Ghrelin Mimetics Compared: GHRP-2, GHRP-6, Hexarelin, Ipamorelin

Compare GHRP-2, GHRP-6, hexarelin, and ipamorelin as GHSR ligands: shared receptor, ACTH/cortisol, food intake, and what human studies measured.

GHRP-6, GHRP-2, hexarelin, and ipamorelin are synthetic ghrelin-receptor (GHSR) ligands. They are not GHRH analogs. They are not four doses of one hexapeptide.

This page is a class comparison. The pairwise GHRP-2 versus GHRP-6 receptor and second-messenger data live on GHRP-2 vs GHRP-6. Ipamorelin versus a GHRH analog lives on Ipamorelin vs CJC-1295. What is missing from those pair pages, and is the search intent here, is hexarelin plus ACTH/cortisol/PRL selectivity across the GHSR series.

Research notice: These peptides are discussed for laboratory research only. They are not approved for human consumption, medical treatment, or diagnosis.

At a glance

ParameterGHRP-6GHRP-2HexarelinIpamorelin
ClassHexapeptide GHRPHexapeptide GHRPHexapeptide GHRP (2-methyl-Trp analog)Pentapeptide GHRP-class secretagogue
Published sequence notesHis-D-Trp-Ala-Trp-D-Phe-Lys-NH2 (Bowers 1990)Hexapeptide analog in the same seriesHis-D-2-methyl-Trp-Ala-Trp-D-Phe-Lys-NH2 (Deghenghi; Imbimbo)Aib-His-D-2-Nal-D-Phe-Lys-NH2 (Raun)
Receptor familyGHSR / GHRP-likeGHSR / GHRP-likeGHSR / GHRP-likeGHSR / GHRP-like
Human GHBowers 1990 men, synergy with GHRHSame class; Arvat 1997 vs hexarelinGhigo 1994 routes; Imbimbo 1994 dose-responseGobburu 1999 IV PK/PD
ACTH/cortisolRaised in swine (Raun); ~2-fold cortisol at highest IV dose in Bowers menRaised in swine (Raun); similar to hexarelin in Arvat menDose-related in Massoud men; similar to CRH in Ghigo 1997 healthy subjectsNot above GHRH-like levels in Raun swine
Human food intake RCT citedNot cited hereLaferrere 2005, 2006Not cited hereNot cited here
FDA-approved productNoNoNoNo

Receptor targets

Howard et al. cloned a pituitary and hypothalamus receptor that functions in GH release. Kojima et al. identified ghrelin as the endogenous acylated GH-releasing peptide from stomach.

GHRP-6 is the hexapeptide Bowers et al. used to show GH release in 18 normal men and synergy with GHRH-(1-44)-NH2.

GHRP-2 is a later hexapeptide in the same chemical class. Cheng et al. (PMID 9096259) concluded that, in rat primary pituitary cells, GHRP-2 and GHRP-6 share receptor and mechanism: no additive GH at maximal concentrations, cross-desensitization, GHRP antagonist block. Wu et al. (PMID 8699133) showed species splits on cAMP. That pairwise detail is on GHRP-2 vs GHRP-6, not repeated here.

Hexarelin substitutes 2-methyl-Trp into the GHRP-6 backbone. Deghenghi et al. reported GH-releasing activity in infant and adult rats, similar to GHRP-6 after IV doses, slightly more effective after subcutaneous administration in that model.

Ipamorelin was characterized by Raun et al. as the first selective GH secretagogue in its series. In rat pituitary cells it released GH with potency similar to GHRP-6. GHRP and GHRH antagonists showed it acts via a GHRP-like receptor, not by mimicking GHRH.

They compete at the same receptor family. Cheng's rat-cell result (no additive max effect of GHRP-2 plus GHRP-6) is a reason not to treat two GHRPs as independent GH channels. It is a cell-system result, not a human stacking protocol.

Development and regulatory status

None of the four is an FDA-approved drug in the sources cited. Human papers below are healthy-volunteer GH-release, ACTH/cortisol/PRL, PK/PD, or (for GHRP-2) food-intake pharmacology.

