Peptide regulatory tracker
A living, dated record of every FDA, Pharmacy Compounding Advisory Committee, Federal Register, WADA, and state board action that changes what a peptide is, whether it can be compounded, or whether an athlete can use it. Each entry links to the primary document.
Latest change: WADA publishes the 2027 Prohibited List ().
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62 recorded events.
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- WADA
WADA publishes the 2027 Prohibited List
WADA published the 2027 Prohibited List on September 21, 2026, and it takes effect January 1, 2027. The S2 peptide hormone and growth factor classes are unchanged. BPC-157 is still named under S0, and MOTS-c is still named under S4.4 as an activator of AMP-activated protein kinase. WADA added a note that many peptides without approval for human use fall under S0 or another section, and that a peptide not named on the list may still be prohibited. GLP-1 receptor agonists such as semaglutide and tirzepatide are still not on the list.
Affects:TesamorelinSermorelinCJC-1295IpamorelinGHRP-2GHRP-6HexarelinMK-677 (ibutamoren)AOD-9604IGF-1 LR3PEG-MGFTB-500 (thymosin beta-4)HCG (human chorionic gonadotropin)GonadorelinKisspeptin-10ACE-031 (ramatercept)InsulinDesmopressinBPC-157MOTS-c
- FDA
FDA warning letter treats GLP-1 plus vitamin combinations as essentially copies
In a warning letter dated September 18, 2026 and posted September 22, FDA said compounded tirzepatide with niacinamide and semaglutide with cyanocobalamin (vitamin B12) appeared to be essentially copies of approved drugs, that the volume produced suggested the claimed differences were a pretext, and that significant-difference statements were repeated verbatim across many records or chosen from preset menus on prescribing platforms. The letter's findings are specific to one pharmacy, but they apply FDA's April 1, 2026 policy that a combination within 10% of approved strengths by the same route may be treated as essentially a copy without a documented prescriber determination.
Affects:SemaglutideTirzepatide
- FDA
FDA approves Mounjaro to reduce cardiovascular risk in adults with type 2 diabetes
FDA added an indication for Mounjaro to lower the risk of major adverse cardiovascular events (cardiovascular death, non-fatal heart attack, or non-fatal stroke) in adults with type 2 diabetes who are at high risk for these events. The approval rests on SURPASS-CVOT, in which tirzepatide was non-inferior to dulaglutide (hazard ratio 0.92, 95.3% CI 0.83 to 1.01) but did not show superiority.
Regulatory: FDA approvedSource: Manufacturer press release: FDA approves Mounjaro (tirzepatide) to reduce cardiovascular risk in adults with type 2 diabetes (August 28, 2026)Affects:Tirzepatide
- State board
Mississippi medical, nursing, and pharmacy boards bar research-grade peptides
The Mississippi State Board of Medical Licensure, Board of Nursing, and Board of Pharmacy jointly stated that no healthcare provider may compound, administer, dispense, prescribe, advise on, recommend, or supply a non-FDA-approved or research-grade peptide, that consent forms do not remove liability, and that all prescription products and ingredients must come from Board of Pharmacy permitted entities.
- Other
Louisiana Act 374 on peptide compounding takes effect
Louisiana Act 374 of 2026 (Senate Bill 253, La. R.S. 37:23.5), signed May 22, 2026, took effect August 1, 2026. It bars Louisiana licensing boards from prohibiting prescribers from providing peptides made by 503A pharmacies or 503B outsourcing facilities that comply with federal compounding law, and from prohibiting Louisiana pharmacists from compounding peptides in compliance with section 503A. It does not make any peptide eligible for 503A or 503B compounding.
- PCAC
PCAC votes against adding DSIP to the 503A bulks list
At the July 23 to 24, 2026 meeting, the Pharmacy Compounding Advisory Committee did not recommend delta sleep-inducing peptide (DSIP) for the 503A bulks list, citing the state of the evidence. FDA makes the final determination by rulemaking.
Regulatory: Not eligible for compoundingSource: Pharmacy Compounding Advisory Committee - PCAC
PCAC recommends six peptides for the 503A bulks list
At its July 23 to 24, 2026 meeting, FDA's Pharmacy Compounding Advisory Committee voted to recommend that BPC-157, KPV, TB-500, MOTS-c, semax, and epitalon be added to the 503A bulk drug substances list. A committee recommendation is advisory; FDA must still issue a rule before the substances are formally listed.
