Research Brief
Tesamorelin: Research Applications
💊 HIV-Associated Lipodystrophy (FDA-registered)
O(a) principal clinical application. Two pivotal Phase 3 trials (n=816) demonstrated 14–18% VAT reduction with 2 mg SC daily, with improvements in triglycerides (-12.3%), body image, and waist circumference. Reductions were manteve over 52 weeks but reversed upon discontinuation. [4] [10]
🫁 NAFLD / NASH
A 12-month RCT (n=61) in HIV-infected sujeitos de estudo showed 37% hepatico(a) fat reduction, with 35% achieving normal hepatico(a) fat fraction (<5%). Criticamente, Tesamorelin preveniu progression of liver fibrose (10.5% vs 37.5% in placebo, P=0.04). [11]
🧠 Cognitivo Function / MCI
In a blinded RCT (n=152) of healthy older adults and MCI sujeitos de estudo, 1 mg diariamente por 20 weeks melhorou executive function (P=0.005) and global cognition (P=0.03), with IGF-1 increasing +117%. Mechanisms involve aumentou GABA and amyloid-beta modulacao. [13]
🦴 Peripheral Nerve Regeneration
Preclinical GH models showed aprimorou median regeneracao nervosa (axon density P<0.005, myelin thickness P<0.0001) and melhorou muscle re-innervation (38% vs 27.9%, P<0.02). Tesamorelin is identificado(a) como the optimal agent for human traducao. [14]
❤️ Cardiovascular Risk Reduction
Reduces triglycerides and melhora carotid intima-media thickness (cIMT). VAT reduction is theorized to lower atherosclerotic doenca risco cardiovascular. Long-term desfechos cardiovasculares remain under study. [15]
💪 Sarcopenia / Muscle Quality
Increases musculo esqueletico density and area (particularmente trunk region), independente de changes in muscle mass quantity. Replaces hypertrophic lipid-engorged fat cells with healthy tissue. [12]
🍬 Metabolic Syndrome / Type 2 Diabetes
A tolerability study in T2D sujeitos de estudo (n=53) demonstrated neutral glucose effects — no significant changes in fasting glucose, HbA1c, or insulin response vs placebo. No entanto, Phase 3 HIV data showed aumentou HbA1c risk (HR 3.3 vs placebo), warranting monitoring. [16]
Referencias
- Falutz J, Allas S, Kotler D, et al. A controlado por placebo, dose-ranging study of a hormonio do crescimento releasing factor in HIV-infected sujeitos de estudo with abdominal fat accumulation. AIDS, 19(12), 1279-87, 2005.
- Ferdinandi ES, Brazeau P, High K, et al. Non-clinical pharmacology and tolerability evaluation of TH9507, a human hormonio do crescimento-releasing factor analogue. Basic Clin Pharmacol Toxicol, 100(1), 49-58, 2007.
- Falutz J, Allas S, Blot K, et al. Metabolic effects of a hormonio do crescimento-releasing factor in sujeitos de estudo with HIV. N Engl J Med, 357(23), 2359-70, 2007.
- Falutz J, Mamputu JC, Potvin D, et al. Effects of tesamorelin (TH9507) in HIV-infected sujeitos de estudo with excess abdominal fat: pooled analysis of two Phase 3 trials. J Clin Endocrinol Metab, 95(9), 4291-304, 2010.
- Wang Y, Tomlinson B. Tesamorelin, a human hormonio do crescimento releasing factor analogue. Expert Opin Investig Drugs, 18(3), 303-10, 2009.
- Grunfeld C, Dritselis A, Kirkpatrick P. Tesamorelin. Nat Rev compound Discov, 10(2), 95-6, 2011.
- Stanley TL, Chen CY, Branch KL, Makimura H, Grinspoon SK. Effects of a hormonio do crescimento-releasing hormone analog on endogenous GH pulsatility and sensibilidade a insulina in healthy men. J Clin Endocrinol Metab, 96(1), 150-8, 2011.
