CJC-1295 with DAC
Research PeptideAlso known as: CJC-1295 DAC · DAC:GRF · DAC-GRF · CJC1295 · Drug Affinity Complex:GRF
The best-documented effects of CJC-1295 DAC — acute and sustained GH/IGF-1 elevation for 6–11 days after a single injection, and preservation of pulsatile GH release — rest on two small dose-escalation trials (Teichman 2006, total ~n=66) and one mechanistic pulsatility study (Ionescu & Frohman 2006), all conducted within a single research network (ConjuChem sponsor + Frohman group). No independent academic replication exists, no human trial has measured any clinical endpoint (lean mass, fat loss, bone density, recovery, cognition), and the only large Phase II trial (NCT00267527, n=192, HIV lipodystrophy) was terminated in July 2006 after a participant death and never reported efficacy data. The preliminary_human tier reflects the real but narrow biochemical evidence for GH/IGF-1 elevation; claims that move from biochemistry to clinical effect are extrapolation, not evidence.
"CJC-1295" is ambiguous — and only mass spec can tell which one you have
Every published human clinical trial of a compound labeled "CJC-1295" — Teichman 2006 (~n=66), Ionescu 2006 pulsatility, Sackmann-Sala 2009 proteomics, the terminated NCT00267527 Phase II (n=192) — studied this compound, CJC-1295 WITH DAC: a 30-amino-acid peptide that covalently binds serum albumin and has a 6–8 day half-life. In the research-peptide market, "CJC-1295" is also used as shorthand for CJC-1295 NO DAC (Modified GRF 1-29) — the 29-residue core without the albumin-binding extension, which has a ~30-minute half-life. The two are chemically distinct (differ by ~280 Da), require completely different dosing schedules, and behave differently in the body, but they can co-elute on standard UV-HPLC. Mass spectrometry is the only reliable way to tell a vial labeled "CJC-1295" apart from one labeled "CJC-1295 DAC" apart from one that is actually no-DAC mislabeled as the DAC form.
The largest CJC-1295 DAC Phase II trial was halted after a participant death — and its 191 other participants' results were never published
ConjuChem's Phase II trial of CJC-1295 DAC in HIV-associated visceral obesity (NCT00267527, n=192, multi-centre across North and South America) was TERMINATED in July 2006 after a participant in Argentina died of acute myocardial infarction approximately 3 hours after their eleventh injection. The attending physician attributed the death to pre-existing asymptomatic coronary artery disease, but no independent regulatory causality adjudication was ever published. ConjuChem halted development entirely and the company dissolved shortly thereafter. The trial's body-composition, metabolic, and safety endpoints from the remaining approximately 191 participants — the largest pool of multi-dose CJC-1295 DAC safety data ever collected — were NEVER reported. This termination is routinely omitted from online content citing ConjuChem's Phase I GH/IGF-1 data as support for the compound; any honest summary of CJC-1295 DAC's clinical history should include both the Teichman 2006 surrogate-biomarker data AND the trial whose clinical endpoints remain permanently unavailable.
Research use only. Not approved for human consumption in any jurisdiction listed here unless the Regulatory Status table below explicitly states otherwise.
Evidence Tier
Human Studies
FDA Status
WADA Status
Mol. Weight
Last Reviewed
Claimed benefits by evidence tier
Column header colour matches the tier
- Increases GH secretion acutely and for several days after SC injection
- Raises IGF-1 levels for up to 9–11 days after a single dose
- Preserves physiological pulsatile GH secretion despite sustained stimulation
- Normalizes growth in severe GH deficiency
- Increases lean body mass
- Reduces body fat / visceral adipose tissue
- Improves sleep quality / increases slow-wave sleep
- Accelerates injury recovery / connective tissue repair
- Anti-aging / longevity effects
- Cognitive enhancement / neuroprotection
Regulatory watch
FDA PCAC meetings scheduled July 23–24, 2026 for the broader peptide compounding review under the HHS-Secretary-directed policy shift. Whether CJC-1295 DAC will be revisited by PCAC given the December 2024 "no" vote and the February 2026 HHS announcement is unclear; no public docket for a CJC-1295 DAC re-review has been identified.
A PCAC re-review with a different outcome — or a formal Federal Register update explicitly moving CJC-1295 DAC forms to Category 1 — would reshape the US compounding picture entirely. The December 2024 PCAC "no" vote does not permanently preclude 503A listing, but a reversal would require either new clinical evidence or a formal policy override from HHS. Until such a notice is published, compounding is not authorized.
Expected 2026-07-24 · Docket FDA-2024-N-4777 · FDASourceFDA-2024-N-4777
Primary FDA document verification — April 15, 2026 503A Categories Update (fda.gov/media/94155/download). Confirm whether CJC-1295 DAC is among the 12 peptide substances removed from Category 2 effective April 22, 2026.
Secondary sources suggest the April 2026 action does NOT include CJC-1295 DAC — which was already removed from Category 2 in September 2024 and remains in post-PCAC-"no-vote" limbo. Verification against the primary FDA document is required before acting on any specific US regulatory claim for this compound.
WADA 2027 Prohibited List annual review (publication typically late September / early October 2026).
No reclassification of CJC-1295 DAC is anticipated — GHRH-analog listing under S2 has been stable for years. Routine watch item.
Expected 2026-10-01 · WADA
Vendors selling CJC-1295 with DAC
Found 4 vendors currently offering CJC-1295 with DAC in their catalog.
