Weight loss · Evidence tier B
AOD-9604
AOD9604 · AOD 9604 · AOD-9604 acetate (salt form) · Tyr-hGH 177-191 · hGH 176-191 or ‘GH fragment’ (labels sometimes used for it; strictly, hGH 176-191 is a separate, closely related peptide) · Anti-obesity drug 9604 (name expansion used in a 2026 review)
AOD-9604 is a lab-made fragment of human growth hormone sold for fat loss. In its developer’s largest trial, of 502 adults, it did not beat placebo for weight loss, and it is not an approved medicine123.

Quick answers
- What is it?
- A lab-made chain of 16 amino acids: the tail end of human growth hormone plus one extra amino acid1. An Australian company developed it as a weight-loss pill in the late 1990s and 2000s12. It is not an approved medicine13.
- Does it work?
- No. In the largest trial, 502 adults with obesity took a daily pill or placebo; weight loss was not clearly better on the pill12. The company then dropped it as an obesity drug1. FDA found no human studies of shots under the skin1.
- Is it safe?
- Not well tested. Company trials in nearly 900 people found side effects similar to placebo2. But four people taking it in one 12-week trial were diagnosed with cancer; FDA cannot rule out a link12. Shots under the skin have no human safety data1.
- Is it legal?
- It is not an approved drug, and US pharmacies may not make it14. In 2024, FDA’s advisers voted 12-0 against letting pharmacies use it5. In Australia it is illegal to have without a prescription6. It is banned in sport at all times78.
- What is in the vials?
- Unknown. Finnrick, a testing service, had published no AOD-9604 results as of 5 October 20269. Two of three supplier certificates sent to FDA lacked tests for impurities, germs and bacterial toxins1. In 2020 and 2021, two US firms recalled AOD-9604 vials over sterility doubts10.
What it is
AOD-9604 is a lab-made peptide of 16 amino acids. It copies the last 15 amino acids of human growth hormone (positions 177 to 191) and adds one tyrosine at the front; its two cysteines are joined by a sulfur-sulfur (disulfide) bridge that closes part of the chain into a loop12. A 2026 review expands the name as ‘anti-obesity drug 9604’11, and some clinic websites call it ‘advanced obesity drug’1. It was designed to keep growth hormone’s fat-reducing action without its effects on growth and blood sugar23. In cell tests it did not bind the growth hormone receptor or make receptor-bearing cells multiply12. In obese rats and mice it slowed weight gain and increased fat breakdown and fat burning without raising blood sugar or reducing insulin sensitivity1213. In mice lacking the beta-3 adrenergic receptor, a fat-cell receptor that triggers fat breakdown, long-term treatment no longer changed body weight14. FDA reads this as the effect depending at least partly on that receptor, and concluded in 2024 that the molecular target and mechanism remain unknown1. In the company’s human trials it did not change blood levels of IGF-1 (insulin-like growth factor 1), a hormone that growth hormone raises2. A 2026 orthopedic review nonetheless grouped it with growth hormone boosters said to ‘activate IGF-1 signaling’15; the trial data do not support that2.
Researchers reported in 1993 that a synthetic copy of growth hormone’s positions 177 to 191 blocked fat building in rat fat tissue, and in 1994 that it cut weight gain and fat mass in obese mice1617. Metabolic Pharmaceuticals, an Australian company, developed and patented AOD-9604 in the late 1990s1, and by February 2002 it was in early (phase IIa) trials for obesity18. From 2001 to 2006 the company ran six trials in 893 adults, most with obesity2, and a 2006 review still listed it among obesity drugs in clinical development19. On 21 February 2007 the company announced that its largest trial did ‘not support the commercial viability of the drug as a treatment for obesity’ and ended development for that use1. In 2012 Metabolic, a wholly owned subsidiary of Calzada, named bone, cartilage and muscle disease as other possible uses, said AOD-9604 was a key ingredient of another company’s cosmetic anti-cellulite cream, and announced a ‘self-affirmed conditional GRAS status’ for use in foods at up to 1 mg per person per day20. GRAS means ‘generally recognized as safe’. Self-affirmed means FDA did not review it: the company hired a consulting firm for an independent safety review, and a panel of US experts made the determination220. The condition was publication of the safety studies in a peer-reviewed journal2021, which company-linked authors did in 2013 and 2014221. FDA’s inventory of GRAS notices showed no AOD-9604 notice when we searched it on 5 October 202622.