Regulatory: Under FDA reviewSource: Pharmacy Compounding Advisory CommitteeAffects:BPC-157KPVTB-500 (thymosin beta-4)MOTS-cSemaxEpitalon
- FDA
FDA proposes to keep semaglutide, tirzepatide and liraglutide off the 503B bulks list
FDA proposed not to include semaglutide, tirzepatide or liraglutide on the 503B bulks list, after tentatively finding no clinical need for outsourcing facilities to compound them from bulk. The notice was published May 1, 2026, and the comment period was extended to July 30, 2026. The proposal was not final as of September 2026. It does not change the 503A rules for patient specific compounding.
- FDA
FDA lists BPC-157 and 16 other peptides as withdrawn from 503A Category 2
FDA's Category 2 page, revised in April 2026 and current as of April 22, 2026, moved BPC-157, AOD-9604, CJC-1295, dihexa, DSIP, epitalon, injectable GHK-Cu, ipamorelin, KPV, LL-37, melanotan II, MOTS-c, PEG-MGF, selank, semax, thymosin alpha-1, and thymosin beta-4 fragment (TB-500) to a list of bulk drug substances nominated but withdrawn by their nominators. A withdrawn substance is no longer in 503A Category 2, but withdrawal is not an approval and does not place a substance on the 503A bulks list; a 503A pharmacy still needs a listing before it may compound it. Ipamorelin acetate remains in 503B Category 2. Seven of the withdrawn peptides (BPC-157, KPV, TB-500, MOTS-c, semax, epitalon, and DSIP) were taken to the Pharmacy Compounding Advisory Committee in July 2026.
Regulatory: Removed from Category 2 (Apr 2026)Source: FDA: Certain bulk drug substances for use in compounding may present significant safety risks (503A and 503B Category 2 lists and withdrawn nominations, content current as of April 22, 2026)Affects:BPC-157AOD-9604CJC-1295DihexaDSIP (delta sleep-inducing peptide)EpitalonGHK-CuIpamorelinKPVLL-37Melanotan IIMOTS-cPEG-MGFSelankSemaxThymosin alpha-1TB-500 (thymosin beta-4)
- FDA
FDA approves a 7.2 mg Wegovy dose for chronic weight management
FDA approved a higher 7.2 mg dose of Wegovy (semaglutide) injection, marketed as Wegovy HD, for weight loss and long-term maintenance of weight loss in certain adults.
Regulatory: FDA approvedSource: FDA press release: FDA approves fourth product under national priority voucher program, higher dose semaglutide (March 19, 2026)Affects:Semaglutide
- FDA
FDA approves Imcivree (setmelanotide) for acquired hypothalamic obesity
FDA extended Imcivree to acquired hypothalamic obesity in adults and children 4 years and older, based on the phase 3 TRANSCEND trial.
Regulatory: FDA approvedSource: Manufacturer press release: FDA approval of Imcivree for acquired hypothalamic obesity (March 19, 2026)Affects:Setmelanotide
- WADA
WADA 2026 Prohibited List takes effect
The 2026 WADA Prohibited List took effect on January 1, 2026 and continues to prohibit the S2 peptide hormone and growth factor classes (GHRH analogs, growth hormone secretagogues, GH fragments, IGF-1 and analogs, MGF, thymosin beta-4 and derivatives, hCG and GnRH-class releasing factors in males), myostatin inhibitors, insulin and the AMPK activator MOTS-c under S4, desmopressin under S5, and BPC-157 under S0. GLP-1 receptor agonists such as semaglutide and tirzepatide are not on the list.
Affects:TesamorelinSermorelinCJC-1295IpamorelinGHRP-2GHRP-6HexarelinMK-677 (ibutamoren)AOD-9604IGF-1 LR3PEG-MGFTB-500 (thymosin beta-4)HCG (human chorionic gonadotropin)GonadorelinKisspeptin-10ACE-031 (ramatercept)InsulinDesmopressinBPC-157MOTS-c
- FDA
FDA approves oral semaglutide (Wegovy tablets) for weight management
In December 2025 FDA approved a once-daily oral formulation of semaglutide for chronic weight management, the first oral GLP-1 receptor agonist approved for obesity.
Regulatory: FDA approvedSource: Drugs@FDA: Wegovy (semaglutide) NDA 215256Affects:Semaglutide
- FDA
FDA grants accelerated approval of elamipretide for Barth syndrome
In September 2025 FDA granted accelerated approval of elamipretide (SS-31), a mitochondria-targeted tetrapeptide, for Barth syndrome, following an earlier complete response letter. Continued approval depends on confirmatory evidence.
