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The tracker

Regulatory status

No FDA rule has changed the legal status of the seven peptides the agency reviewed in July 2026. This page is the dated record of what has actually happened, newest first, each entry linked to the government document behind it. Where a meeting happened and FDA published nothing after it, the entry says exactly that.

What matters first

Peptides reviewed in July 2026
7
Legal-status changes
0
Dated entries
8
Source standard
Government document for every published change

What an advisory committee review actually changes

A committee reviewing a substance does not make it legal. It does not ban it either. People get this wrong in both directions. Almost every confident claim about “the FDA decision” on peptides falls apart once you know which step is which.

The 503A bulks list

A compounding pharmacy can start from a raw ingredient only if that ingredient meets one of three conditions:

  • it has a US Pharmacopeia monograph
  • it is a component of an approved drug
  • it appears on the 503A bulks list, which the government maintains

The seven peptides FDA reviewed in July 2026 have no monograph, and none of them is a component of an approved drug. The bulks list is the only route open to them. That is what the meeting was about.

What the committee does, and what it does not do

The Pharmacy Compounding Advisory Committee gives advice. FDA puts it this way: “Advisory committees make non-binding recommendations to the FDA, which generally follows the recommendations but is not legally bound to do so.” A vote suggests whether something belongs on the list. It is not a rule and it is not a ban. It changes nobody’s legal position on the day it happens.

Who decides, and when

FDA decides afterwards. It writes a regulation and publishes it in the Federal Register. The agency’s own briefing document says FDA “does not intend to issue a final determination on the issues at hand”. It will first weigh the committee’s input and finish every review. Until that regulation exists, nothing has changed, whatever anyone said in the room.

What “unapproved” means for something sold today

It means no agency has checked whether it works, how much to take, how pure it is, or what it does over years. That is a gap in what anyone knows. It is not a finding that the substance is dangerous, and not a finding that it is safe. It is also why the research compound guides here carry no dosing chart. And “pharmaceutical grade” is a seller’s phrase, not a legal status.

Changelog

Newest first.

  1. No outcome published

    FDA has published no outcome from the July 2026 peptide review

    FDA has published no minutes, no transcript and no vote record from the July meeting. That was still true on August 15, 2026, when we last opened every source on this page. So this tracker states no outcome.

    FDA’s event-materials page lists the briefing documents, the questions, the final agenda, the committee roster and FDA’s own slide decks for both days. FDA marked that page current on August 6, 2026. None of it reports what the committee decided. A Federal Register search on the meeting’s docket, FDA-2025-N-6895, returns a single document: the April notice announcing the meeting. Other sites report how the committee voted, and no primary source we could retrieve backs them up.

    Source: FDA — July 23-24, 2026 Meeting of the Pharmacy Compounding Advisory Committee (event materials page) · retrieved 2026-08-15

  2. Document published

    FDA’s briefing document proposed leaving all seven peptides off the 503A bulks list

    FDA went into the meeting proposing that none of the seven peptides join the 503A bulks list. Its briefing document sets out fourteen numbered proposals, a free base and an acetate form for each peptide. Every one of them reads that FDA “is proposing that” the substance “NOT be included on the 503A Bulks List”.

    The same document says FDA “does not intend to issue a final determination on the issues at hand”. FDA will first weigh the advisory committee’s input and finish every review. Footnotes record that the nominator withdrew the nominations for several of these substances, and that FDA chose to present them to the committee anyway. A proposal in a briefing document is the agency’s position going into a meeting, not a decision.