Benefits: what the research shows
Every human trial FDA found in its 2024 review was run by the developer: six trials from 2001 to 2006 in 893 adults, most with obesity12. Only their safety results were published in a journal, by authors tied to the company2. Efficacy results are known from company announcements, a 2005 meeting abstract and a 2004 summary, as reviewed by FDA in 20241. The largest trial, OPTIONS (which FDA matches to trial METAOD006), randomized 502 adults with obesity to 0.25, 0.5 or 1 mg a day by mouth or placebo for 24 weeks, alongside a supervised diet and exercise program12. It was designed to detect a 1.8 kg difference from placebo at 12 weeks, but weight loss versus placebo at 12 and 24 weeks was too small to reach statistical significance, and the company ended development for obesity in 20071. An earlier 12-week trial in 300 adults (1 to 30 mg a day) reported weight loss of 0.22 kg a week on 1 mg versus 0.07 kg on placebo, with the 1 mg effect called ‘significant’ for women, smaller waists at all doses and no steady dose-response1. FDA said the differences were small and of unclear clinical meaning, and that the abstract gave too little detail to judge1. Three small early trials found no significant weight loss versus placebo1. A 2026 review notes that the negative verdict rests on sponsor-reported results rather than peer-reviewed efficacy papers3. FDA concluded there is ‘a lack of evidence to support the effectiveness’ of AOD-9604 for obesity by any route1. In trials, people have only taken it as pills or as single IV infusions2. FDA found no human data on injection under the skin, a main form sold today, or on creams1. ClinicalTrials.gov listed no AOD-9604 studies when searched on 5 October 202625. Fat-loss effects are shown mainly in obese rats and mice121314. Claims for joints and cartilage rest on one rabbit study, in which weekly knee injections improved cartilage scores after arthritis was induced with an enzyme, most when combined with hyaluronic acid26; a 2026 review found no convincing human evidence for these uses3.
Key human studies
| Study | Design | People | Dose and route | Result |
|---|---|---|---|---|
| Metabolic Pharmaceuticals, OPTIONS trial (matched by FDA to METAOD006): results announced 21 February 2007, not published in a journal; as summarized by FDA in 2024. Safety data in Stier H, Vos E, Kenley D. Safety and Tolerability of the Hexadecapeptide AOD9604 in Humans. J Endocrinol Metab 2013;3(1-2):7-151Source | Randomized, double-blind, placebo-controlled trial at 16 Australian hospitals and medical centers in adults aged 18 to 65 with a BMI of 30 to 45; 4-week placebo run-in, then 24 weeks of treatment alongside a dietitian-supervised diet and exercise program; 4-week follow-up | 502 | 0.25, 0.5 or 1 mg by mouth (tablets) once daily, or placebo | Weight loss versus placebo at 12 weeks (the primary endpoint) and at 24 weeks was too small to reach statistical significance; the trial was powered to detect a 1.8 kg difference, and the company ended development for obesity1. During treatment 78.7% had at least one adverse event. Serious adverse events: 8 of 125 on placebo, 3 of 127 on 0.25 mg, 1 of 125 on 0.5 mg and 6 of 125 on 1 mg (18 of 502, 3.6%). IGF-1 did not differ from placebo, and no antibodies against the drug were found in the people tested2. |