Verified Peptides
COA Coverage
138/138
🇺🇸Sports Technology Labs
USA
COA Coverage
57/61
Vida Labz
COA Coverage
48/49
🇺🇸Core Peptides
USA
COA Coverage
18/103
All CJC-1295 with DAC products
Every CJC-1295 with DAC product across 4 verified vendors — sorted by vendor trust tier, then by COA purity (quantified reports beat unquantified), then by most recent COA date.
| Vendor | Product | Size | COA Date | Purity | Lab | COA |
|---|---|---|---|---|---|---|
| Sports Technology Labs Trusted | CJC-1295 DAC 5 mg | 5mg | 2025-10-17 | 99.90% | MZ BiolabsTier 2 — Functional | View |
| Verified Peptides Trusted | CJC-1295 DAC Peptide | 2mg | 2026-02-21 | — | Janoshik AnalyticalTier 1 — Established | View |
| Vida Labz Trusted | CJC 1295 DAC 5MG | 5mg | 2026-02-16 | — | — | View |
| Verified Peptides Trusted | CJC-1295 DAC Peptide Purity | — | 2025-12-31 | — | Janoshik AnalyticalTier 1 — Established | View |
| Core Peptides Unrated | CJC-1295 DAC (5mg) | 5mg | — | — | — | — |
About this peptide
Plain English
Your pituitary gland releases growth hormone in pulses, triggered by a natural messenger called GHRH that degrades within minutes. CJC-1295 DAC is a lab-made, re-engineered version of GHRH that stays active far longer. Four amino acid swaps make it resistant to the enzymes that normally chew it up, and a chemical handle on one end — the Drug Affinity Complex, or DAC — grabs hold of a long-lived blood protein called albumin within minutes of injection, turning the peptide into a slow-release reservoir. The result keeps nudging the pituitary to release growth hormone for roughly six to eight days after a single injection, which is why protocols usually dose it once or twice a week rather than daily. It was developed in the early 2000s by a Canadian biotech, ConjuChem, as an investigational drug for HIV-related wasting and growth hormone deficiency, and reached Phase II trials before development was halted in 2006 and never resumed. Today it exists primarily in the gray market of "research peptides," with no approval from any major regulator for any indication.
Technical
CJC-1295 DAC is a 30-residue, C-terminally amidated synthetic peptide analog of hGRF(1-29) incorporating four point mutations (D-Ala², Gln⁸, Ala¹⁵, Leu²⁷) that confer DPP-IV resistance and reduce methionine oxidation, plus a C-terminal Lys³⁰ bearing an Nε-maleimidopropionyl (MPA) group — the Drug Affinity Complex. Within approximately 5–15 minutes of subcutaneous injection, the electrophilic maleimide undergoes a Michael addition reaction with the free thiol of Cys-34 on endogenous human serum albumin, forming a stable thioether bond. The resulting peptide-albumin conjugate has an extended plasma half-life of approximately 6–8 days (vs ~30 min for the no-DAC form and ~3–5 min for native hGRF(1-29)), because albumin avoids renal filtration and is protected from enzymatic clearance. Pharmacodynamically, CJC-1295 DAC is a GHRH receptor (GHRHR) agonist on anterior pituitary somatotrophs, signaling through Gαs → adenylyl cyclase → cAMP → PKA → CREB to drive GH gene transcription and secretory granule exocytosis. Preserved pulsatile GH release with increased pulse amplitude has been documented in one mechanistic human study; downstream hepatic IGF-1 synthesis follows. Molecular formula C₁₆₅H₂₆₉N₄₇O₄₆; MW 3,647.28 g/mol (free base). Critically, all published human PK/PD data for this compound trace to ConjuChem-sponsored trials or the Frohman group — no independent academic replication exists.
Mechanism of action
GHRH receptor (GHRHR) agonism → cAMP/PKA → GH secretion
CJC-1295 DAC binds and activates the pituitary GHRHR, a class B GPCR. Receptor activation couples through Gαs → adenylyl cyclase → cAMP → PKA → CREB phosphorylation, driving GH gene transcription and vesicular GH release from anterior pituitary somatotrophs. In healthy human adults, a single subcutaneous injection produces 2–10-fold increases in mean plasma GH sustained for ≥6 days (Teichman 2006). The Jetté 2005 rat study established the same mechanism with a 4-fold increase in GH AUC over 2 hours versus hGRF(1-29) and plasma detection beyond 72 hours.
Covalent albumin conjugation → extended plasma half-life
The signature mechanism distinguishing CJC-1295 DAC from all other GHRH analogs. The Nε-maleimidopropionyl group on Lys³⁰ is an electrophilic warhead that reacts with the single free thiol of Cys-34 on endogenous serum albumin via Michael addition, forming a stable thioether bond within ~5–15 minutes of injection. The resulting peptide-albumin conjugate has a plasma half-life of ~6–8 days — roughly 200× longer than the no-DAC form (~30 min) and ~2000× longer than native hGRF(1-29) (~3–5 min) — because albumin is both too large for renal filtration and largely shielded from enzymatic clearance. This is the mechanistic basis for once-weekly dosing. Critical QC corollary: if the maleimide ring hydrolyzes before albumin conjugation (which can occur in aqueous solution), the resulting ring-opened form cannot conjugate and the extended half-life is lost entirely. Standard UV-HPLC does not distinguish intact vs ring-opened maleimide — only high-resolution MS does.
Preservation of pulsatile GH secretion
Unlike exogenous GH replacement (which suppresses endogenous pulsatility) or continuous GHRH infusion (which desensitizes the receptor), CJC-1295 DAC maintains physiological pulsatile GH release while increasing the amplitude of individual pulses. This was demonstrated in a mechanistic human study using deconvolution analysis of frequent GH sampling. Mechanistically important because pulsatile GH patterns are required for many downstream physiological effects (hepatic IGF-1 synthesis, lipolysis, anabolism). CAVEAT: the Ionescu & Frohman 2006 study is the only human evidence for this specific claim; no independent replication; whether preserved pulsatility translates to superior clinical outcomes versus a non-pulsatile profile has never been tested in a controlled human trial for any endpoint.
