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Macimorelin

Aliases: Macrilen · AEZS-130

Last verified: 2026-09-23

Approved drugStrong evidenceSmall moleculesMedium interest

The short version

An oral GH secretagogue — FDA-approved as a diagnostic test for adult GH deficiency (the only oral GHS diagnostic).

Identity & type

Molecular type
mali molekul
Origin
An oral GH secretagogue — FDA-approved as a diagnostic test for adult GH deficiency (the only oral GHS diagnostic).

Mechanism of action

GHS-R1a agonism → acute GH spike (diagnostic).

Dosing & routes

Official / clinical context

Approved drug — indications, dosing and warnings are defined by the official label. 0.5 mg/kg orally once (test).

Regulator-approved labeling and published study designs — never a recommendation.

Community-reported practice

0.5 mg/kg orally once (test). A diagnostic drug — no community experiences; a transient GH spike.

Unverified self-reports. Not medical advice. Not endorsement.

Expected effects (community)

A diagnostic drug — no community experiences; a transient GH spike.

Protocol — official vs community

Official / label

Macrilen: 0.5 mg/kg orally once, as a single dose of granules — the only approved use is the diagnosis of adult growth hormone deficiency.

Duration: Single administration; serum GH is measured at timed intervals after dosing under supervision.

A diagnostic tool, not a therapy — the transient GH pulse exists to read the pituitary's response, nothing more. No approved repeat-dosing or chronic regimen exists.

Community (anecdotal)

Structured protocol data for this entry is coming.

Human evidence

FDA-approved 2017.

Preclinical evidence

The preclinical phase was completed and submitted to regulators as part of registration; pharmacology and toxicology details are part of the official label.

Known risks

  • Dysgeusia, dizziness, mild nausea.characterized

Teal: characterized in clinical/labeling contexts. Amber: theoretical or reported outside controlled settings.

Unknowns & evidence gaps

  • Real-world data outside controlled trials

Frequently asked questions

References