| Herd et al. 2005, scientific meeting abstract (matched by FDA to METAOD005), as summarized by FDA in 2024. Safety data in Stier H, Vos E, Kenley D. Safety and Tolerability of the Hexadecapeptide AOD9604 in Humans. J Endocrinol Metab 2013;3(1-2):7-151Source | Randomized, double-blind, placebo-controlled trial at 5 Australian hospitals in men and women aged 30 to 65 with a BMI of 35 or more; 2-week placebo run-in, then 12 weeks of treatment | 300 | 1, 5, 10, 20 or 30 mg by mouth (capsules) once daily, or placebo (50 per group) | The abstract reported weight loss of 0.22 kg a week on 1 mg, 0.13 kg on 20 mg and 0.15 kg on 30 mg versus 0.07 kg on placebo, with the 1 mg effect called ‘significant’ for women. FDA called the differences small and found no full publication1. During treatment 88.9% had at least one adverse event, similar across groups. Five people had serious adverse events: basal cell carcinoma, lipoma and squamous cell carcinoma (20 mg), breast cancer (5 mg) and malignant melanoma (10 mg). The investigator judged none related2; FDA said the information is insufficient to tell1. |
| Stier H, Vos E, Kenley D. Safety and Tolerability of the Hexadecapeptide AOD9604 in Humans. J Endocrinol Metab 2013;3(1-2):7-15 (trial METAOD004)2DOI | Randomized, double-blind, placebo-controlled, dose-escalation trial in men aged 18 to 54 with a BMI of 30 or more; 7 days of dosing and 7 days of follow-up | 36 | 9, 27 or 54 mg by mouth (capsules) daily for 7 days, or placebo (9 per group) | 207 adverse events, all but one mild or moderate, and no serious ones; headache, diarrhea and flatulence were more common at 54 mg. IGF-1, glucose and insulin did not change2. A 2004 summary reported 1 kg of weight loss over the week at the lowest dose versus 0.6 kg on placebo, and no statistically significant weight loss in the early trials1. |
| Stier H, Vos E, Kenley D. Safety and Tolerability of the Hexadecapeptide AOD9604 in Humans. J Endocrinol Metab 2013;3(1-2):7-15 (trial METAOD003)2DOI | Double-blind, placebo-controlled, 4-period crossover (Latin square) trial in men aged 35 to 54 with a BMI of 35 or more; single doses 2 weeks apart | 17 | Single doses of 9, 27 and 54 mg by mouth (capsules) and placebo | 15 of 17 completed; 97 adverse events. Two serious events at 54 mg: diarrhea, judged possibly related, and bronchial pneumonia, judged unrelated2. No significant weight loss versus placebo1. |
| Stier H, Vos E, Kenley D. Safety and Tolerability of the Hexadecapeptide AOD9604 in Humans. J Endocrinol Metab 2013;3(1-2):7-15 (trial METAOD002)2DOI | Double-blind, placebo-controlled, 4-period crossover (Latin square) trial in men aged 19 to 50 with a BMI of 35 or more; single 20-minute IV infusions 7 days apart | 23 | 25, 50 and 100 µg/kg IV and placebo, one dose per period | 118 adverse events and no serious ones; headache in 16 of 23. One severe chest tightness at 50 µg/kg was judged possibly related, and 5 of 23 reported mild or moderate euphoria during drug periods but none on placebo. Glucose and IGF-1 did not change significantly2. Weight change did not differ significantly from placebo1. |
| Stier H, Vos E, Kenley D. Safety and Tolerability of the Hexadecapeptide AOD9604 in Humans. J Endocrinol Metab 2013;3(1-2):7-15 (trial METAOD001)2DOI | Double-blind, placebo-controlled, dose-escalation safety trial in healthy men with a BMI of 24 to 30; three doses and placebo per person, 7 days apart, with growth hormone given as a comparison | 15 | Single 20-minute IV infusions of 25 to 400 µg/kg | 14 of 15 completed. 29 adverse events in 12 men, none serious or severe; the safety profile was comparable with growth hormone and placebo2. |
Doses studied
Doses below are what studies used or what a label says. They are not advice, and gray-market products may not contain what their label says.
