CJC-1295 + Ipamorelin Blend
Also known as: CJC/Ipa, GH Stack, Gold Standard GH Blend, Mod GRF 1-29 + Ipamorelin, CJC-1295 no DAC + Ipamorelin
Evidence: Preclinical
Overview
Vial blend of CJC-1295 without DAC (Mod GRF 1-29) and ipamorelin, sold as 10 mg (5 mg each); the two act on separate GH-releasing receptors, and no study has tested the pair.
Both catalog vendors sell this as CJC-1295 without DAC, also called Mod GRF 1-29, mixed 5 mg/5 mg with ipamorelin. That is a different molecule from CJC-1295 with DAC, which lasts days; Mod GRF 1-29 has no published study of its own, and its D-Ala2 substitution only extends the half-time of GHRH(1-29) to about 7 min in men (Soule 1994). Ipamorelin released GH without raising cortisol in swine (Raun 1998) and has one human PK study and one negative phase 2 trial in postoperative ileus (Beck 2014). GHRH and GHRP-class peptides act synergistically on GH release in men (Bowers 1990), the rationale for pairing them, but no study has tested this blend. FDA lists ipamorelin in category 2 for 503B outsourcing and CJC-1295 in the withdrawn-nomination table of its compounding safety-risk page.
Benefits
GH pulse after IV ipamorelin (human PK study); GH release by Mod GRF 1-29 inferred from related GHRH analogs; body-composition, sleep and recovery claims untested for the blend or either component
Dosing reference
- Research dose
- 200 to 500 mcg of blend per injection (100 to 250 mcg of each at the 5 mg/5 mg ratio), 1 to 3x daily: vendor/community range, no published human dose of the blend or of Mod GRF 1-29
- Range
- 200 to 500 mcg, 1-3x daily
- Reconstitution
- 2 mL bacteriostatic water
- Common vial sizes
- 10 mg
Subcutaneous in community use, usually fasted or at bedtime; neither timing has been compared in a study of this blend. Human ipamorelin doses were IV and weight-based: 4 to 140 nmol/kg over 15 min (about 3 to 100 mcg/kg) in the PK study and 0.03 mg/kg twice daily in the ileus trial. No human dose of Mod GRF 1-29 has been published. The 5 days on, 2 days off pattern is community convention.
Mechanism
Proposed, from component and class studies. Mod GRF 1-29 is a tetrasubstituted GHRH(1-29) analog that binds the GHRH receptor on pituitary somatotrophs; its D-Ala2 change blocks cleavage between residues 2 and 3 in plasma, but its activity has not been measured directly. Ipamorelin is a pentapeptide agonist of the ghrelin receptor (GHS-R1a); in swine it released GH with GHRP-6-like potency without raising ACTH or cortisol (Raun 1998). In men, GHRH(1-44) given with GHRP-6 produced a GH response larger than either alone (Bowers 1990), which is the basis for pairing the two receptor pathways. The older claims of 2 to 5 times greater GH release and of a 'cleanest' stack have no published source for this blend.
Evidence
Preclinical: animal or in vitro data only
- D-Ala2 substitution, one of Mod GRF 1-29's four changes, raised the plasma half-time of GHRH(1-29) from 4.3 to 6.7 min in 10 normal men (Soule et al., 1994)
- Ipamorelin released GH with GHRP-6-like potency but without ACTH or cortisol rise in swine (Raun et al., 1998)
- IV ipamorelin in 40 healthy men: dose-proportional PK, 2 h terminal half-life, single GH peak at 40 min (Gobburu et al., 1999)
- Phase 2 RCT of IV ipamorelin in postoperative ileus (n=114): well tolerated, no efficacy difference from placebo (Beck et al., 2014)
- Human-trial status: no study has tested the blend as sold, and none has tested Mod GRF 1-29 itself. GHRH(1-44) plus GHRP-6 was synergistic for GH release in men (Bowers et al., 1990); CJC-1295 with DAC, a different molecule, raised GH and IGF-1 for days in phase 1/2 trials (Teichman et al., 2006)
References
- Incorporation of D-Ala2 in growth hormone-releasing hormone-(1-29)-NH2 increases the half-life and decreases metabolic clearance in normal men. Soule S, King JA, Millar RP, Journal of Clinical Endocrinology & Metabolism, 1994
- In vitro stability of growth hormone releasing factor (GRF) analogs in porcine plasma. Su CM, Jensen LR, Heimer EP, Felix AM, Pan YC, Mowles TF, Hormone and Metabolic Research, 1991
- 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. Jette L, Leger R, Thibaudeau K, et al., Endocrinology, 2005
- 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. Teichman SL, Neale A, Lawrence B, Gagnon C, Castaigne JP, Frohman LA, Journal of Clinical Endocrinology & Metabolism, 2006
- Ipamorelin, the first selective growth hormone secretagogue. Raun K, Hansen BS, Johansen NL, et al., European Journal of Endocrinology, 1998
- Pharmacokinetic-pharmacodynamic modeling of ipamorelin, a growth hormone releasing peptide, in human volunteers. Gobburu JV, Agerso H, Jusko WJ, Ynddal L, Pharmaceutical Research, 1999
- Prospective, randomized, controlled, proof-of-concept study of the Ghrelin mimetic ipamorelin for the management of postoperative ileus in bowel resection patients. Beck DE, Sweeney WB, McCarter MD; Ipamorelin 201 Study Group, International Journal of Colorectal Disease, 2014
- Growth hormone (GH)-releasing peptide stimulates GH release in normal men and acts synergistically with GH-releasing hormone. Bowers CY, Reynolds GA, Durham D, Barrera CM, Pezzoli SS, Thorner MO, Journal of Clinical Endocrinology & Metabolism, 1990
Side effects
No human safety study of the blend or of Mod GRF 1-29 has been published. IV ipamorelin was well tolerated in a 114-patient phase 2 trial (Beck 2014). Commonly reported by users (anecdotal): injection-site reactions, flushing, head rush, water retention and joint aches; reduced insulin sensitivity and carpal tunnel symptoms are reported with sustained GH elevation. Ipamorelin is in category 2 of FDA's 503B interim policy (added 2023-09-29), and ipamorelin and CJC-1295 are in the withdrawn-nomination table for 503A, as of 2026-04-22: https://www.fda.gov/drugs/human-drug-compounding/certain-bulk-drug-substances-use-compounding-may-present-significant-safety-risks. FDA cites serious adverse events with CJC-1295, including increased heart rate and a systemic vasodilatory reaction.
Storage
- Storage
- Refrigerate 2-8°C (36-46°F)
- Lyophilized
- 2+ years at room temp, 3+ years refrigerated
- Reconstituted
- 28-30 days refrigerated
Pharmacology
- Half-life
- Mod GRF 1-29 not measured; D-Ala2-GHRH(1-29) ~6.7 min (human, IV). Ipamorelin ~2 h terminal (human, IV). The ~30 min figure for Mod GRF is community lore
- Bioavailability
- Not measured for either component by subcutaneous injection; human ipamorelin data are IV. No data for the blend