AOD-9604 vs HGH Fragment 176-191
AOD-9604 and HGH Fragment 176-191 are closely related synthetic peptides from the C-terminal end of human growth hormone, and the names are sometimes used interchangeably 1. AOD-9604 is described as hGH residues 177-191 with an extra tyrosine at the N-terminus, whereas the PubChem record for HGH Fragment 176-191 begins with phenylalanine 2,3,4. Neither has an FDA-approved application, and WADA names both as prohibited growth hormone fragments 5,6,7.


Side by side
| Field | AOD-9604 | HGH Fragment 176-191 |
|---|---|---|
| Class | Synthetic C-terminal fragment analogue of human growth hormone 2 | Synthetic C-terminal fragment of human growth hormone (residues 176-191) 8 |
| Origin and structure | hGH 177-191 with an additional N-terminal tyrosine; PubChem formula C78H123N23O23S2 2,3 | PubChem record (acetate form) with an N-terminal phenylalanine and formula C80H127N23O24S2 including acetic acid 4; the shared 177-191 sequence is Leu-Arg-Ile-Val-Gln-Cys-Arg-Val-Ser-Glu-Gly-Ser-Cys-Gly-Phe 9 |
| Proposed mechanism | In obese mice (animal data), reduced body weight and fat and raised beta-3 adrenergic receptor expression, though its lipolytic action was not mediated directly through that receptor 10; reported to show no GH receptor binding in vitro 1 | In 1970s rat studies (animal data), hGH 176-191 produced a short-lived rise in blood glucose and a more sustained rise in insulin 8; the 177-191 sequence showed antilipogenic but not lipolytic activity in rat fat tissue 9 |
| Half-life | Not reported in human trials, according to a 2026 review 1; a stable metabolite was identified in serum in vitro 2 | Not located in the sources reviewed |
| Highest human trial phase | Phase 2 (sponsor-reported); phase IIa trials were under way by 2002 1,11; no ClinicalTrials.gov records found 12 | No human trials located; no ClinicalTrials.gov records found 13 |
| FDA status | Not approved; no Drugs@FDA record as of 24 October 2026 5; listed by FDA among bulk substances previously in compounding category 2 whose nominations were withdrawn, citing immunogenicity and limited safety information (content current 22 April 2026) 14 | Not approved; no Drugs@FDA record as of 24 October 2026 6; not named on FDA's category 2 page or the 503A nominations list reviewed 14,15 |
| Published human outcomes | A 24-week oral study (502 randomized) did not show a significant effect on its primary body-weight endpoint; a 2026 review notes this rests mainly on sponsor-reported outcomes 1 | None located |
| Safety signals | FDA notes serious adverse events that may be associated with AOD-9604, though causality is not clear 14; in obese rats it did not impair insulin sensitivity, unlike intact hGH (animal data) 16 | No human safety data located; in rats, fragments containing residues 178-191 reduced insulin sensitivity (animal data) 8 |
| WADA status | Named in S2.2.3 as a growth hormone fragment; prohibited at all times; non-specified 7 | Named in S2.2.3 as a growth hormone fragment ("hGH 176-191"); prohibited at all times; non-specified 7 |
| Who funded the evidence | Human programme developed by Metabolic Pharmaceuticals, with efficacy conclusions based on sponsor reports 1,11; funders of animal studies not located | Not located in the sources reviewed |
AOD-9604: what the data says
AOD-9604 was developed as a candidate obesity drug intended to keep growth hormone's fat-metabolism effects without its growth effects 1.
- In obese mice (animal data), longer-term treatment reduced body weight and body fat, and in an acute experiment raised energy expenditure and fat oxidation even in mice lacking the beta-3 adrenergic receptor 10.
- In obese Zucker rats (animal data), oral treatment reduced body-weight gain by more than half compared with controls, without the loss of insulin sensitivity seen with intact hGH 16.
- In humans, a 2026 review reports that a 24-week oral study did not show a significant effect on the primary body-weight endpoint, and rates the human evidence as limited 1.
- Claims about joint or cartilage repair rest mainly on a rabbit osteoarthritis model (animal data) 1.
HGH Fragment 176-191: what the data says
Published work on the 176-191 fragment itself is sparse and mostly preclinical 8,17.
