A-Z Peptide Encyclopedia: Every Peptide, Graded by Evidence
The complete alphabetical directory of every peptide in the PeptideVox library — each with its class, highest-confidence evidence grade, and a plain-language summary that keeps human trial data strictly separate from animal, in-vitro and anecdote.
This is the complete alphabetical directory of every peptide monograph in the PeptideVox library — 113 entries, each tagged with a class, a plain-language summary, and an evidence grade from A to D. The organizing principle is simple and non-negotiable: human trial evidence is always kept separate from animal, in-vitro, and anecdote.13
The word "peptide" now covers everything from insulin and the GLP-1 blockbusters to unregulated research chemicals sold in gray-market vials. Lumping them together is how bad decisions get made. This index exists to keep them apart — to let you find any compound quickly and immediately see how strong (or weak) the human evidence for it actually is. Every entry links to a full monograph with indication-by-indication grading, dosing as reported in the literature, safety, and regulatory and anti-doping status.
This article is informational and editorial content only. It is not medical advice, not a protocol, and not a sourcing or buying guide. Many compounds listed here are not FDA-approved for human use, and several are sold only as "research chemicals, not for human consumption." Dosing figures in the monographs are reported strictly as they appear in the published literature. Consult a licensed clinician before any health decision.
How is every peptide graded?
Each efficacy claim carries an evidence grade, and the grade reflects the best-supported indication for that compound. The four tiers are deliberately strict, and they never let preclinical enthusiasm inflate into a human recommendation.
| Grade | What supports it | Confidence |
|---|---|---|
| A | Human randomized controlled trials and/or meta-analyses / systematic reviews | Highest |
| B | Human evidence below RCT level: cohort, observational, small, open-label, single-arm, or Phase 1-2 trials | Moderate |
| C | Preclinical only: animal and/or in-vitro evidence, no qualifying human efficacy data | Low for human use |
| D | Anecdotal, expert-opinion, mechanistic-only, or marketing claim with no controlled evidence | Lowest (unproven) |
Two nuances matter throughout. First, the same molecule often carries a high grade for its approved use and a much lower grade for its popularized off-label use — a compound can be Grade A for one thing and Grade D for another. Second, several agents are graded A (negative): a large trial answered the question definitively, and the answer was that it does not work. AOD-9604 failed weight loss across six RCTs enrolling 893 people,9 and the oral secretagogue MK-677 reliably raises growth hormone and lean mass yet produced no benefit on strength, fracture recovery, or Alzheimer's over two years.10 This library is written from a functional and integrative, root-cause perspective, but that lens shapes only tone and emphasis — it never overrides or invents a sourced fact.14
Which peptides have the strongest evidence?
The Grade-A tier is dominated by approved metabolic and hormonal therapeutics. The GLP-1 and incretin family is the clearest example: semaglutide, liraglutide, dulaglutide, exenatide and lixisenatide are all supported by large Phase 3 programs, and the newer multi-agonists have pushed efficacy higher still. Tirzepatide, a dual GIP/GLP-1 co-agonist, beat semaglutide head-to-head in SURPASS-2,4 while the fixed-dose amylin-plus-GLP-1 combination CagriSema delivered roughly 22.7% mean weight reduction in REDEFINE-1.2 The GLP-1/glucagon dual agonists mazdutide5 and survodutide,6 and the amylin analog cagrilintide,3 all cleared Phase 3 or large placebo-controlled trials.
Beyond metabolism, the bone-anabolic PTH analogs teriparatide and abaloparatide reduce fractures in high-risk osteoporosis — the ACTIVE trial cut new vertebral fractures roughly 86% versus placebo.1 Among the melanocortins, afamelanotide is approved for photoprotection in erythropoietic protoporphyria,7 and bremelanotide (PT-141) is approved for hypoactive sexual desire disorder on two pivotal RCTs.8 Reproductive hormones (oxytocin, carbetocin, gonadotropins, hCG) and core metabolic peptides (insulin, glucagon, pramlintide,18 teduglutide) complete the strongly evidenced group. You can browse the full grading logic and the complete alphabetical roster of these compounds on the ClinicalTrials.gov registry, which underpins most of the Grade-A entries.
