This is a working overview of Phase 3 trial, written for readers who want more than a one-paragraph summary but less than a textbook.
Reviewed 2026-07-03. Anything still debated is marked as such rather than presented as settled.
Tesamorelin is a synthetic peptide that belongs to the growth hormone-releasing hormone family and contains the same forty-four amino acid sequence as endogenous GHRH, extended at the amino terminus by a trans-3-hexenoyl group. That small fatty acid modification protects the peptide from rapid cleavage by dipeptidyl peptidase-4, the enzyme that shortens the half-life of native GHRH to only a few minutes. Chemically the compound is produced by solid-phase peptide synthesis, purified by chromatography, and supplied as a sterile lyophilized powder for reconstitution.
Regulatory approval in the United States came in 2010, when the Food and Drug Administration cleared the peptide for the reduction of excess abdominal fat in adults with HIV infection and associated lipodystrophy. The decision rested mainly on two randomized phase 3 trials that enrolled roughly eight hundred patients and ran for twenty-six weeks. Participants receiving active drug showed substantially greater declines in visceral adipose tissue than those receiving placebo, while total body weight changed comparatively little. A reformulated presentation was later approved, and the product has remained a niche therapy rather than a general weight-loss agent.
作用位置在垂体前叶。tesamorelin 与 GHRH 受体结合后激活腺苷酸环化酶，升高细胞内 cAMP，再经蛋白激酶 A 通路促进生长激素的合成与释放。由于它作用于内源调控节点，生长激素仍以脉冲方式分泌，而不是被持续抬升到固定水平。生长激素随后在肝脏等组织诱导胰岛素样生长因子 1 产生，构成完整的生长激素轴响应。
研究背景集中在特定人群的体成分改变，尤其是与脂肪分布异常相关的内脏脂肪堆积。不同地区对它的监管状态与获批适应症并不一致，部分市场仅限特定诊断人群使用。在一般人群中的长期效应、与其他激素的相互作用以及停药后的维持情况仍属开放问题，现有数据不足以给出普遍结论。
| Property | Value | Notes |
|---|---|---|
| Peptide class | Synthetic GHRH analogue | 44 residues; N-terminal trans-3-hexenoyl group |
| First approval year | 2010 | United States; HIV-associated abdominal fat accumulation |
| Administration route | Subcutaneous injection | Abdominal site; clinician-administered or self-injected |
| Common synonyms | TH9507; tesamorelin acetate | Development code and acetate salt form |
| Originator | Canadian biotechnology firm | Original developer and regulatory sponsor |
Clinical investigation has focused on HIV-associated lipodystrophy, a condition in which antiretroviral therapy contributes to abnormal fat distribution. Excess visceral adipose tissue accumulates in the abdomen while peripheral fat may be lost. Tesamorelin was evaluated for reducing this visceral fat depot, with trials measuring changes in abdominal fat by imaging rather than by body weight alone. The rationale rests on the known lipolytic effects of growth hormone. Effects on visceral fat are documented, while long-term outcomes regarding cardiovascular risk remain less clearly established.
Tesamorelin is a synthetic peptide analog of growth hormone-releasing hormone, composed of 44 amino acids. It was designed to retain the biological activity of the native hormone while resisting rapid enzymatic degradation. The compound is classified as a growth hormone secretagogue and belongs to the broader family of hypothalamic releasing factors. In research and clinical settings, it is studied for its ability to stimulate pituitary growth hormone release. Its structure includes a modification at the N-terminus that contributes to an extended half-life relative to native growth hormone-releasing hormone.
Tesamorelin binds to growth hormone-releasing hormone receptors on the surface of pituitary somatotroph cells. This binding activates adenylate cyclase, raising intracellular cyclic AMP levels and triggering the release of growth hormone into circulation. The elevated growth hormone then stimulates hepatic production of insulin-like growth factor 1. Because the effect is mediated through the endogenous axis, secretion remains subject to feedback regulation. This distinguishes it from direct growth hormone administration, which bypasses pituitary control entirely.
Binding of tesamorelin to GHRH receptors on pituitary somatotroph cells triggers cyclic AMP signaling and the release of growth hormone into circulation. Because the peptide acts upstream of the growth hormone axis, its effects are partly mediated by hepatic insulin-like growth factor 1 (IGF-1) production. The pulsatile character of endogenous growth hormone secretion is preserved rather than replaced. Whether amplified signaling produces effects beyond those of native GHRH remains an area of ongoing investigation.