    Source: FDA Briefing Document Introduction — July 23-24, 2026 Pharmacy Compounding Advisory Committee meeting (PDF) · retrieved 2026-08-12

  3. Meeting date passed

    Seven peptides went before the advisory committee on July 23-24, 2026

    The Federal Register notice set the meeting for July 23 and 24, 2026 at FDA’s White Oak Campus in Silver Spring, Maryland. Day one covered BPC-157, KPV, TB-500 and MOTs-C. Day two covered Emideltide (also called delta sleep-inducing peptide, DSIP), Semax and Epitalon. The notice names the use FDA evaluated for each one:

    • BPC-157 — ulcerative colitis
    • KPV — wound healing and inflammatory conditions
    • TB-500 — wound healing
    • MOTs-C — obesity and osteoporosis
    • Emideltide — opioid withdrawal, chronic insomnia and narcolepsy
    • Semax — cerebral ischemia, migraine and trigeminal neuralgia
    • Epitalon — insomnia

    The committee took each peptide in two forms, free base and acetate. FDA has since posted its presentation decks for both days.

    Source: Federal Register, 91 FR 20465 (2026-04-16), document 2026-07361, Docket No. FDA-2025-N-6895 — Pharmacy Compounding Advisory Committee; Notice of Meeting · retrieved 2026-08-12

  4. Comment period closed

    Public comment docket FDA-2025-N-6895 closed on July 22, 2026

    The Federal Register notice opened a public docket for the meeting. The docket closed on July 22, 2026, the day before the first session. FDA said it would not consider anything filed late. You can read the comments on regulations.gov under that docket number.

    Source: Federal Register, 91 FR 20465 (2026-04-16), document 2026-07361, Docket No. FDA-2025-N-6895 — Pharmacy Compounding Advisory Committee; Notice of Meeting · retrieved 2026-08-12

  5. Schedule amended

    FDA extended the meeting times on July 14, 2026

    FDA updated the meeting page and ran both days longer. July 23 moved from a 4:30 p.m. finish to 6:20 p.m. Eastern. July 24 moved from 3:50 p.m. to 4:15 p.m. Eastern. The same update revised the start times for public oral presentations.

    We log a schedule change because it is the kind of edit that quietly invalidates a page written from the original notice.

    Source: FDA — July 23-24, 2026 Meeting of the Pharmacy Compounding Advisory Committee (event materials page) · retrieved 2026-08-12

  6. Committee renewed

    FDA renewed the committee’s charter through April 25, 2028

    FDA renewed the Pharmacy Compounding Advisory Committee for another two years. The new charter expires on April 25, 2028. The committee that reviews these substances therefore keeps going until then.

    Source: Federal Register, 91 FR 23275 (2026-04-30), document 2026-08378 — Advisory Committee; Pharmacy Compounding Advisory Committee; Renewal · retrieved 2026-08-15

  7. Notice published

    The Federal Register notice announced the peptide review and opened the docket

    FDA published the meeting notice at 91 FR 20465. The notice established docket FDA-2025-N-6895 and asked for comment on bulk drug substances nominated for the section 503A bulks list. It is the primary record for the meeting’s dates, location, agenda and the substances under review.

    An earlier draft of this page cited a different docket number. That was wrong. We corrected it to the number printed in the notice.

    Source: Federal Register, 91 FR 20465 (2026-04-16), document 2026-07361, Docket No. FDA-2025-N-6895 — Pharmacy Compounding Advisory Committee; Notice of Meeting · retrieved 2026-08-12

  8. Announced, not scheduled

    FDA has announced a further peptide review for before the end of February 2027

    FDA says it will hold another meeting before the end of February 2027. It has not set a date. Its advisory-committee page names five substances for that review:

    • Cathelicidin (LL-37)
    • GHK-Cu
    • Dihexa acetate
    • Melanotan II
    • Mechano Growth Factor, Pegylated (PEG-MGF)

    FDA says the time and location will follow in the coming months. No date, no docket and no Federal Register notice exist for it yet. Full-text searches of the Federal Register for GHK-Cu, Dihexa and PEG-MGF each return zero documents. The page carried a content-current date of April 15, 2026 when we retrieved it.

    Source: FDA — Meeting of the Pharmacy Compounding Advisory Committee (announcement page) · retrieved 2026-08-12

Status by compound

Where each compound stands, and what that means in practice.

Tirzepatide

FDA-approved

FDA-approved as branded pens.

Full regulatory record 2 paragraphs

Compounded tirzepatide now faces tight limits. FDA declared the shortage over in late 2024. It has proposed dropping tirzepatide from the 503B bulks list.

