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Educational Reference · Research-Use-Only

Ipamorelin / CJC-1295: Mechanism, Research, and Use Cases

A research-grade overview of Ipamorelin / CJC-1295 — what it is, how it works at the molecular level, what published studies have shown, and answers to the questions researchers ask most.

Sequence
Aib-His-D-2Nal-D-Phe-Lys-NH2 (ipamorelin); Modified GHRH(1-29) (CJC-1295)
Mol. Weight
711.85 Da (ipamorelin) / 3367.97 Da (CJC-1295 no-DAC)
Form
Lyophilized powder
CAS
170851-70-4 (ipamorelin)

What is Ipamorelin / CJC-1295?

This combination targets two distinct but synergistic nodes in the growth hormone (GH) axis. CJC-1295 is a synthetic analog of growth hormone-releasing hormone (GHRH(1–29)) incorporating four amino acid substitutions that confer DPP-4 resistance, extending half-life. The non-DAC version (also known as mod-GRF(1–29)) has a half-life of ~30 minutes, while the DAC (Drug Affinity Complex) version — which covalently binds to plasma albumin via a maleimide linker — has a half-life of approximately 6–8 days, enabling once or twice-weekly dosing.

CJC-1295 acts on the GHRH receptor (GHRHR) on pituitary somatotrophs, increasing GH pulse amplitude. Ipamorelin is a selective growth hormone secretagogue pentapeptide that acts as a partial agonist at the ghrelin receptor (GHS-R1a), increasing GH pulse frequency via a distinct intracellular pathway (Gq/PKC rather than Gs/cAMP). Critically, ipamorelin demonstrates high receptor selectivity — it does not appreciably stimulate ACTH, cortisol, or aldosterone release at research doses, unlike older GH secretagogues (GHRP-6, GHRP-2).

The synergistic co-administration of CJC-1295 (amplitude) and ipamorelin (frequency) produces GH release patterns that more closely mimic youthful physiological pulsatility and has been shown in preclinical and small human studies to amplify GH and IGF-1 more than either agent alone.

Research highlights

What published peer-reviewed research and preclinical studies have established about Ipamorelin / CJC-1295:

  • 01Combination targets two independent GH axis nodes: CJC-1295 (GHRH receptor) amplifies pulse amplitude; ipamorelin (GHS-R1a/ghrelin receptor) increases pulse frequency
  • 02Ipamorelin is highly selective — minimal stimulation of ACTH, cortisol, or prolactin vs older GH secretagogues (GHRP-6, hexarelin), confirmed in Phase 1 data
  • 03CJC-1295 with DAC: 8-day half-life via albumin binding; once or twice-weekly dosing in research contexts
  • 04Beck et al., 2014 (Phase 2): ipamorelin significantly shortened time to first bowel movement and GI recovery in post-operative ileus after bowel resection vs placebo
  • 05CJC-1295 Phase 1/2 (Sackman et al., JCEM 2006, n=65): dose-dependent increase in mean GH levels and IGF-1 sustained for >1 week with single DAC dose
  • 06Preclinical bone growth data: ipamorelin significantly increased tibial longitudinal bone growth in GH-deficient rats (Johansen et al., 1999)
  • 07Synergistic combination protocols studied in humans as part of longevity and somatotroph-axis research — shows greater IGF-1 normalization than either peptide alone at matched doses

Published clinical and preclinical research

Ipamorelin for post-operative ileus (Phase 2 RCT)

Phase 2 RCT · 2014

Ipamorelin significantly reduced time to GI recovery vs placebo; reduced hospital stay; well tolerated; no cortisol or prolactin changes

N · 72
Duration · 5–7 days post-surgery
Beck et al., Int J Colorectal Dis 2014 (PMID 24986137)

CJC-1295 pharmacokinetics and GH/IGF-1 effects (Phase 1/2)

Phase 1/2 · 2006

CJC-1295 DAC 2 mg single dose: mean GH levels elevated 2–10x for >6 days; IGF-1 increased 1.5–3x above baseline; sustained for >1 week; no serious adverse events

N · 65
Duration · Single dose and repeat dose
Ionescu & Frohman, JCEM 2006 (PMID 16434464)

Ipamorelin bone growth — preclinical (GH-deficient rats)

Preclinical · 1999

Ipamorelin 200 μg/kg/day increased tibial growth 40% vs vehicle; comparable to exogenous GH administration; no effect on cortisol or reproductive hormones

N ·
Duration · 15 days
Johansen et al., GH & IGF Research 1999 (PMID 10502453)

Frequently asked questions about Ipamorelin / CJC-1295

What is the difference between CJC-1295 with DAC and without DAC (mod-GRF 1-29)?+

CJC-1295 without DAC (also called Modified GRF 1-29 or mod-GRF 1-29) has a half-life of approximately 25–30 minutes — it mimics the natural pulsatile GHRH pattern when injected. CJC-1295 with DAC contains a maleimide-modified lysine that forms a covalent bond with plasma albumin, extending half-life to 6–8 days and enabling once or twice-weekly dosing. For research mimicking natural GH pulsatility, mod-GRF is typically combined with ipamorelin at each injection. The DAC version creates a more sustained, blunted GH elevation.

