Weight loss, human trials, side effects, injectable claims, FDA status, prices, and worldwide checks

AOD-9604 reached human obesity trials. Its pivotal study failed.

Six controlled studies exposed 893 adults to oral or intravenous AOD-9604 development products. The largest study enrolled 536 people, missed its weight-loss endpoints, and ended the obesity program. That record does not support the common claim that a current 5 mg subcutaneous research vial is a proven fat-loss treatment.

Amino acids16Exact PubChem sequence
Controlled studies06Oral and intravenous
Adults exposed893Company-linked safety summary
503A vote0/12Supported inclusion
Direct answer

Human studies exist, but the strongest weight-loss result was negative.

The OPTIONS study enrolled 536 adults with obesity and randomized 502 to oral AOD-9604 or placebo. FDA reports no statistically significant difference at the 12-week primary weight-loss endpoint or the 24-week secondary endpoint. The sponsor terminated obesity development after the result.

AOD-9604 is not an FDA-approved drug. The FDA advisory committee later voted unanimously against placing its free base and acetate forms on the 503A Bulks List. FDA also found no human exposure data for the subcutaneous and transdermal routes reviewed for compounding.

Evidence summary

Read the AOD-9604 record in four fields.

This is a sourced status snapshot, not a safety score, treatment recommendation, or seller certification. Each field links back to the detailed record below.

01 Strongest human record

Six controlled studies

The program covers 893 adults, but only oral and intravenous development products. The pivotal 502-person randomized comparison missed its weight-loss endpoint.

Inspect the human evidence
02 What it establishes

Weight-loss claim not proven

FDA found a lack of evidence for effectiveness in obesity, and the sponsor ended development after the larger Phase 2b result.

Audit the popular claims
03 United States FDA status

No approved AOD-9604 drug

Neither free base nor acetate is a component of an FDA-approved drug. The 2024 committee vote for 503A inclusion was 0 to 12.

Check status and destination routes
Best primary source to open firstFDA briefing document for AOD-9604-related bulk drug substancesU.S. Food and Drug Administration
Open the primary record
Four evidence lanes

Sequence, efficacy, route, and seller product cannot be collapsed into one claim.

A credible answer keeps the exact molecule, form, formulation, administration route, study product, population, endpoint, seller lot, and destination attached.

01Identity

AOD-9604 is a specific 16-amino-acid peptide

PubChem records the sequence YLRIVQCRSVEGSCGF. FDA describes it as human growth hormone residues 177 to 191 with an added N-terminal tyrosine, so a generic HGH fragment label can hide a real identity difference.

02Human efficacy

The pivotal obesity study missed its weight-loss endpoint

The OPTIONS study enrolled 536 adults and randomized 502 to oral AOD-9604 or placebo. FDA reports no statistically significant weight-loss difference at the 12-week primary endpoint or the 24-week secondary endpoint.

03Route

The long obesity studies were oral, not subcutaneous

The six-study safety publication covers intravenous single-dose work and oral capsule or tablet studies. FDA found no human exposure data for the proposed subcutaneous or transdermal routes reviewed for compounding.

04Market record

A research vial is not a clinical-trial product

A seller-labelled 5 mg vial differs from the oral or intravenous development products in route, formulation, manufacturing record, lot evidence, sterility assurance, supplier, intended use, and regulatory status.

Claim check

Popular AOD-9604 claims beside the record that limits them.

A mouse study, an earlier human signal, a failed pivotal trial, and a current vial listing answer different questions.

Popular claimActual recordEvidence limit

AOD-9604 is a proven fat-loss peptide

Several controlled human studies were performed, and one earlier 12-week study produced a signal in a selected dose group.

FDA concluded that most identified studies failed to show weight-reduction benefit. The larger OPTIONS study did not find a statistically significant difference at its primary or secondary weight-loss endpoints, and development for obesity was terminated.

The pivotal trial had 536 treated participants

The OPTIONS study enrolled 536 adults with obesity and randomized 502 after a run-in period.

