18+ · Research Use Only · Not for Human Consumption

Evidence Map

How much human evidence, compound by compound.

As of 23 September 2026, 5 of the 16 research compounds in the Primara Labs catalogue have at least one completed phase 3 human trial, 1 has phase 2 human evidence at most, 7 have only small human studies, and 3 have animal and cell evidence only. Each row gives the key source and, where one was run, the literature search behind the trial count.

Primara Labs sells some of the compounds covered here. Every figure on this page links to its source and the date it was checked.

All compounds

The map

16 of 16 rows
Human evidence by compound
RetatrutidePhase 3 human5obesity and overweight with a weight-related condition, type 2 diabetes, knee osteoarthritis pain, obstructive sleep apnoea, chronic low back pain, cardiovascular and renal outcomes, and fatty liver disease (MASLD)Eli Lilly, TRIUMPH-1 topline release, 21 May 2026
TirzepatidePhase 3 human5Obesity and overweight, obesity with type 2 diabetes, maintenance of weight reduction, and comparison with semaglutideJastreboff AM et al. N Engl J Med 2022 (SURMOUNT-1)
SemaglutidePhase 3 human7Obesity and overweight, obesity with type 2 diabetes, maintenance of weight reduction, and cardiovascular outcomes in people with cardiovascular diseaseWilding JPH et al. N Engl J Med 2021 (STEP 1)
TesamorelinPhase 3 human10Excess visceral fat in people with HIV on antiretroviral therapy, fatty liver disease in HIV, abdominal obesity with reduced growth hormone secretion, and cognition in older adultsFalutz J et al. N Engl J Med 2007
Bremelanotide (PT-141)Phase 3 human9Hypoactive sexual desire disorder in premenopausal women; earlier, sexual arousal disorder and erectile dysfunction; body weight in a phase 1 studyKingsberg SA et al. Obstet Gynecol 2019 (RECONNECT)
IpamorelinPhase 2 human1Recovery of gut function after bowel surgery (phase 2); growth hormone release in healthy men; growth hormone release, bone growth and gut motility in animalsBeck DE et al. Int J Colorectal Dis 2014 (phase 2)
BPC-157Small human studies0Tendon, ligament and muscle healing and gastrointestinal injury in rats; interstitial cystitis and knee pain in small uncontrolled human reportsVasireddi N et al. HSS J 2025 (systematic review)
GHK-Cu (copper tripeptide-1)Small human studies2Diabetic foot ulcers and skin after laser resurfacing (small topical trials); cosmetic skin use; ligament and wound healing in animals; fibroblast growth in cell culturePickart L et al. Biomed Res Int 2015 (review)
NAD+ (nicotinamide adenine dinucleotide)Small human studies3Ischaemic heart failure (intravenous); blood NAD levels in healthy adults (oral and intravenous); heart and brain injury after blocked blood flow in animalsYu X et al. Am J Cardiovasc Drugs 2026
CJC-1295Small human studies2Growth hormone and IGF-1 secretion in healthy adults; HIV-associated visceral obesity (phase 2, terminated)Teichman SL et al. J Clin Endocrinol Metab 2006
SemaxSmall human studies0Stroke and post-stroke rehabilitation, cerebrovascular insufficiency, optic nerve disease, motor neuron diseaseDolotov OV et al. J Neurochem 2006
SelankSmall human studies0Generalised anxiety disorder and neurasthenia; anxiety-spectrum disorders alongside a benzodiazepineRussian comparative study, selank vs medazepam (Europe PMC 18454096)
DSIP (delta sleep-inducing peptide)Small human studies2Chronic insomnia and sleep, withdrawal states (uncontrolled), pituitary hormones, and as an adjunct to anaesthesiaKovalzon VM, Strekalova TV. J Neurochem 2006 (review)
TB-500 (thymosin beta-4)Animal and cell0Wound, corneal and tendon healing in animals (fragment and full-length protein); dry eye, corneal healing and skin ulcers in humans (full-length thymosin beta-4 only)Esposito S et al. Drug Test Anal 2012 (TB-500 identified as Ac-LKKTETQ)
KPVAnimal and cell0Colitis and colitis-associated tumours, peritoneal inflammation and oral mucositis in mice and rats; inflammatory signalling in cell cultureDalmasso G et al. Gastroenterology 2008
MOTS-cAnimal and cell0Insulin resistance, diet-induced obesity, age-related physical decline and autoimmune diabetes in mice; circulating levels as a biomarker in peopleLee C et al. Cell Metab 2015

The GLOW and KLOW blends are covered by their components' rows. The blends themselves have not been studied.

