Library / Growth hormone
GHRP-2
Also known as Pralmorelin, KP-102, GPA-748
Human trials
Synthetic hexapeptide that stimulates growth hormone release via the ghrelin receptor. Used in Japan as a diagnostic test for growth hormone deficiency (Not verified); otherwise studied in small human studies.
Not an approved medicine. GHRP-2 is not an approved medicine for this use in Australia or the United States. This page summarises published research for information only. It is not a recommendation to use GHRP-2, and VialOwl does not sell or supply it.
Background
One of a family of small growth hormone releasing peptides synthesised by Cyril Bowers' group at Tulane University in the USA, with Polygen in Germany. Kaken Pharmaceutical developed it in Japan (as KP-102) as a diagnostic test for growth hormone deficiency; US development with Wyeth appears to have been discontinued.
How it is thought to work
Mimics the hunger hormone ghrelin at the growth hormone secretagogue receptor, triggering a pulse of growth hormone from the pituitary. It also raises ACTH, cortisol and prolactin.
What is claimed, and the evidence
| Claim | Evidence | Notes |
|---|---|---|
| Diagnostic test for growth hormone deficiency | Small human studies | Described as widely used in Japan in diagnostic cohort studies; not approved by the TGA, FDA or EMA. Japanese approval status not verified here. |
| Raising growth hormone and IGF-1 in prolonged critical illness | Small human studies | Small randomised crossover studies in intensive care (for example 26 patients) showed hormonal changes, not clinical benefit. |
| Treating short stature in children | Small human studies | Reached phase 2 in Japan; no approval found. |
| Muscle gain, fat loss, better sleep and recovery | No published evidence | Common in online self administration protocols; no controlled trials for these uses. |
Side effects
| Effect | How often | Notes |
|---|---|---|
| Raised cortisol and ACTH | Common | Consistent hormonal effect seen in human and animal studies. |
| Raised prolactin | Common | Reported for GH secretagogues in human studies and reviews. |
| Increased appetite | Common | Class effect of ghrelin mimetics. |
| Higher blood glucose or insulin needs Serious | Frequency unknown | FDA cites reports of increased insulin requirement to maintain blood glucose. |
| Deaths in critically ill study subjects, infection and pancreatitis Serious | Case reports | Reported to FDA; causality not established. |
| Fluid retention, joint and muscle aches, injection site reactions | Frequency unknown | Reported in reviews of people self administering GH axis peptides. |
Warnings
- FDA placed GHRP-2 for injection and nasal use in a category for significant safety risks, citing immunogenicity, impurities and reports of serious adverse events.
- Can raise blood glucose and cortisol; long term safety, including cancer risk, has not been studied.
- Unapproved products bought online or from compounders may be contaminated, non sterile, underdosed, overdosed or contain a different substance; the TGA warns their labelling may be inaccurate and it has received reports of severe allergic reactions and hospitalisations.
Regulatory status
- Australia
- Not included on the ARTG (unapproved). Schedule 4 in the Poisons Standard (as pralmorelin), with Appendix D clause 5 possession controls.
- United States
- Not FDA approved. In 503A Category 3 (nominated without adequate support) and 503B Category 2 (significant safety risks).
Sources
- PubMed: Pralmorelin: GHRP 2, GPA 748, growth hormone-releasing peptide 2 (drug profile)
- PubMed: Clinical Usefulness of the Growth Hormone-Releasing Peptide-2 Test for Hypothalamic-Pituitary Disorder
- PubMed: The somatotropic axis in critical illness: effect of continuous GHRH and GHRP-2 infusion
- FDA: Certain bulk drug substances for use in compounding that may present significant safety risks
- PubMed: The emerging landscape of performance-enhancing peptides modulating the GH-IGF1 axis (2026 review)
- FDA: 503A bulk drug substance categories (updated 14 May 2026)
- Poisons Standard June 2026 (Federal Register of Legislation)
Also in Growth hormone
From the VialOwl library, reviewed 26 September 2026. For education and general information. It is not medical advice and not a recommendation to use GHRP-2.