AOD-9604
AOD-9604 is a synthetic fragment of the C-terminus of human growth hormone (residues 176-191 plus a tyrosine) developed as an anti-obesity agent. It reached human clinical trials, which found it was well tolerated but produced no meaningful weight loss versus placebo. It is now marketed as a peptide for fat loss and joint repair despite the negative efficacy data.
01 Overview
AOD-9604 was engineered on the hypothesis that the fat-metabolising activity of growth hormone could be isolated in a short C-terminal fragment, giving lipolysis without GH's effects on IGF-1 or blood glucose. Metabolic Pharmaceuticals advanced it through Phase II obesity trials in the 2000s.
The pivotal human trials showed it was safe and did not raise IGF-1 or impair glucose tolerance, but it failed to beat placebo on weight loss at the tested doses, and development for obesity was discontinued. It later appeared as a compounded and research-chemical product for fat loss and, separately, is studied for cartilage/tendon applications. The FDA has declined to recognise it as a legitimate compounding ingredient.
02 Mechanism
Proposed to stimulate lipolysis and inhibit lipogenesis via a mechanism mimicking growth hormone's C-terminal fragment, reportedly without binding the GH receptor or raising IGF-1; the human relevance of this mechanism is unconfirmed by efficacy data.
03 Dosing
| Tier | Dose | Route | Notes |
|---|---|---|---|
| Anecdotal | 250–500 mcg/day | SubQ | Marketed dosing; trial doses were oral/higher. No dosing produces validated weight loss. |
04 Effects
| Effect | Magnitude | Evidence | |
|---|---|---|---|
| Weight lossPhase II obesity trials did not show clinically meaningful weight loss over placebo. | No significant difference vs placebo in trials | Disputed | |
| Claimed lipolysis / fat metabolismLipolytic activity demonstrated in preclinical models but not translated to human fat loss. | Seen in animal/adipocyte models | Preclinical |
05 Side effects
| Effect | Severity | Frequency | Evidence | Countermeasures |
|---|---|---|---|---|
| Injection-site reactionsLocal irritation reported; overall the peptide was well tolerated in trials. | Mild | Common | Clinical | |
| HeadacheMild headache reported during clinical testing. | Mild | Occasional in trials | Clinical |