What published research has studied

GHRP-6 in men (Bowers 1990)

IV bolus GHRP (His-D-Trp-Ala-Trp-D-Phe-Lys-NH2) in 18 normal men, alone and with GHRH. Mean peak serum GH after placebo and three GHRP dose levels was 1.2, 7.6, 16.5, and 68.7 micrograms/L. Submaximal GHRP plus GHRH stimulated GH synergistically. At the highest GHRP dose, serum PRL and cortisol rose about 2-fold; LH and TSH did not change over the first hour.

Those IV amounts are trial methods, not a use protocol.

GHRP-2 food intake (Laferrere)

Laferrere, Abraham, Russell et al. (2005) reported that GHRP-2, like ghrelin, increased food intake in healthy men. Laferrere, Hart, and Bowers (2006) reported that obese subjects also increased food intake after GHRP-2. That is GHRP-2, not a verified GHRP-6, hexarelin, or ipamorelin human meal RCT in the sources below.

Hexarelin: routes, dose-response, ACTH/cortisol

Ghigo et al. (1994) gave hexarelin IV, subcutaneous, intranasal, and oral to 12 healthy young volunteers versus saline and GHRH 1 microgram/kg IV. GH AUC after 1 microgram/kg IV hexarelin was about twice GHRH at the same IV amount (3175 versus 1544 micrograms/min.L). Subcutaneous bioavailability versus IV was 77.0%. Intranasal 4.8%. Oral 0.3%.

Imbimbo et al. (1994) gave IV hexarelin 0.5, 1, and 2 micrograms/kg to 12 healthy men. GH peaked at about 30 minutes and returned toward baseline within 240 minutes; they reported a GH half-life of about 55 minutes after those peaks. That is the GH decay, not a measured hexarelin plasma half-life.

Massoud, Hindmarsh, and Brook (1996) constructed IV hexarelin dose-response curves in healthy adult men. GH ED50 was 0.48 microgram/kg. PRL rose with dose (plateau about 180% of baseline; ED50 0.39 microgram/kg). Cortisol showed a step increase of about 40% at 0.5 microgram/kg. Low-dose hexarelin (0.125 microgram/kg) plus GHRH-(1-29)-NH2 (1.0 microgram/kg) produced large GH release with a moderate PRL rise and no cortisol rise in that experiment.

Ghigo, Arvat, Ramunni et al. (1997) compared hexarelin 2.0 micrograms/kg IV with human CRH in healthy subjects and in Cushing syndrome. In healthy subjects, hexarelin raised ACTH (peak 32.4 versus baseline 16.3 pg/mL) and cortisol (135.9 versus 110.0 micrograms/L), similar to CRH. In Cushing disease the hexarelin ACTH/cortisol responses were larger than CRH. In adrenal or ectopic Cushing, neither peptide changed ACTH or cortisol.

GHRP-2 versus hexarelin in men (Arvat 1997)

In six young adults, 1 and 2 micrograms/kg IV GHRP-2 and hexarelin produced similar strong GH responses, both higher than GHRH 1 microgram/kg. PRL, ACTH, and cortisol also rose; PRL rises were lower than after TRH, and ACTH/cortisol rises were similar to CRH. The authors concluded GHRP-2 and hexarelin are not fully GH-specific. In six elderly subjects, GH responses to 2 micrograms/kg of either peptide were lower than in the young.

Ipamorelin

Raun et al.: rat pituitary, anesthetized rats, and conscious swine. GH comparable to GHRP-6. In swine, GHRP-6 and GHRP-2 raised ACTH and cortisol; ipamorelin did not above GHRH-like levels. FSH, LH, prolactin, and TSH were unchanged for the secretagogues tested.

Gobburu et al. infused ipamorelin over 15 minutes in healthy men. Terminal half-life 2 hours. GH showed a single episode peaking at 0.67 hours. SC50 214 nmol/L. Infusion rates are study methods, not a protocol.

