Informational only. Not medical advice.INFORMATIONAL PLATFORM ONLY — NOT MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT
Informational only. Not medical advice.INFORMATIONAL PLATFORM ONLY — NOT MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT
Head-to-head comparison of Capromorelin and Hexarelin — mechanism, dosing, side effects, legal status, and pricing.
Capromorelin is a non-peptide, orally active pyrazolinone-piperidine dipeptide-mimetic that functions as a growth hormone secretagogue receptor 1a (GHS-R1a) agonist, mimicking the endogenous hormone ghrelin. It is NOT approved for human use anywhere; a Pfizer Phase II trial in 395 older adults showed positive signals for lean body mass, body weight, and physical function but was terminated early and never advanced to approval. Capromorelin is FDA-approved as a veterinary drug (Entyce for dogs, Elura for cats) and is explicitly named on the WADA Prohibited List under S2 (growth hormone secretagogues), prohibited at all times in competitive sport.
Hexarelin (His-D-2MeTrp-Ala-Trp-D-Phe-Lys-NH2) is a synthetic hexapeptide growth hormone secretagogue developed by Mediolanum (Italy) in the 1990s. It is a potent ghrelin-receptor (GHSR-1a) agonist that also binds the CD36 scavenger receptor, giving it a cardioprotective signal distinct from other GHRPs. It is not FDA-approved for any indication and remains a research-only compound; its clinical development for GH deficiency and cardiac indications did not reach approval. A defining feature versus other GHRPs is rapid, pronounced tachyphylaxis with chronic daily dosing.
Capromorelin
Hexarelin
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Capromorelin
Hexarelin
COA corpus from Disclosed Labs — independently tested batches only.
Capromorelin
No COA data yet.
Submit testing data →Hexarelin
10
COAs
99.4%
Avg purity
4
Labs
Capromorelin has human clinical trial data but is not an approved human drug. A Pfizer-sponsored Phase II trial randomized 395 adults aged 65–84 at risk of functional decline to oral capromorelin or placebo for up to 2 years (315 completed 6 months; 284 completed 12 months). The trial reported increased lean body mass (+1.4 vs 0.3 kg, P=0.001), body weight (+1.4 kg, P=0.006), improved tandem walk (P=0.02), and improved stair climb (P=0.04), concluding capromorelin "may improve body composition and physical function." The study was terminated early according to predetermined treatment effect criteria; no human product was ever approved. Preclinical studies in rats showed an ED50 <0.05 mg/kg IV for plasma GH elevation; in healthy Beagle dogs, oral capromorelin increased food consumption and body weight in a 4-day randomized, masked, placebo-controlled trial. In healthy cats, capromorelin altered glucose-metabolism parameters. In broiler chickens, it increased feed intake and body-weight gain.
Key references
Ghigo et al. (1994, PMID 8126144, JCEM) characterized hexarelin's GH-releasing activity across IV, SubQ, intranasal, and oral routes in healthy men, establishing it as a potent GH secretagogue. Rahim & Shalet (1998, PMID 10990150, Growth Horm IGF Res) demonstrated that twice-daily SubQ hexarelin in healthy elderly subjects caused ~45% attenuation of the GH AUC over 16 weeks, with partial recovery 4 weeks after discontinuation — the canonical human tachyphylaxis study. Bodart et al. (2002, PMID 11988484, Circulation Research) showed that hexarelin's cardiovascular action in perfused hearts is mediated by CD36 rather than GHSR-1a and is absent in CD36-null animals. Hexarelin has never been FDA-approved; grey-market use for body composition, recovery, or cardiac benefit is not clinically validated.
Capromorelin and Hexarelin are both in the Hormone category and may have overlapping mechanisms. Researchers should review both profiles carefully, understand the mechanisms of action, and monitor the relevant biomarkers when combining compounds in the same class. As always, consult a licensed healthcare provider before making any decisions about combining research compounds.
This platform provides informational tools only, not medical advice. This comparison is for educational purposes only. Consult a licensed provider.
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Key references
Disclosed Labs