In human studies
Single 20-minute IV infusions of 25 to 400 µg/kg in healthy men, and 25, 50 and 100 µg/kg in men with obesity2. By mouth: single doses of 9, 27 and 54 mg; 9, 27 or 54 mg daily for 7 days; 1, 5, 10, 20 or 30 mg daily for 12 weeks; and 0.25, 0.5 or 1 mg daily for 24 weeks2. The company’s 2012 food-ingredient determination covered up to 1 mg per person per day20. No dose has been studied in humans for injection under the skin, a main form sold, or for skin creams1.
In animal studies
Obese Zucker rats: 500 µg/kg a day by mouth for 19 days13. Obese mice: 250 µg/kg a day for 14 days, by pump under the skin or by injection into the abdomen1. Rabbits with enzyme-induced knee arthritis: 0.25 mg injected into the knee once a week in weeks 4 to 726. Toxicity studies: 0.1, 1 or 10 mg/kg a day IV for 4 weeks in rats; 0.5, 20 or 100 mg/kg a day by mouth for 26 weeks in rats; and 0.5, 10 or 50 mg/kg a day by mouth for 9 months in monkeys121. Pig absorption study: 400 µg/kg IV and 2 mg/kg by mouth121. These are animal research doses, not human doses.
- Half-life
- About 3 minutes in pigs after an IV dose; unknown in humans21Animal and lab data only. In pigs given 400 µg/kg into a vein, blood levels peaked at 2 minutes and fell with a half-life of about 3 minutes121. In rat plasma (the liquid part of blood) kept at room temperature in a test tube, the half-life was about 4 minutes; the peptide was trimmed from its front end and gone by 56 minutes21. In lab tests in serum, one breakdown product (CRSVEGSCG) was more stable than the parent peptide and its other breakdown products37. Oral doses in pigs gave blood levels that implied an impossible 170% absorption, so FDA called oral absorption unclear even in animals1. FDA found no human data on absorption or clearance by any route1.
- Routes
- By mouth (capsules, tablets): human trials up to 24 weeks
- Into a vein (IV infusion): single doses in two small human trials
- Injection under the skin: a main form sold by clinics and online; no human data found
- Troches and dissolving tablets: marketed by clinics; no study of these forms found
- Skin cream (transdermal): proposed for compounding and used in a cosmetic anti-cellulite cream; no human data found
- Injection into a muscle: on the label of a recalled compounded product; no human data found
- Injection into the knee joint: one rabbit study
- Pump under the skin or injection into the abdominal cavity: mouse studies only
Legal status
- United States
- Not approved by FDA for any use, and not a component of any FDA-approved drug; there is no USP or NF monograph1. FDA found it marketed by wellness clinics, medical spas and concierge services as injections, capsules, tablets, troches and dissolving tablets, sometimes mixed with other drugs1. In July 2021 a Texas compounder recalled 1,316 vials of compounded AOD-9604 for injection, distributed nationwide, over a lack of sterility assurance, and an Indiana firm had recalled 3 vials for the same reason in November 202010. FDA’s 2022 warning letter to the Texas firm cited insanitary conditions, including household dish detergent used to clean glassware for sterile injections28. The developer’s 2012 ‘self-affirmed conditional GRAS’ claim covered use as a food ingredient, not as a drug20, and FDA’s GRAS notice inventory showed no AOD-9604 notice on 5 October 202622. As of 25 September 2026, AOD-9604 was not listed as a federally controlled substance29.
- US pharmacies
- Section 503A of federal drug law covers compounding by pharmacies for individual patients. FDA placed AOD-9604 in Category 2 of its interim 503A categories list, substances that raise significant safety risks, on 29 September 202330. Both nominators withdrew their nominations in September 20243132. FDA staff then reviewed the free base and the acetate salt on the agency’s own initiative and on 5 November 2024 proposed not adding either to the 503A bulks list, the list of substances pharmacies may use, citing poor chemical characterization, missing bacterial endotoxin testing for injections, no evidence of effectiveness and limited safety data1. On 4 December 2024 the Pharmacy Compounding Advisory Committee (PCAC) voted 0 to 12 on adding them, with no abstentions5. FDA’s safety-risk page (current as of 22 April 2026) lists AOD-9604 among substances ‘nominated but withdrawn’ that were previously in Category 227. It says compounded AOD-9604 ‘may pose significant risk for immunogenicity’ (unwanted immune reactions) for some routes and that FDA ‘lacks sufficient information to know whether the drug would cause harm’27. AOD-9604 is in no category of the interim list as updated on 14 May 20264, so US pharmacies cannot lawfully compound it under section 503A. No 503B outsourcing facility (a larger compounder registered with FDA) reported AOD-9604 products from 2017 to 20231.