Regulatory: FDA approvedSource: DailyMed: elamipretide labelingAffects:SS-31 (elamipretide)
- FDA
FDA grants accelerated approval of Wegovy for MASH with fibrosis
FDA granted accelerated approval of Wegovy (semaglutide 2.4 mg) for adults with noncirrhotic metabolic dysfunction-associated steatohepatitis (MASH) with moderate to advanced liver fibrosis, based on histologic endpoints from the ESSENCE trial.
Regulatory: FDA approvedSource: Drugs@FDA: Wegovy (semaglutide) NDA 215256Affects:Semaglutide
- FDA
503B grace period for compounded semaglutide ends
FDA's enforcement discretion for 503B outsourcing facilities compounding semaglutide ended, closing the shortage-based pathway for compounded semaglutide.
Affects:Semaglutide
- FDA
503A grace period for compounded semaglutide ends
FDA's enforcement discretion for 503A pharmacies compounding semaglutide ended. After this date 503A pharmacies may not compound copies of Ozempic or Wegovy on shortage grounds.
Affects:Semaglutide
- FDA
503B grace period for compounded tirzepatide ends
FDA's enforcement discretion for 503B outsourcing facilities compounding tirzepatide ended, closing the shortage-based pathway for compounded tirzepatide.
Affects:Tirzepatide
- FDA
FDA declares the semaglutide shortage resolved
FDA announced that the shortage of semaglutide injection (Ozempic and Wegovy) was resolved and set enforcement discretion periods: 503A pharmacies until April 22, 2025 and 503B outsourcing facilities until May 22, 2025.
Affects:Semaglutide
- FDA
503A grace period for compounded tirzepatide ends
FDA's enforcement discretion for 503A pharmacies compounding tirzepatide ended. After this date 503A pharmacies may not compound copies of Mounjaro or Zepbound on shortage grounds.
Affects:Tirzepatide
- FDA
FDA approves Ozempic for chronic kidney disease in type 2 diabetes
FDA approved Ozempic (semaglutide) to reduce the risk of kidney disease worsening, kidney failure, and cardiovascular death in adults with type 2 diabetes and chronic kidney disease, based on the FLOW trial.
Regulatory: FDA approvedSource: Drugs@FDA: Ozempic (semaglutide) NDA 209637Affects:Semaglutide
- WADA
WADA 2025 Prohibited List keeps peptide hormones and growth factors banned at all times
The 2025 WADA Prohibited List took effect on January 1, 2025. Section S2 (peptide hormones, growth factors, related substances and mimetics) covers GHRH analogs such as CJC-1295, sermorelin, and tesamorelin, growth hormone secretagogues such as ipamorelin, GHRP-2, GHRP-6, hexarelin, and ibutamoren (MK-677), growth hormone fragments such as AOD-9604, growth factors including IGF-1 and its analogs, MGF, and thymosin beta-4 (TB-500), and chorionic gonadotropin and releasing factors such as gonadorelin and kisspeptin (prohibited in males). Myostatin inhibitors such as ACE-031 fall under S4, insulin under S4 metabolic modulators, desmopressin under S5, and BPC-157 remains an S0 non-approved substance.
Affects:TesamorelinSermorelinCJC-1295IpamorelinGHRP-2GHRP-6HexarelinMK-677 (ibutamoren)AOD-9604IGF-1 LR3PEG-MGFTB-500 (thymosin beta-4)HCG (human chorionic gonadotropin)GonadorelinKisspeptin-10ACE-031 (ramatercept)InsulinDesmopressinBPC-157
- FDA
FDA approves Zepbound for obstructive sleep apnea in adults with obesity
FDA approved Zepbound (tirzepatide) for moderate to severe obstructive sleep apnea in adults with obesity, the first drug approved for that indication.
Regulatory: FDA approvedSource: FDA approves first medication for obstructive sleep apneaAffects:Tirzepatide
- FDA
FDA reaffirms the tirzepatide shortage is resolved and sets grace periods
After reconsideration, FDA confirmed the tirzepatide shortage was resolved and announced enforcement discretion periods: 503A pharmacies until February 18, 2025 and 503B outsourcing facilities until March 19, 2025.
Affects:Tirzepatide
- FDA
FDA approves the first generic liraglutide injection
In December 2024 FDA approved the first generic version of once-daily liraglutide injection referencing Victoza, the first generic GLP-1 receptor agonist in the US.
