§ N° V · Frequently asked

CJC-1295 FAQ

Twenty-six questions answered from the published Phase I record, the FDA briefing materials, and the WADA prohibited-list documentation. Compounding-pharmacy claims are marked as such.

§ N° I

CJC-1295 + Ipamorelin: Why the Combination?


The CJC-1295 ipamorelin pairing is the single most common compounding-pharmacy protocol involving CJC-1295. The rationale is mechanistically clean: CJC-1295 is a GHRH-receptor agonist that raises the sustained baseline of growth-hormone secretion, while ipamorelin is a selective ghrelin-receptor (GHS-R1a) agonist that triggers discrete GH pulses [9][10]. The two molecules engage independent receptor systems on the same somatotroph cell; in animal and pituitary-cell observations, the effects are additive rather than redundant [10].

Ipamorelin, characterized in Raun 1998, is a selective pentapeptide GH secretagogue (Aib-His-D-2-Nal-D-Phe-Lys-NH2) that releases GH via GHS-R1a without measurable elevation of ACTH or cortisol at doses up to 200× the GH ED50 [9]. The selectivity is the reason it is the preferred secretagogue partner in compounding-pharmacy formulations — earlier GH secretagogues such as GHRP-2 and GHRP-6 elevate prolactin, ACTH, and cortisol at doses required for meaningful GH release [9].

The combination is widely used in compounding pharmacies. It is not an FDA-approved combination. There is no Phase III human trial of the CJC-1295/ipamorelin combination [14].

§ N° II

What is the CJC-1295 + ipamorelin combination?


What is the CJC-1295 + ipamorelin combination?

A compounding-pharmacy pairing of CJC-1295 (a GHRH analog providing sustained signal) with ipamorelin (a selective GH secretagogue providing pulsatile release) [9][10]. Not an FDA-approved combination; widely used in compounding-pharmacy protocols but not characterized in any published Phase III trial.

§ N° III

How does CJC-1295 differ from ipamorelin?


How does CJC-1295 differ from ipamorelin?

The CJC-1295 vs ipamorelin distinction is at the receptor. CJC-1295 is a GHRH-receptor analog [1][7]; ipamorelin is a ghrelin-receptor (GHSR / GHS-R1a) agonist [9]. They stimulate GH release through two distinct receptor systems, which is the mechanistic rationale for combining them.

§ N° IV

How does CJC-1295 differ from sermorelin?


How does CJC-1295 differ from sermorelin?

Both are GHRH(1-29) analogs. Sermorelin is the unmodified GHRH(1-29) with a plasma half-life of approximately 11-12 minutes [19]. CJC-1295 adds four amino-acid substitutions for DPP-IV resistance, and the DAC variant adds an albumin-binding linker that extends half-life to 5.8-8.1 days [1][2]. Sermorelin was previously FDA-approved (Geref) for pediatric GH deficiency before commercial withdrawal [19].

§ N° V

How does CJC-1295 differ from tesamorelin?


How does CJC-1295 differ from tesamorelin?

Tesamorelin is the only FDA-approved GHRH analog, indicated for HIV-associated lipodystrophy [11]. CJC-1295 has no FDA-approved indication [14]. Both are GHRH(1-29)-derived analogs with stabilizing modifications; tesamorelin uses a different N-terminal modification, CJC-1295 uses tetrasubstitutions plus optional DAC albumin linkage [11][1].

§ N° VI

Does CJC-1295 affect testosterone?


Does CJC-1295 affect testosterone?

CJC-1295 acts on the GHRH-receptor / pituitary GH axis, not the HPG (testosterone) axis [1][7]. Published Phase I trials measured GH and IGF-1 endpoints, not testosterone [1]. Clinic marketing claims of testosterone elevation are not supported by the primary literature.

§ N° VII

Is CJC-1295 FDA-approved?


Is CJC-1295 FDA-approved?

No. CJC-1295 has no FDA-approved clinical indication [14]. It was placed on the FDA's Category 2 interim 503A bulks list in September 2023 and removed in September 2024 after sponsor-withdrawn nominations [17]. It is not currently eligible for routine 503A pharmacy compounding [14][17].

§ N° VIII

Is CJC-1295 banned in sport?


Is CJC-1295 banned in sport?

Yes. CJC-1295 is on the WADA Prohibited List under S2 — peptide hormones, growth factors, and related substances — prohibited at all times in and out of competition [15]. Sermorelin, tesamorelin, and CJC-1293 are also covered under S2 [15].

§ N° IX

Rationale for the CJC-1295 + ipamorelin pairing


Rationale for the CJC-1295 + ipamorelin pairing

GHRH analogs (CJC-1295) and ghrelin-receptor agonists (ipamorelin) act on independent pathways, producing additive GH release in animal and clinic-protocol observations [9][10]. The pairing is widely used in compounding pharmacies but is not an FDA-approved combination [14].

§ N° X

Reconstitution


How is CJC-1295 reconstituted?

Lyophilized peptide is reconstituted with bacteriostatic water in research settings. Specific volumes depend on the vial mass and intended concentration; this is laboratory handling, not a clinical prescription [1].