{
  "schemaVersion": "2.1",
  "datasetVersion": "2026-09-11.1",
  "generatedAt": "2026-09-11",
  "reviewStatus": "Editorial source review is complete. This edition has not been independently medically reviewed.",
  "editorialBoundary": "Source-checked educational summaries. Topics require evidence and editorial review. This dataset is not a personal treatment plan.",
  "citation": "When you cite a record, include The Peptide Field, its canonicalPath, this dataset version, and every source used for the claim.",
  "reuse": "This endpoint grants no additional reuse license. Keep the verdict, scope, evidence basis, review date, and source links together. Do not present a record as medical advice or medical review.",
  "changeLogPath": "/corrections#correction-ledger",
  "contactPath": "/corrections",
  "dataset": "peptide-evidence-checker-record",
  "canonicalPath": "/peptides/tesamorelin",
  "canonicalUrl": "https://thepeptidefield.com/peptides/tesamorelin",
  "record": {
    "slug": "tesamorelin",
    "name": "Tesamorelin",
    "aliases": [
      "Egrifta SV",
      "Egrifta WR",
      "TH9507",
      "GHRF analogue"
    ],
    "className": "Growth hormone-releasing factor analogue",
    "family": "Growth signaling",
    "sequenceLabel": "44 amino acids · stabilized GHRF analogue",
    "tier": "Established",
    "evidenceContext": "Approved human outcomes",
    "statusLine": "An FDA-approved product exists for a narrow indication",
    "productContext": "The two approved products are not interchangeable. Egrifta SV and Egrifta WR are approved, non-substitutable formulations with product-specific labeling. Tesamorelin sold or compounded outside those products is not automatically equivalent.",
    "approvedProducts": [
      "Egrifta SV",
      "Egrifta WR"
    ],
    "productRecords": [
      {
        "name": "Egrifta SV",
        "formulation": "2 mg single-dose vial",
        "route": "Subcutaneous",
        "indicationScope": "Reduction of excess abdominal fat in adults with HIV and lipodystrophy; not indicated for weight-loss management.",
        "labelUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/022505s018lbl.pdf",
        "labelRevision": "2024 label"
      },
      {
        "name": "Egrifta WR",
        "formulation": "11.6 mg single-patient-use multidose vial",
        "route": "Subcutaneous",
        "indicationScope": "Reduction of excess abdominal fat in adults with HIV and lipodystrophy; not indicated for weight-loss management.",
        "labelUrl": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2025/022505s020lbl.pdf",
        "labelRevision": "March 2025"
      }
    ],
    "indications": [
      "Reduction of excess abdominal fat in adults with HIV and lipodystrophy"
    ],
    "profile": {
      "humanOutcomes": {
        "level": "Strong",
        "note": "Phase 3 trials support visceral-adipose-tissue reduction in the labeled HIV population."
      },
      "humanPharmacology": {
        "level": "Strong",
        "note": "The approved label characterizes IGF-1 response, exposure, and product-specific use."
      },
      "safetyKnowledge": {
        "level": "Strong",
        "note": "The label describes neoplasm, glucose, fluid-retention, hypersensitivity, and other risks."
      },
      "productCertainty": {
        "level": "Strong",
        "note": "High for authentic Egrifta SV; no automatic transfer to other formulations."
      }
    },
    "oneLine": "An approved medicine for one specific HIV-related body-composition outcome. It is not a general weight-loss or anti-aging medicine.",
    "reviewedAt": "August 1, 2026",
    "reviewedAtISO": "2026-08-01",
    "reviewHistory": [
      {
        "date": "2026-08-01",
        "note": "Revalidated the current Egrifta WR indication and weight-loss limitation against FDA labeling, and confirmed tesamorelin remains named on the 2026 WADA Prohibited List."
      },
      {
        "date": "2026-07-23",
        "note": "Updated for Egrifta SV and Egrifta WR product identity, non-substitutability, phase 3 outcomes, and the 2026 WADA list."