- Other countries
- Australia: the Poisons Standard in force from 1 October 2026 lists AOD-9604 as a Schedule 4 (prescription only) poison and in Appendix D clause 5, which makes possession without authority illegal6. FDA’s 2024 review notes that Australia’s medicines scheduling committee had earlier added it to the Poisons Standard as a performance and image enhancing drug1. Canada: Health Canada says peptides are generally regulated as prescription drugs and, on 9 April 2026, said ‘research use only’ labels do not make such products legal33. In an August 2025 notice it listed AOD9604 among unauthorized injectable peptides seized from an online seller, noting that selling unauthorized drugs is illegal in Canada34, and a December 2025 notice listed an AOD-9604 product among items seized from a Vancouver fitness business35. UK: the MHRA has said it disregards ‘research purposes’ claims used to get around medicines rules (reported 4 April 2026)36; AOD-9604’s specific UK status was not verified. Elsewhere: a 2026 medical review says no major regulatory agency has approved it for any use3, and FDA found no monograph for it in the European, Chinese, Indian or Japanese pharmacopoeias1. EU and New Zealand legal status: not verified.
- Sport
- Prohibited at all times, in and out of competition. The 2026 WADA Prohibited List names AOD-9604 as an example of a growth hormone fragment in class S2.2.3, next to hGH 176-1917. Like everything in class S2, it is a non-Specified substance: it is not among the substances WADA considers more likely to be taken for reasons other than sport performance7. The 2027 List (published 21 September 2026, in force 1 January 2027) keeps the same wording8. FDA’s 2024 review recounts that an Australian Crime Commission report listed it among peptides supplied to athletes, that football players admitted using it, and that unlabeled vials containing it were obtained from German and Belgian elite athletes1. A urine test with a detection limit of 50 pg/mL was published in 2015; the same paper notes AOD-9604 was found in vials confiscated in the US37. Belgian authorities identified it in seized unknown preparations38, and a 2013 study found it does not interfere with WADA’s growth hormone isoform test39.
Quality and the gray market
What testing finds
No independent purity tests were found. Finnrick, a service that publishes lab results for peptide samples, listed AOD-9604 on 5 October 2026 but showed ‘No published AOD-9604 tests yet’9. FDA concluded in 2024 that AOD-9604 is not well characterized1. Supplier certificates of analysis sent with the nominations lacked key tests: two had no results for impurities, aggregates (clumped peptide), microbes or bacterial endotoxins, and a third had none for aggregates or microbes1. One nomination named the free base but attached a certificate for the acetate salt that gave the free base’s CAS number, formula and weight, and some suppliers’ websites show a structure that does not match the sequence1. The disulfide bridge can break, or link molecules into pairs and clumps; FDA says it cannot rule out immune reactions to such impurities1. Two US recalls of AOD-9604 vials cited a lack of sterility assurance: 3 vials from an Indiana firm in November 2020 and 1,316 compounded vials from a Texas firm, distributed nationwide, in July 202110. Belgian authorities identified AOD-9604 in seized unknown preparations38.