Metabolic

Retatrutide

Phase 3 human5 human RCTs found · Trials in the Research Desk trials dataset

Retatrutide has four completed phase 3 trials, TRIUMPH-1 to TRIUMPH-4, reported by Eli Lilly between December 2025 and July 2026, and a phase 2 trial published in 2023. It is studied for obesity and overweight with a weight-related condition, type 2 diabetes, knee osteoarthritis pain, obstructive sleep apnoea, chronic low back pain, cardiovascular and renal outcomes, and fatty liver disease (MASLD). Further phase 3 trials are running, including TRIUMPH-5 against tirzepatide.

Basis: Four completed phase 3 trials, TRIUMPH-1 to TRIUMPH-4 (Eli Lilly topline releases, December 2025 to July 2026), and a phase 2 trial (N Engl J Med 2023).

Studied for: obesity and overweight with a weight-related condition, type 2 diabetes, knee osteoarthritis pain, obstructive sleep apnoea, chronic low back pain, cardiovascular and renal outcomes, and fatty liver disease (MASLD)

Eli Lilly, TRIUMPH-1 topline release, 21 May 2026 open · checked 23 September 2026

Metabolic

Tirzepatide

Phase 3 human5 human RCTs found · SURMOUNT obesity trials in the trials dataset; the wider literature, including diabetes trials, is larger

Tirzepatide has five completed phase 3 obesity trials in the Research Desk dataset, SURMOUNT-1 to SURMOUNT-5, published between 2022 and 2025. SURMOUNT-5 compared it head to head with semaglutide in adults with obesity without type 2 diabetes. Its wider trial record, including its diabetes programme, is larger than this dataset holds.

Basis: Completed phase 3 trials SURMOUNT-1 to SURMOUNT-4 and the phase 3b head-to-head SURMOUNT-5 against semaglutide.

Studied for: Obesity and overweight, obesity with type 2 diabetes, maintenance of weight reduction, and comparison with semaglutide

Jastreboff AM et al. N Engl J Med 2022 (SURMOUNT-1) open · checked 23 September 2026

Metabolic

Semaglutide

Phase 3 human7 human RCTs found · STEP obesity trials and SELECT in the trials dataset; the wider literature, including diabetes trials, is larger

Semaglutide at 2.4 mg has seven completed phase 3 trials in the Research Desk dataset: STEP 1 to STEP 5, STEP 8 and SELECT, published between 2021 and 2023. SELECT studied cardiovascular outcomes in people with cardiovascular disease and overweight or obesity without diabetes. Its wider trial record is larger than this dataset holds.

Basis: Completed phase 3 trials STEP 1 to STEP 5 and STEP 8, and the cardiovascular outcomes trial SELECT.

Studied for: Obesity and overweight, obesity with type 2 diabetes, maintenance of weight reduction, and cardiovascular outcomes in people with cardiovascular disease

Wilding JPH et al. N Engl J Med 2021 (STEP 1) open · checked 23 September 2026

Growth hormone axis

Tesamorelin

Phase 3 human10 human RCTs found · Completed human RCTs identified and screened in Europe PMC

Tesamorelin, a synthetic analogue of growth hormone-releasing factor, has two completed phase 3 trials in adults with HIV and excess abdominal fat, published in 2007 and 2010. The Research Desk evidence pass identified ten completed human randomised controlled trials in all. A cognition result in older adults was not repeated in two later trials.

Basis: Two completed phase 3 placebo-controlled trials in adults with HIV and abdominal fat accumulation (N Engl J Med 2007, n=412; J Acquir Immune Defic Syndr 2010, n=404).