GH → hepatic IGF-1 axis activation → downstream anabolic/metabolic effects
Sustained GH elevation drives hepatic IGF-1 synthesis via JAK2/STAT5b signaling. IGF-1 promotes protein synthesis via PI3K/AKT/mTOR, increases glucose uptake in muscle, promotes lipolysis in adipose tissue, and has anabolic effects on bone and connective tissue. Teichman 2006 documented 1.5–3× IGF-1 elevation lasting 9–11 days after a single injection, and cumulative elevation above baseline for up to 28 days with multiple doses. Sackmann-Sala 2009 confirmed proteomic serum changes consistent with GH/IGF-1 axis activation in n=11 healthy young men. Whether these biochemical changes translate into clinically meaningful outcomes (lean mass, fat loss, bone density, recovery, cognition) in adequately powered trials has not been tested.
All four mechanisms above are supported by a narrow and non-independent evidence base: Jetté 2005 was authored entirely by ConjuChem employees; Teichman 2006 was five-of-six ConjuChem-affiliated authors with Frohman (UIC) as the one non-sponsor academic; Ionescu 2006 and Sackmann-Sala 2009 also include Frohman; the ConjuChem Phase II trial was terminated in 2006 and its body-composition results were never published. There is no independent academic replication of the foundational human PK/PD findings in any modern cohort. The GHRH-KO mouse work (Norstedt 2006) is often over-cited as if it supported human efficacy in GH-sufficient adults — it does not, because GHRH-KO mice model severe genetic GH deficiency. The rat pharmacology (Jetté 2005) established mechanism and half-life, but rats have different baseline GHRH kinetics and pituitary feedback dynamics, so translation is qualitative, not quantitative. No RCT has assessed any clinical endpoint (lean mass, fat loss, bone density, recovery, cognition) in adequately powered human trials.
Key studies
Human growth hormone-releasing factor (hGRF)1-29-albumin bioconjugates activate the GRF receptor on the anterior pituitary in rats: identification of CJC-1295 as a long-lasting GRF analog (2005)
Jetté L, Léger R, Thibaudeau K, Benquet C, Robitaille M, Pellerin I, Paradis V, van Wyk P, Pham K, Bridon DP · Endocrinology 146(7):3052–3058
- Participants
- Male Sprague-Dawley rats plus cultured rat anterior pituitary cells
- Methodology
- In vitro GRF receptor assay plus in vivo rat pharmacokinetics/pharmacodynamics. Western blot confirmation of albumin conjugation within 15 min of injection.
- Result
- CJC-1295 produced 4× GH AUC versus hGRF(1-29) in rats; plasma half-life extended beyond 72 hours; albumin conjugation confirmed within 15 minutes of SC dosing.
Honest read
Animal model only. All ten authors were affiliated with ConjuChem Inc. — the compound's developer. No independent replication of these pharmacokinetic findings in animals. Translation to humans was confirmed qualitatively by Teichman 2006 (half-life + GH elevation) but not quantitatively. Conflict of interest: direct sponsor; the entire paper is, effectively, the ConjuChem development team characterizing their own lead compound.
Prolonged stimulation of growth hormone (GH) and insulin-like growth factor I secretion by CJC-1295, a long-acting analog of GH-releasing hormone, in healthy adults (2006)
Teichman SL, Neale A, Lawrence B, Gagnon C, Castaigne JP, Frohman LA · Journal of Clinical Endocrinology & Metabolism 91(3):799–805
- Participants
- Healthy adults aged 21–61, two sequential ascending-dose studies (~n=32 and ~n=34 per sub-trial; ~n=66 total)
- Methodology
- Two randomized, placebo-controlled, double-blind, ascending-dose SC injection trials; durations 28 and 49 days.
- Result
- Single injection: 2–10× GH elevation for ≥6 days; 1.5–3× IGF-1 elevation for 9–11 days. Multiple doses: cumulative IGF-1 elevation above baseline for up to 28 days. Estimated half-life 5.8–8.1 days. Best tolerability at 30 and 60 µg/kg. No serious adverse reactions reported in published data.
Honest read
This is the foundational human evidence for CJC-1295 DAC — and it is narrow. Five of six authors (Teichman, Neale, Lawrence, Gagnon, Castaigne) were ConjuChem employees or contractors. Frohman (UIC) is the one non-sponsor academic and appears also on the Ionescu 2006 pulsatility paper and the Sackmann-Sala 2009 proteomics paper — the entire published human evidence base for this compound traces to this one research network. Sample size small (~30–35 per sub-trial) and inadequate to detect rare adverse events. Endpoints were GH and IGF-1 (surrogate biomarkers); no clinical endpoints (lean mass, fat, bone, recovery) were measured. Longest observation was 49 days — zero safety data beyond two months. No independent replication. This study is cited as if it established CJC-1295 DAC as clinically effective; what it actually established was that it raises GH and IGF-1 in healthy adults for several days.
Pulsatile secretion of growth hormone (GH) persists during continuous stimulation by CJC-1295, a long-acting GH-releasing hormone analog (2006)
Ionescu M, Frohman LA · Journal of Clinical Endocrinology & Metabolism 91(12):4792–4797
- Participants
- Healthy adults (small n; exact figure not reliably recovered from abstracts)
- Methodology
- Frequent GH sampling during CJC-1295 WITH-DAC treatment; deconvolution analysis of pulse frequency and amplitude.
- Result
- Pulsatile GH secretion was maintained during continuous CJC-1295 exposure; pulse amplitude increased. This distinguishes CJC-1295 DAC from exogenous GH replacement (which abolishes endogenous pulsatility).
Honest read
Frohman overlap with Teichman 2006 — same research group generated both foundational human findings. The mechanistic claim (pulsatility preservation) is biologically plausible and matches what one would predict from GHRHR feedback dynamics, but independent replication is absent. Whether pulsatile-versus-non-pulsatile GH profiles produce different clinical outcomes has never been tested in a controlled human trial for any endpoint — so "preserves pulsatility" is a mechanistic observation, not a demonstrated clinical advantage.
Activation of the GH/IGF-1 axis by CJC-1295, a long-acting GHRH analog, results in serum protein profile changes in normal adult subjects (2009)
Sackmann-Sala L, Ding J, Frohman LA, Kopchick JJ · Growth Hormone & IGF Research 19(5):399–408
- Participants
- 11 healthy young adult men
- Methodology
- Single-injection before/after study; two-dimensional gel electrophoresis of serum one week post-injection.