      }
    ],
    "whatItIs": "Tesamorelin is a changed version of a body signal that releases growth hormone. The approved product has a narrow labeled group of people and outcome.",
    "whatWeKnow": "Controlled trials in adults with HIV-associated abdominal fat accumulation found less visceral fat, which is fat around internal organs. The Egrifta SV and Egrifta WR labels say the products are not indicated for weight-loss management and that long-term cardiovascular safety has not been established. Their formulations are not substitutable.",
    "whatWeDoNotKnow": "These results do not establish general fat loss, muscle gain, anti-aging benefit, athletic recovery, or equivalent outcomes from compounded products.",
    "antiDoping": "Tesamorelin appears on the 2026 World Anti-Doping Agency Prohibited List within the S2 peptide-hormone and growth-factor category as a growth-hormone-releasing hormone analogue.",
    "antiDopingReview": {
      "status": "Prohibited",
      "detail": "Tesamorelin is named as a prohibited growth-hormone-releasing hormone analogue on the 2026 WADA Prohibited List and is prohibited at all times for covered athletes.",
      "sourceUrl": "https://www.wada-ama.org/en/resources/world-anti-doping-program/prohibited-list",
      "reviewedAtISO": "2026-08-01"
    },
    "safetyBoundary": "This prescription drug has benefits for a specific group and important monitoring requirements. No dosing, cycling, stacking, or performance-use guidance is provided.",
    "relatedSlugs": [
      "cjc-1295",
      "sermorelin",
      "ipamorelin"
    ],
    "claims": [
      {
        "claim": "“Tesamorelin reduces visceral fat in adults with HIV-associated lipodystrophy.”",
        "verdict": "Supported with scope",
        "explanation": "Phase 3 trials and the product label support this outcome in the labeled population.",
        "category": "Body composition",
        "evidenceBasis": "Randomized human outcomes",
        "scope": "Adults with HIV and excess abdominal fat meeting the trial and label criteria.",
        "sourceUrls": [
          "https://pubmed.ncbi.nlm.nih.gov/20101189/",
          "https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/022505s018lbl.pdf",
          "https://www.accessdata.fda.gov/drugsatfda_docs/label/2025/022505s020lbl.pdf"
        ]
      },
      {
        "claim": "“Tesamorelin is an approved general weight-loss drug.”",
        "verdict": "Misleading",
        "explanation": "The label specifically says it is not indicated for weight-loss management.",
        "category": "Approval and status",
        "evidenceBasis": "Regulatory or product record",
        "scope": "The current Egrifta SV and Egrifta WR labels.",
        "sourceUrls": [
          "https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/022505s018lbl.pdf",
          "https://www.accessdata.fda.gov/drugsatfda_docs/label/2025/022505s020lbl.pdf"
        ]
      },
      {
        "claim": "“Tesamorelin is permitted for competitive athletes.”",
        "verdict": "Misleading",
        "explanation": "The 2026 WADA Prohibited List names tesamorelin in the S2 peptide-hormone and growth-factor category, which is prohibited at all times for covered athletes.",
        "category": "Performance and recovery",
        "evidenceBasis": "Regulatory or product record",
        "scope": "Sport governed by the World Anti-Doping Code.",
        "sourceUrls": [
          "https://www.wada-ama.org/en/resources/world-anti-doping-program/prohibited-list"
        ]
      }
    ],
    "sources": [
      {
        "label": "EGRIFTA SV (tesamorelin) prescribing information",
        "publisher": "U.S. Food and Drug Administration",
        "url": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2024/022505s018lbl.pdf",
        "kind": "Drug label",
        "year": 2024,
        "accessedAt": "2026-07-23"
      },
      {
        "label": "EGRIFTA WR (tesamorelin) prescribing information",
        "publisher": "U.S. Food and Drug Administration",
        "url": "https://www.accessdata.fda.gov/drugsatfda_docs/label/2025/022505s020lbl.pdf",
        "kind": "Drug label",
        "year": 2025,
        "accessedAt": "2026-07-23"
      },
      {
        "label": "Tesamorelin in HIV-associated abdominal fat accumulation",
        "publisher": "PubMed · Journal of Acquired Immune Deficiency Syndromes",
        "url": "https://pubmed.ncbi.nlm.nih.gov/20101189/",
        "kind": "Randomized trial",
        "year": 2010,
        "accessedAt": "2026-07-23"
      },
      {
        "label": "2026 Prohibited List",
        "publisher": "World Anti-Doping Agency",
        "url": "https://www.wada-ama.org/en/resources/world-anti-doping-program/prohibited-list",
        "kind": "Anti-doping",
        "year": 2026,
        "accessedAt": "2026-07-23"
      }
    ]
  }
}