Regulatory: FDA approvedSource: First generic drug approvalsAffects:Liraglutide
- Other
FDA agrees to reconsider the tirzepatide shortage decision after compounder lawsuit
After the Outsourcing Facilities Association sued over the October 2 resolution decision, FDA told the court it would reconsider the tirzepatide shortage determination and would not take enforcement action against compounders in the interim.
Affects:Tirzepatide
- FDA
FDA declares the tirzepatide shortage resolved
FDA announced that the shortage of tirzepatide injection (Mounjaro and Zepbound) was resolved, meaning compounders could no longer rely on the shortage to prepare copies of the approved products.
Affects:Tirzepatide
- FDA
FDA approves Wegovy to reduce cardiovascular risk in adults with obesity
FDA approved a new indication for Wegovy (semaglutide 2.4 mg) to reduce the risk of major adverse cardiovascular events in adults with established cardiovascular disease and obesity or overweight, based on the SELECT trial.
Regulatory: FDA approvedSource: FDA approves first treatment to reduce risk of serious heart problems specifically in adults with obesity or overweightAffects:Semaglutide
- FDA
FDA approves Zepbound (tirzepatide) for chronic weight management
FDA approved tirzepatide injection (Zepbound) for chronic weight management in adults with obesity or overweight with at least one weight-related condition.
Regulatory: FDA approvedSource: FDA approves new medication for chronic weight managementAffects:Tirzepatide
- FDA
FDA places GHRP-2, GHRP-6, and ipamorelin in 503B Category 2
On September 29, 2023 FDA added growth hormone releasing peptide-2 (GHRP-2, for injectable and nasal routes), GHRP-6, and ipamorelin acetate to Category 2 under the 503B interim policy, citing immunogenicity risk from aggregation and peptide related impurities and, for GHRP-2, reports of serious adverse events. Outsourcing facilities may not compound a substance while it is in 503B Category 2. All three remain listed on the FDA page current as of April 22, 2026.
Regulatory: Not eligible for compoundingSource: FDA: Certain bulk drug substances for use in compounding may present significant safety risks (503A and 503B Category 2 lists and withdrawn nominations, content current as of April 22, 2026)Affects:GHRP-2GHRP-6Ipamorelin
- FDA
FDA places a batch of nominated peptides in 503A Category 2
In September 2023 FDA updated its 503A bulk drug substances category lists to place a group of nominated peptides in Category 2, which means FDA identified significant safety risks and the substances may not be used in 503A compounding while the evaluation continues. Kisspeptin-10 and ibutamoren (MK-677) were added on September 29, 2023 and remain in Category 2 on the FDA page current as of April 22, 2026. BPC-157, CJC-1295, ipamorelin, AOD-9604, dihexa, DSIP, epitalon, KPV, MOTS-c, selank, semax, melanotan II, LL-37, thymosin alpha-1, and thymosin beta-4 fragment (TB-500) were also placed in Category 2 under the 503A interim policy; that same page now lists them as nominated but withdrawn (see the April 2026 event). Hexarelin, PNC-27, and 5-amino-1MQ have never appeared on the FDA category lists.
Regulatory: Not eligible for compoundingSource: FDA: Certain bulk drug substances for use in compounding may present significant safety risks (503A and 503B Category 2 lists and withdrawn nominations, content current as of April 22, 2026)Affects:BPC-157CJC-1295IpamorelinAOD-9604DihexaDSIP (delta sleep-inducing peptide)EpitalonKPVMOTS-cSelankSemaxMelanotan IILL-37Thymosin alpha-1TB-500 (thymosin beta-4)Kisspeptin-10MK-677 (ibutamoren)
- FDA
FDA warns about compounded semaglutide made with salt forms
In May 2023 FDA published its concerns about compounded semaglutide, stating it had received adverse event reports and that products made with semaglutide sodium or semaglutide acetate salts are not the same active ingredient as the approved drugs and do not meet the compounding exemption requirements.
Affects:Semaglutide
- FDA
FDA expands Wegovy to adolescents aged 12 and older
FDA approved Wegovy (semaglutide 2.4 mg) for chronic weight management in pediatric patients aged 12 years and older with obesity, based on the STEP TEENS trial.
Regulatory: FDA approvedSource: Drugs@FDA: Wegovy (semaglutide) NDA 215256Affects:Semaglutide
- FDA
FDA lists tirzepatide injection on the drug shortage list
In December 2022 FDA added tirzepatide injection (Mounjaro) to its drug shortage list, opening the door to compounded tirzepatide under FDA's shortage compounding policies.
