chapter 07 of 52 · the reptides guide
CJC-1295
Published human studies used subcutaneous DAC material and measured hormones, exposure and short-term safety.
| Name | What the evidence means |
|---|---|
| CJC-1295 with DAC | An albumin-reactive, long-acting GHRH analogue. The published human studies used DAC material, but the salt was not specified.161,159,158 |
| Modified GRF(1-29) | A separate no-DAC molecule. The published 5.8 to 8.1 day half-life does not transfer to it.158,163 |
| CJC/ipamorelin blend | A combination whose CJC form may be unclear. Separate component studies do not supply a controlled blend outcome or safety rate.158,159 |
DAC and exposure
The DAC construct binds albumin and prolongs exposure. Removing DAC changes the molecule. FDA also distinguishes free bases and salts, while identity databases contain naming, structure and mass discrepancies that cannot authenticate a market vial.161,162,163,164,158
Human evidence
Published studies in healthy adults measured exposure, hormones and short-term safety, leaving clinical benefit outside their endpoints.
5.8 to 8.1 days
The estimated half-life came from DAC material in healthy adults. Mean GH remained elevated for at least six days and mean IGF-1 for nine to eleven days after one dose. This does not establish benefit for sleep, recovery, fat loss or muscle gain.159,158
| Record | What it can tell us |
|---|---|
| Two phase 1 studies | Healthy adults received subcutaneous DAC material in 28- and 49-day randomized studies. The full articles were unavailable. FDA's combined participant count conflicts with the study descriptions, so the total number of different people treated is unclear.159,158 |
| Pulsatility study | Twelve healthy men received one subcutaneous DAC dose. GH pulses persisted while mean and trough GH and IGF-1 increased. This was physiology, not a clinical outcome.160 |
| Proteomic subset | Eleven healthy young men from the pulsatility cohort had serum proteins measured before and one week after exposure. This was not another independent efficacy cohort.165,160 |
| Phase 2 program | ClinicalTrials.gov lists the 12-week study in people with HIV-associated visceral obesity as terminated, and the EU register lists it as prematurely ended. Neither record posts results. The EU record identifies TFA material.166,167,158 |
Phase 2 fatal heart-attack report
FDA describes a fatal myocardial infarction from secondary accounts and reproduces a physician explanation favoring coronary plaque rupture. No posted primary trial result establishes causality or that explanation, and the registry records do not state why the study ended.158,166,167
Safety and status
This section covers short DAC studies, animal experiments, spontaneous reports and unverified market products.
| Outcome | Active / placebo |
|---|---|
| Any adverse event | 33/35 (94%) / 2/7 (29%)158 |
| Headache | 63% / 14%158 |
| Diarrhea | 43% / not stated in the FDA summary158 |
| Systemic vasodilatory reactions | 30% / not stated in the FDA summary158 |
Two FDA records classify the findings differently
The detailed FDA briefing reports no serious adverse events in the short studies and lists heart-rate and vasodilatory findings as adverse events. FDA's public compounding-risk table calls increased heart rate and systemic vasodilation serious adverse events. The classification is unresolved.158,171
A DNA-damage signal came from mice
CJC-1295 increased DNA-damage measures in mouse pituitary cultures and in male mice exposed for eight weeks. This is a nonhuman mechanistic signal. The mouse findings cannot quantify a human cancer rate or long-term risk in people.168
Spontaneous-report limits
A September 29, 2026 query of the openFDA dataset updated July 30 returned five reports: three listed CJC or a blend as suspect or co-suspect and two listed it as concomitant. Reporter roles do not prove causality, incidence, product identity or five independent people.169,170
Approval and sport status
Dated US approval and label queries returned no CJC-1295 product. FDA advisers voted against adding the forms they considered to the 503A list. Australia and New Zealand regulate the substance, Health Canada warns about unauthorized injectable products, and WADA prohibits GHRH analogues for covered athletes.173,174,175,176,177,132,178
Common questions
Questions cover identity, timing, combinations, safety and status.
