Read selected primary studies with the exact material tested, study design, findings and limits kept together.
Peptide evidence briefs
Each brief is a dated selection of sources, not a systematic review or a treatment recommendation. Cell, animal and human findings remain distinct, and related molecular forms are identified explicitly.
Prepared by Peptides Codex. Independent review by a qualified subject specialist is pending.
A small uncontrolled knee-pain report and a two-person safety pilot leave human efficacy and longer-term safety unresolved. The selected rat comparison did not show a significant BPC-157 advantage on tendon failure load.
The defined fragment has laboratory/metabolism evidence; the rat tendon result concerns incompletely characterized TB-500-labelled material. A human eye trial studied full-length thymosin β4, so it cannot validate the fragment or injectable TB-500.
Three randomized placebo-controlled trials address different questions: weight change, cardiovascular events and a kidney/cardiovascular composite. Interpret each result with its eligibility criteria, analysis population, follow-up and treatment limitations.
SURPASS-2 measured glycemic change in type 2 diabetes; SURMOUNT-1 measured weight change without diabetes. SURMOUNT-4 tested continuation versus withdrawal after a tolerated lead-in. Different populations, comparators and time origins prevent a ranking across these trials.
The phase 3 reports measured weight change with and without type 2 diabetes, or HbA1c change on diet and exercise alone. The liver report reused a subset of an earlier obesity trial. Different populations, endpoints and estimands prevent a ranking across these trials; imaging liver-fat reduction does not establish clinical liver outcomes.
An ulcer-gel report favored area closure, while a small post-laser trial found no significant objective difference. A cell study compared bound/free forms. These selected studies leave systemic/injectable efficacy and safety unestablished; missing clinical methods limit confidence.
Filter the selected records by compound, study setting and material. Read the reported finding alongside its limits, then follow the primary source.
These selected records are not a complete evidence base. A source may appear under more than one compound. The filters describe studies and materials; they do not score quality or establish clinical benefit.
Collection: 19 records from 18 unique primary sources.
The material category follows the source description. It does not verify batch identity.
Settings can overlap: laboratory / metabolism work may include animals. Experiments using human serum are not studies in people.
19 of 19 selected study records shown
19 of 19 selected study records shown · All compounds · All settings · All material categories
BPC-157Human studiesAuthor-labelled; identity not fully characterized here
Lee & Padgett, 2021 · PMID 34324435
Material tested
Author-labelled BPC-157 alone or with TB4; exact batch identity not established here.
Model or population
People with different causes of knee pain.
Study design
Single-clinic retrospective chart review and telephone follow-up; no control group.
Trial semaglutide solution for subcutaneous injection, a modified GLP-1 analogue; historical target arm 2.4 mg versus matching placebo. Both groups received lifestyle support.
Model or population
Adults without diabetes: BMI ≥30, or ≥27 with a weight-related condition.
Study design
Multicenter randomized, double-blind phase III trial; 2:1 allocation and 68-week weight endpoints.
Sample and comparison
1,961 randomized and in the full analysis set: 1,306 semaglutide, 655 placebo. Week-68 weight observations: 1,212 and 577.
Reported finding
Coprimary endpoints: modelled weight change −14.9% versus −2.4%; adjusted difference −12.4 percentage points (95% CI −13.4 to −11.5). ≥5% loss was observed in 1,047/1,212 (86.4%) versus 182/577 (31.5%).
Limits of this evidence
The treatment-policy estimate includes discontinuation/rescue and imputed missing data; threshold percentages use observed participants. This row does not establish durability after stopping treatment. Gastrointestinal-event discontinuations: 4.5% versus 0.8%.
Source access: Primary abstract, indexed journal methods/results and registry results inspected; direct journal full text unavailable.
Trial semaglutide for subcutaneous injection, a modified GLP-1 analogue; historical target arm 2.4 mg versus placebo, added to standard care.
Model or population
Age ≥45, BMI ≥27 and established cardiovascular disease; no history of diabetes.
Study design
Multicenter randomized, double-blind, event-driven superiority trial; mean follow-up 39.8 months.
Sample and comparison
17,604 randomized and analyzed as assigned: 8,803 semaglutide, 8,801 placebo.
Reported finding
Primary cardiovascular death/nonfatal heart attack/nonfatal stroke composite: 569/8,803 (6.5%) versus 701/8,801 (8.0%); hazard ratio 0.80 (95% CI 0.72–0.90). That is 20% lower hazard; the observed proportions differ by 1.5 percentage points.
Limits of this evidence
Secondary prevention, not a population without established cardiovascular disease. Adverse-event discontinuations: 16.6% versus 8.2%. Cardiovascular death alone missed the hierarchical significance threshold; the composite does not establish benefit for every component.
Source access: Primary abstract, indexed journal methods/results and registry results inspected; direct journal full text unavailable.