Studied for: Excess visceral fat in people with HIV on antiretroviral therapy, fatty liver disease in HIV, abdominal obesity with reduced growth hormone secretion, and cognition in older adults

Falutz J et al. N Engl J Med 2007 open · checked 23 September 2026 · Europe PMC search behind the count

Melanocortin

Bremelanotide (PT-141)

Phase 3 human9 human RCTs found · Completed human RCTs identified and screened in Europe PMC

Bremelanotide (sold as PT-141) is a melanocortin receptor agonist with two completed phase 3 trials, RECONNECT 301 and 302, in 1,267 premenopausal women with hypoactive sexual desire disorder, published in 2019. The evidence pass identified nine completed human randomised controlled trials. A trial in men with erectile dysfunction carries a published expression of concern and is not counted.

Basis: Two identical completed phase 3 trials, RECONNECT studies 301 and 302 (Obstet Gynecol 2019; 1,267 premenopausal women with hypoactive sexual desire disorder).

Studied for: Hypoactive sexual desire disorder in premenopausal women; earlier, sexual arousal disorder and erectile dysfunction; body weight in a phase 1 study

Kingsberg SA et al. Obstet Gynecol 2019 (RECONNECT) open · checked 23 September 2026 · Europe PMC search behind the count

Growth hormone axis

Ipamorelin

Phase 2 human1 human RCT found · Completed human RCTs identified and screened in Europe PMC

Ipamorelin, a synthetic growth hormone secretagogue, has one completed phase 2 human trial, in patients recovering from bowel resection, and it found no significant difference from placebo. Other human data are pharmacology studies of growth hormone release in healthy men. Most of its literature is animal work.

Basis: One completed phase 2 placebo-controlled trial in postoperative ileus (n=117), which found no significant difference from placebo.

Studied for: Recovery of gut function after bowel surgery (phase 2); growth hormone release in healthy men; growth hormone release, bone growth and gut motility in animals

Beck DE et al. Int J Colorectal Dis 2014 (phase 2) open · checked 23 September 2026 · Europe PMC search behind the count

Tissue repair

BPC-157

Small human studies0 human RCTs found · Completed human RCTs identified and screened in Europe PMC and ClinicalTrials.gov

BPC-157 has no completed human randomised controlled trial. Its human data are three small uncontrolled reports of 2 to 16 people, and a 2025 systematic review found no clinical safety data. Almost all of its literature is rat work on tendon, ligament and gut healing.

Basis: Three small uncontrolled human reports only: a 2-person intravenous safety pilot, a 12-patient interstitial cystitis pilot and a 16-patient retrospective knee-pain survey. No completed human randomised trial and no registered trial with results were found.

Studied for: Tendon, ligament and muscle healing and gastrointestinal injury in rats; interstitial cystitis and knee pain in small uncontrolled human reports

Vasireddi N et al. HSS J 2025 (systematic review) open · checked 23 September 2026 · Europe PMC search behind the count

Tissue repair

GHK-Cu (copper tripeptide-1)

Small human studies2 human RCTs found · Completed human RCTs identified and screened in Europe PMC; both topical

GHK-Cu is a copper-binding tripeptide found in human plasma. Its human evidence is two small topical trials, one in diabetic foot ulcers from 1994 and one after laser skin resurfacing that found no objective benefit; a 2025 review notes a surprising absence of clinical studies. Most of its literature is cell and animal work.

Basis: Two small randomised trials of topical GHK-Cu: a 1994 diabetic ulcer trial whose size and phase the abstract does not give, and a 13-patient trial after laser resurfacing with no objective benefit.

Studied for: Diabetic foot ulcers and skin after laser resurfacing (small topical trials); cosmetic skin use; ligament and wound healing in animals; fibroblast growth in cell culture

Pickart L et al. Biomed Res Int 2015 (review) open · checked 23 September 2026 · Europe PMC search behind the count

Cellular

NAD+ (nicotinamide adenine dinucleotide)

Small human studies3 human RCTs found · Completed human RCTs of NAD+ itself identified in Europe PMC; precursor trials excluded

NAD+ is a coenzyme central to cellular energy metabolism. Three small randomised trials have given NAD+ itself to people, the largest an intravenous trial in 180 adults with ischaemic heart failure; none is a phase 2 or phase 3 trial. Most human research on raising NAD uses precursors such as NR and NMN, which are different molecules.