That leaves one narrow lane: 503A compounding for a named patient with a documented clinical need.

Semaglutide

FDA-approved

FDA has approved the branded pens, and the oral tablet Rybelsus.

Full regulatory record 1 paragraph

FDA declared the semaglutide shortage resolved in February 2025. Mass compounding has wound down since. FDA has also proposed dropping it from the 503B bulks list.

Liraglutide

FDA-approved

FDA has approved liraglutide as Victoza and Saxenda, with generic versions tied to the Victoza application.

Full regulatory record 1 paragraph

The approved products are prefilled pens, not powder vials, and their product labels are not interchangeable dosing instructions.

Retatrutide

Not approved

FDA has not approved retatrutide.

Full regulatory record 1 paragraph

It is still in trials and has no dosing label. Any product sold today is unapproved. The doses here describe study groups, not advice.

Cagrilintide

Not approved

Cagrilintide is still in trials and is not FDA-approved.

Full regulatory record 1 paragraph

The REDEFINE trials pair it with semaglutide in one shot called CagriSema. There is no approved cagrilintide product or dose. The amounts below come from studies, not a dosing guide.

Survodutide

Not approved

FDA has not approved survodutide, also called BI 456906.

Full regulatory record 2 paragraphs

Phase 3 SYNCHRONIZE trials study obesity. A separate phase 2 program studies MASH, a form of liver disease. No dosing label exists, and any product sold today is unapproved.

The doses here describe study groups, not advice.

BPC-157

Not approved

Not FDA-approved, and not legal to compound for people.

Full regulatory record 3 paragraphs

Two parties asked FDA to allow BPC-157 in compounding, and both later withdrew. FDA’s page now lists it under substances nominated but withdrawn, which it describes as once in category 2. The agency found too little data to know whether it would harm people.

FDA took it to the Pharmacy Compounding Advisory Committee anyway on 23 July 2026, and its briefing document says so. Ulcerative colitis was the use reviewed. A withdrawal is not a finding against the drug.

It closes a route and settles nothing about safety.

Tesamorelin

FDA-approved

Tesamorelin won FDA approval in 2010.

Full regulatory record 3 paragraphs

It sells in two forms, and their own labels state they are not substitutable. Egrifta SV holds 2 mg per vial and gives 1.4 mg once daily. Its label directs Sterile Water, and use right away.

Egrifta WR holds 11.6 mg per vial and gives 1.28 mg once daily. Its label directs Bacteriostatic Water, then discard 7 days after mixing. Dose, diluent, vial count and storage all differ.

A number read off one form does not describe the other.

PT-141

FDA-approved

FDA has approved this molecule, but only as Vyleesi.

Full regulatory record 2 paragraphs

Vyleesi is a prescription autoinjector holding a ready-made solution. Its label has no powder vial and no reconstitution step anywhere in it. Research-grade PT-141 sold as a lyophilized powder is not that product, and no approved label stands behind it.

The label caps use at one dose in 24 hours. It advises against more than 8 doses a month. It rules the drug out entirely in uncontrolled hypertension or known cardiovascular disease.

CJC-1295

Not approved

One product name covers two substances here, and the difference is not cosmetic.

Full regulatory record 2 paragraphs

With the affinity complex the peptide lasts days; without it, minutes. So a protocol, a quantity or a risk written for one does not describe the other. Buyers routinely cannot tell which they hold.

The company that created the long-acting form dropped it, leaving no sponsor, no investigational filing and no pharmacopeial standard for either version.

Ipamorelin

Not approved

Wellness clinics offer this peptide widely, in the words of prescribed medicine.

Full regulatory record 3 paragraphs

The law does not back that up. Ipamorelin is not a component of any approved drug product. FDA lists ipamorelin acetate twice on its compounding page.

It sits in category 2 under 503B, added 29 September 2023. It also sits under substances nominated but withdrawn, and FDA’s own note explains the double entry. The advisory committee took it up on 29 October 2024, for growth hormone deficiency and slow gut recovery after surgery.