- In normal rats (animal data), synthetic hGH 176-191 caused a short-lived rise in blood glucose and a sustained rise in plasma insulin 8.
- In MCF-7 breast cancer cells (cell data), adding the fragment to doxorubicin-loaded chitosan nanoparticles increased antiproliferative activity compared with doxorubicin nanoparticles alone 17.
- No registered or published human trials of hGH 176-191 were located 13.
Key research differences
- N-terminal residue: AOD-9604 carries tyrosine before the 177-191 sequence, while the PubChem record for HGH Fragment 176-191 carries phenylalanine 2,3,4.
- Human testing: AOD-9604 reached sponsor-run phase 2 trials, whereas no human trials of hGH 176-191 were located 1,11,13.
- Glucose findings in rats: hGH 176-191 raised blood glucose and insulin in a 1978 study, whereas AOD-9604 did not impair insulin sensitivity in a 2000 study; the designs differed (animal data) 8,16.
- FDA compounding review: FDA's category 2 page names AOD-9604 (in its withdrawn-nominations list), but not hGH 176-191 14.
- Anti-doping: no difference; WADA's 2026 List names both as growth hormone fragments under S2.2.3 7.
Where the evidence is limited
There is no head-to-head study of the two peptides in any model. Most data are from rats, mice or cells, and the only human efficacy data for AOD-9604 are described as sponsor-reported rather than peer-reviewed 1,8,10. Because the names are used loosely, products and papers labelled with either name may not contain the same molecule 1.
Frequently asked questions
Are AOD-9604 and HGH Fragment 176-191 the same thing?
Have AOD-9604 or HGH Fragment 176-191 been tested in humans?
Are they banned in sport?
References
- The emerging landscape of performance-enhancing peptides modulating GH-IGF1 axis: bridging the gap between clinical evidence and patient self-administration (full text) Front Endocrinol (Lausanne). 2026
- Detection and in vitro metabolism of AOD9604 Drug Test Anal. 2015
- PubChem compound record for AOD-9604 (CID 71300630): molecular formula C78H123N23O23S2, IUPAC name and synonyms PubChem. 2026
- PubChem compound record for HGH Fragment 176-191 (CID 172966176, acetate): molecular formula C80H127N23O24S2 and IUPAC name PubChem. 2026
- Drugs@FDA application data queried through openFDA for AOD-9604 (no matching application record returned on 24 October 2026) openFDA / Drugs@FDA. 2026
- Drugs@FDA application data queried through openFDA for "hGH 176-191" (no matching application record returned on 24 October 2026) openFDA / Drugs@FDA. 2026
- The 2026 Prohibited List - World Anti-Doping Code, as published in the Netherlands Treaty Series (Tractatenblad 2026, 25; Council of Europe Anti-Doping Convention appendix, in force 1 January 2026) Tractatenblad (Official Publications of the Kingdom of the Netherlands). 2026
- Hyperglycemic action of synthetic C-terminal fragments of human growth hormone Am J Physiol. 1978
- Antilipogenic action of synthetic C-terminal sequence 177-191 of human growth hormone Biochem Mol Biol Int. 1993
- The effects of human GH and its lipolytic fragment (AOD9604) on lipid metabolism following chronic treatment in obese mice and beta(3)-AR knock-out mice Endocrinology. 2001
- AOD-9604 Metabolic Curr Opin Investig Drugs. 2004
- ClinicalTrials.gov registry search for AOD9604 OR AOD-9604 as intervention (0 records; retrieved 24 October 2026) ClinicalTrials.gov. 2026
- ClinicalTrials.gov registry search for growth hormone fragment 176-191 as intervention (0 records; retrieved 24 October 2026) ClinicalTrials.gov. 2026
- Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks (content current as of 04/22/2026) FDA (Human Drug Compounding). 2026
- Bulk Drug Substances Nominated for Use in Compounding Under Section 503A of the FD&C Act (updated May 14, 2026) FDA. 2026
- Metabolic studies of a synthetic lipolytic domain (AOD9604) of human growth hormone Horm Res. 2000
- Human Growth Hormone Fragment 176-191 Peptide Enhances the Toxicity of Doxorubicin-Loaded Chitosan Nanoparticles Against MCF-7 Breast Cancer Cells Drug Des Devel Ther. 2022
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