypersensitivity to sermorelin
- ·Corticosteroids may reduce the effectiveness of sermorelin by inhibiting growth hormone release.
Flushing, injection-site reactions, headache
Reported combinations
- ·GHRP-6, which may enhance GH release when used with sermorelin
- ·Glucocorticoids, which can inhibit GH secretion
Combination claims in this dataset are largely unsourced and should be treated as folk knowledge until a citation appears beside them.
References (2)
- Prakash A, Goa KL (1999) Sermorelin: a review of its use in the diagnosis and treatment of children with idiopathic growth hormone deficiency. ↗BioDrugsPMID 18031173DOI
Review of the clinical data supporting sermorelin's use as a GHRH analogue for diagnosis and treatment of idiopathic growth hormone deficiency in children.
- Ramos M, Fernandez A, Ferrandez A (1987) [Diagnostic use of the GRF test in the study of GH secretion]. ↗Anales Espanoles de Pediatria (Spanish)PMID 2892455
Early clinical work on GHRH-based provocative testing of growth hormone secretion, the diagnostic use for which Geref was approved.
Data provenance
Chemistry and citations on this page were checked against primary sources on 2026-08-14. Values that could not be verified were left blank rather than filled with a plausible guess.
Could not verify
storage, reconstitution