Regulatory record

Regulatory recordSupporting passage inspected

Sermorelin had FDA-approved Geref products for specific pediatric growth and diagnostic uses. Approval was withdrawn in 2009 after discontinuation; FDA later determined the products were not withdrawn for safety or effectiveness reasons. This history does not approve current compounded products or anti-aging uses.[1]

Jurisdiction
United States
Product
Historical GEREF sermorelin products
Indication
Former specified pediatric growth-hormone deficiency and diagnostic indications
Record date
2026-09-08
  • Historical US product status, not a claim of present commercial availability.
  • The record date shown is the date through which this pass checked that the described status still holds. It is not the date of the governing Federal Register determination, which is 4 March 2013 and is shown on the source record. The check covered Federal Register notices and the Drugs@FDA application record for both former Geref applications; it did not survey every kind of FDA activity concerning sermorelin.
Inspection history

Clinical review: not reviewed by a qualified clinician.

· Independently inspected the listed passages; replaced or qualified inherited assertions. No qualified clinical review has occurred.

· Independent fresh reinspection for the deep-evidence pass: reopened every cited source at its passages via NCBI E-utilities / DailyMed / accessdata.fda.gov / govinfo.gov / Wayback Machine mirror, checked Europe PMC correction/retraction metadata where applicable, and confirmed the claim's wording against the primary text. Disposition: supported within the stated scope. No qualified clinical review.

· Added a note explaining what the shown record date means for this claim, after a reviewer found it is the only regulatory claim whose record date is a document date rather than the evidence cutoff. No date, source or scientific statement changed.

· Currency check for the regulatory-currency batch. This claim recorded the governing document's date rather than the evidence cutoff because the pass had not established that no later FDA action existed. That check has now been done: no later Federal Register notice on these applications was found between the determination and the cutoff, and Drugs@FDA still shows both former applications as discontinued with the not-for-safety-or-effectiveness determination attached. The recorded date is therefore moved to the cutoff, in line with every other regulatory claim, and the reader-facing note is rewritten to say what the date now means and what the check did and did not cover. No source or scientific statement changed. Independent editorial review pending; no qualified clinical review.

Interaction evidence

Human observational studySupporting passage inspected

A small retrospective study of men already receiving testosterone found increased IGF-1 with combined sermorelin, GHRP-2 and GHRP-6. Seven of the 14 men were also taking an aromatase inhibitor or tamoxifen, and the paper reports that blocking estrogen action reduced the IGF-1 rise. Glucose and insulin tolerance were not measured, so this study cannot establish the metabolic harm or safety of any two secretagogues.[2]

  • Three peptides, testosterone and, in half the cohort, an aromatase inhibitor or tamoxifen were used together; no pair-specific or long-term safety conclusion.
  • Glucose and insulin tolerance were explicitly not evaluated in this study.
Inspection history

Clinical review: not reviewed by a qualified clinician.

· Supporting passages inspected, scope corrected and legacy assertions reassessed; no clinician review performed.

· Independently re-obtained the full text on 2026-09-09 via PMC BioC after the original SAGE URL returned HTTP 403 on retry; identified and added the aromatase-inhibitor/tamoxifen confound in 7 of 14 men, which the prior wording did not mention.

What remains unresolved

Editorial assessment

These notes describe the scope of this review. Linked PMIDs are audit identifiers; an identifier alone does not verify a claim.

Verified historical Geref indications, approval withdrawal and FDA’s later not-for-safety/effectiveness determination.

  • Current compounded-product equivalence and healthy-user anti-aging efficacy remain unverified.
  • Other inherited assertions not supported by the published claim set remain unverified; no qualified clinician review has occurred.

This reference does not supply a dosing plan, monitoring timetable or recovery regimen. Discuss personal symptoms, medicines and laboratory results with a qualified clinician.

Explore the interaction evidence for this compound →

References

  1. FDA determination concerning discontinued GEREF (sermorelin) products

    US Food and Drug Administration. Federal Register, Vol. 78, No. 42 (Monday, March 4, 2013), p. 14096; Docket No. FDA-2012-P-1071. 2013-03-04. Regulatory document.

    Inspected location: Federal Register Vol. 78, No. 42, p. 14096 (PDF p.2): NDA numbers, initial approval dates, indications, discontinuation letters (2008), May 19, 2009 withdrawal notice (74 FR 23407) effective June 18, 2009, citizen petition, and FDA's determination that both GEREF products were not withdrawn for reasons of safety or effectiveness

    Study context and inspection record
  2. Growth Hormone Secretagogue Treatment in Hypogonadal Men Raises Serum Insulin-Like Growth Factor-1 Levels

    2017. DOI:10.1177/1557988317718662 · PMCID:PMC5675260 · PMID:28830317 Full text inspected.

    Inspected location: Abstract; Methods Patient Cohort (105 screened, 14 met inclusion, 3+4 also on an aromatase inhibitor and/or tamoxifen); Results and Table 2; Discussion limitations on unmeasured insulin tolerance/fasting glucose and prospective design

    Study context and inspection record

Source inspection and clinical review are separate. An abstract check is not a full-text review. The records above identify what was actually inspected and do not certify the complete literature.

Recorded verification attempts
  • peptide-geref-withdrawal-2013: Federal Register notice: product strengths/indications, withdrawal history and FDA determination

View this compound in the research library →

Related records in this class

Grouped under Peptides for navigation only. Shared class membership does not make findings, formulations or evidence interchangeable between records.

StackItSmart

Age confirmation

This reference discusses steroids, SARMs and other compounds. It is educational, not medical advice, and does not recommend using or combining them.

Your confirmation is saved in this browser when storage is available.