- Result
- Decreased apolipoprotein A1 isoform and transthyretin isoform; increased beta-hemoglobin, C-terminal albumin fragment, immunoglobulin fragment. GH and IGF-1 elevation confirmed.
Honest read
Extremely small sample (n=11). No control arm reported for the proteomic analysis. Frohman again on authorship. The clinical significance of the specific proteomic changes is speculative and the ApoA1 decrease — which could signal a cardiovascular-risk direction if real and sustained — was never followed up. Hypothesis-generating only; unreplicated.
Phase II, randomized, double-blind, placebo-controlled trial of CJC-1295 in HIV-associated lipodystrophy — TERMINATED (2006)
ConjuChem Biotechnologies (sponsor) · ClinicalTrials.gov registration NCT00267527 (efficacy endpoints never published)
- Participants
- 192 adults with HIV-associated visceral obesity; multi-centre across North and South America
- Methodology
- RCT, double-blind, placebo-controlled; CJC-1295 WITH-DAC SC versus placebo. Body composition and metabolic markers were intended primary endpoints.
- Result
- NEVER REPORTED. Trial halted July 2006 after a participant at an Argentine site died of acute myocardial infarction approximately 3 hours after receiving the 11th dose. The principal investigator assessed this as "most likely unrelated" (pre-existing coronary artery disease), but no independent adjudication or regulatory causality ruling was ever published.
Honest read
This is the highest-powered human RCT ever conducted with CJC-1295 DAC, and its results are permanently unavailable. The death cannot be definitively attributed to OR excluded from CJC-1295 DAC based on public information. The absence of published results means: (a) body-composition, metabolic, and safety data from approximately 191 other patients over multiple doses was collected but not shared; (b) no dose-finding for clinical populations was established; (c) the safety signal — however likely benign — was never formally closed out by a regulatory body. The unpublished nature of this trial is the single largest evidentiary gap in the CJC-1295 DAC literature. ConjuChem abandoned development entirely and the company dissolved shortly thereafter; no sponsor has reopened the compound's development program since.
Once-daily administration of CJC-1295, a long-acting growth hormone-releasing hormone (GHRH) analog, normalizes growth in the GHRH knockout mouse (2006)
Alba M, Fintini D, Bowers CY, Parlow AF, Salvatori R (ref.) / Norstedt group · American Journal of Physiology — Endocrinology and Metabolism
- Participants
- GHRH-knockout mice (severe GH deficiency model)
- Methodology
- Once-daily SC CJC-1295 WITH-DAC versus controls; growth normalization assessed.
- Result
- CJC-1295 normalized growth and IGF-1 levels in GH-deficient mice.
Honest read
Animal model. GHRH-KO mice represent severe genetic GH deficiency — a condition entirely different from the wellness/anti-aging use case or even subclinical GH decline in aging humans. Evidence of rescue in a deficiency model does not predict meaningful benefit in GH-sufficient adults. Routinely over-cited in pro-CJC-1295 content as if it supported human efficacy in the predominant real-world use case — it does not.
Research timeline
- 2000
ConjuChem Biotechnologies (Montreal) develops the Drug Affinity Complex (DAC) platform for extending peptide half-lives via covalent albumin conjugation in the early 2000s. CJC-1295 (DAC:GRF) identified as the lead candidate from a library of maleimido-hGRF(1-29) bioconjugates.
- 2005
Jetté et al. publish the first preclinical pharmacology paper identifying CJC-1295 as a long-lasting GRF analog in rats. Establishes the DAC albumin-binding mechanism (within 15 min of injection), 4× GH AUC versus hGRF(1-29), and plasma detection beyond 72 hours. All authors ConjuChem-affiliated — direct sponsor COI; no independent replication.
- 2006
Teichman et al. publish the first human dose-escalation trials in JCEM (~n=66 across two sub-studies of healthy adults aged 21–61). Demonstrates 5.8–8.1 day half-life, 2–10× GH elevation for ≥6 days, 1.5–3× IGF-1 for 9–11 days. Five of six authors ConjuChem-affiliated.
- 2006
Ionescu & Frohman publish mechanistic pulsatility study (JCEM) confirming GH pulsatility is preserved despite sustained CJC-1295 WITH-DAC stimulation.
- 2006
GHRH-KO mouse study demonstrates once-daily CJC-1295 normalizes growth in severely GH-deficient animals (Norstedt 2006, Am J Physiol). Animal model of severe genetic deficiency — not representative of GH-sufficient adults.
- 2006
July 2006 — ConjuChem TERMINATES the Phase II HIV lipodystrophy trial (NCT00267527, n=192 across North and South American sites) after a participant in Argentina dies of acute MI approximately 3 hours after injection #11. The attending physician attributes the death to pre-existing asymptomatic coronary artery disease; no formal regulatory causality adjudication is ever published. Efficacy endpoints from the remaining ~191 participants are NEVER reported. ConjuChem halts development entirely and the company ultimately dissolves.
- 2009
Sackmann-Sala et al. publish exploratory serum proteomics in 11 healthy young men post-injection: decreased ApoA1 and transthyretin isoforms, increased beta-hemoglobin and C-terminal albumin fragments. Hypothesis-generating only; no control arm for the proteomic analysis; the reduced-ApoA1 signal (potential cardiovascular relevance) is never followed up.
- 2010
Henninge et al. publish forensic LC-MS identification of CJC-1295 in a seized injectable pharmaceutical preparation (Drug Test Anal) — first analytical confirmation in a real-world (non-clinical) sample and establishment of doping-control methodology.
- 2013
CJC-1295 becomes central to Australian sports-doping investigations — ASADA and the Cronulla Sharks NRL case; AFL investigation of Stephen Dank. Several players receive suspensions. Establishes the compound's profile as a performance-enhancement substance in the doping-enforcement literature.