01 What changes when it is combined with ipamorelin?
The combination differs from CJC-1295 alone. Clinical outcomes for the specified CJC-1295/ipamorelin blend remain unproven in these studies; DAC status affects expected exposure.161,159,158
02 Is the vial CJC-1295 with DAC or Modified GRF(1-29)?
The label alone cannot resolve that identity. FDA distinguishes no-DAC free base and acetate from DAC free base, acetate and trifluoroacetate; the published phase 1 studies used DAC material but did not specify its salt. A blend name, seller label or registry identifier does not verify the vial.158,162,163,164
03 What was actually studied?
Historical human studies used subcutaneous CJC-1295 with DAC in healthy adults. Two phase 1 studies lasting 28 and 49 days tested a single 30, 60, 125 or 250 microgram-per-kilogram dose; the repeat-dose study used 20 or 30 micrograms per kilogram on days 0, 7 and 14, or 30 or 60 micrograms per kilogram on days 0 and 14. A related one-week pulsatility study gave 12 healthy men aged 20 to 40 one 60 or 90 microgram-per-kilogram dose. These schedules describe experimental exposures only.159,160,158
04 How long did the measured effects last?
In one phase 1 report, a single subcutaneous dose of DAC material in healthy adults raised mean GH for at least six days and mean IGF-1 for nine to eleven days; the estimated half-life was 5.8 to 8.1 days. These hormone and exposure findings supply no timeline for sleep, recovery, fat loss or muscle gain. The studies do not establish what happened to those clinical outcomes after stopping.159,160
05 What is known about combining it with other compounds?
Clinical outcomes for these CJC-1295 combinations remain unproven in these studies. One spontaneous report listed CJC/ipamorelin, retatrutide, tesamorelin and other products as co-suspects, so it cannot isolate any ingredient or prove causality. The combinations' effects, interactions and safety remain unknown, and whether the CJC component has DAC changes the expected exposure.159,161,158,169,170
06 How does it compare with sermorelin, tesamorelin, HGH or MK-677?
These studies include no direct clinical comparison. CJC-1295 with DAC is a long-acting GHRH analogue, no-DAC material is a different molecule, and HGH or ghrelin-receptor drugs are different interventions.161,159,158
07 Do studies support mixing or storage instructions?
The human studies contain no reconstitution, storage or mixing instructions for market vials or blends. Because labels may omit DAC status, salt, amount, purity or sterility, product-specific preparation is unsupported by these sources.158,171,172
08 Did human studies show muscle gain, fat loss, recovery or increased height?
Not in these human studies. The subcutaneous DAC studies in healthy adults measured pharmacokinetics, GH, IGF-1 and short-term tolerability; they did not measure those outcomes. Animal deficiency models and hormone changes do not prove benefit in people.159,160,158
09 What adverse effects were observed?
FDA's review of a short subcutaneous DAC study in healthy volunteers reported adverse events in 33 of 35 active-treated participants and 2 of 7 placebo recipients; headache was 63% versus 14%, diarrhea 43% in the active group, and systemic vasodilatory reactions 30% in the active group. A September 29, 2026 query of the openFDA dataset updated July 30, 2026 returned five spontaneous reports, with CJC or a blend listed as suspect or co-suspect in three and concomitant in two; those roles do not establish causality or incidence. Neither record establishes long-term or no-DAC safety.158,169,170
10 Where does the 5.8 to 8.1 day half-life come from?
The estimate came from subcutaneous CJC-1295 with DAC in a phase 1 report in healthy adults. It does not apply to Modified GRF(1-29), a product labeled only CJC or a finished blend. FDA's review says the clinical salt was not specified.159,161,158
11 Does it improve sleep?
The human DAC studies measured hormone patterns, pharmacokinetics and short-term tolerability. They did not measure sleep.159,160
12 What is known about heart rate, blood pressure, glucose and fluid retention?
FDA's review describes dose-dependent heart-rate increases in one short DAC study and systemic vasodilatory reactions in another; the human studies also showed sustained IGF-1 elevation. Long-term rates of blood-pressure changes, high glucose, edema, cardiovascular events and proliferative effects remain unknown for DAC, no-DAC products and blends.158,171,159
13 Can an online vial or blend be trusted?
A label cannot verify the molecule, salt, amount, purity, sterility or DAC status. FDA notes identity, impurity and immune-reaction concerns, and its registry and assessment contain naming or structure discrepancies. A facility warning or enforcement case documents one event and supplies no whole-market defect rate.158,164,171,172
14 What is known for women, adolescents and pregnancy?
FDA's review describes limited healthy-adult enrollment that was mostly, but not entirely, male. The pulsatility sample was 12 healthy men aged 20 to 40, and the proteomic sample was 11 healthy young men drawn from that cohort. These records provide no pregnancy or adolescent outcome study; a pregnant-rat abstract cannot answer those questions.159,160,165,158
15 Is it approved, legal or allowed in tested sport?
US approval and label queries checked on September 29, 2026 found no CJC-1295 product, and FDA advisers voted against adding the bulk forms they considered to the 503A list. Australia and New Zealand regulate the substance, while Health Canada warns about unauthorized injectable products; none of those records is a product approval. GHRH analogues are prohibited for athletes covered by the 2026 WADA list.173,174,175,176,177,132,178
sources for this chapter
- Think twice before injecting peptides bought online: unauthorized products can seriously harm you. Health Canada advisory, April 2026. Regulator source reviewed.