Basis: Three randomised trials of NAD+ itself, none labelled phase 2 or 3: an intravenous trial in 180 adults with ischaemic heart failure, an oral-formulation biomarker trial (60 randomised) and an 11-person intravenous pilot. Trials of precursors such as NR and NMN are excluded.

Studied for: Ischaemic heart failure (intravenous); blood NAD levels in healthy adults (oral and intravenous); heart and brain injury after blocked blood flow in animals

Yu X et al. Am J Cardiovasc Drugs 2026 open · checked 23 September 2026 · Europe PMC search behind the count

Growth hormone axis

CJC-1295

Small human studies2 human RCTs found · Completed human RCTs identified and screened in Europe PMC; both are pharmacology trials

CJC-1295 is a long-acting analogue of growth hormone-releasing hormone. Its human evidence is two small randomised pharmacology trials in healthy adults, published in 2006, that measured growth hormone and IGF-1 rather than a clinical outcome. The human data are for the albumin-binding (DAC) form; no human trial of the form without DAC was found.

Basis: Two small randomised, placebo-controlled, ascending-dose trials in healthy adults (J Clin Endocrinol Metab 2006) with growth hormone and IGF-1 readouts only; a phase 2 trial in HIV was terminated without results.

Studied for: Growth hormone and IGF-1 secretion in healthy adults; HIV-associated visceral obesity (phase 2, terminated)

Teichman SL et al. J Clin Endocrinol Metab 2006 open · checked 23 September 2026 · Europe PMC search behind the count

Neuropeptide

Semax

Small human studies0 human RCTs found · No study meeting the randomised-trial rule was found; the literature is mostly Russian and only English abstracts were read

Semax is a synthetic heptapeptide derived from a fragment of ACTH. Its human evidence is small Russian clinical studies, none confirmed as randomised in the abstracts indexed by Europe PMC, mostly in stroke and cerebrovascular disease. Its mechanism is described from rat work on BDNF signalling.

Basis: Small Russian clinical studies, open-label or with non-randomised comparison groups (stroke rehabilitation, acute stroke, motor neuron disease), and one small placebo-comparison imaging study in healthy volunteers.

Studied for: Stroke and post-stroke rehabilitation, cerebrovascular insufficiency, optic nerve disease, motor neuron disease

Dolotov OV et al. J Neurochem 2006 open · checked 23 September 2026 · Europe PMC search behind the count

Neuropeptide

Selank

Small human studies0 human RCTs found · No study meeting the randomised-trial rule was found; the literature is mostly Russian and only English abstracts were read

Selank is a synthetic heptapeptide studied in Russia for anxiety disorders. Its human evidence is small comparative studies against benzodiazepines without a placebo arm or stated random allocation. Its proposed mechanisms, GABA receptor modulation and enkephalinase inhibition, come from laboratory work.

Basis: Small Russian comparative studies in anxiety disorders against benzodiazepines (n=60 to 70), with no placebo arm and random allocation not stated in the abstracts.

Studied for: Generalised anxiety disorder and neurasthenia; anxiety-spectrum disorders alongside a benzodiazepine

Russian comparative study, selank vs medazepam (Europe PMC 18454096) open · checked 23 September 2026 · Europe PMC search behind the count

Neuropeptide

DSIP (delta sleep-inducing peptide)

Small human studies2 human RCTs found · Completed human RCTs identified and screened in Europe PMC; neither measured a sleep outcome

Delta sleep-inducing peptide is a nine-residue peptide with no identified gene, precursor or receptor, so its mechanism is unknown. Its human evidence is small studies from 1981 to 2009, with sleep results its own authors described as weak and conflicting.