- 2019
Equine doping-control LC-HRMS/MS methodology published for CJC-1295 detection in horse plasma — reinforcing that distinguishing DAC from no-DAC forms requires mass spectrometry, not UV-HPLC.
- 2023
FDA places CJC-1295 and CJC-1295 DAC (all salt forms) on Category 2 of the interim 503A bulks list — the "significant safety risks" category — effectively prohibiting compounding.
- 2024
September 2024 — FDA removes CJC-1295 and CJC-1295 DAC (free base, acetate, and TFA salt forms) from Category 2 following nominator withdrawal and a legal settlement. Removal does NOT add the compound to Category 1; it enters the evaluation queue.
- 2024
December 4, 2024 — FDA Pharmacy Compounding Advisory Committee (docket FDA-2024-N-4777) votes AGAINST recommending CJC-1295 and CJC-1295 DAC for inclusion on the 503A Bulks List. FDA's own advisory committee reviewed the compound and concluded it should not be available for standard compounding.
- 2026
February 27, 2026 — HHS Secretary Robert F. Kennedy Jr. announces on the Joe Rogan Experience (Episode #2461) an intent to move approximately 14 peptides — reportedly including CJC-1295 — from Category 2 restrictions back to Category 1 (allowing compounding under prescription). Not a formal Federal Register action; no immediate regulatory effect.
- 2026
April 15, 2026 — FDA publishes 503A Categories Update for April 2026, removing 12 peptide substances from Category 2 effective April 22, 2026. Whether CJC-1295 DAC is among the 12 is NOT CONFIRMED (primary FDA document not directly accessible during this research pass). Multiple secondary sources suggest the April action does NOT include CJC-1295 — already removed from Category 2 in September 2024 — and that it remains in post-PCAC-"no-vote" limbo.
What we don't know
- Long-term safety. The longest published human study was 49 days (Teichman 2006); zero published data exists on CJC-1295 DAC safety at ≥3 months in humans. The 12-week, 192-patient Phase II trial was conducted but results are permanently unavailable.
- Clinical efficacy for any patient-important endpoint. No completed, published RCT has measured body composition, lean mass, fat mass, bone density, exercise performance, sleep architecture, recovery time, cognitive function, or any other clinical outcome.
- Safety in GH-sufficient adults. All human trials used healthy adults with normal GH status. The consequences of chronically elevated GH and IGF-1 in this population — particularly carcinogenesis risk — have not been studied.
- Carcinogenesis risk. Elevated IGF-1 has been associated in epidemiological literature with increased risks for colorectal, breast, and prostate cancers. Whether the 1.5–3× IGF-1 elevations CJC-1295 DAC produces for extended periods would increase cancer incidence is completely unknown.
- Drug interactions. No published data on interactions with insulin, exogenous GH, glucocorticoids, anti-diabetic medications, or any other drug.
- DAC maleimide hydrolysis in vivo. The maleimide ring can hydrolyze in aqueous solution before albumin conjugation occurs, producing a ring-opened form that cannot conjugate and has no extended half-life. The in vivo proportion of injected CJC-1295 DAC that successfully conjugates to albumin vs degrades to the ring-opened form has not been characterized under clinical injection conditions.
- Pharmacokinetics in non-healthy populations. Low albumin states (liver disease, malnutrition, nephrotic syndrome) would theoretically reduce DAC binding and alter half-life dramatically. No data exists.
- Antibody formation. Whether repeated dosing induces anti-CJC-1295 or anti-CJC-1295-albumin antibodies has not been studied in humans beyond the reported trial durations.
- Optimal dosing interval. The 6–8-day half-life is well established, but the relationship between dosing interval, cumulative IGF-1 load, and any clinical or safety outcome is uncharacterized.
- Effects in aging populations. Age-related GH decline is one of the primary motivators for use. No study has been conducted in older adults.
- Reproductive and endocrine effects. Chronic GHRH agonism could affect the HPG axis (GH → IGF-1 interacts with sex hormone production), LH/FSH dynamics, and thyroid function. Unstudied.
- Independent replication of any foundational finding. The entire published human evidence base traces to ConjuChem-sponsored or Frohman-group research; no independent academic replication of the GH, IGF-1, pulsatility, or proteomic findings exists.
