What Is Sermorelin?

Sermorelin (also known as GRF 1-29 or GHRH 1-29) is a synthetic peptide consisting of the first 29 amino acids of the 44-amino acid human growth hormone-releasing hormone (GHRH). This truncated sequence retains full biological activity, as the first 29 amino acids contain all the information needed for GHRH receptor binding and activation.

Sequence: Tyr-Ala-Asp-Ala-Ile-Phe-Thr-Asn-Ser-Tyr-Arg-Lys-Val- Leu-Gly-Gln-Leu-Ser-Ala-Arg-Lys-Leu-Leu-Gln-Asp-Ile- Met-Ser-Arg-NH2 Amino Acids: 29 Molecular Weight: 3,357.9 Da Brand Names: Geref, Gerel (discontinued)

Sermorelin was the first GHRH analog to receive FDA approval (1997) for diagnosis and treatment of GH deficiency in children. Though the branded versions have been discontinued, it remains an important reference compound.

Key Characteristics

  • History: FDA approved 1997 (now discontinued as branded drug)
  • Structure: First 29 amino acids of natural GHRH
  • Half-life: Very short (~10-20 minutes)
  • Mechanism: GHRH receptor agonist

Historical Significance

Sermorelin holds an important place in peptide history:

  • First synthetic GHRH analog to be FDA approved
  • Proved the concept of stimulating endogenous GH release
  • Established safety profile for GHRH-class peptides
  • Led to development of more advanced analogs (CJC-1295, tesamorelin)

Mechanism of Action

GHRH Receptor Activation

Sermorelin works identically to natural GHRH:

  • Binds to GHRH receptors on pituitary somatotroph cells
  • Activates adenylyl cyclase โ†’ increases cAMP
  • Triggers GH synthesis and secretion
  • Stimulates both release and production of GH

Physiological Advantages

  • Maintains natural pulsatile GH secretion pattern
  • Works with intact negative feedback mechanisms
  • Does not suppress endogenous GHRH production
  • Cannot cause GH excess (pituitary-limited)

Limitations

  • Very short half-life requires frequent administration
  • Susceptible to enzymatic degradation
  • Requires functional pituitary gland
  • Response diminishes with severe GH deficiency

Clinical Research and Applications

Approved Indications (Historical)

  • Diagnostic: Testing pituitary GH secretion capacity
  • Therapeutic: Treatment of GH deficiency in children
  • Branded products discontinued for commercial (not safety) reasons

Research in Adults

Extensive research has examined sermorelin in adults:

  • Age-related GH decline (somatopause)
  • Body composition changes with aging
  • Sleep quality improvements
  • Cognitive function studies

Sleep and GH Secretion

Research on sermorelin and sleep:

  • GH is naturally released during deep sleep
  • Evening sermorelin may enhance sleep-related GH release
  • Some studies show improved sleep quality
  • Mechanism may involve restoration of natural GH rhythm

Key Published Research

Year Focus Key Finding Reference
1990 Pediatric GH deficiency Effective in stimulating growth Thorner et al.
1998 Adult aging Improved body composition Vittone et al.
2001 Sleep Enhanced slow-wave sleep Copinschi et al.
2003 Long-term use Sustained efficacy over 2 years Khorram et al.

Sermorelin vs Other GHRH Analogs

Peptide Length Half-life Status
Sermorelin 29 aa 10-20 min Previously FDA approved
Mod GRF (1-29) 29 aa ~30 min Research compound
CJC-1295 DAC 30 aa + DAC 6-8 days Research compound
Tesamorelin 44 aa + mod ~30 min FDA approved

Evolution to Modified GRF (1-29)

From Sermorelin to Mod GRF

To address sermorelin's short half-life, researchers developed Modified GRF (1-29):

  • Same 29 amino acids as sermorelin
  • Four amino acid substitutions (positions 2, 8, 15, 27)
  • Resistant to enzymatic breakdown (DPP-IV)
  • Half-life extended to ~30 minutes
  • Also called CJC-1295 without DAC or "Mod GRF"

Administration

Historical and research protocols:

  • Route: Subcutaneous or intravenous injection
  • Timing: Often at bedtime to enhance natural GH pulse
  • Frequency: Daily (due to short half-life)
  • Duration: Months to years in clinical use

Safety Profile

Based on FDA approval and clinical experience:

  • Generally well-tolerated
  • Most common: injection site reactions
  • Possible flushing, dizziness, headache
  • Cannot cause GH excess (pituitary is rate-limiting)
  • Long-term safety data available from clinical use

Current Status

While sermorelin was previously FDA-approved, branded versions (Geref/Gerel) have been discontinued. It remains available as a compounded medication through some pharmacies and as a research compound. Newer GHRH analogs with improved stability (tesamorelin, CJC-1295) have largely superseded it in both clinical and research settings.

Summary

Sermorelin represents the foundational GHRH analog that established the concept of stimulating endogenous GH release. Its FDA approval provided valuable safety and efficacy data for the entire class. While its short half-life has led to development of improved analogs, sermorelin's mechanism of action and clinical history remain important references for understanding GHRH-based therapies.

โ† CJC-1295 Research Next: GHRP-6 โ†’