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Tesamorelin vs CJC-1295
Tesamorelin has an FDA label, a fixed daily dose and a 26-week trial record. CJC-1295 is one name covering two different molecules, and buyers usually cannot tell which one they are holding. Neither version has ever been approved.
Source: Read from the two Egrifta labels on DailyMed and the two published CJC-1295 human studies
What matters first
Medically reviewed by Jennifer Montecillo, MD · non-practicing medical reviewerReviewed 2026-08-13every number here is sourced
Tesamorelin and CJC-1295, line by line
9 authored lines, plus two read straight off the two records. Where a source says nothing, the cell says so rather than borrowing from the other column.
| Question | Tesamorelin | CJC-1295 |
|---|---|---|
| How many molecules the name covers | One | Two. With the drug-affinity complex it lasts days. Without it, minutes |
| Is it approved | Yes, since 2010 | No, and no company is trying. The firm that built the long-acting form dropped it |
| The dose | 1.4 mg once a day, printed on the label | No approved dose. The studies gave 30 to 60 mcg per kg, and 60 to 90 mcg per kg, as one injection |
| Flat amount or per kilogram | Flat | Per kilogram, in every published study |
| How long people were followed | 26 weeks, with 543 on the drug and 263 on placebo | 28 days in one study and 49 in the other, after a single injection |
| What the studies measured | Belly fat, IGF-1, blood sugar and reported side effects | Growth hormone and IGF-I levels only. No trial reported a body-shape or clinical result |
| Does vial strength tell the two versions apart | Not applicable. It is dispensed as a named product | No. 5 mg is the usual strength for both versions |
| Is there a pharmacopeial standard for the material | Yes, it is an approved drug product | No, for either version |
| Does either have an established dose for aging or body shapeThe same for both | No | No |
| Strength of evidence | FDA label | limited human data |
| Published dose rows | 1 row, each carrying its own source | 3 rows, each carrying its own source |
Has anyone tested Tesamorelin against CJC-1295 directly?
No. No trial has put these two against each other, so nothing on this page is a measured difference between them.
Each was studied on its own, in different people, for different lengths of time. Setting two separate studies side by side and subtracting one from the other is the standard mistake with a pair like this, and the gap it produces can be bigger than any real gap between the two.
So each record below is reported on its own terms, with its own citation, and the two are never put on one chart.
6Comparison details
What has been reported to the FDA about each?
Tesamorelin: 3,517 reports. CJC-1295: 4 reports. Both were read from FDA’s side-effect report system on 2026-08-17.
| Name searched | Reports filed | Product names those reports arrived under |
|---|---|---|
| Tesamorelin | 3,517 reports | EGRIFTA · EGRIFTA SV · EGRIFTA WR |
| CJC-1295 | 4 reports | CJC-1295\IPAMORELIN · CJC-1295 · CJC-1295/ipamorelin acetate |
What Tesamorelin reports are about
- Product dose omission issue — 299 reports, 8.5% of Tesamorelin reports
- Arthralgia — 268 reports, 7.6% of Tesamorelin reports
- Injection site pain — 255 reports, 7.3% of Tesamorelin reports
- Drug ineffective — 191 reports, 5.4% of Tesamorelin reports
- Weight increased — 189 reports, 5.4% of Tesamorelin reports
CJC-1295 has too few reports for a breakdown to mean anything, so none is published here. A list of the most-named reactions out of a handful of reports would read like a pattern and would be noise.
Look at the product names each search matched, below the counts. For one of these two they are the product. For the other, most of them are blends.
That is the identity problem showing up in a federal database. Reports naming CJC-1295 largely arrive naming it alongside ipamorelin, because that is how it is sold — as a mixture, in one vial, under a joined-up name.
A report filed against a mixture cannot be attributed to one peptide in it. So these counts are not small versions of a safety record. They are a record of what people are actually holding.