Basis: Small human studies from 1981 to 2009 (n=6 to 24): two with stated random allocation, measuring anaesthesia depth and ACTH, and several placebo-controlled insomnia studies with mixed results.

Studied for: Chronic insomnia and sleep, withdrawal states (uncontrolled), pituitary hormones, and as an adjunct to anaesthesia

Kovalzon VM, Strekalova TV. J Neurochem 2006 (review) open · checked 23 September 2026 · Europe PMC search behind the count

Tissue repair

TB-500 (thymosin beta-4)

Animal and cell0 human RCTs found · For the TB-500 fragment. Ten completed human RCTs exist for full-length thymosin beta-4, a different molecule

No human trial of TB-500, the acetylated thymosin beta-4 fragment Ac-LKKTETQ, has reported; its evidence is animal and cell work. Full-length thymosin beta-4 has been studied in people, mostly as eye drops, where two phase 3 dry-eye trials posted near-identical results in both arms. A 2024 cell study found the wound-healing activity came from a TB-500 breakdown product rather than TB-500 itself.

Basis: TB-500 is identified in the analytical literature as the acetylated thymosin beta-4 fragment Ac-LKKTETQ, which has animal and cell data only; one human trial is recruiting. Full-length thymosin beta-4 has human trials, mostly as eye drops: two phase 3 dry-eye trials posted near-identical results in both arms and a small phase 3 corneal trial stopped early without a significant result.

Studied for: Wound, corneal and tendon healing in animals (fragment and full-length protein); dry eye, corneal healing and skin ulcers in humans (full-length thymosin beta-4 only)

Esposito S et al. Drug Test Anal 2012 (TB-500 identified as Ac-LKKTETQ) open · checked 23 September 2026 · Europe PMC search behind the count

Tissue repair

KPV

Animal and cell0 human RCTs found · Completed human RCTs identified and screened in Europe PMC and ClinicalTrials.gov

KPV is the three-amino-acid tail (Lys-Pro-Val) of alpha-melanocyte-stimulating hormone. It has never been given to people in a published study; its evidence is mouse, rat and cell work, mostly in colitis models.

Basis: Mouse, rat and cell-culture studies only (colitis, peritonitis, oral mucositis), plus one test-tube study on blood samples from people with HIV. No human administration study and no registered trial.

Studied for: Colitis and colitis-associated tumours, peritoneal inflammation and oral mucositis in mice and rats; inflammatory signalling in cell culture

Dalmasso G et al. Gastroenterology 2008 open · checked 23 September 2026 · Europe PMC search behind the count

Cellular

MOTS-c

Animal and cell0 human RCTs found · Completed human RCTs identified and screened in Europe PMC and ClinicalTrials.gov

MOTS-c is a 16-amino-acid peptide encoded in mitochondrial DNA. No published study has given it to people; its evidence is mouse and cell work on insulin sensitivity and physical capacity. A phase 2a human trial was recruiting when checked.

Basis: No published human study has given MOTS-c; human papers measure the body's own levels. A phase 1 trial of the analogue CB4211 completed in 2021 without posted results, and a phase 2a trial of MOTS-c is recruiting.

Studied for: Insulin resistance, diet-induced obesity, age-related physical decline and autoimmune diabetes in mice; circulating levels as a biomarker in people

Lee C et al. Cell Metab 2015 open · checked 23 September 2026 · Europe PMC search behind the count

Method

How the levels are assigned

Methodology

Phase 3 human means at least one completed phase 3 trial in people exists; it says nothing about whether that trial was positive, which each row states. Phase 2 human, small human studies and animal and cell follow the same rule: the highest level of evidence found, not an average.

A study counts as a human randomised controlled trial only when its abstract states random allocation to a controlled comparison. Reviews, protocols, secondary analyses and retracted or flagged papers are not counted. Trials of related molecules (precursors, fragments, analogues) are named in the row and not counted for the compound.

Searches ran on Europe PMC and ClinicalTrials.gov. Russian-language literature was read from English abstracts only.

Cite this

Primara Labs Research Desk, "Evidence Map: human evidence for research peptides", last updated 23 September 2026, https://www.primaralabs.com/research/evidence