A documented effect of tesamorelin is a reduction in visceral adipose tissue in some study populations. Researchers have reported decreases in trunk fat measured by computed tomography alongside changes in lipid markers. The mechanism is thought to involve growth hormone-mediated lipolysis, though the precise contribution of direct versus indirect pathways is not fully resolved. Studies have generally examined defined groups over finite periods, so long-term outcomes are less well characterized. Findings have not been uniform across all trials.
== History == Lamivudine/zidovudine (brand name Combivir) was introduced to the market with FDA approval in 1997. Its impact in history is significant as it was the first combination therapy with a fixed dose for HIV-positive people, and soon solidified its title as a gold standard as it was the most prescribed NRTI in initial HIV treatment for newly diagnosed patients. The arrival of Combivir was seen as a new revolution in HIV therapy, with its improved toxicity profile and tolerability, especially compared to the undesirable side effects of lone AZT therapy or the unfavorable facial and lipoatrophy seen in Stavudine monotherapy at that time.
8 June Observation of the axial Higgs mode, a Higgs boson-like excitation in a charge density wave material, is reported. It was incorrectly reported in some press releases as a dark matter particle. Scientists provide an overview of the capabilities of missions and observatories for detecting various alien technosignatures. 9 June A study estimates the air pollution impacts on climate change and the ozone layer from rocket launches and re-entry of reusable components and debris in 2019 and from a theoretical future space industry extrapolated from the "billionaire space race". It concludes that substantial effects from routine space tourism should "motivate regulation". Researchers report a robotic finger covered in a type of manufactured living human skin. Researchers demonstrate an electronic skin giving biological skin-like haptic sensations and touch/pain-sensitivity to a robotic hand (1 June). A system of an electronic skin and a human-machine interface is reported that can enable remote sensed tactile perception, and wearable or robotic sensing of many hazardous substances and pathogens (1 June). A multilayer tactile sensor hydrogel-based robot skin is demonstrated (8 June). 10 June – The core of the globular cluster NGC 3201 is shown to harbor a sub-cluster of nearly a hundred black holes. The same study also confirms that the globular cluster NGC 6397 has ejected most of its original black hole population, and its inner mass excess is composed by hundreds of massive white dwarfs.
Ontogeny The development of an individual organism, particularly the growth and differentiation of the nervous system from embryo to adult. Operculum (brain) A part of the cerebral cortex that covers the insula. It includes portions of the frontal, temporal, and parietal lobes. Opsin A light-sensitive protein found in photoreceptor cells of the retina. Plays a key role in the molecular detection of light in vision. Optic chiasm The point at which the optic nerves from both eyes partially cross, allowing visual information from each eye to be processed in both hemispheres of the brain. Optic nerve (Cranial Nerve II) A cranial nerve that transmits visual information from the retina to the lateral geniculate nucleus of the thalamus. Optic tract The continuation of the optic nerve fibers after the optic chiasm; carries visual information to the thalamus and midbrain. Optogenetics A technique that uses light-sensitive proteins to control the activity of genetically targeted neurons. Widely used in neuroscience research to study circuit function. Orbitofrontal cortex A prefrontal brain region involved in decision-making, reward processing, and emotional regulation. Dysfunction is linked to addiction and impulsivity. Organ of Corti The sensory organ within the cochlea that contains hair cells and is responsible for converting sound vibrations into neural signals. Orientation column A vertical column of neurons in the visual cortex that respond to lines of the same orientation. Part of the brain’s system for processing visual features.
=== Ca === Mary Letitia Caldwell (1890–1972), American chemist who developed a method for purifying crystalline porcine pancreatic amylase Melvin Calvin (1911–1997), American chemist, winner of 1961 Nobel Prize in Chemistry Allison A. Campbell (born 1963), American chemist studying biomineralization, biomimetics and biomaterials Constantin Cândea (1887–1971), Romanian analytical chemist who studied methods of separating metals Stanislao Cannizzaro (1826–1910), Italian chemist, postulated the Cannizzaro reaction María Luz Cárdenas (born 1944). Chilean-French enzymologist known for work on mammalian hexokinases. Heinrich Caro (1834–1910), German chemist who developed a synthesis for aniline red and other dyes Wallace Carothers (1896–1937), American chemist, known for the discovery of nylon Emma P. Carr (1880–1972), American chemist known for work on unsaturated hydrocarbons and absorption spectra Marjorie Constance Caserio (1929–2021), American chemist, known for Basic Principles of Organic Chemistry, winner of the Garvan Medal Martina Casiano y Mayor (1881–1958), Spanish chemist and teacher, first female member of the Spanish Society of Physics and Chemistry Marta Catellani (PhD 1971), Italian chemist working on palladium as a catalyst for multistep organic reactions, who discovered the Catellani reaction Henry Cavendish (1731–1810), British experimental and theoretical chemist and physicist noted for the discovery of hydrogen
Sources: en.wikipedia.org
== External links == Creatine+Kinase,+BB+Form at the U.S. National Library of Medicine Medical Subject Headings (MeSH) Human CKB genome location and CKB gene details page in the UCSC Genome Browser. This article incorporates text from the United States National Library of Medicine, which is in the public domain.