Tesamorelin: patient.drug.openfda.generic_name:"tesamorelin" OR patient.drug.medicinalproduct:"tesamorelin" OR patient.drug.openfda.brand_name:"EGRIFTA" OR patient.drug.medicinalproduct:"EGRIFTA" · CJC-1295: patient.drug.medicinalproduct:"cjc 1295"
The name is a problem before the evidence is
CJC-1295 properly names a piece of growth hormone-releasing hormone carrying a chemical arm called the drug-affinity complex. That arm bonds the peptide to a blood protein and stretches its life from minutes into days.
Most material sold under the name has no arm. That is a different molecule, modified GRF 1-29, and it clears fast.
Both published human studies used the version with the arm. Reading their numbers onto the version without it is the single most consequential mistake available with this peptide, and the vial strength is the same either way, so the label on the box cannot settle it.
Tesamorelin has none of this. One product, one identity, two presentations, and their own labels state which is which and that they are not swappable.
One was given every day for half a year. The other was given once and watched
The Egrifta record is a daily injection carried through 26 weeks in a randomized trial with a placebo group.
The CJC-1295 record is two single injections. One study raised growth hormone 2 to 10 times for six days or more and IGF-I 1.5 to 3 times for nine to eleven days. The other found the growth hormone pulses carried on, and that the two doses it used did not differ from each other.
So the two do not disagree about anything. They answer questions of different sizes. A single injection followed for nine days cannot tell you what daily use over months does, and the people selling weekly milligram schedules are not working from either study.
Only one of them tells you what to watch
A steady, raised hormone level is not the state the body normally runs. It normally makes pulses. One CJC-1295 study measured basal growth hormone 7.5 times higher a week after a single dose.
Nobody has published what that does over months, because nobody has run it over months.
The Egrifta label does the opposite. It names what rose, and asks for it to be watched. IGF-1 passed two standard deviations above normal in 47 in 100 people by week 26. HbA1c reached 6.5% or higher in 5 in 100, against 1 in 100 on placebo.
That is the practical difference between an approved medicine and a research compound. It is not that one is safe and the other is not. It is that one arrives with a regulator’s list of what to monitor, and the other arrives with nobody’s.
What about “CJC-1295 vs tesamorelin”?
Same question, worded the other way round. This page answers it, and there is no second page for the reversed wording.
The other wordings people use for this pair — “CJC-1295 ipamorelin vs tesamorelin” — land here too. Publishing each ordering separately would mean near-identical pages competing with each other for one answer. One page per pair, and every phrasing reaches it.
The full record for each
This page is the difference between them. Each compound’s own dose rows, reaction list and regulatory note sit on its own page.
Tesamorelin FDA label
CJC-1295 limited human data
- EGRIFTA SV (tesamorelin) for injection — FDA-approved Prescribing Information (DailyMed SPL)retrieved 2026-08-12FDA label
- EGRIFTA WR (tesamorelin) for injection — FDA-approved Prescribing Information (DailyMed SPL)retrieved 2026-08-12FDA label
- Teichman SL, Neale A, Lawrence B, Gagnon C, Castaigne JP, Frohman LA. 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. J Clin Endocrinol Metab 2006;91(3):799-805retrieved 2026-08-12Human trial
- Ionescu M, Frohman LA. Pulsatile secretion of growth hormone (GH) persists during continuous stimulation by CJC-1295, a long-acting GH-releasing hormone analog. J Clin Endocrinol Metab 2006;91(12):4792-7retrieved 2026-08-12Human trial
- Dominikowski A, Rękoś Z, Olejarz M, Szczepanek-Parulska E, Domin R, Ruchała M. The emerging landscape of performance-enhancing peptides modulating GH-IGF1 axis: bridging the gap between clinical evidence and patient self-administration. Front Endocrinol 2026 — tabulates self-reported online dosing patterns beside the clinical doses, stating the reported values must not be read as clinically validated, regulatory-approved or saferetrieved 2026-08-12indirect evidence
- Dominikowski A, Rękoś Z, Olejarz M, Szczepanek-Parulska E, Domin R, Ruchała M. The emerging landscape of performance-enhancing peptides modulating GH-IGF1 axis: bridging the gap between clinical evidence and patient self-administration. Front Endocrinol 2026;17 — Table 1, CJC-1295 (with DAC) safety-signal rowretrieved 2026-08-12limited human data