Affects:Tirzepatide
- FDA
FDA approves Terlivaz (terlipressin) for hepatorenal syndrome
FDA approved terlipressin injection (Terlivaz), a vasopressin analog, to improve kidney function in adults with hepatorenal syndrome with rapid reduction in kidney function.
Regulatory: FDA approvedSource: Drugs@FDA: Terlivaz (terlipressin) NDA 022231Affects:Terlipressin
- FDA
FDA approves Mounjaro (tirzepatide) for type 2 diabetes
FDA approved tirzepatide injection (Mounjaro), the first dual GIP and GLP-1 receptor agonist, to improve glycemic control in adults with type 2 diabetes.
Regulatory: FDA approvedSource: Drugs@FDA: Mounjaro (tirzepatide) NDA 215866Affects:Tirzepatide
- FDA
FDA lists semaglutide injection on the drug shortage list
In March 2022 FDA added semaglutide injection to its drug shortage list as demand for Wegovy and Ozempic outpaced supply. While a drug is in shortage, 503A and 503B compounders may prepare essentially a copy under FDA's shortage-related compounding policies.
Affects:Semaglutide
- WADA
WADA 2022 Prohibited List adds BPC-157 as an S0 example
The 2022 WADA Prohibited List took effect on January 1, 2022 and named BPC-157 as an example of a non-approved substance under section S0, making it prohibited at all times for athletes under the World Anti-Doping Code.
Affects:BPC-157
- FDA
FDA approves Voxzogo (vosoritide) for achondroplasia
FDA approved vosoritide injection (Voxzogo), a C-type natriuretic peptide analog, to increase linear growth in children with achondroplasia and open epiphyses, under accelerated approval.
Regulatory: FDA approvedSource: Drugs@FDA: Voxzogo (vosoritide) NDA 214938Affects:Vosoritide
- FDA
FDA approves Wegovy (semaglutide 2.4 mg) for chronic weight management
FDA approved once-weekly semaglutide 2.4 mg injection (Wegovy) for chronic weight management in adults with obesity or overweight with at least one weight-related condition, the first new weight-management drug approved since 2014.
Regulatory: FDA approvedSource: Drugs@FDA: Wegovy (semaglutide) NDA 215256Affects:Semaglutide
- FDA
FDA approves Imcivree (setmelanotide) for rare genetic obesity
FDA approved setmelanotide injection (Imcivree), an MC4R agonist, for chronic weight management in patients with obesity due to POMC, PCSK1, or LEPR deficiency confirmed by genetic testing.
Regulatory: FDA approvedSource: Drugs@FDA: Imcivree (setmelanotide) NDA 213793Affects:Setmelanotide
- FDA
Egrifta (tesamorelin) is deemed a biologics license
Under the biologics transition provision of the Biologics Price Competition and Innovation Act, FDA deemed the Egrifta application (022505) to be a biologics license on March 23, 2020. FDA states that biological products are not eligible for the 503A or 503B compounding exemptions, so tesamorelin cannot be lawfully compounded; the approved product remains available by prescription.
Regulatory: FDA approvedSource: FDA: List of approved NDAs for biological products that were deemed to be BLAs on March 23, 2020 (includes tesamorelin, Egrifta and Egrifta SV, application 022505)Affects:Tesamorelin
- FDA
FDA adds cardiovascular risk reduction to the Ozempic label
FDA approved a label expansion for Ozempic (semaglutide) to reduce the risk of major adverse cardiovascular events in adults with type 2 diabetes and established cardiovascular disease, based on the SUSTAIN-6 trial.
Regulatory: FDA approvedSource: Drugs@FDA: Ozempic (semaglutide) NDA 209637Affects:Semaglutide
- FDA
FDA approves Scenesse (afamelanotide) for erythropoietic protoporphyria
FDA approved afamelanotide implant (Scenesse) to increase pain-free light exposure in adults with a history of phototoxic reactions from erythropoietic protoporphyria. Afamelanotide is the only approved melanotan-class peptide.
Regulatory: FDA approvedSource: Drugs@FDA: Scenesse (afamelanotide) NDA 210797Affects:Melanotan I (afamelanotide)
- FDA
FDA approves Rybelsus, the first oral GLP-1 receptor agonist
FDA approved oral semaglutide tablets (Rybelsus) for adults with type 2 diabetes, the first GLP-1 receptor agonist available in a pill rather than an injection.
Regulatory: FDA approvedSource: Drugs@FDA: Rybelsus (semaglutide tablets) NDA 213051Affects:Semaglutide
- FDA
FDA approves Vyleesi (bremelanotide) for hypoactive sexual desire disorder
FDA approved bremelanotide injection (Vyleesi), a melanocortin receptor agonist, for premenopausal women with acquired, generalized hypoactive sexual desire disorder.
