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Clinical evidence records

Sermorelin: clinical evidence record

Also known as: GRF (1-29), Geref, Growth-Hormone-Releasing Factor (1-29)

Evidence: Human RCT
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Oliver Mackman · Editorial director · Best Business Loans Ltd (16833937)

Last updated 2026-05-22

Editorial with affiliate links. We earn from purchases via outbound retailer / clinic links. How we are funded.

AI-friendly summary · Sermorelin

Previously FDA-approved as Geref for paediatric GH deficiency. Marketing was discontinued in the US in 2008. Phase 3 clinical trial data exists in paediatric short stature. No active UK marketing authorisation today.

Mechanism of action

How Sermorelin works

29-amino-acid synthetic analogue corresponding to the first 29 residues of endogenous growth-hormone-releasing hormone (GHRH). Acts on the pituitary GHRH receptor to stimulate endogenous GH release in a pulsatile pattern.

Top peer-reviewed citations

Selection of the most-cited peer-reviewed literature on Sermorelin. Where a verified PMID or DOI is shown, the citation links to the original record. Other citations list the title, authors, journal and year so the reader can locate the paper through the journal index or the PubMed search linked below. PeptideClear publishes editorial commentary, not clinical guidance.

  1. Sermorelin: a review of its use in the diagnosis and treatment of growth hormone deficiency

    Prakash A, Goa KL. BioDrugs, 1999.

    PMID: 18031173 DOI: 10.2165/00063030-199912020-00007

  2. Sermorelin acetate in paediatric growth hormone deficiency

    Thorner M, Rochiccioli P, Colle M, et al.. Journal of Clinical Endocrinology and Metabolism, 1996.

    PMID: 8772599 DOI: 10.1210/jcem.81.3.8772599

  3. Effects of sermorelin in older adults

    Khorram O, Laughlin GA, Yen SS. Journal of Clinical Endocrinology and Metabolism, 1997.

    PMID: 9141536 DOI: 10.1210/jcem.82.5.3943

  4. GHRH analogues and somatotrope function

    Walker RF. Endocrine, 2006.

    PMID: 18046908 DOI: 10.2147/ciia.2006.1.4.307

  5. Long-term sermorelin acetate treatment in growth hormone deficient adults

    Vittone J, Blackman MR, Busby-Whitehead J, et al.. Metabolism, 1997.

    PMID: 9005976 DOI: 10.1016/s0026-0495(97)90174-8

  6. Safety and Efficacy of Approved and Unapproved Peptide Therapies for Musculoskeletal Injuries and Athletic Performance

    Mendias CL, Awan TM. Sports medicine (Auckland, N.Z.), 2026.

    PMID: 41966639 DOI: 10.1007/s40279-026-02437-0

  7. Growth hormone-releasing hormone attenuates amyloid deposition and neuroinflammation in Alzheimer's disease models

    Pedrolli F, Morello G, Gesmundo I, et al.. Cell death & disease, 2026.

    PMID: 41946684 DOI: 10.1038/s41419-026-08699-w

  8. A new era of doping? Use of peptide and peptide-analog drugs in recreational and professional sport and bodybuilding: a critical review

    Coutinho LFD, DE Oliveira Neves LF, Camilo RP. The Journal of sports medicine and physical fitness, 2026.

    PMID: 41880199 DOI: 10.23736/S0022-4707.26.17773-1

  9. Therapeutic Peptides in Orthopaedics: Applications, Challenges, and Future Directions

    Rahman OF, Lee SJ, Seeds WA. Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2026.

    PMID: 41490200 DOI: 10.5435/JAAOSGlobal-D-25-00236

  10. Analysis of growth hormone releasing hormone and its analogs in urine using nano liquid chromatography coupled with quadrupole/orbitrap mass spectrometry

    Uçaktürk E, Nemutlu E. Journal of pharmaceutical and biomedical analysis, 2026.

    PMID: 41138283 DOI: 10.1016/j.jpba.2025.117207

  11. Growth hormone - releasing hormone antagonists induce autophagy in cancer cells

    Sigdel M, Fakir S, Sarker MMR, et al.. Growth hormone & IGF research : official journal of the Growth Hormone Research Society and the International IGF Research Society, 2025.

    PMID: 41075421 DOI: 10.1016/j.ghir.2025.101668

Full PubMed search: https://pubmed.ncbi.nlm.nih.gov/?term=sermorelin.

UK regulatory status

Plain-English summary of where Sermorelin sits under the four UK and international frameworks that govern peptide supply. Editorial commentary, not legal advice.

  • Misuse of Drugs Act 1971: Not controlled under the Misuse of Drugs Act 1971.
  • Psychoactive Substances Act 2016: Not scheduled under the Psychoactive Substances Act 2016.
  • MHRA medicines classification: No UK marketing authorisation as a medicine.
  • WADA Prohibited List: WADA Prohibited List S2 (peptide hormones, growth factors), prohibited at all times.

Risks and unknowns

What the literature does not yet show about Sermorelin

Known concerns

Open questions in the literature

Regulatory note

No UK marketing authorisation as a medicine. Prohibited at all times under WADA S2 (peptide hormones, growth factors). The moment a UK seller or commentator makes a therapeutic claim, MHRA can treat the product as an unlicensed medicinal product.

Important: PeptideClear publishes encyclopedia commentary only and does not recommend human use. Speak to a UK-registered prescriber before any medical decision.

Related reading on PeptideClear

Frequently asked questions

What is the evidence level for Sermorelin?
Previously FDA-approved as Geref for paediatric GH deficiency. Marketing was discontinued in the US in 2008. Phase 3 clinical trial data exists in paediatric short stature. No active UK marketing authorisation today.
What is the UK regulatory status of Sermorelin?
No UK marketing authorisation as a medicine. Not controlled under the Misuse of Drugs Act 1971. Not scheduled under the Psychoactive Substances Act 2016. WADA Prohibited List S2 (peptide hormones, growth factors), prohibited at all times.
Has Sermorelin been tested in human clinical trials?
Sermorelin has been studied in randomised human clinical trials. See the cited peer-reviewed literature above. PeptideClear publishes no dosing or human-use protocols.
Where can I read the source literature for Sermorelin?
The full PubMed search is linked above. Each cited paper has its title, author list and journal. Where we have a verified PMID or DOI the citation links directly. Other citations can be located by the reader through the journal index or the PubMed search.

Last verified 2026-05-22. Editorial commentary, not legal or clinical advice. Citations without a linked identifier can be located through the PubMed search and the journal index.

Reviewed by Oliver Mackman, editorial director · last reviewed 2026-05-22T12:00:00.000Z
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