A withdrawn nomination is not a finding against the drug.

TB-500

Not approved

The parent protein reached clinical development, which is why this compound sounds better sourced than it is.

Full regulatory record 3 paragraphs

Those programs ran as eye drops, gels and an intravenous cardiac formulation. None of them was a vial, and none reached approval. FDA lists the LKKTETQ fragment under substances nominated but withdrawn, once in category 2.

It cited aggregation risk and no human exposure data. The nominator withdrew, and FDA still took it to the advisory committee on 23 July 2026. Wound healing was the use reviewed.

Anti-doping rules prohibit it by name at all times.

GHK-Cu

Not approved

Under the name copper tripeptide-1, this molecule is a known cosmetic ingredient.

Full regulatory record 2 paragraphs

That framework reviews neither whether it works nor how much gets into the body. Its clearance says nothing about an injection. One US regulator has looked at this molecule, and only at the injection.

FDA’s entry covers injectable routes explicitly, citing aggregation, impurities and limited human data. Whoever asked for it later withdrew, so FDA files it under nominated but withdrawn. The route stays open: FDA has named GHK-Cu for a compounding committee meeting before the end of February 2027.

Sermorelin

Not approved

Today’s market came from the withdrawal of the branded product, not from any finding against it.

Full regulatory record 2 paragraphs

The branded medicine left the market, and its removal was not a safety action. A medicine pulled that way leaves a compounding pathway open. That is why this peptide sits on pharmacy formularies while its neighbors here do not.

The pathway governs how a pharmacy prepares it, not what it achieves. FDA has separately told a seller so in writing. Labeling stock for research use only does not change what a product is, where the surrounding site markets it for people.

MOTS-c

Not approved

Everything published on MOTS-c is preclinical or observational.

Full regulatory record 3 paragraphs

That means mouse studies and cell work. It also means human data linking natural blood levels to age and fitness. No trial has reported giving it to people.

FDA’s advisory committee took it up on 23 July 2026, for obesity and osteoporosis. The nominator had already withdrawn, and FDA went ahead anyway. FDA, not the committee, proposed against adding it to the 503A bulks list.

No outcome has been published since.

AOD-9604

Not approved

This compound has an unusual regulatory footprint for a research peptide.

Full regulatory record 2 paragraphs

It failed as a drug candidate, then found a second life as a food and supplement ingredient. It later became publicly contentious in Australia, in a sports-supplements investigation. The question there was whether it counted as a prohibited substance.

Anti-doping authorities concluded that it was not. None of that shows it works: a substance can be legal, on sale and useless at once.

NAD+

Not approved

NAD+ injections are not FDA-approved.

Full regulatory record 1 paragraph

A compounding pharmacy can prepare them, but that does not mean FDA reviewed the finished product for safety, effectiveness or quality before it was sold. The human studies in this record used IV infusions under supervision. They do not establish how an injection under the skin should be used.

Epitalon

Not approved

The research here is mostly in Russian, and it comes from one group.

Full regulatory record 3 paragraphs

That is a provenance problem, not a language one. Findings no one else has repeated carry the weight of one lab’s claim. The human lifespan result people quote here is not this peptide’s.

It belongs to Epithalamin, the bovine pineal extract that the same two institutes tested. Epitalon holds no approval, no investigational application and no pharmacopeial entry in any Western jurisdiction. Telomerase activation is also not plainly desirable.

It is a mechanism tumors depend on.

Kisspeptin-10

Not approved

University studies have given kisspeptin-10 to people under ethics review.

Full regulatory record 2 paragraphs

Their doses were scaled to body weight and used to map hormones, not to set a treatment dose. FDA placed it in category 2 of its interim 503A compounding policy on September 29, 2023. It is not on the withdrawn list.

An FDA committee reviewed it for low hormone function in men on October 29, 2024, but a review is not an approval.

DSIP

Not approved

DSIP has an international generic name, emideltide.