Regulatory: FDA approvedSource: Drugs@FDA: Vyleesi (bremelanotide) NDA 210557Affects:PT-141 (bremelanotide)
- Federal Register
FDA publishes first final rule for the 503A bulk drug substances list
FDA finalized the first rule establishing the list of bulk drug substances that may be used in compounding under section 503A, and confirmed the interim Category 1, 2, and 3 framework used to evaluate nominated substances. Category 2 substances raise significant safety risks and may not be compounded under the interim policy.
- FDA
FDA approves Ozempic (semaglutide) for type 2 diabetes
FDA approved once-weekly semaglutide injection (Ozempic) to improve glycemic control in adults with type 2 diabetes, the first semaglutide product to reach the US market.
Regulatory: FDA approvedSource: Drugs@FDA: Ozempic (semaglutide) NDA 209637Affects:Semaglutide
- FDA
FDA approves Tymlos (abaloparatide) for postmenopausal osteoporosis
FDA approved abaloparatide injection (Tymlos), a parathyroid hormone-related protein analog, for postmenopausal women with osteoporosis at high risk of fracture.
Regulatory: FDA approvedSource: Drugs@FDA: Tymlos (abaloparatide) NDA 208743Affects:Abaloparatide
- FDA
FDA approves Saxenda (liraglutide 3 mg) for chronic weight management
FDA approved liraglutide 3 mg injection (Saxenda) for chronic weight management in adults with obesity or overweight with at least one weight-related condition, as an adjunct to diet and exercise.
Regulatory: FDA approvedSource: Drugs@FDA: Saxenda (liraglutide) NDA 206321Affects:Liraglutide
- FDA
FDA approves Trulicity (dulaglutide) for type 2 diabetes
FDA approved once-weekly dulaglutide injection (Trulicity) to improve glycemic control in adults with type 2 diabetes.
Regulatory: FDA approvedSource: Drugs@FDA: Trulicity (dulaglutide) BLA 125469Affects:Dulaglutide
- FDA
FDA approves Linzess (linaclotide) for IBS-C and chronic constipation
FDA approved linaclotide capsules (Linzess), a guanylate cyclase-C agonist peptide, for irritable bowel syndrome with constipation and chronic idiopathic constipation in adults.
Regulatory: FDA approvedSource: Drugs@FDA: Linzess (linaclotide) NDA 202811Affects:Linaclotide
- FDA
FDA approves Bydureon, once-weekly extended-release exenatide
FDA approved the extended-release, once-weekly formulation of exenatide (Bydureon) for type 2 diabetes after earlier complete response letters.
Regulatory: FDA approvedSource: Drugs@FDA: Bydureon (exenatide extended-release) NDA 022200Affects:Exenatide
- FDA
FDA approves Egrifta (tesamorelin) for HIV-associated lipodystrophy
FDA approved tesamorelin injection (Egrifta), a growth hormone-releasing hormone analog, to reduce excess abdominal fat in HIV-infected adults with lipodystrophy.
Regulatory: FDA approvedSource: Drugs@FDA: Egrifta (tesamorelin) NDA 022505Affects:Tesamorelin
- FDA
FDA approves Victoza (liraglutide) for type 2 diabetes
FDA approved once-daily liraglutide injection (Victoza) to improve glycemic control in adults with type 2 diabetes, with a boxed warning about thyroid C-cell tumors seen in rodents.
Regulatory: FDA approvedSource: Drugs@FDA: Victoza (liraglutide) NDA 022341Affects:Liraglutide
- FDA
FDA approves Firmagon (degarelix) for advanced prostate cancer
FDA approved degarelix injection (Firmagon), a GnRH receptor antagonist peptide, for adults with advanced prostate cancer.
Regulatory: FDA approvedSource: Drugs@FDA: Firmagon (degarelix) NDA 022201Affects:Degarelix
- FDA
FDA approves Somatuline Depot (lanreotide) for acromegaly
FDA approved lanreotide injection (Somatuline Depot), a somatostatin analog, for the long-term treatment of acromegaly in patients who have had an inadequate response to surgery or radiotherapy.
Regulatory: FDA approvedSource: Drugs@FDA: Somatuline Depot (lanreotide) NDA 022074Affects:Lanreotide
- FDA
FDA approves Byetta (exenatide), the first GLP-1 receptor agonist
FDA approved twice-daily exenatide injection (Byetta) as adjunctive therapy for type 2 diabetes, the first GLP-1 receptor agonist to reach the US market.