Regulatory status
| Jurisdiction | Status | Details | Last Verified | Source |
|---|---|---|---|---|
| United States (FDA) | Not Nominated | No FDA approval for any indication. CJC-1295 DAC has never received NDA or BLA approval and is not listed in the Approved Drug Products database (Orange Book). 503A compounding history is complex: placed on Category 2 (significant safety risks) circa 2023; removed from Category 2 in September 2024 (Federal Register 2024-24828) after nominator withdrawal; PCAC voted AGAINST inclusion on the 503A Bulks List on December 4, 2024 (docket FDA-2024-N-4777). Current state: NOT on Category 1, NOT on Category 2, no active nomination — effectively "not nominated." HHS Secretary Kennedy announced (February 27, 2026, on the Joe Rogan Experience) intent to restore approximately 14 peptides to Category 1; the April 15, 2026 FDA 503A Categories Update removed 12 peptides from Category 2 effective April 22, 2026, but whether CJC-1295 DAC is among the 12 is NOT CONFIRMED from primary sources (the FDA primary document was not directly accessible during this research pass). Until a formal Federal Register notice explicitly adds CJC-1295 DAC to the 503A Bulks List, compounding is not authorized. ConjuChem held the original IND; no active sponsor is known and no active CJC-1295 DAC trial is registered on ClinicalTrials.gov. | 2026-04-22 | |
| Canada (Health Canada) | Not Authorized | No Drug Identification Number (DIN), Natural Product Number (NPN), or Health Canada authorization. CJC-1295 is a synthetic peptide hormone secretagogue and does not qualify as a natural health product. Health Canada has issued public advisories naming CJC-1295 among unauthorized injectable peptide products; enforcement actions have been taken against vendors and wellness clinics in Alberta and Ontario. Historical note: ConjuChem Biotechnologies, the original developer, was a Montreal-based Canadian company — the compound has Canadian research origins but no Canadian regulatory approval. | 2026-04-22 | |
| United Kingdom (MHRA) | Not Authorized | No MHRA marketing authorization; not licensed as a medicine under the Human Medicines Regulations 2012. Unlicensed supply for human use is unlawful. Not a controlled substance under the Misuse of Drugs Act 1971 — personal possession is not a criminal offence, but commercial supply without marketing authorization is. Prohibited in sport under the WADA Prohibited List (adopted by UK Anti-Doping). No primary MHRA document specifically naming CJC-1295 DAC was located during research. | 2026-04-22 | |
| European Union (EMA) | Not Authorized | No EU central marketing authorization; not listed in the EMA's European Public Assessment Reports (EPARs). No EU-wide scheduling. Member state variation: most EU member states would classify it as an unauthorized medicinal product requiring prescription-level authorization for supply. No primary EMA document specifically addressing CJC-1295 DAC was located — reflects the EMA's limited role for compounds that have never entered the formal EU authorization process. | 2026-04-22 | |
| Australia (TGA) | Prescription Only | Schedule 4 (Prescription Only Medicine) under the Poisons Standard for the GHRH/GHS class. NOT listed on the Australian Register of Therapeutic Goods (ARTG) — therefore an "unapproved therapeutic good." Identified as a Prohibited Import under Schedule 7A, Item 3 of the Customs (Prohibited Import) Regulations 1956; personal importation without a Special Access Scheme authorization is prohibited. The TGA has explicitly named CJC-1295 as an example of an unapproved injectable peptide in its public safety guidance. Prohibited in sport via Sport Integrity Australia (WADA S2). | 2026-04-22 | |
| WADA | Prohibited (S2) | Explicitly named in the 2026 WADA Prohibited List under Section S2.2.4 (Peptide Hormones, Growth Factors and Related Substances — Growth Hormone Releasing Factors / GHRH analogs). Prohibited at all times (in-competition and out-of-competition) with no TUE pathway. Forensic LC-HRMS/MS detection methodology has been established in human plasma (Henninge 2010) and equine plasma (2019). Notable enforcement history: CJC-1295 was central to Australian sports-doping investigations (ASADA/NRL Cronulla Sharks; AFL investigation of Stephen Dank) and first formally identified in a seized pharmaceutical preparation in 2010. | 2026-04-22 |
Safety profile
Reported side effects
- Injection-site reactions (induration, erythema, pruritus; resolved within 48–72 hours in Teichman 2006)
- Transient flushing shortly post-injection
- Headache (mild, early dosing period)
- Fatigue post-injection (mild, early dosing period)
- Water retention / peripheral edema at longer durations — mechanistically consistent with GH-induced sodium and water retention
- Myocardial infarction — one death in the terminated NCT00267527 Phase II trial (n=192; event at ~3 hours post-dose #11; attributed by investigator to pre-existing CAD; causality formally unresolved)
- IMPORTANT: All reported human safety data comes from short-term (≤49 day) published studies or from the unpublished 12-week Phase II trial. Chronic use beyond two months has no published safety characterization.
Theoretical concerns
Cardiovascular event in the terminated ConjuChem Phase II (2006)
A participant in NCT00267527 (WITH-DAC, n=192 HIV lipodystrophy) died of acute MI ~3 hours after injection #11. The attending physician attributed the event to pre-existing asymptomatic coronary artery disease, but no independent regulatory causality adjudication was ever published. ConjuChem halted development entirely and the company dissolved shortly thereafter. The absence of a formal drug-attribution finding is not equivalent to established safety; the 191+ other participants' safety + efficacy data was never reported.
Severity: documented
IGF-1-mediated cancer risk with chronic supraphysiological elevation
Supraphysiological IGF-1 elevation promotes cellular proliferation via PI3K/AKT/mTOR. Epidemiological associations exist between elevated serum IGF-1 and increased colorectal, breast, and prostate cancer incidence. The magnitude and duration of IGF-1 elevation produced by CJC-1295 DAC (1.5–3× for 9–11 days per dose, cumulative on multiple dosing) are potentially relevant, but no causal data exists for this specific compound.
Severity: theoretical
Cardiovascular risk from sustained GH/IGF-1 excess
GH/IGF-1 excess as modeled by acromegaly is associated with cardiomegaly, hypertension, and metabolic syndrome. The relevance to the CJC-1295 DAC doses used in real-world settings is unknown. The Sackmann-Sala 2009 proteomics study also flagged an unreplicated ApoA1 decrease — a potential HDL-function signal — that was never followed up.
Severity: theoretical
Pituitary desensitization / GHRHR downregulation over chronic dosing
Chronic continuous GHRHR stimulation can theoretically downregulate receptor expression. Ionescu & Frohman 2006 addressed short-term pulsatility preservation but not receptor-level downregulation over months or years of real-world use.
Severity: theoretical
Maleimide ring-opened product — silent loss of DAC function
If the maleimide group hydrolyzes before albumin conjugation, the resulting ring-opened CJC-1295 DAC can no longer form the albumin thioether bond and loses the extended half-life entirely — reverting toward no-DAC kinetics. Biological effects of circulating ring-opened CJC-1295 DAC have not been characterized. Standard UV-HPLC purity testing does not distinguish intact from ring-opened forms; only high-resolution MS does.
Severity: possible
Contraindications
- Active malignancy or history of hormone-sensitive cancers (IGF-1 proliferation concern; theoretical, mechanism-based)
- Proliferative retinopathy or uncontrolled diabetes (GH counter-regulatory effects; theoretical)
- Acromegaly, gigantism, or active pituitary tumors
- Severe edema or decompensated heart failure
- Pregnancy and breastfeeding (no safety data in any species)
- Pediatric patients with open growth plates (unpredictable GH-axis effects)
- Known hypersensitivity to GHRH analogs or any component of a given compounded preparation
Interactions
- No formal drug-interaction studies in humans have been conducted.
