Tesamorelin

FROM THE REEL TO THE RESEARCH

Visceral fat: what changes, and in whom?

THE MECHANISM MINUTE / EPISODE 06

A visual comparison of tesamorelin, ipamorelin and CJC-1295: receptors, exposure, visceral-fat trials, GH and IGF-1 biomarkers, stacking claims and safety.

Mechanisms explain possibilities. Outcomes, populations and study limitations determine what the evidence supports.

What it is & what research shows

Study example available

Tesamorelin is an analogue of growth hormone-releasing hormone. It stimulates the pituitary to release growth hormone and raises circulating IGF-1. Egrifta WR is indicated to reduce excess abdominal fat in adults with HIV-associated lipodystrophy. It is not indicated for weight-loss management. [1.1]

One selected study: A double-blind randomized trial compared tesamorelin with placebo for six months. Primary outcomes were visceral abdominal fat and liver fat. 50 adults with HIV receiving antiretroviral treatment and with abdominal-fat accumulation were randomized; forty-eight received study treatment. A verified dose and schedule have not yet been added to this study summary. Visceral-fat area fell by 34 square centimeters with tesamorelin versus an increase of 8 with placebo. The liver lipid-to-water percentage fell 2.0 percentage points versus a 0.9-point increase. Fasting glucose rose initially at two weeks, but six-month fasting and two-hour glucose changes did not significantly differ. The authors described the findings as preliminary and said further studies were needed to determine their clinical importance and long-term consequences. [2.1]

Studied methods, not dosing advice. Selected evidence, not a complete literature review or formal quality appraisal. Read the study summary
Sources & reading scope

Evidence summarized on PED Evidence

7 completed summaries

6 human-study reports

6 randomized-trial candidates

3 safety-topic reports

These counts describe completed summaries on this site, not the size of the full literature. Publications can share participants; design labels are discovery metadata, not appraisals.

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More about Tesamorelin: identity, safety & reference details
PeptideGH axis
Primary research area
GH axis · visceral fat
Regulatory status
Prescription medicine
Evidence level
Human, indication-specific
Primary mechanism
Growth-hormone-releasing hormone receptor agonist
Reference profile available · Coverage varies by section

Also known as Egrifta · TH9507

Start with the research

An outcome-specific synthesis has not been prepared for this compound. This is a coverage gap, not evidence that it has no effect.

Open studies and trial records
Uses & research

Egrifta WR is indicated to reduce excess abdominal fat in adults with HIV-associated lipodystrophy. It is not indicated for weight-loss management. [1]

Known half-life

Egrifta WR: about 11 minutes after a single injection under the skin in healthy participants. Egrifta SV: about 8 minutes in its label study. These are formulation-specific measurements. [1][2]

Half-life describes how quickly the measured drug concentration falls by half. It does not set a dosing interval.
Evidence & important limits

WR and SV are not substitutable. Long-term cardiovascular safety is not established in the WR label. Warnings include increased IGF-1, fluid retention, glucose intolerance and neoplasms. [1]

Safety & evidence boundaries

Source-specific information, not a personal safety clearance or monitoring plan.

WR and SV are not substitutable. Long-term cardiovascular safety is not established in the WR label. Warnings include increased IGF-1, fluid retention, glucose intolerance and neoplasms.

Explore safety questions by system

These are literature filters, not claims that this compound causes each effect. A keyword match is not a confirmed adverse reaction.

Interactions, rare harms, long-term effects and reversibility require separate evidence. Do not infer they are absent when the sources here do not address them.

Identity, names & formulations

Canonical compound: Tesamorelin · tesamorelin

Searchable names: Egrifta, TH9507

Names share a parent research page. Different esters, salts, routes and brands are not assumed to have the same half-life, indication or exposure.

Combination evidence stays attached to the studied combination. It is not automatically assigned to each ingredient.

Understand the evidence types

Read the model and design first, then the population, outcome and limitations. These categories describe evidence, not a best-compound ranking.

Randomized human trials
Compare assigned interventions. Randomization does not by itself establish low bias or relevance to every population.
Controlled human studies
Use a comparison group; allocation and confounding still matter.
Prospective human research
Follows participants forward. It may be observational or interventional, so this is not a separate quality grade.
Observational human research
Describes associations. Confounding can explain differences.
Case reports and series
Useful for unusual events and safety signals, not reliable rates or effect sizes.
Animal research
Can test biology and function in a living model. Human exposure, benefit and safety remain separate questions.
Cell and tissue research
Tests responses in a preparation, including human-derived cells. It is not a human participant trial.
Mechanistic and computational evidence
Helps explain or predict a pathway; predictions need experimental and clinical testing.
Anecdotal reports
Self-reported experiences can generate questions. Product identity, selection bias and other interventions may be uncontrolled.

Systematic reviews synthesize studies and depend on their quality. Preprint status and abstract versus full-paper reading are separate labels. Citation popularity measures attention, not reliability. A study summary is not a formal quality appraisal.

Sources for this profile

  1. 1. Egrifta WR prescribing information (2025) Drug label · indications, limitations and clinical pharmacology
  2. 2. Egrifta SV prescribing information Drug label · clinical pharmacology

Reference facts checked 2026-09-16. Source scope is listed above; this is not a formal quality appraisal. See each label for full prescribing information.

Browse all studies

Study model describes the source. Confidence depends on methods, replication, population and outcome.

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Tesamorelin study summaries

Human-first reading order. Intervention candidates are distinguished from background mentions in the library.