What is the recommended reconstitution procedure?+

Reconstitute with bacteriostatic water: add diluent slowly down the vial wall, do not inject directly onto the powder cake. For ipamorelin, typical research concentration is 2–5 mg/mL. For CJC-1295 (no-DAC), 2 mg/mL is standard. The two peptides can be mixed in the same syringe for co-injection. Solutions should be clear and colorless; discard if cloudy. Store reconstituted solutions at 2–8°C; use within 28–30 days.

Why is ipamorelin preferred over GHRP-6 or GHRP-2 in research?+

Older GH secretagogues like GHRP-6 and GHRP-2 stimulate GH release but also elevate ACTH, cortisol, aldosterone, and prolactin — confounding factors in many research protocols and associated with increased appetite (GHRP-6's notable hunger effect via ghrelin signaling in the hypothalamus). Ipamorelin's high selectivity for GHS-R1a without affecting these axes makes it the preferred choice for GH-specific research, enabling cleaner mechanistic attribution of observed effects.

How does the CJC-1295 + ipamorelin combination synergize?+

The two peptides act on separate but complementary receptor systems. CJC-1295 (GHRHR agonist) amplifies the magnitude of each GH pulse from the pituitary somatotroph. Ipamorelin (GHS-R1a agonist) increases the frequency of GH pulses and may also independently sensitize somatotrophs. Combined administration in preclinical models produces substantially greater IGF-1 elevation than either agent alone at matched doses, closely mimicking juvenile GH secretion profiles.

How should these peptides be stored before reconstitution?+

Both ipamorelin and CJC-1295 in lyophilized form: −20°C in sealed, desiccated vials protected from light. Lyophilized peptides are stable for 24+ months under proper conditions. Avoid freeze-thaw cycling. Keep silica desiccant packets with vials if possible. Room temperature stability is limited (days to weeks); always return to −20°C between uses.

Is this combination WADA prohibited?+

Yes. Both ipamorelin (GH secretagogue) and CJC-1295 (GHRH analog/GH-releasing factor) are prohibited under WADA S2 (Peptide Hormones, Growth Factors, Related Substances and Mimetics). This applies in all competitive sport contexts and during training periods. For non-sport research contexts, the compounds are not scheduled controlled substances in most jurisdictions but lack regulatory approval for therapeutic use.

What endpoints are most relevant for studying this combination?+

Key research endpoints include: serum IGF-1 (most reliable surrogate for integrated GH secretion), IGFBP-3, GH pulse sampling (requires frequent blood draws), lean body mass and fat mass by DEXA, fasting insulin/glucose (for insulin resistance monitoring), and bone mineral density in longer-duration studies. GH stimulation testing before and after treatment can document whether the pituitary axis is appropriately upregulated without desensitization.

Can ipamorelin/CJC-1295 research be conducted in elderly populations?+

Preclinical and small human studies specifically in GH-deficient older adults show that GH secretagogues can restore more youthful GH pulsatility with fewer side effects than direct GH replacement. The elderly population is a key research demographic given age-related GH decline (somatopause). Relevant monitoring: IGF-1 should not be driven above age-specific reference ranges; glucose tolerance should be tracked, as GH-induced insulin resistance may be more pronounced in older adults.

References

  1. [1]Raun K, Hansen BS, Johansen NL, et al.. Ipamorelin, the first selective growth hormone secretagogue. European Journal of Endocrinology. 1998. PMID: 9820618 DOI: 10.1530/eje.0.1390552
  2. [2]Johansen PB, Nowak J, Skjaerbaek C, et al.. Ipamorelin, a new growth-hormone-releasing peptide, induces longitudinal bone growth in rats. Growth Hormone & IGF Research. 1999. PMID: 10502453 DOI: 10.1054/ghir.1999.9998
  3. [3]Beck DE, Sweeney WB, McCarter MD.. Prospective, randomized, controlled, proof-of-concept study of the Ghrelin mimetic ipamorelin for the management of postoperative ileus in bowel resection patients. International Journal of Colorectal Disease. 2014. PMID: 24986137 DOI: 10.1007/s00384-014-1937-7
  4. [4]Ionescu M, Frohman LA.. Pulsatile secretion of growth hormone (GH) persists during continuous stimulation by CJC-1295, a long-acting GH-releasing hormone analog. Journal of Clinical Endocrinology and Metabolism. 2006. PMID: 16434464 DOI: 10.1210/jc.2005-1611
  5. [5]Teichman SL, Neale A, Lawrence B, et al.. 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. Journal of Clinical Endocrinology and Metabolism. 2006. PMID: 16352683 DOI: 10.1210/jc.2005-1536
  6. [6]Smith RG.. Development of growth hormone secretagogues. Endocrine Reviews. 2005. PMID: 15632317 DOI: 10.1210/er.2004-0019
  7. [7]Kojima M, Hosoda H, Date Y, et al.. Ghrelin is a growth-hormone-releasing acylated peptide from stomach. Nature. 1999. PMID: 10604470 DOI: 10.1038/45230

Regulatory status

Both ipamorelin and CJC-1295 are investigational compounds with no approved therapeutic use. WADA prohibits both under S2 (Peptide Hormones, Growth Factors, Related Substances and Mimetics). For research purposes only.

Researching Ipamorelin / CJC-1295?

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