- Insulin and oral antidiabetics — GH has counter-insulin effects; chronic GH elevation may antagonize glucose-lowering action
- Exogenous GH — additive effects; co-administration not studied
- Glucocorticoids — can attenuate GH response at the pituitary level
- Thyroid hormones — GH/IGF-1 metabolism intersects with thyroid function
- Somatostatin analogs (octreotide, lanreotide) — pharmacological antagonists; combination expected to blunt or abolish GH response
Dosing observed in the literature
| Route | Range | Context | Source |
|---|---|---|---|
| subcutaneous | 30 µg/kg (single injection) | Teichman 2006 ascending-dose safety trial; healthy adults (~n=32 sub-trial). | PMID:16352683 |
| subcutaneous | 60 µg/kg (single injection) | Teichman 2006 — best-tolerated single-dose range in healthy adults. | PMID:16352683 |
| subcutaneous | 30–60 µg/kg (multiple doses, up to 28-day observation) | Teichman 2006 multiple-dosing arm — cumulative IGF-1 elevation assessed. | PMID:16352683 |
| intravenous | 1–2 µg/kg | Ionescu & Frohman 2006 mechanistic pulsatility study in healthy adults. | PMID:17018654 |
| subcutaneous | Not published | NCT00267527 Phase II (n=192, HIV-associated visceral obesity). Specific dose schedule not in the public domain — trial halted before full publication. | NCT00267527 |
Stability & handling
- Lyophilized shelf life
- Estimated 24 months sealed and protected from moisture/light at −20°C (secondary/compounding guidance; no peer-reviewed stability study specific to CJC-1295 DAC identified).
- Lyophilized storage
- Freeze at −20°C (long-term) or 2–8°C (short-term). Avoid room-temperature long-term storage — thermal degradation and moisture uptake accelerate. Do not open cold vials until equilibrated to room temperature; moisture condensation is a primary degradation pathway.
- Reconstitution diluents
- Bacteriostatic water for injection (0.9% benzyl alcohol in sterile water) — standard, Sterile water for injection (single-use only)
- Reconstituted (refrigerated)
- Commonly cited 14–28 days at 2–8°C. CRITICAL CAVEAT: the DAC maleimide ring can hydrolyze slowly in aqueous solution over this window, producing a ring-opened form that no longer binds albumin. Standard UV-HPLC does not detect this silent potency loss.
- Reconstituted (room temp)
- Degradation accelerates sharply above 8°C. Secondary sources report 15–20%/week potency losses at room temperature for reconstituted solution; avoid.
- OK to refreeze
- No
- Light sensitive
- Yes — protect from light
CJC-1295 DAC-specific stability failure modes that matter for what's actually in the vial: (1) MALEIMIDE RING HYDROLYSIS is the single most insidious degradation pathway. The electrophilic maleimide on Lys³⁰ can undergo aqueous hydrolysis to a succinamic-acid-containing ring-opened form that is the same MW + 18 Da and cannot conjugate to albumin — completely eliminating the extended half-life. Standard UV-HPLC typically does NOT distinguish intact vs ring-opened. Only high-resolution mass spectrometry does. A "≥98% purity by HPLC" COA on an aqueous preparation provides no assurance the peptide is still DAC-functional. (2) SALT FORM MISREPRESENTATION — CJC-1295 DAC can be supplied as free base, acetate salt (+~59 Da/molecule), or trifluoroacetate salt (+~114 Da/molecule). Vendors selling by claimed peptide weight while the product is TFA salt systematically underdeliver actual peptide by 3–5%. The FDA's December 2024 PCAC materials explicitly listed all three salt forms as commercially relevant distinct entries. Ion chromatography or NMR confirms counter-ion identity; most consumer-facing COAs do not include this. (3) POSITION-8 DEAMIDATION — the engineered Gln⁸ residue is deamidation-prone; deamidation adds 0.984 Da (undetectable by UV-HPLC; detectable only by high-resolution MS) and may reduce receptor affinity. (4) DAC VS NO-DAC CROSS-CONTAMINATION — the two forms differ by ~280 Da and can co-elute on standard HPLC. Only mass spec can confirm the product sold as "DAC" actually contains the maleimide extension versus the no-DAC core.
Frequently asked questions
What is the difference between CJC-1295 with DAC and CJC-1295 without DAC, and does it matter?
Yes, substantially. These are different molecules. CJC-1295 WITH DAC (this compound) has a half-life of approximately 6–8 days because the DAC modification causes it to covalently bind serum albumin. CJC-1295 WITHOUT DAC (Modified GRF 1-29) is the same 29-residue core without the albumin-binding extension; its half-life is approximately 30 minutes. They require completely different injection schedules. The "without DAC" form was developed as a shorter-acting alternative after the DAC version, and the naming convention was borrowed to leverage brand recognition — a decision that created durable market confusion. If you cannot confirm by COA + mass spectrometry which form you have, you cannot know what you're actually injecting.
Was the patient death in the CJC-1295 Phase II trial caused by the drug?
The attending physician concluded the most likely cause was pre-existing, asymptomatic coronary artery disease — not the drug. However, no independent regulatory adjudication of causality was ever published, because ConjuChem halted the trial voluntarily and the compound was never approved. The honest answer is that the death was most likely coincidental, but the data needed to formally confirm this (autopsy findings, full trial safety database, independent adjudication) were never made public. It is a genuine unresolved safety signal even if the most plausible interpretation is non-causation, and the efficacy and safety data from the remaining ~191 participants was never reported either.
Can US compounding pharmacies legally make CJC-1295 DAC right now?
As of April 22, 2026: almost certainly not under standard 503A. The FDA Pharmacy Compounding Advisory Committee voted against CJC-1295 and CJC-1295 DAC inclusion on the 503A Bulks List on December 4, 2024. HHS Secretary Kennedy announced in February 2026 an intent to restore many peptides to Category 1, and the April 15, 2026 FDA update removed 12 peptides from Category 2, but CJC-1295 DAC's inclusion in that April action is NOT confirmed from primary sources accessible to this research. Until a formal Federal Register notice explicitly adds CJC-1295 DAC to the 503A Bulks List, compounding is not authorized. Anyone claiming otherwise should be asked to produce the specific FDA document.