How it is sold
US wellness clinics, medical spas and concierge services sell it as injections, capsules, tablets, troches and dissolving tablets1. FDA found clinic products such as a 600 µg/mL 10 mL vial, a 1 mg capsule and a 250 µg dissolving tablet, a compounding pharmacy offering a 1,000 µg/mL injectable vial, and blends: with aminophylline, glycyrrhizic acid and N-acetyl BPC-157 for injection, and with topiramate, naltrexone and MIC (methionine, inositol and choline) by mouth1. Clinics often promote it with BPC-157 for cartilage and bone repair, and in 2024 one clinic website said the peptide was ‘no longer available due to it being placed on the FDA’s list’1. Online shops sell it in vials labeled for research only: on 5 October 2026 a 5 mg vial was fourth of 104 products on one US research-peptide shop’s popularity-sorted list, at $41, and the shop says its products are ‘not for human consumption’41. Health Canada’s 2025 notices list AOD-9604 products among those seized from online sellers3435. A 2026 medical review covers it among unregulated peptides marketed as ‘research compounds’ and used without medical supervision3.
Side effects and risks
- No proven benefit: in the largest trial, weight loss did not differ significantly from placebo1.
- Untested route: FDA found no human data for injection under the skin, a main form sold, or for creams1.
- Possible cancer signal: basal cell and squamous cell skin cancers, a melanoma and a breast cancer were reported in four people taking it in one 12-week trial2. The investigator judged them unrelated2, but FDA says the information is insufficient to decide1.
- Immune reactions: FDA says the peptide, its impurities or clumps could provoke immune responses, especially when injected under the skin, and that it lacks the data to rule this out127. Pill trials found no antibodies against it in the people tested2.
- Animal warning signs: FDA reads a dose-related shift in a bone-turnover marker in rats, liver-cell changes in monkeys and equivocal gene-damage tests as possible safety signals1. The company-funded authors who reported these studies saw no evidence of gene damage and did not attribute the liver findings to the drug21.
- Side effects in trials: headache was the most common; diarrhea and flatulence were more frequent at high oral doses; one IV trial reported euphoria in 5 of 23 men and one severe chest tightness judged possibly related2.
- Contamination and sterility: two US recalls of AOD-9604 vials cited a lack of sterility assurance, and FDA found supplier certificates without tests for microbes or bacterial endotoxins110. Health Canada warns that unauthorized injectable peptides can cause infections and allergic reactions and may contain contaminants34.
- No long-term data: the longest human use studied was 24 weeks of pills, and FDA says there is not enough information to support long-term safety12.
- Legal risk: possession without a prescription is illegal in Australia, and selling unauthorized drugs is illegal in Canada634.
- Anti-doping: banned at all times for tested athletes, and a urine test exists737.
Documented harms
- Apr 2013Published company data on a 12-week trial of daily pills (METAOD005): five people had serious adverse events, namely basal cell carcinoma, lipoma and squamous cell carcinoma at 20 mg, breast cancer at 5 mg and malignant melanoma at 10 mg2. The investigator judged none related2; FDA said in 2024 that the information is insufficient to tell1.
- Apr 2013In a single-dose pill trial (METAOD003), one man had serious diarrhea at 54 mg, judged possibly related, and another had bronchial pneumonia, judged unrelated2. In a single-dose IV trial (METAOD002), one man had severe chest tightness at 50 µg/kg, judged possibly related, and 5 of 23 reported euphoria during drug periods2.
- 30 Nov 2020An Indiana firm began a voluntary Class II recall of 3 vials of AOD-9604 (1,200 µg/mL, 5 mL), shipped to 7 states, because its production processes could not assure sterility10.
- 9 Jul 2021A Texas compounder began a voluntary Class II recall of 1,316 vials of compounded AOD-9604, 3 mg, for injection under the skin or into a muscle, distributed nationwide, for lack of sterility assurance10. FDA’s 2022 warning letter cited insanitary conditions at the firm28.
- 5 Nov 2024FDA’s review found no adverse event reports for AOD-9604 in FAERS, its drug adverse event database, through 7 January 2024, none in CAERS (foods, supplements and cosmetics) from 1 January 2004 to 3 April 2024, and no published case reports; FDA said the lack of reports ‘does not imply that the substance is safe’1.
- 1 Aug 2025Health Canada warned that unauthorized injectable peptides seized from an online seller, including AOD9604, may cause infection, allergic reactions and other poor outcomes, and may contain contaminants34.