Regulatory: FDA approvedSource: Drugs@FDA: Byetta (exenatide) NDA 021773Affects:Exenatide
- FDA
FDA approves Symlin (pramlintide) as an adjunct to insulin
FDA approved pramlintide injection (Symlin), a synthetic amylin analog, for use with mealtime insulin in type 1 and type 2 diabetes.
Regulatory: FDA approvedSource: Drugs@FDA: Symlin (pramlintide) NDA 021332Affects:Pramlintide
- FDA
FDA approves Prialt (ziconotide) for severe chronic pain
FDA approved intrathecal ziconotide (Prialt), a synthetic cone snail peptide that blocks N-type calcium channels, for severe chronic pain in patients who need intrathecal therapy.
Regulatory: FDA approvedSource: Drugs@FDA: Prialt (ziconotide) NDA 021060Affects:Ziconotide
- FDA
FDA approves Fuzeon (enfuvirtide), the first HIV fusion inhibitor
FDA approved enfuvirtide injection (Fuzeon), a 36-amino-acid peptide that blocks HIV-1 fusion with host cells, for treatment-experienced patients with HIV-1.
Regulatory: FDA approvedSource: Drugs@FDA: Fuzeon (enfuvirtide) NDA 021481Affects:Enfuvirtide
- FDA
FDA approves Forteo (teriparatide) for osteoporosis
FDA approved teriparatide injection (Forteo), a recombinant parathyroid hormone fragment, for postmenopausal women with osteoporosis at high risk of fracture and to increase bone mass in men with primary or hypogonadal osteoporosis.
Regulatory: FDA approvedSource: Drugs@FDA: Forteo (teriparatide) NDA 021318Affects:Teriparatide
What is the current status of each peptide?
Each tracker page shows the timeline filtered to one peptide with its status on the date it was last verified. Peptides without a published record are listed as coverage in progress.
GLP-1 and incretin agonists
| Peptide | FDA status | Events | Last verified |
|---|---|---|---|
| Semaglutide | Regulatory: FDA approved | 17 | |
| Tirzepatide | Regulatory: FDA approved | 12 | |
| Liraglutide | Regulatory: FDA approved | 4 | |
| Retatrutide | Regulatory: Not eligible for compounding | 0 | |
| Cagrilintide | Regulatory: Not eligible for compounding | 0 | |
| Dulaglutide | Regulatory: FDA approved | 1 | |
| Exenatide | Regulatory: FDA approved | 2 | |
| Survodutide | Regulatory: Not eligible for compounding | 0 | |
| Mazdutide | Regulatory: Not eligible for compounding | 0 |
Tissue repair and healing
| Peptide | FDA status | Events | Last verified |
|---|---|---|---|
| BPC-157 | Regulatory: Under FDA review | 7 | |
| TB-500 (thymosin beta-4) | Regulatory: Under FDA review | 6 | |
| GHK-Cu | Regulatory: Removed from Category 2 (Apr 2026) | 1 | |
| KPV | Regulatory: Under FDA review | 3 | |
| PEG-MGF | Regulatory: Removed from Category 2 (Apr 2026) | 4 | |
| ARA-290 (cibinetide) | Regulatory: Not eligible for compounding | 0 | |
| IGF-1 LR3 | Regulatory: Unscheduled | 3 | |
| Follistatin-344 | Regulatory: Unscheduled | 0 | |
| ACE-031 (ramatercept) | Regulatory: Unscheduled | 3 |
Longevity and mitochondrial
| Peptide | FDA status | Events | Last verified |
|---|---|---|---|
| Epitalon | Regulatory: Under FDA review | 3 | |
| MOTS-c | Regulatory: Under FDA review | 5 | |
| Humanin | Regulatory: Unscheduled | 0 | |
| SS-31 (elamipretide) | Regulatory: FDA approved | 1 | |
| NAD+ | Regulatory: Under FDA review | 0 | |
| FOXO4-DRI | Regulatory: Unscheduled | 0 | |
| Thymalin | Regulatory: Unscheduled | 0 | |
| Carnosine | Regulatory: Unscheduled | 0 | |
| Glutathione | Regulatory: Under FDA review | 0 |
Cognitive and neuroprotective
| Peptide | FDA status | Events | Last verified |
|---|---|---|---|