Trial semaglutide for subcutaneous injection, a modified GLP-1 analogue; historical trial arm 1.0 mg versus placebo, with standard care.
Model or population
Adults with type 2 diabetes and albuminuric chronic kidney disease; eGFR 25–75 mL/min/1.73 m² with trial-specific albuminuria thresholds.
Study design
Randomized, double-blind phase III trial; median follow-up 3.4 years. Stopped early after a prespecified interim analysis.
Sample and comparison
3,533 randomized and in the full analysis set: 1,767 semaglutide, 1,766 placebo.
Reported finding
Primary kidney failure/persistent ≥50% eGFR decline/kidney or cardiovascular death composite: 331/1,767 versus 410/1,766; hazard ratio 0.76 (95% CI 0.66–0.88), or 24% lower hazard. Observed proportions: 18.7% versus 23.2%, a 4.5-point difference.
Limits of this evidence
The composite includes cardiovascular death, not kidney failure alone. Selected diabetes/kidney-disease population; early stopping limits longer follow-up. The 4.5-point difference is an unadjusted events/randomized calculation, not a survival-adjusted estimate or personal risk prediction.
Source access: Primary abstract and trial-registry methods/results inspected; direct journal full text unavailable.
Adults with type 2 diabetes inadequately controlled on metformin.
Study design
Phase 3, 40 weeks; randomized 1:1:1:1, open-label between products; tirzepatide dose groups double-blinded.
Sample and comparison
1,879 randomized: 471/469/470 versus 469. Modified intention-to-treat analysis: 1,878 who received study drug (470/469/470 versus 469); missing values estimated.
Reported finding
Primary HbA1c change at week 40, treatment-regimen estimate: −2.01/−2.24/−2.30 percentage points for 5/10/15 mg versus −1.86 with semaglutide 1 mg. Each comparison favored tirzepatide (p=0.02/<0.001/<0.001).
Limits of this evidence
Open-label, 40-week glycemic comparison in diabetes; no comparison with semaglutide 2.4 mg for obesity. Gastrointestinal adverse events were common; this 40-week trial does not establish long-term safety.
Source access: Primary journal abstract, Methods and Results retrieved in indexed search; direct full-text access blocked. Registry participant flow cross-checked.
2,539 randomized and included in intention-to-treat analysis: 630/636/630 versus 643 placebo. Estimates include missing-data handling, not only participants completing treatment.
Reported finding
Coprimary outcomes at week 72, treatment-regimen estimates: mean weight change −15.0/−19.5/−20.9% for 5/10/15 mg versus −3.1% placebo; ≥5% weight loss in 85/89/91% versus 35%. All comparisons p<0.001.
Limits of this evidence
Initial 72-week placebo comparison without diabetes, excluding later follow-up; no active-drug ranking. Mean benefit must be considered alongside gastrointestinal adverse events and treatment discontinuations.
Source access: Primary abstract and indexed journal Methods/Results inspected; direct journal full-text access blocked. Official registry design and counts corroborated.
Study-supplied subcutaneous tirzepatide (LY3298176), tolerated target 10 or 15 mg; continuation versus matching placebo after lead-in, with lifestyle support.
Model or population
Adults without diabetes: BMI ≥30, or ≥27 with a weight-related complication; randomization restricted to lead-in completers tolerating treatment.
Study design
Phase 3 withdrawal trial: 36-week open-label lead-in, then 52 weeks randomized 1:1, double-blind continuation versus placebo.
Sample and comparison
783 entered lead-in; 782 received drug. 670 eligible tolerators randomized/analyzed, 335/group; 600 completed. The primary estimate includes all randomized participants with missing-data handling.
Reported finding
Primary estimated weight change from week 36 to 88: −5.5% continuing tirzepatide versus +14.0% after switching to placebo; difference −19.4 percentage points (95% CI −21.2 to −17.7; p<0.001).
Limits of this evidence
Withdrawal comparison in selected tolerators, not initial efficacy or tolerability among all 783 entrants. Lifetime benefit and safety are not established.
Source access: Primary JAMA full text inspected, including Methods, Results and limitations; official registry participant flow cross-checked.
Jastreboff et al., 2026 · TRIUMPH-1 · PMID 42814954
Material tested
Study-supplied subcutaneous retatrutide (LY3437943), target arms 4/9/12 mg versus placebo.
Model or population
Adults without diabetes: BMI ≥30, or ≥27 with a weight-related complication.
Study design
TRIUMPH-1: phase 3, randomized, double-blind; 80 weeks. Primary weight comparisons: 9/12 mg versus placebo; additional subgroup pain and sleep-apnea endpoints.
Sample and comparison
Paper reports 2,339 randomized; official registry lists 2,335 enrolled. Difference unresolved; arm-level analysis counts not verified in the retrieved abstract.