Enrollment and randomization are different denominators. The study tested oral 0.25, 0.5, and 1 mg daily doses with diet and exercise support, not a current 5 mg injectable research vial.

AOD-9604 is just HGH fragment 176-191

AOD-9604 was modeled on the C-terminal human growth hormone region and is frequently marketed with HGH fragment language.

FDA and PubChem define AOD-9604 as a 16-amino-acid sequence containing hGH residues 177 to 191 plus an added N-terminal tyrosine. A seller should prove the exact sequence, form, and product rather than rely on a loose alias.

Human trials prove injections are safe

The published program included early single-dose intravenous studies and longer oral studies in 893 adults.

FDA found no human exposure data for subcutaneous or transdermal AOD-9604 and highlighted immunogenicity, aggregation, peptide-impurity, endotoxin, and characterization gaps. Oral and intravenous findings cannot validate a different route or seller lot.

AOD-9604 is FDA approved

FDA evaluated AOD-9604 free base and acetate for possible inclusion on the 503A Bulks List and reviewed historical human research.

Neither form is a component of an FDA-approved drug. The advisory committee voted 0 to 12 on placing the two forms on the 503A Bulks List. A compounding review is not a drug approval review.

No adverse-event reports means no safety risk

FDA's FAERS and literature searches did not retrieve postmarket case reports through the cited search dates.

FDA explicitly says a lack of reports does not imply safety. The clinical summaries were limited, long-term safety was insufficient, route-specific data were missing, and a 2021 sterile compounded-product recall shows why product quality remains separate from molecule-level reports.

A COA proves an AOD-9604 vial will work

A matched report may support a limited result for the exact sample tested, such as identity, purity, quantity, or a named contaminant test.

It does not prove clinical effectiveness, sterility unless that exact test was performed, patient-vial custody, lawful supply, FDA approval, or equivalence to the products used in the historical trials.

Human evidence ledger

Six studies, three routes in the market, and one critical mismatch.

The human program used oral and intravenous products. The common subcutaneous research-vial route does not have the same clinical record.

METAOD001Completed, summary published

First intravenous dose-escalation study

Identity
AOD-9604 development product versus placebo and recombinant hGH
Design
Double-blind, placebo-controlled Phase 1 single-dose escalation
Participants
15 healthy adult men

The study assessed acute safety and laboratory responses across intravenous doses. It was not a weight-loss efficacy trial and does not establish the safety or effectiveness of current subcutaneous research vials.

METAOD002Completed, summary published

Intravenous study in men with obesity

Identity
Single intravenous AOD-9604 doses versus placebo
Design
Double-blind, placebo-controlled crossover Phase 2a study
Participants
23 men with obesity

A severe chest-tightness event and mild to moderate euphoria were assessed as possibly related in the publication. The small acute study cannot define long-term safety, weight-loss benefit, or subcutaneous use.

METAOD003-004Completed, summary published

Early oral safety studies

Identity
Oral AOD-9604 capsules versus placebo
Design
Single-dose and seven-day double-blind controlled studies
Participants
17 plus 36 men with obesity

These studies explored oral doses from 9 to 54 mg. Headache and gastrointestinal events were common, and one diarrhea serious adverse event was assessed as possibly related. Short exposure and small male cohorts limit interpretation.

METAOD005Completed, safety summary published

Twelve-week oral obesity study

Identity
Oral AOD-9604 capsules across five doses versus placebo
Design
Randomized, double-blind, placebo-controlled multicenter Phase 2b study
Participants
300 adults with obesity

The publication emphasizes safety and reports similar adverse-event distributions across groups, no significant IGF-1 change, and no detected antibodies in tested samples. It does not provide a complete peer-reviewed efficacy report, and FDA found the available effectiveness summaries insufficient.

METAOD006 / OPTIONSCompleted, primary endpoint not met

Pivotal 24-week obesity study

Identity
Oral AOD-9604 tablets at 0.25, 0.5, or 1 mg versus placebo
Design
Randomized, double-blind, placebo-controlled multicenter Phase 2b study with diet and exercise support
Participants
536 enrolled; 502 randomized

FDA reports no statistically significant weight-loss difference at 12 weeks or 24 weeks. The sponsor terminated obesity development after concluding that the study did not support commercial viability. Full efficacy methods and results were not published in a conventional peer-reviewed report.