Which peptides are preclinical or unproven?
Most of the peptides that dominate fitness and longevity marketing sit at the bottom of the scale. The tissue-repair favorites BPC-157 and TB-500 have deep, internally consistent animal data but no completed human RCT, so they are graded C (preclinical only).13 The Pentadeca Arginate entries are graded D as distinct named products — a PubMed search for the term returns zero results — and only borrow BPC-157's rodent base to reach C at best. The Khavinson "bioregulators" and cytogens (epitalon, pinealon, cortagen, livagen, vilon, bronchogen, chonluten, cardiogen) rest on rodent and in-vitro work from a single research lineage, earning C for mechanism and D for human claims.17
The mitochondrial-derived peptides humanin, MOTS-c and the SHLP family are preclinical only, with human data limited to observational biomarker correlations rather than any intervention. The IGF-1 and growth-factor group (IGF-1 DES, IGF-1 LR3, MGF, PEG-MGF, HGH Fragment 176-191) is animal-and-in-vitro for anabolism and D for human physique claims. Even where a compound reached humans, the result is often a warning rather than an endorsement: the fat-targeting peptidomimetic adipotide produced dramatic weight loss in obese monkeys but its only human oncology trial was terminated at four patients with no results,16 and the NNMT inhibitor 5-Amino-1MQ has zero human trials despite its longevity marketing.15
A high evidence grade generally tracks with FDA approval and known safety; a low grade usually means an unapproved compound sold as a research chemical. But even Grade-A does not equal harmless — the ICU glutamine trial REDOXS found a mortality signal at high doses,12 and several strongly studied nootropic mixtures like cerebrolysin are Grade A in volume of evidence yet null-to-negative in independent Cochrane review.11 Grade tells you how well a question was answered, not that the answer is favorable.
How is the encyclopedia organized by class?
Beyond the A-to-Z list, every entry is cross-grouped by mechanism so you can compare like with like. The major families are GLP-1 and incretin agonists; the amylin and calcitonin family; growth-hormone secretagogues split into GHRH analogs (sermorelin, tesamorelin, the CJC-1295 variants) and GHRP ghrelin-receptor agonists (GHRP-2, GHRP-6, hexarelin, ipamorelin); the IGF-1 and growth-factor group; bone-anabolic PTH and PTHrP analogs; the melanocortins; the thymic and immune peptides; the Khavinson bioregulators; the mitochondrial-derived and longevity peptides; the tissue-repair and regenerative peptides; the cosmetic matrikines and topical neuromodulators; the reproductive and neuroendocrine peptides; the nootropic neuropeptides; and smaller clusters for antimicrobial, gut-barrier, antioxidant, and vasoactive peptides.
A separate group flags the non-peptide compounds included for completeness — 5-Amino-1MQ, MK-677, orforglipron, tesofensine,20 SLU-PP-332, pentosan polysulfate, and the biological mixtures actovegin and cerebrolysin — so no reader mistakes a small molecule or an extract for a defined peptide. The class view is where the evidence gradient becomes vivid: an entire tier of FDA-approved Grade-A agents sits alongside families where every human claim is still Grade C or D.
Bottom line. Use this index as a map, not a menu. It tells you what exists, what class it belongs to, and how strong the human evidence is — then hands you to a full monograph for the detail. The single most useful habit it encourages is the one it is built on: never confuse a compelling animal study, or a confident marketing page, with a completed human trial. Evidence grades reflect the best-supported indication per compound and are current as of June 2026; re-verify any regulatory or trial status before relying on it.