Reported finding
Week-80 weight change, treatment-regimen/ITT estimate: −17.6/−23.7/−25.0% for 4/9/12 mg versus −3.9% placebo. Primary 9/12-mg differences: −19.8/−21.0 percentage points (both p<0.001).
Limits of this evidence
Pain and sleep-apnea primary results concern subgroups and different estimands, not the full weight population. Gastrointestinal events were most common; detailed methods and longer-term safety are not established by this abstract.
Source access: Primary journal and PubMed abstracts plus official registry inspected; full text and supplement could not be retrieved. Enrollment discrepancy remains unresolved.
1,152 randomized/analyzed: 292/284/287 versus 289; 965 completed study drug. Safety counts: 292/284/286 versus 287 who received drug. Primary missing values multiply imputed.
Reported finding
Primary week-80 weight change, treatment-regimen estimate: −16.8/−18.8% for 9/12 mg versus −5.1% placebo. Differences: −11.8/−13.8 percentage points (95% CI −13.7 to −9.8/−15.8 to −11.8; both p<0.0001).
Limits of this evidence
Placebo comparison in a selected diabetes population. Gastrointestinal events were more frequent with retatrutide; permanent discontinuation due to adverse events or death was 12/8% at 9/12 mg versus 5% placebo. No active-drug ranking or long-term safety conclusion.
Source access: Primary PubMed abstract and official registry inspected; publisher full text could not be retrieved. Analysis populations and imputation are stated in the abstract; detailed methods were not read.
537 randomized: 134/133/136 versus 134 placebo. 490 completed the treatment period on drug; 504 completed the study. Abstract does not detail analysis-set exclusions.
Reported finding
Primary week-40 HbA1c change, treatment-regimen estimate: −1.69/−1.86/−1.94 percentage points for 4/9/12 mg versus −0.81 placebo. Adjusted differences: −0.88/−1.04/−1.12 points (all p<0.0001); not relative percent changes.
Limits of this evidence
Monotherapy population and 40-week glycemic endpoint; not a cardiovascular-outcomes trial. Gastrointestinal events were common; adverse-event discontinuations were 2–5% versus 0% placebo. Full estimand implementation and long-term safety remain unverified here.
Source access: Primary PubMed abstract and official registry inspected; publisher full text could not be retrieved. Detailed missing-data methods and analysis-set counts were not available in the abstract.
Sanyal et al., 2024 · MASLD substudy · PMID 38858523
Material tested
Study-supplied subcutaneous retatrutide (LY3437943), 1/4/8/12 mg versus matching placebo, with lifestyle counseling. Starting-dose subgroups pooled at 4/8 mg.
Model or population
Adults without diabetes in an obesity trial, with baseline MRI liver fat ≥10%; selected MASLD substudy.
Study design
Phase 2a substudy of randomized, double-blind NCT04881760; 48-week treatment, primary liver-fat endpoint at 24 weeks. Efficacy estimand excludes post-discontinuation data; continuous-outcome mixed model without imputation.
Sample and comparison
98 of the parent trial's 338 participants: 20/19/22/18 versus 19 placebo. Week-24 MRIs available for 77: 16/15/17/15 versus 14. Shared cohort, not independent replication.
Reported finding
Primary relative MRI-PDFF liver-fat change at week 24: −42.9/−57.0/−81.4/−82.4% for 1/4/8/12 mg versus +0.3% placebo (all p<0.001). These are relative reductions, not absolute liver-fat percentage-point changes.
Limits of this evidence
Small selected subset, missing imaging and exclusion of data after intercurrent events; no multiplicity adjustment. Imaging fat reduction does not demonstrate biopsy-confirmed MASH resolution, fibrosis regression or clinical liver benefit. Sponsor participated in design, analysis and report writing.
Source access: Primary Nature Medicine full text inspected, including Methods, Results, figure counts and limitations; parent registry corroborated. Supplementary files and individual participant data not reviewed.
GHK-CuHuman studiesAuthor-labelled; identity not fully characterized here
Miller et al., 2006 · PMID 16847171
Material tested
Topical regimens with or without GHK–Cu; concentration and complete product composition unavailable.
Model or population
Patients after circumoral CO₂ laser resurfacing.
Study design
Randomized comparison; blinded/image-based erythema assessment and 12-week skin assessments.
Sample and comparison
13 completed; randomized total and arm counts unavailable in the abstract.
Reported finding
No significant between-group difference in erythema, wrinkles or objective skin quality; questionnaire-reported skin improvement favored GHK–Cu (p=0.04).
Limits of this evidence
Small completer sample; subjective improvement does not establish objective benefit or equivalence. Topical post-laser findings cannot validate injections.
Source access: Primary PubMed and publisher abstracts inspected; full text and funding disclosures unavailable. A linked correction could not be retrieved.