Open data
The peptides in FDA's compounding review
On April 22, 2026 the FDA took 12 peptides off Category 2, its list of compounding safety risks, and sent them to its advisers. The July panel backed 6 of 7 for compounding; 5 wait for the next one. Here is what actually backs the doses people take of each.
Data as of . Part of the Peptide Evidence Index. License CC BY 4.0.
7 of 12
9.6%
7 of 12
13 of 129
One row per peptide
A dose protocol counts as “from a study” only when every source behind it is a study or a regulator, so that column is a floor.
| Peptide | Vote | Human evidence | Animal only | Dose protocols | From a study | Guides | Community |
|---|---|---|---|---|---|---|---|
| July 2026 panel (7)Voted on July 23-24, 2026. Advisory only; FDA still has to write a rule. | |||||||
| BPC-157 | Backed by advisers8 to 6, 1 abstaining | Limited human data | No | 23 | 0 | 20 | 3 |
| KPV | Backed by advisers8 to 6, 1 abstaining | Animal data only | Yes | 18 | 0 | 18 | 0 |
| TB-500 | Backed by advisers8 to 6, 1 abstaining | Animal data only | Yes | 19 | 0 | 16 | 3 |
| MOTS-c | Backed by advisers | Animal data only | Yes | 16 | 0 | 9 | 7 |
| Epitalon | Backed by advisers | Limited human data | No | 23 | 3 | 14 | 6 |
| Semax | Backed by advisers | Limited human data | No | 30 | 10 | 16 | 4 |
| DSIP | Turned down6 to 7, 1 abstaining | Limited human data | No | 20 | 2 | 11 | 7 |
| Next panel (5)Expected before the end of February 2027. FDA has not set a date. | |||||||
| GHK-Cu | Not voted yet | Limited human data | No | 11 | 0 | 11 | 0 |
| LL-37 | Not voted yet | Limited human data | No | 18 | 3 | 12 | 3 |
| Dihexa | Not voted yet | Animal data only | Yes | 8 | 0 | 2 | 6 |
| Melanotan II | Not voted yet | Limited human data | No | 12 | 2 | 5 | 5 |
| PEG-MGF | Not voted yet | Animal data only | Yes | 10 | 0 | 5 | 5 |
| Total (12 peptides) | 7 with human data | 5 animal only | 208 | 20 | 139 | 49 | |
Where each peptide's dose protocols come from
Dose protocols per peptide, by the weakest origin among their sources. All bars share one scale.
- Study or regulator
- Guides
- Community
- BPC-157Backed by advisers
- KPVBacked by advisers
- TB-500Backed by advisers
- MOTS-cBacked by advisers
- EpitalonBacked by advisers
- SemaxBacked by advisers
- DSIPTurned down
- GHK-CuNot voted yet
- LL-37Not voted yet
- DihexaNot voted yet
- Melanotan IINot voted yet
- PEG-MGFNot voted yet
How we got here
Every date links to the source we read.
FDA lists them as compounding safety risks
FDA's 503A list update puts BPC-157, the TB-500 fragment, DSIP, injectable GHK-Cu and others in Category 2: substances that may raise significant safety risks, so pharmacies stop compounding them.
Source: FDA
FDA removes all 12 from Category 2
Their compounding nominations were withdrawn, so FDA took them off the safety-risk list (announced April 15) and named an advisory review. Leaving the list did not make any of them legal to compound.
Sources: FDA, Holland & Knight
FDA staff advise against all seven on the July agenda
Staff recommendations cite missing clinical data, batch-to-batch quality and immune reactions.
Sources: Holland & Knight, ABC News
July panel backs six of seven
The Pharmacy Compounding Advisory Committee recommends BPC-157, KPV, TB-500, MOTS-c, epitalon and Semax for the 503A bulks list and turns down DSIP. The vote is advisory; FDA still has to write a rule.
Sources: FDA, STAT, ABC News, Holland & Knight
Interim peptide policy goes to the White House
HHS and FDA send the "Interim Access Policy for Compounding Using Certain Peptides" to the Office of Management and Budget. It has not been issued.
Source: Holland & Knight
(expected)
Next panel expected
GHK-Cu, LL-37, Dihexa, Melanotan II and PEG-MGF go to a second advisory meeting. FDA has not set a date; it is expected before the end of February 2027.
Source: Holland & Knight
How it is counted
Which peptides: the 12 FDA took off Category 2 on April 22, 2026 and sent to its Pharmacy Compounding Advisory Committee: 7 on the July 2026 panel, 5 on the next. Vote tallies are shown only where a source we read prints them.
Human evidence is the strongest level any source shows: none, limited, some or strong human trials. “Animal only” means the evidence is animal or cell studies alone.
Dose protocols take the weakest origin among their sources. A dose cited to a trial and to a forum counts as community. Reference works count with guides, media with community.
Every number on this page is computed in code from the same records that build our peptide pages; no model writes one. Full rules on the methodology page, and the whole dataset is free to download.
Licensed CC BY 4.0. Reuse any number, including in commercial work. Credit “TruePeptideSource” and link to this page.
Cite this dataset
TruePeptideSource. (2026). The peptides in FDA's compounding review (Peptide Evidence Index, version 2026-10-24) [Data set]. https://truepeptidesource.com/data/category-2