What is not claimed here

  • A human hunger ranking of GHRP-6 versus hexarelin versus ipamorelin. Only GHRP-2 has the Laferrere meal papers among these four.
  • Hexarelin "7-8 times baseline GH" as a class ranking. Cite Ghigo/Imbimbo/Massoud numbers instead of an unsourced multiplier.
  • CD36 as the proven driver of GHRP-6 cortisol in humans (not in the sources below).
  • Cost, cycling, or reconstitution shelf-life tables.

Key differences

QuestionGHRP-6GHRP-2HexarelinIpamorelin
GHSR classYesYesYesYes
Human GH + GHRH synergy citedBowers 1990 menSame class; Cheng synergy with GRF in rat cellsMassoud: low-dose hexarelin plus GHRH-(1-29)Not the Gobburu design
Human ACTH/cortisolBowers highest IV dose ~2-fold cortisol; Raun swine increaseArvat similar to hexarelin; Raun swine increaseMassoud dose-related; Ghigo similar to CRH in healthy subjectsSelective in Raun swine
Human food-intake RCT citedNoYes (Laferrere)NoNo
Human PK half-life citedNot citedNot citedGH decay ~55 min after IV (Imbimbo); not peptide t1/22 hours terminal (Gobburu IV)

If the experimental variable is GHSR occupancy with published human ACTH/cortisol curves, hexarelin and GHRP-2 have those human papers. If the variable is ACTH/cortisol dissociation versus GHRP-6/GHRP-2, ipamorelin is the ligand Raun isolated in swine. If the variable is human meal intake, GHRP-2 is the peptide with the Laferrere trials.

Peptide pages, vendors, and calculator

Related: GHRP-2 vs GHRP-6, Ipamorelin vs CJC-1295.