Is CJC-1295 DAC the same as sermorelin or tesamorelin?
No. Sermorelin is hGRF(1-29) — the native 29-amino-acid N-terminal fragment of GHRH — with a half-life of ~30 min. CJC-1295 DAC is derived from sermorelin but incorporates four amino acid substitutions plus a 30th residue bearing the DAC maleimide group, extending the half-life to ~7 days. Sermorelin has FDA approval history (approved as Geref Diagnostic for GH deficiency diagnosis, then withdrawn from the US market for commercial reasons). Tesamorelin (Egrifta) is a different long-acting GHRH analog — a modified hGRF(1-44) rather than hGRF(1-29/30) — that completed Phase III trials and IS FDA-approved (2010) for HIV-associated lipodystrophy, the same indication ConjuChem was targeting before halting CJC-1295 DAC development. The comparison is instructive: tesamorelin demonstrates that GHRH analogs can achieve regulatory approval with the right development program. CJC-1295 DAC did not complete that program.
Does CJC-1295 DAC actually raise IGF-1, and is that a good thing?
It does raise IGF-1 — this is the most robustly demonstrated human finding, with 1.5–3× elevations for 9–11 days after a single injection (Teichman 2006). Whether sustained IGF-1 elevation at those levels over months or years is beneficial, neutral, or harmful in healthy adults is genuinely unknown. IGF-1 is anabolic and lipolytic, which is the claimed benefit, but it is also a mitogen — it promotes cell division — and epidemiological data associates elevated serum IGF-1 with increased incidence of colorectal, breast, and prostate cancers. The magnitude of risk and the direction of causation are debated in the primary literature. The wellness narrative frames elevated IGF-1 as straightforwardly beneficial; the honest answer is "possibly at physiological levels for short durations, but long-term safety at CJC-1295 DAC's elevations has not been studied."
Why do protocols combine CJC-1295 DAC with ipamorelin?
Ipamorelin is a GHRP — it acts on the ghrelin receptor (GHS-R1a) rather than the GHRH receptor. The two receptors use different signaling pathways and are synergistic when co-activated: GHRH receptor activation increases GH pulse amplitude while ghrelin receptor activation increases the number of somatotrophs releasing GH per pulse. The rationale is mechanistically sensible. However, no published human RCT has tested the CJC-1295 DAC + ipamorelin combination for any clinical endpoint. The combination is further complicated by the half-life mismatch: once-weekly CJC-1295 DAC plus multiple-daily ipamorelin creates an asymmetric dosing pattern that has never been studied pharmacologically in humans.
Will CJC-1295 DAC show up on a drug test?
Yes, if the test panel covers GHRH analogs. CJC-1295 is explicitly prohibited under WADA S2 and has LC-HRMS/MS detection methodology in both human and equine plasma. Because of the ~6–8-day half-life, the detection window for CJC-1295 DAC is substantially longer than for the no-DAC form — potentially multiple days post-injection. Athletes subject to WADA testing should treat CJC-1295 DAC as prohibited at all times.
What should I look for on a CJC-1295 DAC COA?
Five items, separately reported: (1) MASS-SPEC CONFIRMATION of the DAC modification — intact maleimide on Lys³⁰. Intact and ring-opened forms differ by only 18 Da and can appear nearly identical on standard UV-HPLC; only high-resolution MS reliably distinguishes them, and a product whose DAC has hydrolyzed silently loses the extended half-life. (2) MASS-SPEC CONFIRMATION that the compound is DAC, not no-DAC — the two forms differ by ~280 Da and can co-elute on standard HPLC. (3) NET PEPTIDE CONTENT distinct from HPLC chromatographic purity — TFA and acetate counterions plus residual water contribute to stated vial mass; COAs should report peptide content as a percentage of gross weight and identify the salt form (free base vs acetate vs TFA). The December 2024 FDA PCAC materials treated all six salt/form entries as distinct commercial entities for good reason. (4) ENDOTOXIN (LAL) testing per USP <85> because the product is injectable. (5) CHIRAL confirmation of D-Ala at position 2 — reverse-phase HPLC does NOT detect D→L racemization, which would restore DPP-IV susceptibility. A COA showing only "≥98% purity by HPLC" without these five items has not characterized what is actually in the vial.
What half-life should I expect from CJC-1295 DAC?
Approximately 5.8–8.1 days in healthy adults, directly measured in Teichman 2006. This is derived from covalent conjugation to serum albumin, which takes ~5–15 minutes after SC injection and depends on the maleimide ring being intact at the moment of injection. If the maleimide has hydrolyzed in solution before injection (ring-opened form), or if the individual has a low-albumin state (liver disease, malnutrition, nephrotic syndrome), the effective half-life can be much shorter — potentially approaching no-DAC kinetics (~30 min). Standard UV-HPLC purity testing cannot detect ring-opened product; a product that looks ≥98% pure can still be pharmacokinetically broken.
Is there evidence CJC-1295 DAC builds muscle or reduces body fat?
No completed, published RCT has measured body composition as an outcome. Claims that CJC-1295 DAC "builds lean mass" or "burns fat" are extrapolated from: (a) the established pharmacodynamics of GH and IGF-1; and (b) the incomplete Phase II trial in HIV lipodystrophy patients (NCT00267527, n=192), whose efficacy endpoints were never published. The mechanism is biologically plausible, but the specific clinical question has not been answered by evidence for this compound. Tesamorelin — a different FDA-approved GHRH analog — did complete Phase III trials in the same HIV lipodystrophy indication and does demonstrate visceral fat reduction. That's not evidence for CJC-1295 DAC; it's evidence that the class mechanism can work in a specific population when the development program is completed.
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