Full regulatory record 3 paragraphs

FDA listed it for a compounding-committee review on 24 July 2026. It went up as a candidate for the section 503A bulk drug substances list. The uses under review were opioid withdrawal, chronic insomnia and narcolepsy.

Those are the three the 1980s papers examined. That review asks whether pharmacists may compound it at all. It is not an approval.

No company has filed to market it anywhere. Material sold under this name ships for lab research. So what is in the vial rests on a seller’s certificate, not on a standard anyone enforces.

Hexarelin

Not approved

No sponsor holds an approval for hexarelin anywhere, and no trial program stands behind it.

Full regulatory record 2 paragraphs

In December 2025 FDA named the acetate salt in a warning letter to an ingredient broker. The letter listed the salt among substances FDA treats as off-limits for human drug compounding. So FDA has looked at the route by which this reaches pharmacies, rather than leaving it alone.

Anti-doping rules separately bar secretagogues as a class at all times.

IGF-1 LR3

Not approved

The commercial supply of this analogue exists to serve bioprocessing.

Full regulatory record 3 paragraphs

Catalogues list it as a research and manufacturing reagent, not as a medicine. No regulator anywhere has reviewed it for use in people. A ClinicalTrials.gov search returns no registered study of it.

That is a weaker position than an unapproved drug, which at least has a trial running. Insulin-like growth factors and their releasing factors sit on the World Anti-Doping Agency prohibited list at all times. A reagent-grade certificate speaks to a bioreactor.

It says nothing about safety in a person.

PEG-MGF

Not approved

PEGylation is a chemical modification, not a formulation choice.

Full regulatory record 3 paragraphs

So the conjugate and the native splice variant are different substances, and evidence about one does not transfer to the other. No sponsor has filed to test either. Neither appears in any pharmacopeia.

No label a buyer sees says how much PEG is attached. FDA has looked at it, though. Somebody put it forward for compounding and then withdrew, so FDA files it under nominated but withdrawn.

It is also one of five named for a compounding committee meeting before the end of February 2027.

LL-37

Not approved

The body makes LL-37, but that does not make a product approved.

Full regulatory record 2 paragraphs

No regulator has approved it as a drug. FDA lists it under substances nominated but withdrawn. The agency cites immune reactions, limited safety data and harm seen in animals.

FDA plans to review LL-37 at a compounding meeting before the end of February 2027. No date or docket exists yet.

KPV

Not approved

Fragments count as their own substances.

Full regulatory record 3 paragraphs

So nothing about alpha-MSH research carries over to this tripeptide, in law or in evidence. No regulator has approved it, and no pharmacopeia lists it. FDA lists KPV under substances nominated but withdrawn, once in category 2.

The agency recorded no human exposure data for it, by any route. The nominator withdrew, and FDA took it to the advisory committee on 23 July 2026 regardless. The uses reviewed were wound healing and inflammatory conditions.

This record claims no outcome.

Thymosin alpha-1

Not approved

An approval elsewhere is real evidence, and it is not an American one.

Full regulatory record 2 paragraphs

The review standard, the permitted claims and the safety follow-up all belong to the jurisdiction that granted it. The practical gap shows up in the vial. Trials dissolve 1.6 mg of powder in 1 mL and inject that.

Research vials sold under this name hold 5 mg or 10 mg. So one 10 mg vial holds more than six trial doses. Any quantity quoted from the approved labeling describes a different container entirely.

SS-31

FDA-approved

Forzinity holds an accelerated approval.

Full regulatory record 2 paragraphs

FDA grants those on a marker rather than on how people function, and the marker here was knee extensor strength. Whether the approval stands depends on a confirmatory trial that has not reported. The approval covers Barth syndrome in people weighing at least 30 kg, and nothing else.

Material sold online as SS-31 is not that product. Forzinity is a ready-to-use solution at 80 mg per mL. The research vials hold a powder to be mixed, and no regulator has examined what is in them.

Semax

Not approved

Russia’s State Register of Medicines lists two Semax registrations in force, both nasal drops in a 3 mL vial, one at 0.1% and one at 1%, and both prescription-only.