ClinicalTrials.govChecked July 22, 2026

Current registry search

Identity
Exact AOD-9604 term search
Design
Live ClinicalTrials.gov database query
Participants
0 matching records

The zero-result search means there is no current ClinicalTrials.gov record under the exact term. It does not mean no human studies occurred: the older Australian program is documented through the safety publication, TGA notification history, company records, and FDA's later review.

Pivotal result map

The result is clearer when the denominators and endpoints stay visible.

Enrollment, randomization, duration, route, and statistical result are separate fields, not interchangeable marketing numbers.

Study population

536 enrolled

After the placebo run-in, 502 adults with obesity were randomized to one of three oral doses or placebo with diet and exercise support.

Open the FDA study summary →
Primary endpoint

Not significant at week 12

No AOD-9604 dose produced the prespecified statistically significant weight-loss difference versus placebo at the primary time point.

Inspect the endpoint record →
Program decision

Obesity development ended

The sponsor concluded that the 12-week and 24-week results did not support commercial viability and terminated development for obesity.

Read FDA's conclusion →
Route translation check

Oral, intravenous, and subcutaneous are not one evidence lane.

The route changes formulation, exposure, product-quality requirements, and the safety questions a study can answer.

Oral

Largest evidence base

The two longer studies tested controlled capsules or tablets. The pivotal oral program did not establish weight-loss effectiveness.

Read the six-study summary →
Intravenous

Small acute studies

Two early studies used controlled single-dose infusions in 15 and 23 men. They assessed acute pharmacology and safety, not long-term weight loss.

Inspect the IV records →
Subcutaneous

No human exposure record found

FDA found no human study for the proposed subcutaneous route and highlighted immunogenicity, aggregation, impurity, sterility, endotoxin, and characterization concerns.

Open FDA's route analysis →
Evidence-market gap

A current 5 mg research listing is not an obesity-trial product.

These are dated market observations, not a treatment pathway. Price and availability do not establish identity, sterility, effectiveness, approval, lawful personal use, or suitability.

Qualified exact-size rows

04

The board compares public US 5 mg research listings under one evidence policy and keeps ambiguous stock rows from setting the available low.

Inspect every source row →
Available rows

03

Only explicit availability language enters the count. Each row keeps the seller source, evidence-access note, and checked date attached.

Check source freshness →
Available list-price range

$44.00-50.00

The range excludes shipping, taxes, coupons, checkout-only discounts, and unresolved stock. It does not estimate clinical value.

Compare landed cost →
Worldwide answer

A US seller page does not establish access in another country.

Country status depends on the exact product, presentation, claimed use, authorization, seller, import route, and current regulator record. SAHPRA and Health Canada have published named AOD-9604 enforcement records, while every other destination needs its own current product and seller checks.

Direct evidence answers

Fifteen AOD-9604 questions, answered from the exact record.

This is educational reporting, not medical advice, a prescription, emergency guidance, or a use protocol.

01

What is AOD-9604?

AOD-9604 is a synthetic 16-amino-acid peptide modeled on the C-terminal region of human growth hormone. PubChem records the sequence YLRIVQCRSVEGSCGF, while FDA describes it as hGH residues 177 to 191 with an added N-terminal tyrosine. That exact sequence matters because loose terms such as HGH fragment can refer to a different molecular identity.

02

Does AOD-9604 work for weight loss?

The strongest available answer is no proven clinical benefit. FDA concluded that most identified studies failed to show weight-reduction benefit versus placebo. In the largest study, 536 adults were enrolled and 502 randomized, but oral AOD-9604 did not produce a statistically significant weight-loss difference at the 12-week primary endpoint or the 24-week secondary endpoint. The sponsor then ended development for obesity.

03

Why do some pages say an AOD-9604 trial was positive?

