GHRP-2 vs Hexarelin
Hexarelin is a hexapeptide GHRP with the strongest acute GH response of the class and a separate binding site on the cardiac receptor CD36. GHRP-2 (pralmorelin) has been used in Japan as a diagnostic GH-stimulation agent, while some hexarelin studies report the GH response weakening with prolonged use.
GHRP-2
A synthetic hexapeptide growth-hormone-releasing peptide that acts on the ghrelin receptor and is used in some countries as a diagnostic test of GH reserve.
BEST STUDIED FOR
GH secretagogues
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Hexarelin
A potent synthetic growth-hormone-releasing hexapeptide with additional, receptor-mediated actions studied in cardiovascular models.
BEST STUDIED FOR
GH secretagogues
Read the cited profile →
SIDE BY SIDE
| GHRP-2 | Hexarelin | |
|---|---|---|
| The key difference | Widely used diagnostic GH secretagogue | Most potent GHRP; CD36 cardiac binding |
| Class | GH secretagogues | GH secretagogues |
| Mechanism | GHRP-2 (D-Ala-D-β-Nal-Ala-Trp-D-Phe-Lys-NH2) is a ghrelin-receptor (GHS-R1a) agonist with no structural homology to GHRH. | Hexarelin activates the ghrelin receptor (GHSR) and releases GH. |
| Status | Used clinically in Japan as a GH-reserve stimulation test; otherwise unapproved. Detected and banned in sport. | Preclinical and small human studies; not an approved medicine. |
| Reported safety signals | Diagnostic-test literature reports it as well tolerated in single-dose testing. It is not selective: secondary rises in cortisol and prolactin are documented across the GHRP class. | Like other GHRPs it can raise cortisol and prolactin; attenuation of the GH response with repeated exposure has been reported. No long-term human safety data. |
| A key study | A development profile of pralmorelin, a synthetic growth-hormone-releasing peptide developed by Polygen and Tulane University. (Drugs R D 2004, PMID 15230633) | Reviews evidence that hexarelin, via peripheral GHSR in heart and vessels, may have direct cardiovascular effects. (J Geriatr Cardiol 2014, PMID 25278975) |
WHEN TO RESEARCH WHICH
Hexarelin is the research choice for cardioprotection questions tied to CD36; GHRP-2 for standard GH-secretagogue models. Both are discussed here strictly as research compounds; nothing on this page is medical advice or a dosing guide.
REFERENCES (PUBMED)
- [GHRP-2] Pralmorelin: GHRP 2, GPA 748, growth hormone-releasing peptide 2, KP-102 D, KP-102 LN, KP-102D, KP-102LN — Drugs R D 2004. PMID 15230633
- [GHRP-2] Clinical Usefulness of the Growth Hormone-Releasing Peptide-2 Test for Hypothalamic-Pituitary Disorder — J Endocr Soc 2022. PMID 35795807
- [GHRP-2] Determination of growth hormone secretagogue pralmorelin (GHRP-2) and its metabolite in human urine by liquid chromatography/electrospray ionization tandem mass spectrometry — Rapid Commun Mass Spectrom 2010. PMID 20552695
- [Hexarelin] The cardiovascular action of hexarelin — J Geriatr Cardiol 2014. PMID 25278975
- [Hexarelin] The Safety and Efficacy of Growth Hormone Secretagogues — Sex Med Rev 2018. PMID 28400207
- [Hexarelin] Hexarelin alleviates apoptosis on ischemic acute kidney injury via MDM2/p53 pathway — Eur J Med Res 2023. PMID 37710348
FREQUENTLY ASKED
What is the difference between GHRP-2 and Hexarelin?
Hexarelin is a hexapeptide GHRP with the strongest acute GH response of the class and a separate binding site on the cardiac receptor CD36. GHRP-2 (pralmorelin) has been used in Japan as a diagnostic GH-stimulation agent, while some hexarelin studies report the GH response weakening with prolonged use.
What is the regulatory status of GHRP-2 and Hexarelin?
GHRP-2: Used clinically in Japan as a GH-reserve stimulation test; otherwise unapproved. Detected and banned in sport. Hexarelin: Preclinical and small human studies; not an approved medicine.
What safety signals have been reported?
GHRP-2: Diagnostic-test literature reports it as well tolerated in single-dose testing. It is not selective: secondary rises in cortisol and prolactin are documented across the GHRP class. Hexarelin: Like other GHRPs it can raise cortisol and prolactin; attenuation of the GH response with repeated exposure has been reported. No long-term human safety data.
Which studies is this comparison based on?
For GHRP-2: “Pralmorelin: GHRP 2, GPA 748, growth hormone-releasing peptide 2, KP-102 D, KP-102 LN, KP-102D, KP-102LN” (PMID 15230633); “Clinical Usefulness of the Growth Hormone-Releasing Peptide-2 Test for Hypothalamic-Pituitary Disorder” (PMID 35795807); “Determination of growth hormone secretagogue pralmorelin (GHRP-2) and its metabolite in human urine by liquid chromatography/electrospray ionization tandem mass spectrometry” (PMID 20552695). For Hexarelin: “The cardiovascular action of hexarelin” (PMID 25278975); “The Safety and Efficacy of Growth Hormone Secretagogues” (PMID 28400207); “Hexarelin alleviates apoptosis on ischemic acute kidney injury via MDM2/p53 pathway” (PMID 37710348).
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