MuscleLedger

Sermorelin Held Two FDA Approvals and Lost Both — Not for Safety, and Not for Muscle

The oldest growth-hormone-releasing peptide in this market was an approved drug from 1990 to its discontinuation, with 27 trial registrations. Almost all of them are diagnostic tests.

Leon H · Edited by Caroline S · Published 2026-09-10

Illustration: An empty glass medical vial on a blue tray in a sterile, concrete-grey laboratory.
Illustration

Every compound in this market is sold with an implied history. Sermorelin actually has one, and it is documented at FDA rather than on a vendor page — which makes it the rare case where the record can be checked instead of inferred.

This is research journalism. It reports what the sources state, including the amounts used in trials and on labels where those are on the record, each figure carrying its source and date — and it never tells anyone what to take.

The shortest piece of the releasing hormone that still works

The body's growth-hormone-releasing hormone is 44 amino acids long. Only the first 29 are needed for full releasing activity, and that fragment — GRF(1–29) — is sermorelin.

The whole releasing-factor shelf is a set of answers to one engineering problem: the natural molecule is destroyed in circulation within minutes. Sermorelin does not solve it. Tesamorelin solves it by attaching a hexenoyl group to the full 44-residue sequence. CJC-1295 solves it by substituting amino acids in the 29-residue fragment. The class logic is set out on our secretagogue page.

Two approvals, seven years apart, both now gone

Application Brand Original approval Status now
NDA 019863 Geref 28 December 1990 Discontinued
NDA 020443 Geref 26 September 1997 Discontinued

Both were sponsored by EMD Serono. The 1990 application covered a small single-ampoule strength; the 1997 application covered larger vial strengths — a split that tracks the compound's two lives, as an agent for provoking a measurable pituitary response and as a treatment.

Attached to every product entry under both applications, FDA's record carries a specific sentence:

"Federal Register determination that product was not discontinued or withdrawn for safety or effectiveness reasons"

That line is the most informative thing on this page. Vendor copy and forum lore routinely explain sermorelin's disappearance as an FDA action against it. The record says the opposite in the regulator's own words: whatever ended Geref, it was not a safety finding and not a failure of effectiveness. FDA maintains that determination because the distinction carries legal weight elsewhere in drug regulation; it does not state the actual reason, and a discontinuation recorded this way is ordinarily commercial.

What its 27 registrations were for

An intervention search of ClinicalTrials.gov returns 27 studies. Reading their titles rather than counting them is where the finding is.

What the registrations study Examples
Diagnosing growth hormone deficiency — validations of the releasing-hormone-plus-arginine stimulation test NCT01060488 (phase 3, 69 participants), NCT03018886 (160), NCT00324064 (90)
HIV lipodystrophy and abdominal obesity NCT01263717 (54), NCT00675506 (phase 2, 60)
Cognition and ageing NCT00257712 (phase 2, 151), NCT02553603 (phase 1, 22)
Other conditions — acromegaly, heart failure, fatty liver, subfertility NCT00004332 (148), NCT00791843 (3)
Healthy volunteers NCT00850564 (15 men)
Terminated in older adults NCT01410799 (13), NCT00807365 (5)

Not one has a muscle, strength or body-composition endpoint in trained adults. The single healthy-volunteer study enrolled 15 men and was a short-term physiological experiment. The two trials that came closest to the ageing-and-body-composition question were both terminated, one with 13 participants and one with 5.

Its 332 PubMed records make it the best-documented injectable secretagogue this site covers — and that literature is endocrinology. A compound that spent three decades as a diagnostic reagent has a large paper trail about pituitary responsiveness and almost nothing about lifters.

What the record supports, and what it does not

Three things can be said with the documents open.

It was a real drug. That is genuinely unusual here, and it means sermorelin has a human safety and pharmacology record built under regulatory supervision rather than assembled from forum reports.

It was not withdrawn for safety or effectiveness. The Federal Register determination settles the most common claim made about it in both directions — it was not banned, and it did not fail.

Nothing in that record is about building muscle. Twenty-seven registrations, thirty-five years, two approvals, and the endpoint is almost always a measured hormone concentration. The compound's documented ability is to make the pituitary release growth hormone, which is the beginning of the question this site asks rather than the answer to it — the distinction between raising a hormone and adding contractile tissue is the one our secretagogue class page exists to draw, and the class-wide ceiling of roughly 1.1 to 1.4 kg of lean mass is set out on the tesamorelin page and the evidence ledger.

For a tested athlete the status is not in doubt: growth hormone, its fragments and its releasing factors are prohibited at all times, and sermorelin is the releasing fragment itself. Drug testing carries the per-compound detail.

Frequently asked questions

Was sermorelin ever an FDA-approved drug?

Yes, twice. Geref was approved under NDA 019863 in December 1990 and under NDA 020443 in September 1997, both to EMD Serono. Both applications are now listed as discontinued. That makes sermorelin unusual in this market: most of the compounds sold beside it were never approved for anything, whereas this one was approved, marketed and then withdrawn from sale.

Why was it discontinued?

FDA's record answers the question it is most often asked. Every product entry under both applications carries a Federal Register determination that the product was not discontinued or withdrawn for safety or effectiveness reasons. That phrase exists because the distinction has consequences elsewhere in drug regulation, and it rules out the two explanations people usually assume. It does not state what the reason was — a discontinuation of that kind is normally commercial.

What are its 27 trial registrations actually about?

Mostly diagnostics and endocrinology. A substantial share are validations of the growth-hormone-releasing-hormone-plus-arginine stimulation test, in which the compound is injected to provoke a pituitary response so that growth hormone deficiency can be diagnosed. The rest run through growth hormone deficiency, HIV lipodystrophy, abdominal obesity, acromegaly, cognition in mild cognitive impairment, heart failure and fertility. None studies trained adults, and none has a strength endpoint.

Does sermorelin build muscle?

No trial has been registered to find out. What can be said is what the wider class shows: across the growth-hormone axis, the compounds with completed human trials produce roughly 1.1 to 1.4 kg of lean or fat-free mass without a demonstrated strength or physical-function gain. Sermorelin acts through the same receptor route as tesamorelin, so there is no mechanistic reason to expect it to exceed that band, and no data showing it does.

How does it differ from CJC-1295 and tesamorelin?

All three are growth-hormone-releasing hormone in modified form, and they differ in how long they survive in the body. Sermorelin is the plain 29-amino-acid fragment and is cleared quickly. Tesamorelin is the full 44-residue sequence with a hexenoyl group attached to slow its breakdown, and it is the one still approved. CJC-1295 is the 29-residue fragment with substitutions intended to extend its action, and it has a single terminated registration to its name.

Is sermorelin prohibited in sport?

Yes. Growth hormone, its fragments and its releasing factors are prohibited at all times, and sermorelin is a releasing factor by definition — it is literally the active fragment of the releasing hormone. Its former approval and its diagnostic use make no difference to that status.