Full regulatory record 2 paragraphs

The line goes back to registrations first granted in December 2006. It is classed there as a nootropic. The vials sold elsewhere are a form that registration says nothing about.

FDA has approved nothing under this name. No Semax study appears on ClinicalTrials.gov, and the indexed literature holds no systematic review and no meta-analysis. The one paper indexed as a randomized trial describes itself as open-label.

Selank

Not approved

Selank is reported to be registered in Russia as an anxiety treatment, and that could not be confirmed at the register itself.

Full regulatory record 2 paragraphs

Every English source stating it traces back to a study in mice. FDA has approved nothing under this name and holds no label for it. No Selank study appears on any trial registry.

English reviews that describe a human side-effect profile for it cite a rat experiment. Material sold under this name has been recovered in seized preparations, and no regulator anywhere has examined what is in a vial.

Melanotan II

Not approved

No agency has approved melanotan II, and no company holds a license for it anywhere this site can attest.

Full regulatory record 2 paragraphs

It is sold online as a research chemical. A 2017 review reports that multiple national health organizations have issued safety warnings about it, and that is the review’s statement rather than ours — we could not reach any regulator’s own page on 13 August 2026, so this record names no country. A related but different molecule, afamelanotide, is approved for a small number of conditions.

It is not this one, and its trials are not this one’s.

Mazdutide

Not approved

This is the one compound on this site approved somewhere and not here.

Full regulatory record 3 paragraphs

China approved mazdutide in June 2025 for weight, and in September 2025 for type 2 diabetes. It is sold there as Xinermei. That approval governs a Chinese pharmacy and nothing else.

FDA has approved no mazdutide product, and a Drugs@FDA search on 13 August 2026 found nothing under any of its four names. The drug is dispensed under supervision several thousand miles away. Anything reaching a US reader outside that is unapproved and unchecked.

No schedule is copied from the Chinese label, because nobody here has read it.

Pinealon

Not approved

FDA has approved nothing under this name, and no Pinealon study appears on any trial registry anywhere.

Full regulatory record 2 paragraphs

Nearly the whole literature comes from one institute in St Petersburg and the journals around it. The same senior author runs through it, and the patents are in the same hands. That is not a language problem.

A finding nobody independent has repeated carries the weight of one lab’s claim. The one published human quantity was a capsule people swallowed, twice a day, so nothing stands behind putting this in a syringe.

AHK-Cu

Not approved

FDA has approved nothing under this name and holds no label for it.

Full regulatory record 2 paragraphs

No study of this peptide appears on any trial registry, and the single published study used human tissue in a dish rather than people. Do not read across from GHK-Cu: that molecule differs by one amino acid and has two controlled human trials, a long cosmetic-ingredient history and an FDA compounding entry scoped to injection. None of that record belongs to this one.

Anything sold under this name is an unapproved substance no regulator has examined.

VK2735

Not approved

VK2735 is not FDA-approved and has no prescribing label.

Full regulatory record 1 paragraph

The published numbers are from a short dose-finding trial, not an approved schedule. Its tablet and injection programs use different doses and must not be read as one regimen.

Zenagamtide

Not approved

Zenagamtide is not FDA-approved and has no approved dose.

Full regulatory record 1 paragraph

The pill and shot use different study schedules. A listed trial shows what researchers plan to test; it does not prove that the drug works.

Pemvidutide

Not approved

Pemvidutide is not FDA-approved.

Full regulatory record 2 paragraphs

It has no prescribing label or established dose. Its weight, liver and alcohol studies enrolled different groups and measured different results. The findings cannot be swapped between them.

Starting phase 3 does not mean a drug is approved.

How we keep this page honest

Entries come from the Federal Register, fda.gov and federal dockets. We never build one from trade press or a seller’s summary. The July 2026 meeting sits under docket FDA-2025-N-6895. That docket search is how we confirm the “no outcome published” entry above: it returns the April meeting notice and nothing since.

This is a summary of public records, not legal advice. If you spot a stale entry, email contact@healthspanledger.com. The wider rules are in the sourcing methodology and the editorial policy.