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    CJC-1295

    Medium Evidence

    A growth hormone releasing hormone analog studied for stimulating growth hormone secretion.

    AliasesCJC-1295 DAC+2 more
    EvidenceMedium Evidence
    Last Updated 2026-05-27
    Reading Time 2 min

    What It Is

    CJC-1295 (without DAC) is a synthetic analog of growth hormone-releasing hormone (GHRH) consisting of 29 amino acids with modified residues to improve stability and receptor binding. It stimulates the anterior pituitary to release growth hormone in a pulsatile pattern that more closely mimics natural physiology than exogenous GH administration. CJC-1295 is most commonly studied in combination with ipamorelin, where the two peptides synergistically amplify GH pulse amplitude — CJC-1295 extending the duration of the GH pulse while ipamorelin increases its peak. Clinical studies have shown that CJC-1295 increases mean plasma GH concentrations 2- to 10-fold for up to six days following a single injection, with corresponding increases in IGF-1 levels persisting for 9–11 days. The no-DAC formulation has a shorter half-life than the DAC version, which researchers often prefer for more physiological GH pulsatility rather than sustained elevation. CJC-1295 was affected by the FDA's October 2023 Category 2 designation for compounding. As of April 2026, the Category 2 nomination has been withdrawn for 503A compounding pharmacies, restoring limited compounding eligibility. It is expected to be reviewed by the PCAC before February 2027. CJC-1295 is not FDA-approved for any indication.

    Also known as: CJC-1295 DAC, Modified GRF 1-29, Mod GRF

    Regulatory Status

    Category 1 — Bulk Compounding

    Returned to Category 1 compounding eligibility under HHS February 27, 2026 reclassification. Legal for compounding pharmacies with a prescription.

    Effective: February 2026

    View FDA Source

    Why Researchers Study It

    CJC-1295 is of particular interest because it provides sustained growth hormone elevation through a modified GHRH structure. Its DAC variant extends the half-life to approximately one week, enabling less frequent dosing in research protocols compared to native GHRH.

    Proposed Mechanisms

    • Binds to GHRH receptors on anterior pituitary somatotrophs
    • Drug Affinity Complex (DAC) binds albumin, extending half-life to ~6–8 days
    • Stimulates pulsatile GH release, preserving natural secretion patterns
    • Increases IGF-1 levels downstream of GH elevation
    • Does not significantly suppress endogenous GHRH production at studied doses

    Evidence Snapshot

    Medium Evidence
    Low
    Medium
    High
    Study Type Model Outcome Link
    Human (Phase I/II) Healthy adults (n=56) 2–10 fold increase in GH levels sustained for 6+ days Source
    Human (Phase I) GH-deficient adults Dose-dependent increase in IGF-1 with weekly dosing Source

    Commonly Discussed Benefits

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    Safety & Cautions

    • May affect blood sugar levels
    • Potential for water retention reported in studies
    • Not FDA-approved for any indication
    • Should be discussed with a healthcare provider

    Comparisons

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    Citations

    1. [1] Teichman SL. et al. — Prolonged stimulation of growth hormone (GH) and insulin-like growth factor I secretion by CJC-1295. JCEM. 2006 PubMed

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    CJC-1295 (DAC)

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    DSIP

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    Sermorelin

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    Lonapegsomatropin

    High Evidence

    Lonapegsomatropin (brand name Skytrofa, developed as TransCon hGH by Ascendis Pharma) is a long-acting, once-weekly prodrug of human growth hormone (somatropin) approved to treat growth hormone deficiency (GHD). Unlike conventional recombinant growth hormone, which must be injected every day, lonapegsomatropin uses Ascendis's TransCon ("transient conjugation") technology to slowly release fully active, unmodified growth hormone from an inert carrier over the course of a week, so patients inject only once weekly. It is built from three parts - unmodified somatropin, a methoxypolyethylene glycol (mPEG) carrier that shields the hormone and extends its time in the body, and a TransCon linker that connects them and then self-cleaves at normal body pH and temperature to release native growth hormone at a controlled, predictable rate. The FDA first approved lonapegsomatropin in August 2021 for children one year and older with GHD (the pivotal Phase 3 heiGHt trial showed it was non-inferior and numerically superior to daily somatropin for annualized height velocity in treatment-naive children), and in July 2025 the FDA expanded approval to adults with GHD based on the Phase 3 foresiGHt trial, in which once-weekly TransCon hGH significantly reduced trunk fat and increased lean body mass versus placebo. It is administered subcutaneously with the SKYTROFA Auto-Injector using a single-dose, dual-chamber prefilled cartridge. Lonapegsomatropin is a regulated prescription medicine, not a supplement or research chemical, and shares the class safety profile of growth hormone therapy.