Description
Overview
Tesamorelin (Egrifta / Egrifta SV / Egrifta WR) is the only peptide with full FDA approval for visceral fat reduction, specifically in HIV-associated lipodystrophy. Approved 2010 following two Phase III RCTs (GROW1/GROW2, n=816) demonstrating 15-20% VAT reduction at 26 weeks. An F8 formulation (EGRIFTA WR) was approved November 2023, requiring only weekly reconstitution instead of daily preparation, improving adherence significantly. Important scope limitation: FDA approval is for HIV lipodystrophy only, not general obesity or metabolic syndrome. Off-label visceral fat use is at physician discretion. 2024 studies extended evidence to cognitive function (executive function/memory improvement vs. placebo in HIV patients) and NAFLD liver fat reduction. Anti-tesamorelin IgG antibodies develop in up to 56% of patients at 26 weeks, with ~60% cross-reactivity to endogenous GHRH, monitor for hypersensitivity reactions.
Structure & Chemistry
- Molecular formula: C₂₂₁H₃₆₆N₇₂O₆₇S
- Category: GROWTH HORMONE / VISCERAL FAT
- Molecular size: 5,136.0 Da (44-amino-acid GHRH analog with trans-3-hexenoic acid)
Regulatory & Research Status
- FDA: APPROVED as Egrifta / Egrifta SV / Egrifta WR, but ONLY for HIV-associated lipodystrophy (visceral fat). NOT approved for general weight loss, obesity, or anti-aging. Off-label use is at physician discretion.
- WADA: Prohibited S2 (GHRH Analogs), banned in and out of competition for all tested athletes.
- Evidence tier: Strongest in GH Axis section, Phase III RCT data (n=816), FDA-reviewed. Cognitive and NAFLD data is 2024 HIV-population studies; not yet validated for general population.
Specifications
| Presentation | 5mg single vial |
|---|---|
| Purity | >99% by HPLC |
| Form | Lyophilized powder (reconstitute with bacteriostatic water for laboratory use) |
| Category | GROWTH HORMONE / VISCERAL FAT |

Reviews
There are no reviews yet.