- Dhillon S. Tesamorelin: a review of its use no(a) management of HIV-associated lipodystrophy. Drugs, 71(8), 1071-91, 2011.
- Spooner LM, Olin JL. Tesamorelin: a hormonio do crescimento-releasing factor analogue for HIV-associated lipodystrophy. Ann Pharmacother, 46(2), 240-7, 2012.
- Stanley TL, Falutz J, Marsolais C, et al. Reduction in visceral adiposity is associado(a) com an melhorou metabolic profile in HIV-infected sujeitos de estudo receiving tesamorelin. Clin Infect Dis, 54(11), 1642-51, 2012.
- Stanley TL, Fourman LT, Feldpausch MN, et al. Effects of tesamorelin on non-alcoholic fatty doenca hepatico(a)a in HIV: a randomised, duplo-cego, multicentre trial. Lancet HIV, 6(12), e821-e830, 2019.
- Adrian S, Scherzinger A, Sanyal A, et al. The Growth Hormone Releasing Hormone Analogue, Tesamorelin, Decreases Muscle Fat and Increases Muscle Area in Adults with HIV. J Frailty Aging, 8(3), 154-159, 2019.
- Baker LD, Barsness SM, Borson S, et al. Effects of Growth Hormone-Releasing Hormone on Cognitive Function in Adults With Mild Cognitive Impairment and Healthy Older Adults. Arch Neurol, 69(11), 1420-9, 2012.
- Lopez J, Quan A, Budihardjo J, et al. Growth Hormone Improves Nerve Regeneration, Muscle Re-innervation, and Functional Outcomes After Chronic Denervation Injury. Sci Rep, 9(1), 3117, 2019.
- Grinspoon SK, Fourman L, Stanley T, et al. Impact of Tesamorelin on Cardiovascular Disease Risk Prediction Scores: Subanalysis. Open Forum Infect Dis, 12(Suppl 1), 2025.
- Clemmons DR, Miller S, Mamputu JC. tolerability and metabolic effects of tesamorelin in sujeitos de estudo with diabetes tipo 2: A randomizado, controlado por placebo trial. PLoS One, 12(6), e0179538, 2017.
- Makimura H, Feldpausch MN, Rope AM, et al. Metabolic effects of a hormonio do crescimento-releasing factor in obese subjects with reduziu hormonio do crescimento secretion. J Clin Endocrinol Metab, 97(12), 4769-79, 2012.
- Fourman LT, Czerwonka N, Feldpausch MN, et al. Visceral fat reduction with tesamorelin is associado(a) com melhorou liver enzymes in HIV. AIDS, 31(16), 2253-9, 2017.
- Mangili A, Falutz J, Mamputu JC, et al. Predictors of aplicacao em pesquisa response to tesamorelin in HIV-infected sujeitos de estudo with excess abdominal fat. PLoS One, 10(10), e0140358, 2015.
- Lake JE, La K, Erlandson KM, et al. Tesamorelin Improves Fat Quality Independent of Changes in Fat Quantity. AIDS, 35(9), 1395-1402, 2021.
- Makimura H, Murphy CA, Feldpausch MN, Grinspoon SK. The Effects of Tesamorelin on Phosphocreatine Recovery in Obese Subjects With Reduced GH. J Clin Endocrinol Metab, 99(1), 338-343, 2014.
- Stanley TL, Feldpausch MN, Oh J, et al. Effect of tesamorelin on visceral fat and liver fat in HIV-infected sujeitos de estudo: a randomizado ensaio clinico. JAMA, 312(4), 380-9, 2014.
- Ellis RJ, Vaida F, Hu K, et al. Effects of Tesamorelin on Neurocognitive Impairment in Persons With HIV and Abdominal Obesity. J Infect Dis, 231(5), 1230-1238, 2025.
- Falutz J, Potvin D, Mamputu JC, et al. Effects of tesamorelin in HIV-infected sujeitos de estudo with abdominal fat accumulation: a randomizado controlado por placebo trial with safety extension. J Acquir Immune Defic Syndr, 53(3), 311-22, 2010.
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