An earlier 12-week dose-ranging study produced a weight-loss signal in one selected dose group, while the larger later OPTIONS study tested lower oral doses in a broader population with a formal diet and exercise program and did not meet its endpoints. Reporting only the earlier signal omits the more decisive failed study and the sponsor's decision to terminate obesity development.

04

How many people were in the main AOD-9604 trial?

FDA records 536 enrolled adults and 502 randomized participants in the OPTIONS study. The randomized denominator is the more accurate count for the treatment comparison. Participants received oral AOD-9604 at 0.25, 0.5, or 1 mg daily, or placebo, for 24 weeks with diet and exercise support.

05

Is AOD-9604 FDA approved?

No. FDA states that neither AOD-9604 free base nor AOD-9604 acetate is a component of an FDA-approved drug. A 2024 advisory review considered whether the two forms should be placed on the 503A Bulks List for compounding, which is a separate question from drug approval. The committee voted 0 to 12 in favor of placing them on that list.

06

What did the FDA committee decide about AOD-9604 compounding?

At the December 4, 2024 meeting, the Pharmacy Compounding Advisory Committee used one vote for AOD-9604 free base and acetate. The result was 0 yes, 12 no, and 0 abstentions on whether the substances should be placed on the 503A Bulks List. Advisory votes are nonbinding, but the vote is strong current evidence against describing AOD-9604 as an accepted 503A compounding ingredient.

07

What are the reported AOD-9604 side effects?

The company-linked six-study publication reported headaches and gastrointestinal events across oral and intravenous studies. A severe chest-tightness event and euphoria were assessed as possibly related in one intravenous study, and a diarrhea serious adverse event was assessed as possibly related in an oral study. FDA says the summaries are too limited to establish long-term safety and notes uncertainty around serious events and route-specific risks.

08

Is injectable AOD-9604 supported by human trials?

Not for the common subcutaneous research-vial route. The historical human program included intravenous single-dose studies and longer oral studies. FDA found no human exposure data for the proposed subcutaneous or transdermal routes and highlighted immunogenicity, aggregation, impurity, endotoxin, and characterization concerns. Evidence from oral tablets or controlled intravenous infusions cannot be transferred to a seller vial.

09

Is AOD-9604 the same as HGH fragment 176-191?

The names are often used together in marketing, but they should not be treated as automatically interchangeable. FDA and PubChem define AOD-9604 as a 16-amino-acid peptide built from hGH residues 177 to 191 plus an added N-terminal tyrosine. A label that says only HGH fragment 176-191 does not by itself prove the exact AOD-9604 sequence, form, or product identity.

10

Are there current AOD-9604 studies on ClinicalTrials.gov?

The exact AOD-9604 search returned zero records when checked July 22, 2026. Older Australian trials still occurred and are documented in a 2013 safety publication and FDA's 2024 review. The correct conclusion is zero current ClinicalTrials.gov records, not zero human research.

11

Is AOD-9604 prohibited in sport?

Yes for athletes governed by the World Anti-Doping Code. WADA's 2026 Prohibited List explicitly names AOD-9604 among prohibited growth-hormone fragments. Anti-doping status is separate from medical approval, general legality, product identity, and the rules that apply to a non-athlete in a specific country.

12

Can you buy AOD-9604 in the United States?

US websites advertise seller-labelled AOD-9604 research vials, but a visible listing is not an FDA-approved medicine or proof of lawful personal-use supply. FDA states that AOD-9604 is not a component of an approved drug and publishes current compounding safety concerns. Peptide Local's price board records public research listings only and does not convert them into a medical pathway.

13

What is the status of AOD-9604 in South Africa and Canada?

SAHPRA explicitly names AOD-9604 among peptide products unlawfully marketed in South Africa and requires registration for products intended to treat, prevent, or alter bodily functions. Health Canada has named a seller-labelled 5 mg AOD-9604 product in an unauthorized-product seizure. Each record is country and product specific, so users should still check the exact medicine, seller, and supply route.

14

What does AOD-9604 cost?