| Semax | Regulatory: Under FDA review | 3 | |
| Selank | Regulatory: Removed from Category 2 (Apr 2026) | 2 | |
| Dihexa | Regulatory: Removed from Category 2 (Apr 2026) | 2 | |
| Cerebrolysin | Regulatory: Unscheduled | 0 | |
| P21 | Regulatory: Unscheduled | 0 | |
| Noopept | Regulatory: Unscheduled | 0 | |
| Pinealon | Regulatory: Unscheduled | 0 |
Sexual health and reproductive
| Peptide | FDA status | Events | Last verified |
|---|---|---|---|
| PT-141 (bremelanotide) | Regulatory: FDA approved | 1 | |
| Kisspeptin-10 | Regulatory: Not eligible for compounding | 4 | |
| Oxytocin | Regulatory: FDA approved | 0 | |
| Melanotan II | Regulatory: Removed from Category 2 (Apr 2026) | 2 | |
| Melanotan I (afamelanotide) | Regulatory: FDA approved | 1 | |
| Gonadorelin | Regulatory: FDA approved | 3 | |
| HCG (human chorionic gonadotropin) | Regulatory: FDA approved | 3 |
Metabolic and growth hormone axis
| Peptide | FDA status | Events | Last verified |
|---|---|---|---|
| Tesamorelin | Regulatory: FDA approved | 5 | |
| Sermorelin | Regulatory: Regulatory status unknown | 3 | |
| Ipamorelin | Regulatory: Removed from Category 2 (Apr 2026) | 6 | |
| CJC-1295 | Regulatory: Removed from Category 2 (Apr 2026) | 5 | |
| GHRP-2 | Regulatory: Not eligible for compounding | 4 | |
| GHRP-6 | Regulatory: Not eligible for compounding | 4 | |
| Hexarelin | Regulatory: Unscheduled | 3 | |
| MK-677 (ibutamoren) | Regulatory: Not eligible for compounding | 4 | |
| AOD-9604 | Regulatory: Removed from Category 2 (Apr 2026) | 5 | |
| Tesofensine | Regulatory: Unscheduled | 0 | |
| 5-Amino-1MQ | Regulatory: Unscheduled | 0 | |
| Adipotide | Regulatory: Unscheduled | 0 | |
| Setmelanotide | Regulatory: FDA approved | 2 | |
| Pramlintide | Regulatory: FDA approved | 1 | |
| Insulin | Regulatory: FDA approved | 3 | |
| Glucagon | Regulatory: FDA approved | 0 |
Immune and antimicrobial
| Peptide | FDA status | Events | Last verified |
|---|---|---|---|
| Thymosin alpha-1 | Regulatory: Removed from Category 2 (Apr 2026) | 2 | |
| Thymulin | Regulatory: Unscheduled | 0 | |
| LL-37 | Regulatory: Removed from Category 2 (Apr 2026) | 2 | |
| VIP (vasoactive intestinal peptide) | Regulatory: Under FDA review | 0 | |
| PNC-27 | Regulatory: Unscheduled | 0 |
Other peptides
| Peptide | FDA status | Events | Last verified |
|---|---|---|---|
| DSIP (delta sleep-inducing peptide) | Regulatory: Not eligible for compounding | 3 | |
| Teriparatide | Regulatory: FDA approved | 1 | |
| Abaloparatide | Regulatory: FDA approved | 1 | |
| Octreotide | Regulatory: FDA approved | 0 | |
| Lanreotide | Regulatory: FDA approved | 1 | |
| Leuprolide | Regulatory: FDA approved | 0 | |
| Triptorelin | Regulatory: FDA approved | 0 | |
| Degarelix | Regulatory: FDA approved | 1 | |
| Vasopressin | Regulatory: FDA approved | 0 | |
| Desmopressin | Regulatory: FDA approved | 3 | |
| Calcitonin | Regulatory: FDA approved | 0 | |
| Linaclotide | Regulatory: FDA approved | 1 | |
| Ziconotide | Regulatory: FDA approved | 1 | |
| Enfuvirtide | Regulatory: FDA approved | 1 | |
| Vosoritide | Regulatory: FDA approved | 1 | |
| Terlipressin | Regulatory: FDA approved | 1 | |
| Cosyntropin | Regulatory: FDA approved | 0 | |
| Ganirelix | Regulatory: FDA approved | 0 | |
| Cetrorelix | Regulatory: FDA approved | 0 | |
| Secretin | Regulatory: FDA approved | 0 |
Educational reference, not medical advice. Read the full disclaimer and talk to a licensed provider before starting, stopping, or combining any treatment.