References

  1. Bowers CY, Reynolds GA, Durham D, et al. Growth hormone (GH)-releasing peptide stimulates GH release in normal men and acts synergistically with GH-releasing hormone. J Clin Endocrinol Metab. 1990;70(4):975-982. PMID: 2108187. DOI: 10.1210/jcem-70-4-975.
  2. Deghenghi R, Cananzi MM, Torsello A, Battisti C, Muller EE, Locatelli V. GH-releasing activity of Hexarelin, a new growth hormone releasing peptide, in infant and adult rats. Life Sci. 1994;54(18):1321-1328. PMID: 7910650. DOI: 10.1016/0024-3205(94)00510-9.
  3. Ghigo E, Arvat E, Gianotti L, et al. Growth hormone-releasing activity of hexarelin, a new synthetic hexapeptide, after intravenous, subcutaneous, intranasal, and oral administration in man. J Clin Endocrinol Metab. 1994;78(3):693-698. PMID: 8126144. DOI: 10.1210/jcem.78.3.8126144.
  4. Imbimbo BP, Mant T, Edwards M, et al. Growth hormone-releasing activity of hexarelin in humans. A dose-response study. Eur J Clin Pharmacol. 1994;46:421-425. PMID: 7957536. DOI: 10.1007/BF00191904.
  5. Howard AD, Feighner SD, Cully DF, et al. A receptor in pituitary and hypothalamus that functions in growth hormone release. Science. 1996;273(5277):974-977. PMID: 8688086. DOI: 10.1126/science.273.5277.974.
  6. Wu D, Chen C, Zhang J, Bowers CY, Clarke IJ. The effects of GH-releasing peptide-6 (GHRP-6) and GHRP-2 on intracellular adenosine 3',5'-monophosphate (cAMP) levels and GH secretion in ovine and rat somatotrophs. J Endocrinol. 1996;148(2):197-205. PMID: 8699133. DOI: 10.1677/joe.0.1480197.
  7. Massoud AF, Hindmarsh PC, Brook CG. Hexarelin-induced growth hormone, cortisol, and prolactin release: a dose-response study. J Clin Endocrinol Metab. 1996;81(12):4338-4341. PMID: 8954038. DOI: 10.1210/jc.81.12.4338.
  8. Cheng J, Wu TJ, Butler B, Cheng K. Growth hormone releasing peptides: a comparison of the growth hormone releasing activities of GHRP-2 and GHRP-6 in rat primary pituitary cells. Life Sci. 1997;60(16):1385-1392. PMID: 9096259. DOI: 10.1016/s0024-3205(96)00655-8.
  9. Ghigo E, Arvat E, Ramunni J, et al. Adrenocorticotropin- and cortisol-releasing effect of hexarelin, a synthetic growth hormone-releasing peptide, in normal subjects and patients with Cushing's syndrome. J Clin Endocrinol Metab. 1997;82(8):2439-2444. PMID: 9253314. DOI: 10.1210/jcem.82.8.4132.
  10. Arvat E, di Vito L, Maccagno B, et al. Effects of GHRP-2 and hexarelin, two synthetic GH-releasing peptides, on GH, prolactin, ACTH and cortisol levels in man. Comparison with the effects of GHRH, TRH and hCRH. Peptides. 1997;18(6):885-891. PMID: 9285939. DOI: 10.1016/s0196-9781(97)00016-8.
  11. Raun K, Hansen BS, Johansen NL, et al. Ipamorelin, the first selective growth hormone secretagogue. Eur J Endocrinol. 1998;139(5):552-561. PMID: 9849822. DOI: 10.1530/eje.0.1390552.
  12. Gobburu JV, Agersø H, Jusko WJ, Ynddal L. Pharmacokinetic-pharmacodynamic modeling of ipamorelin, a growth hormone releasing peptide, in human volunteers. Pharm Res. 1999;16(9):1412-1416. PMID: 10496658. DOI: 10.1023/a:1018955126402.
  13. Kojima M, Hosoda H, Date Y, et al. Ghrelin is a growth-hormone-releasing acylated peptide from stomach. Nature. 1999;402:656-660. PMID: 10604470. DOI: 10.1038/45230.
  14. Laferrere B, Abraham C, Russell CD, Bowers CY. Growth hormone releasing peptide-2 (GHRP-2), like ghrelin, increases food intake in healthy men. J Clin Endocrinol Metab. 2005;90(2):611-614. PMID: 15699539. DOI: 10.1210/jc.2004-1719.
  15. Laferrere B, Hart AB, Bowers CY. Obese subjects respond to the stimulatory effect of the ghrelin agonist growth hormone-releasing peptide-2 on food intake. Obesity (Silver Spring). 2006;14(6):1056-1063. PMID: 16861611. DOI: 10.1038/oby.2006.121.

Frequently asked questions

Is this the same page as GHRP-2 vs GHRP-6?

No. The pairwise rat-pituitary, cAMP, and GHRP-2 food-intake comparison is GHRP-2 vs GHRP-6. This page is the GHSR class: hexarelin (not on that pair page), ipamorelin selectivity, and ACTH/cortisol/PRL signals across the series.

Do these peptides use the same receptor as GHRH analogs?

No. Howard et al. cloned the pituitary/hypothalamus receptor this class uses. Kojima et al. identified ghrelin as the endogenous ligand. GHRH analogs act at the GHRH receptor. See Ipamorelin vs CJC-1295 for that split.

Does ipamorelin raise ACTH and cortisol the way GHRP-2 and GHRP-6 do?

In swine, Raun et al. found GHRP-6 and GHRP-2 raised ACTH and cortisol. Ipamorelin did not raise ACTH or cortisol above GHRH-like levels, including at doses more than 200-fold the GH ED50 in that model. That is swine pharmacology, not a human safety label.

Does hexarelin only release GH?

No. Massoud et al. showed dose-dependent GH, PRL, and cortisol after IV hexarelin in healthy men. Arvat et al. found GHRP-2 and hexarelin produced similar GH responses and similar PRL, ACTH, and cortisol increases in young adults. Ghigo et al. found hexarelin ACTH/cortisol responses similar to CRH in healthy subjects.

Does this page include how to use these peptides?

No. It compares published research. It is not medical advice and does not include human dosing protocols.