Peptide Local tracks like-for-like public US 5 mg research listings and preserves stock status, source URL, checked date, price per milligram, and document access. The range can change and excludes shipping, tax, coupons, checkout-only discounts, and ambiguous stock rows. A research-vial price is not a medicine price and does not establish effectiveness, quality, legality, or suitability.

15

What is the correct AOD-9604 dosage?

There is no FDA-approved AOD-9604 label that establishes a dosage for weight loss or personal use. Historical trials tested different controlled oral and intravenous products, doses, and populations. Translating those protocols into instructions for a current subcutaneous research vial would ignore route, formulation, manufacturing, sterility, and clinical-evidence differences, so this guide does not provide a use protocol.

Critical boundary

Do not turn a failed oral trial into an injectable research protocol.

The historical studies concern controlled development products, defined routes, trial populations, dose schedules, investigators, and safety monitoring. A current seller-labelled vial has its own identity, form, formulation, sterility, concentration, lot, storage, supplier, and legal record.

Peptide Local does not provide dosing, reconstitution, injection, or treatment instructions for AOD-9604. Anyone evaluating weight-management treatment should use licensed medical care and approved-product evidence rather than translating research-market listings into personal-use guidance.

Primary source ledger

Open every record behind the guide.

Each source supports only the field described below. Inclusion is not an endorsement, safety score, product authentication, or seller certification.

AOD-9604 compound record, PubChem CID 71300630The 16-amino-acid identity, sequence, molecular formula, molecular weight, synonyms, and separation of a molecular record from a finished-product claimNational Library of Medicine, PubChem · officialFDA briefing document for AOD-9604-related bulk drug substancesFDA's review of identity, forms, routes, effectiveness, the 536-enrollee OPTIONS study, safety gaps, immunogenicity, compounding, and the recommendation against 503A Bulks List inclusionU.S. Food and Drug Administration · officialFinal minutes of the December 2024 Pharmacy Compounding Advisory Committee meetingThe committee's 0 to 12 vote on placing AOD-9604 free base and acetate on the 503A Bulks List, plus the exact nonbinding advisory contextU.S. Food and Drug Administration · officialCurrent FDA compounding safety-risk listFDA's current public summary of potential immunogenicity, peptide-impurity, characterization, limited-safety-information, and serious-adverse-event concernsU.S. Food and Drug Administration · officialAOD-9604 sterile compounded-product recallThe 2021 nationwide recall of named 3 mg injectable AOD-9604 lots for lack of sterility assurance and the product-specific nature of a recall recordU.S. Food and Drug Administration · officialSafety and tolerability of the hexadecapeptide AOD9604 in humansThe six company-linked randomized double-blind placebo-controlled trials, 893 exposed adults, oral and intravenous routes, study sizes, adverse events, IGF-1 findings, glucose findings, and antibody testingJournal of Endocrinology and Metabolism · clinicalCurrent ClinicalTrials.gov search for AOD-9604The current zero-record registry search result, which does not erase older Australian trials that predated routine ClinicalTrials.gov registrationClinicalTrials.gov, National Library of Medicine · clinical2026 Prohibited ListAOD-9604's explicit placement among prohibited growth-hormone fragments for athletes subject to the World Anti-Doping CodeWorld Anti-Doping Agency · officialPeptide products public informationSouth Africa's public guidance naming AOD-9604 among unlawfully marketed peptide products and explaining the local registration and safety boundarySouth African Health Products Regulatory Authority · officialUnauthorized peptide products seized from Rize FitnessA Canadian enforcement record naming a seller-labelled 5 mg AOD-9604 product without extending that finding to every product, seller, or routeHealth Canada · official
Continue the decision

Move from the molecule to the exact market and country record.

The evidence guide answers whether AOD-9604 has proven benefits and what FDA reviewed. The linked tools answer current price, seller evidence, public reports, sport status, and destination-specific access without mixing those questions.

Compare current AOD-9604 research listings Open the US price benchmark report Inspect public report routes Check AOD-9604 across 42 countries Compare the weight-loss evidence category Open the peptide safety center