Growth hormone releasing hormone

Also called: GHRH

Clinical reviewer: Jacob Moore, MD · Last checked September 22, 2026

What is GHRH?

Growth hormone releasing hormone is a 44-amino-acid hypothalamic peptide, first isolated in 1982 from a human pancreatic tumor, that stimulates the pituitary to release growth hormone. Synthetic analogs include sermorelin, a shortened 29-amino-acid version, and tesamorelin, the full 44-amino-acid sequence with an added hexenoyl group. Longer-acting analogs like CJC-1295 are also studied.

How was GHRH discovered and what does it do?

In 1982, researchers isolated "a 44 amino acid peptide with growth hormone-releasing activity" from a human pancreatic tumor that had caused acromegaly, and found its synthetic replicate had "full biological activity in vitro and in vivo" to stimulate growth hormone secretion [1]. FDA's label for the approved analog tesamorelin describes GHRH, also called growth hormone-releasing factor, as "a hypothalamic peptide that acts on the pituitary somatotroph cells to stimulate the synthesis and pulsatile release of endogenous growth hormone (GH), which is both anabolic and lipolytic" [2].

What are GHRH's synthetic analogs?

Sermorelin, or GHRH 1-29, covers the first 29 amino acids of the sequence [4]. Tesamorelin keeps the full 44-amino-acid sequence and adds a hexenoyl chain, and is FDA-approved as Egrifta WR for HIV-associated lipodystrophy [2]. CJC-1295 is a synthetic analog "designed to stimulate pituitary GH secretion and secondarily increase circulating IGF-1"; its own entry covers FDA's record of its withdrawn nomination [4]. A 2026 review describes GHRH analogs as a class "designed to stimulate endogenous GH secretion by activating the pituitary GHRH receptor, thereby increasing GH pulsatility and secondarily IGF-1" [4]. Growth hormone-releasing factors, including these analogs, are prohibited at all times under the 2026 WADA list [3].

Related terms

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Sources

  1. Guillemin R et al. Growth hormone-releasing factor from a human pancreatic tumor that caused acromegaly. Science, 1982.
  2. EGRIFTA WR (tesamorelin) Prescribing Information, DailyMed
  3. WADA 2026 Prohibited List, effective January 1, 2026
  4. Dominikowski A et al. The emerging landscape of performance-enhancing peptides modulating GH-IGF1 axis, bridging the gap between clinical evidence and patient self-administration. Front Endocrinol, 2026.

This entry is for education and is not medical advice. Talk with a licensed clinician about your own situation before starting, stopping, or changing any treatment.

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