References
| # | Source | Type |
|---|---|---|
| 1 | Miller PD, et al. "Effect of Abaloparatide vs Placebo on New Vertebral Fractures in Postmenopausal Women With Osteoporosis (ACTIVE)." JAMA 2016. jamanetwork.com | RCT |
| 2 | Garvey WT, et al. CagriSema 2.4 mg / 2.4 mg — REDEFINE-1, ~22.7% mean weight reduction. NEJM 2025. prnewswire.com | RCT |
| 3 | Lau DCW, et al. "Once-weekly cagrilintide for weight management in people with overweight and obesity." Lancet 2021. pubmed.ncbi.nlm.nih.gov/34798060 | RCT |
| 4 | Marso SP, et al. SURPASS-2 — tirzepatide versus semaglutide in type 2 diabetes. NEJM 2021. pubmed.ncbi.nlm.nih.gov/34170647 | RCT |
| 5 | Ji L, et al. Mazdutide (GLP-1/glucagon dual agonist) Phase 3 for weight management and T2D. NEJM 2025. nejm.org | RCT |
| 6 | Sanyal AJ, et al. "Survodutide for MASH with fibrosis." NEJM 2024. nejm.org | RCT |
| 7 | Langendonk JG, et al. "Afamelanotide for Erythropoietic Protoporphyria." NEJM 2015. pmc.ncbi.nlm.nih.gov/articles/PMC4780255 | RCT |
| 8 | Kingsberg SA, et al. "Bremelanotide for Hypoactive Sexual Desire Disorder (RECONNECT)." Obstet Gynecol 2019. pmc.ncbi.nlm.nih.gov/articles/PMC6819021 | RCT |
| 9 | Stier H, et al. "Safety and Tolerability of AOD-9604 for weight loss" — 6 RCTs, n=893, failed to beat placebo. J Obes Weight Loss Ther 2013. jofem.org | RCT |
| 10 | Nass R, et al. "Effects of an oral ghrelin mimetic (MK-677) on body composition" — 2-year RCT, null on functional endpoints. 2008. pubmed.ncbi.nlm.nih.gov/18981485 | RCT |
| 11 | Cochrane review CD007026 — Cerebrolysin for acute ischaemic stroke, null-to-negative. 2023. pmc.ncbi.nlm.nih.gov/articles/PMC10565895 | Review |
| 12 | Heyland D, et al. "A Randomized Trial of Glutamine and Antioxidants in Critically Ill Patients (REDOXS)" — mortality signal. NEJM 2013. pubmed.ncbi.nlm.nih.gov/23594003 | RCT |
| 13 | Józwiak M, et al. "Multifunctionality and Possible Medical Application of the BPC 157 Peptide." Pharmaceuticals 2025. pmc.ncbi.nlm.nih.gov/articles/PMC11859134 | Animal |
| 14 | WADA Prohibited List — category S0 non-approved substances and peptide hormones. wada-ama.org | Regulatory |
| 15 | Neelakantan H, et al. "Selective and membrane-permeable small-molecule inhibitors of NNMT (5-Amino-1MQ)." Biochem Pharmacol 2018. pmc.ncbi.nlm.nih.gov/articles/PMC5826726 | Review |
| 16 | Barnhart KF, et al. "A peptidomimetic targeting white fat causes weight loss and improved insulin resistance in obese monkeys (Adipotide/FTPP)." Sci Transl Med 2011. pmc.ncbi.nlm.nih.gov/articles/PMC3666164 | Animal |
| 17 | Korkushko OV, et al. "Peptide geroprotector Epithalamin: effect on melatonin and mortality in elderly cohorts." Bull Exp Biol Med 2011 / 2006 (PMID 17426848). pubmed.ncbi.nlm.nih.gov/17426848 | |
| 18 | U.S. FDA. SYMLIN (pramlintide) prescribing information, 2015. accessdata.fda.gov | Regulatory |
| 19 | ClinicalTrials.gov NCT01262664 — Adipotide oncology trial, terminated at 4 patients with no results. clinicaltrials.gov/study/NCT01262664 | Regulatory |
| 20 | Astrup A, et al. "Effect of tesofensine on bodyweight loss, body composition, and quality of life in obese patients." Lancet 2008 (PMID 19010247). pubmed.ncbi.nlm.nih.gov/19010247 | RCT |
Frequently Asked
Common questions · evidence-graded answersHow does PeptideVox grade peptide evidence?