- 24 Dec 2025Health Canada warned about unauthorized products seized from a Vancouver fitness business and sold online, including an AOD-9604 product35.
- 30 Jul 2026An openFDA search of FAERS (data as of the 30 July 2026 update) found no reports listing a drug name that begins with ‘AOD’42.
Questions people ask
Is AOD-9604 FDA approved?
No. FDA has not approved it for any use, and it is not part of any approved drug1. US pharmacies may not compound it either4.
Does AOD-9604 work for weight loss?
The human evidence says no. In its developer’s largest trial, of 502 adults, weight loss did not differ significantly from placebo at 12 or 24 weeks, and development for obesity stopped in 20071. Fat-loss effects have been shown mainly in obese rats and mice1213.
Is AOD-9604 safe?
Company trials in nearly 900 people, mostly with pills, reported side effects similar to placebo2. FDA still found too little information to judge its safety, including cancers reported in one trial, and no human data at all for shots under the skin1.
Is AOD-9604 the same as HGH fragment 176-191?
Nearly. AOD-9604 is growth hormone’s positions 177 to 191 with a tyrosine added at the front, while hGH 176-191 has phenylalanine in that spot224. AOD-9604 is sometimes labeled ‘hGH 176-191’ or just ‘GH fragment’3, and the WADA Prohibited List names both as banned growth hormone fragments7.
What is still unknown
- FDA found no journal report of the full results of the 24-week OPTIONS trial (METAOD006) or the 12-week METAOD005 trial; the efficacy figures it summarized come from company announcements and a meeting abstract.
- FDA found no human data on AOD-9604 given by injection under the skin or in skin creams; absorption and blood levels by those routes are unknown.
- Whether the cancers reported in METAOD005 were related to the drug cannot be judged from the published data.
- The 2012 GRAS panel report is not public and no AOD-9604 notice appears in FDA’s GRAS inventory; whether AOD-9604 was ever sold in US foods or supplements was not verified.
- Whether the cosmetic anti-cellulite cream that contained AOD-9604 is still sold was not verified.
- Australian trial registrations (ANZCTR) and the 2016 Australian scheduling decision pages could not be opened; Australian status here comes from the October 2026 Poisons Standard.
- UK, EU and New Zealand legal status was not verified.
- No independent lab tests of gray-market AOD-9604 purity or identity were found.
- Joint and cartilage claims rest on one rabbit study; FDA found no clinical study of AOD-9604 in people with osteoarthritis.
- Sources disagree on trial details: OPTIONS enrollment (536 per FDA, 534 per the company paper, 502 randomized in both), total trial participants (893 or 925), and the size and doses of two early oral trials.
Sources
- 1FDA Briefing Document, Pharmacy Compounding Advisory Committee meeting of December 4, 2024: FDA Evaluation of AOD-9604-Related Bulk Drug Substances (AOD-9604 (free base) and AOD-9604 acetate) U.S. Food and Drug Administration, 5 Nov 2024. fda.gov
- 2Safety and Tolerability of the Hexadecapeptide AOD9604 in Humans Journal of Endocrinology and Metabolism, Apr 2013. jofem.org
- 3The emerging landscape of performance-enhancing peptides modulating GH-IGF1 axis: bridging the gap between clinical evidence and patient self-administration Frontiers in Endocrinology, 2026. pubmed.ncbi.nlm.nih.gov
- 4Bulk Drug Substances Nominated for Use in Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act (categories list) U.S. Food and Drug Administration, 14 May 2026. fda.gov
- 5Final Summary Minutes of the Pharmacy Compounding Advisory Committee Meeting, December 4, 2024 U.S. Food and Drug Administration, 21 Feb 2025. fda.gov
