IPAMORELIN
Selective growth hormone secretagogue and ghrelin receptor agonist that stimulates GH release without affecting cortisol or ACTH levels.
Ipamorelin was developed by Novo Nordisk as the first selective GH secretagogue, showing GH-releasing potency comparable to GHRP-6 in both in vitro and in vivo animal models. In rats, it dose-dependently increased longitudinal bone growth rate and body weight gain over 15 days of subcutaneous administration. In swine, it demonstrated GH release specificity without affecting ACTH or cortisol, unlike GHRP-6 and GHRP-2. Recent studies in ferrets showed it can inhibit cisplatin-induced weight loss during the delayed phase. However, human clinical trial data remain scarce; most evidence comes from animal models, and ipamorelin is not approved for human therapeutic use by major regulatory agencies. It is frequently combined with CJC-1295 in sports medicine contexts, but orthopaedic evidence is limited to murine models showing improved muscle recovery from glucocorticoid-induced atrophy.