- CJC-1295-related bulk drug substances: FDA briefing for December 4, 2024 PCAC FDA Pharmacy Compounding Advisory Committee briefing, November 2024. Relevant regulator assessment passages reviewed.
- Prolonged stimulation of growth hormone (GH) and insulin-like growth factor I secretion by CJC-1295, a long-acting analog of GH-releasing hormone, in healthy adults. Randomized phase 1 studies in healthy adults. Published 2006. PMID 16352683. Primary abstract reviewed; publisher body inaccessible.
- Pulsatile secretion of growth hormone (GH) persists during continuous stimulation by CJC-1295, a long-acting GH-releasing hormone analog. Clinical study of GH pulsatility in 12 healthy men. Published 2006. PMID 17018654. Primary abstract reviewed; publisher body inaccessible.
- Human growth hormone-releasing factor (hGRF)1-29-albumin bioconjugates activate the GRF receptor on the anterior pituitary in rats: identification of CJC-1295 as a long-lasting GRF analog. Rat and cell study identifying the albumin-binding DAC construct. Published 2005. PMID 15817669. Primary abstract reviewed.
- CJC-1295 DAC: PubChem CID91971820 molecular properties PubChem molecular-properties record for the DAC compound; checked September 29, 2026. Complete primary property record reviewed.
- Modified GRF(1-29) without DAC: PubChem molecular properties for CAS 446036-97-1 PubChem molecular-properties record for Modified GRF(1-29) without DAC; checked September 29, 2026. Complete primary property record reviewed.
- CJC-1295 GSRS protein identity record, UNII 62RC32V9N7 FDA/NCATS GSRS identity record; checked September 29, 2026. Primary identity record reviewed.
- Activation of the GH/IGF-1 axis by CJC-1295, a long-acting GHRH analog, results in serum protein profile changes in normal adult subjects. Proteomic analysis of an 11-man subset after CJC-1295 exposure. Published 2009. PMID 19386527. Primary abstract reviewed.
- A Study to Evaluate CJC 1295 in HIV Patients With Visceral Obesity ClinicalTrials.gov phase 2 registry record; checked September 29, 2026. Complete registry record reviewed.
- A Multicenter, Randomized, Placebo-controlled, Double-blind Phase 2 Study to Evaluate the Efficacy and Safety of CJC-1295 administered for 12 weeks in HIV-Infected Patients with HIV-associated Visceral Obesity EU Clinical Trials Register phase 2 protocol record; checked September 29, 2026. Complete registry protocol reviewed.
- DNA damage and growth hormone hypersecretion in pituitary somatotroph adenomas. Mouse pituitary-culture and in-vivo mechanistic study. Published 2020. PMID 32673291. Primary full text reviewed; nonhuman evidence.
- openFDA reported-product alias query: CJC-1295 and modified GRF Dated openFDA reported-product query run September 29, 2026; dataset updated July 30, 2026. All five returned report objects reviewed.
- openFDA drug adverse-event field definitions Official openFDA adverse-event field definitions; checked September 29, 2026. Official field definitions reviewed.
- Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks FDA public compounding-risk table, updated April 22, 2026. Regulator source reviewed.
- FDA warning letter 594743, April 1, 2020 FDA warning letter, April 1, 2020. Full official letter reviewed.
- Drugs@FDA active-ingredient alias query for CJC-1295 Dated Drugs@FDA active-ingredient query, September 29, 2026. Complete dated database response reviewed.
- DailyMed SPL search for CJC-1295 Dated DailyMed finished-label query, September 29, 2026. Complete dated database response reviewed.
- Final Summary Minutes of the Pharmacy Compounding Advisory Committee Meeting, December 4, 2024 Final FDA advisory-committee minutes for December 4, 2024. Full official minutes reviewed.
- Therapeutic Goods (Poisons Standard June 2026) Instrument 2026: CJC-1295 Australian Poisons Standard, June 2026. Full official instrument reviewed.
- New Zealand Classification Database: CJC-1295 New Zealand medicine-classification database; checked September 29, 2026. Regulator database record reviewed.
- 2026 Prohibited List World Anti-Doping Agency list effective January 1, 2026. Full official list reviewed.
research reference, not medical advice. The Reptides Guide: Edition 1, October 2026 / Working draft.