Every efficacy claim is tagged for evidence strength on a four-point scale, and human trial evidence is always kept separate from animal, in-vitro and anecdotal data. Grade A means human randomized controlled trials or meta-analyses support the claim (highest confidence). Grade B is human evidence below RCT level — cohort, observational, small open-label, single-arm, or early-phase trials. Grade C is preclinical only: animal and/or in-vitro data with no qualifying human efficacy evidence. Grade D is anecdotal, expert-opinion, mechanistic-only, or marketing claims with no controlled evidence, flagged as unproven. Grades reflect the best-supported indication, so the same compound can carry lower grades for its popularized off-label uses.
What does an A (negative) grade mean?
An A (negative) grade means a large, well-powered human randomized controlled trial answered the efficacy question — and the answer was that the compound does not work for that use. It is still Grade A because the quality of evidence is high; the direction is simply unfavorable. AOD-9604 is a clear example: six RCTs enrolling 893 people failed to beat placebo for weight loss. Ipamorelin earned A (negative) for postoperative ileus after a failed RCT, and MK-677 raises growth hormone and lean mass but was null on the clinically meaningful endpoints of strength, fracture recovery and Alzheimer's. These entries are important precisely because good data closed the question.
Which peptide classes have the strongest human evidence?
The GLP-1 and incretin family dominates the Grade-A tier: semaglutide, liraglutide, dulaglutide, exenatide, lixisenatide, plus the dual and triple agonists tirzepatide, retatrutide, mazdutide and survodutide, all supported by large Phase 3 trials. Bone-anabolic PTH analogs teriparatide and abaloparatide are Grade A for fracture reduction. Several melanocortins reach A for approved uses — afamelanotide for erythropoietic protoporphyria and bremelanotide for hypoactive sexual desire disorder. Reproductive hormones such as oxytocin, gonadotropins and hCG, and metabolic peptides like insulin, glucagon, pramlintide and teduglutide, round out the strongly evidenced group. These are FDA-approved therapeutics, not research chemicals.
Which peptides have the weakest evidence?
The lowest-graded entries cluster in a few families. The Khavinson bioregulators and cytogens — epitalon, pinealon, cortagen, livagen, vilon, bronchogen, chonluten, cardiogen — rest almost entirely on rodent and in-vitro work from a single research lineage, earning C for mechanism and D for human claims. Mitochondrial-derived peptides such as humanin, MOTS-c and SHLP are preclinical only, with human data limited to biomarker correlations. Most popular research-chemical repair and growth peptides — IGF-1 LR3, MGF, PEG-MGF, KPV, and the Pentadeca Arginate entries (which have zero studies under their own name) — are C at best, or D where marketing outruns any data.
Are all the compounds in this index actually peptides?
No, and the index flags the exceptions for completeness. A handful of closely grouped non-peptide compounds are included because they occupy the same conversations and use categories as true peptides. Examples include 5-Amino-1MQ (a small-molecule NNMT inhibitor), MK-677 or ibutamoren (an oral growth-hormone secretagogue), orforglipron (a small-molecule oral GLP-1 agonist), tesofensine (a triple monoamine reuptake inhibitor), SLU-PP-332 (an ERR agonist), and pentosan polysulfate (a sulfated polysaccharide). Actovegin and cerebrolysin are complex biological mixtures rather than single peptides. Each is labeled as non-peptide in its entry so readers are never misled about its chemical class.
Does a listing here mean a peptide is safe or legal to use?
No. This index is informational and editorial only — it is not medical advice, not a protocol, and not a sourcing or buying guide. Many listed compounds are not FDA-approved for human use, and several are sold strictly as research chemicals not for human consumption. Doses and routes reported in the monographs appear exactly as published in the literature, for completeness, never as guidance to obtain or use anything. A number of these peptides are also prohibited in sport under the World Anti-Doping Agency's rules at all times. Always consult a licensed clinician before making any health decision.
PeptideVox is an evidence reference, not medical advice. Nothing here authorizes you to acquire, possess, or self-administer any compound.
This content is for informational and educational purposes only · No physician–patient relationship is created · Evidence grades reflect published data as of the stated revision and may change.