On the bicentenary of its foundation, the British newspaper The Guardian, reflecting on its major errors of judgment, included the support the paper's editor, C. P. Scott, gave to Balfour's declaration. Israel had not become, it said, 'the country the Guardian foresaw or would have wanted.' The Board of Deputies of British Jews through its president Marie van der Zyl denounced the column as 'breathtakingly ill-considered', declaring that the Guardian appeared "to do everything it can to undermine the legitimacy of the world's only Jewish state".
The resulting hydrogen sulfide from this process, and also as it occurs in natural gas, is converted into elemental sulfur by the Claus process, which entails oxidation of some hydrogen sulfide to sulfur dioxide and then the comproportionation of the two:
At 2:40 pm on September 11, Secretary of Defense Donald Rumsfeld was issuing orders to his aides to look for evidence of Iraqi involvement. According to notes taken by senior policy official Stephen Cambone, Rumsfeld asked for, "Best info fast. Judge whether they are good enough to hit S.H. at the same time. Not only OBL." Hours after the attacks, New York Governor George Pataki mobilized elements of the New York National Guard and ordered them to lower Manhattan. By nightfall, soldiers from the 42nd Infantry Division arrived at the WTC site and established a security perimeter around the piles of rubble that had once been the WTC complex. The 42nd Division later assumed command of the New York National Guard joint task force for response and recovery in lower Manhattan. The District of Columbia Air National Guard's 113th Wing at Andrews Air Force Base was not part of the North American Aerospace Defense Command (NORAD) network tasked with domestic airspace monitoring. Following a direct inquiry to the Secret Service regarding airspace restrictions, the Secret Service bypassed the standard military chain of command to request an immediate fighter scramble from the White House. Lt. Col. Marc Sasseville and 1st Lt. Heather Penney scrambled their F-16s without ammunition or live missiles, operating under ad-hoc orders to protect the capital using whatever force necessary—including intentional mid-air ramming maneuvers if United Airlines Flight 93 threatened the U.S. Capitol or White House.
==== Kinetics of antibody response ==== Humoral responses after a single DNA injection can be much longer-lived than after a single injection with a recombinant protein. Antibody responses against hepatitis B virus (HBV) envelope protein (HBsAg) have been sustained for up to 74 weeks without boost, while lifelong maintenance of protective response to influenza haemagglutinin was demonstrated in mice after gene gun delivery. Antibody-secreting cells (ASC) migrate to the bone marrow and spleen for long-term antibody production, and generally localise there after one year. Comparisons of antibody responses generated by natural (viral) infection, immunization with recombinant protein and immunization with pDNA are summarised in Table 4. DNA-raised antibody responses rise much more slowly than when natural infection or recombinant protein immunization occurs. As many as 12 weeks may be required to reach peak titres in mice, although boosting can decrease the interval. This response is probably due to the low levels of antigen expressed over several weeks, which supports both primary and secondary phases of antibody response. DNA vaccine expressing HBV small and middle envelope protein was injected into adults with chronic hepatitis. The vaccine resulted in specific interferon gamma cell production. Also specific T-cells for middle envelop proteins antigens were developed. The immune response of the patients was not robust enough to control HBV infection
Sources: en.wikipedia.org
It is a laboratory-made peptide of forty-four amino acids whose sequence matches human growth hormone-releasing hormone, with a modified amino terminus. The modification is a short unsaturated fatty acid chain attached to the first residue. This change slows enzymatic breakdown and lengthens the time the peptide stays active in circulation.
The clinical program was designed around HIV-associated lipodystrophy, a condition in which fat accumulates abnormally around the internal organs. Trials enrolled that specific population, so the evidence base covers it rather than the general population. Regulators approved the drug for the studied indication only, and promotion outside it is not permitted.
Growth hormone therapy supplies the finished hormone directly, while this peptide acts upstream and asks the pituitary to secrete its own. That difference means the response depends on a functioning pituitary and on the body's normal feedback loops. It also means the circulating hormone profile is pulsatile rather than a flat, injected level.
tesamorelin 属 GHRH 类似物，作用于垂体受体以促进内源生长激素释放；生长激素本身是直接补充的外源激素。两者在给药逻辑、作用位点和反馈调控路径上并不相同。