- 6Therapeutic Goods (Poisons Standard—October 2026) Instrument 2026 (F2026L01327) Federal Register of Legislation, Australian Government, 28 Sep 2026. legislation.gov.au
- 7World Anti-Doping Code International Standard: Prohibited List 2026 World Anti-Doping Agency, 24 Sep 2025. wada-ama.org
- 8World Anti-Doping Code International Standard: Prohibited List 2027 World Anti-Doping Agency, 21 Sep 2026. wada-ama.org
- 9AOD-9604 Safety Testing Results & Vendor Ratings Finnrick, accessed 5 Oct 2026. finnrick.com
- 10Drug recall (enforcement) reports for products described as AOD-9604, openFDA drug/enforcement API (2 records: D-0131-2021 and D-0693-2021) U.S. Food and Drug Administration (openFDA), 23 Sep 2026. api.fda.gov · data query
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- 20AOD9604 Receives GRAS Status (ASX announcement) Calzada Limited, 25 Jun 2012. aspecthuntley.com.au
- 21Safety and Metabolism of AOD9604, a Novel Nutraceutical Ingredient for Improved Metabolic Health Journal of Endocrinology and Metabolism, Jun 2014. jofem.org
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- 26Effect of Intra-articular Injection of AOD9604 with or without Hyaluronic Acid in Rabbit Osteoarthritis Model Annals of Clinical and Laboratory Science, 2015. pubmed.ncbi.nlm.nih.gov
- 27Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks U.S. Food and Drug Administration, 22 Apr 2026. fda.gov
- 28Warning letter to Innoveix Pharmaceuticals, Inc. (MARCS-CMS 624782) U.S. Food and Drug Administration, 26 Jan 2022. fda.gov
- 2921 CFR Part 1308, Schedules of Controlled Substances (eCFR, as of 25 September 2026) Electronic Code of Federal Regulations (eCFR), 25 Sep 2026. ecfr.gov
- 30Bulk Drug Substances Nominated for Use in Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act (categories list updated 29 September 2023) U.S. Food and Drug Administration (copy hosted by the Alliance for Pharmacy Compounding), 29 Sep 2023. join.a4pc.org
- 31Withdrawal from Wells Pharmacy Network (FDA-2015-N-3534-0471) Regulations.gov (U.S. Food and Drug Administration docket FDA-2015-N-3534), 19 Sep 2024. regulations.gov
- 32Withdrawal from LDT Health Solutions, Inc (FDA-2015-N-3534-0472) Regulations.gov (U.S. Food and Drug Administration docket FDA-2015-N-3534), 20 Sep 2024. regulations.gov
- 33Think twice before injecting peptides bought online: unauthorized products can seriously harm you (RA-81874) Health Canada, 9 Apr 2026. recalls-rappels.canada.ca
- 34Unauthorized injectable peptide drugs seized and sold by Canada Peptide may pose serious health risks (RA-77807) Health Canada, 1 Aug 2025. recalls-rappels.canada.ca
- 35Unauthorized health products sold online and seized at Rize Fitness may pose serious health risks (RA-81403) Health Canada, 24 Dec 2025. recalls-rappels.canada.ca
- 36Medicines watchdog to investigate UK peptide clinics over health claims The Guardian, 4 Apr 2026. theguardian.com
- 37Detection and in vitro metabolism of AOD9604 Drug Testing and Analysis, Jan 2015. pubmed.ncbi.nlm.nih.gov
- 38Identification and characterization of peptide drugs in unknown pharmaceutical preparations seized by the Belgian authorities: case report on AOD9604 Drug Testing and Analysis, Sep 2014. pubmed.ncbi.nlm.nih.gov
- 39AOD-9604 does not influence the WADA hGH isoform immunoassay Drug Testing and Analysis, 2013. pubmed.ncbi.nlm.nih.gov
- 40AOD-9604 Dosage, Safety & Stacks Peptide Initiative, 10 Aug 2026. peptideinitiative.com
- 41Core Peptides shop page sorted by popularity Core Peptides (vendor), accessed 5 Oct 2026. corepeptides.com (seller page, deliberately not linked)
- 42FDA Adverse Event Reporting System (FAERS) reports naming AOD-9604, openFDA drug/event API (no matches) U.S. Food and Drug Administration (openFDA), 30 Jul 2026. api.fda.gov · data query
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