Is AOD-9604 Legal in California? How to Access It Legally

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No federal compounding route lists AOD-9604 today

534 peoplePeople enrolled in that obesity study, before randomizationSource: pubmed.ncbi.nlm.nih.gov

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Key numbers

  • 24-weekLength of the only human obesity study cited; it failed its primary weight-loss endpointSource: pubmed.ncbi.nlm.nih.gov, as cited Nov 7, 2026
  • 534 peoplePeople enrolled in that obesity study, before randomizationSource: pubmed.ncbi.nlm.nih.gov, as cited Nov 7, 2026
  • 502 randomizedPeople randomized in that obesity study, out of 534 enrolledSource: pubmed.ncbi.nlm.nih.gov, as cited Nov 7, 2026

See the public record for AOD-9604

At a glance

  • FDA approval / None; never approved [4][5]
  • FDA list for pharmacies and physicians / In none of the three categories [1][3]
  • FDA list for outsourcing facilities / In none of the categories [2]
  • FDA safety page / Listed among withdrawn nominations, with stated concerns [6]
  • HHS peptide draft policy / Not one of the six named peptides [7][8]
  • Sport / Prohibited at all times by WADA [9][10]
  • Human obesity data / 24-week study of 502 randomized people failed its endpoint [5]

What AOD-9604 is

AOD-9604 is a 16-amino-acid piece of human growth hormone: hGH amino acids 177 to 191 with an extra tyrosine at the N-terminus, which is why it also circulates as hGH fragment 176-191 [11]. It is not full-length growth hormone. Metabolic Pharmaceuticals developed it as an anti-obesity candidate, with phase IIa trials underway by February 2002; it never reached approval and the obesity program was later dropped [4][5].

Is it legal to compound in California?

FDA's page says state-licensed pharmacies and physicians may compound only with a bulk substance that has a USP or National Formulary monograph, is a component of an FDA-approved drug product, or appears on FDA's bulks list [3]. AOD-9604 appears in none of the three categories on FDA's interim-policy list for state-licensed pharmacies and physicians, in none of the categories on the list for outsourcing facilities, and FDA's category 1 policy does not cover it [1][2][3]. California's own rules on top of this federal baseline are outside what this page covers.

FDA's page on bulk substances that may raise significant safety risks, in content dated April 22, 2026, lists AOD-9604 among substances previously in category 2 whose nominators withdrew them [6]. The concerns recorded there are immunogenicity risk from peptide impurities and characterization problems for certain routes of administration, no or only limited safety information, and serious adverse events that may be associated with AOD-9604, though causality is not clear [6]. Removal from category 2 was not a finding that it is safe [6].

HHS's October 2026 draft enforcement-discretion policy for compounded peptides names six peptides — BPC-157, epitalon, KPV, MOTS-c, Semax and TB-500 — and AOD-9604 is not among them [7][8]. Compounded drugs are not FDA-approved; FDA does not verify their safety, effectiveness or quality before they are marketed [12].

Questions worth asking

Choose the questions you want to keep

Is there human evidence that it works?

One 24-week study — 534 people enrolled, 502 randomized — tested oral AOD9604 as an obesity drug and failed to show a significant benefit on the primary weight-loss endpoint [5]. A 2026 review notes that result rests on sponsor-reported phase 2 data rather than peer-reviewed randomized trials [5]. No dose has been approved [5].

What else applies

WADA's Prohibited List names AOD-9604 and hGH 176-191 in S2.2.3, growth hormone fragments, and prohibits them at all times, in and out of competition; it is on the 2026 List and stays on the 2027 List [9][10]. A 2026 review of gray-market peptides concluded that rigorous human safety data are scarce and there is potential for serious harm [13].

Frequently asked questions

Is AOD-9604 legal in California?
AOD-9604 is not FDA-approved and has no listed federal compounding route: it is in none of the categories on FDA's lists for pharmacies, physicians and outsourcing facilities, and FDA lists it among withdrawn nominations with recorded safety concerns [6][1][2][3]. California's own rules are not covered here.
Can a compounding pharmacy supply AOD-9604 on prescription?
It sits in none of the three categories on FDA's interim-policy list for state-licensed pharmacies and physicians, so FDA's category 1 policy does not cover it [1][3]. It also appears in none of the categories on FDA's list for outsourcing facilities [2].
Is AOD-9604 approved for weight loss?
No. A 24-week study with 534 people enrolled and 502 randomized failed to show a significant benefit on the primary weight-loss endpoint, and the obesity program was dropped [4][5].
Is AOD-9604 the same as human growth hormone?
No. It is a 16-amino-acid fragment, hGH amino acids 177 to 191 plus a tyrosine at the N-terminus, also called hGH fragment 176-191 [11]. Preclinical work found no growth-hormone-receptor binding [5].
Is AOD-9604 banned in sport?
Yes. WADA names AOD-9604 and hGH 176-191 in S2.2.3 and prohibits them at all times, in and out of competition; it is on the 2026 List and stays on the 2027 List [9][10].

References

Show all 13 referencesHide references
  1. U.S. Food and Drug Administration.
  2. U.S. Food and Drug Administration.
  3. Bulk Drug Substances Used in Compounding of the FD&C Act | FDA.
  4. Wilding J. AOD-9604 Metabolic. Curr Opin Investig Drugs. 2004;5(4):436-40.
  5. Dominikowski A, Rękoś Z, Olejarz M, Szczepanek-Parulska E, Domin R, RuchaŁa M. The emerging landscape of performance-enhancing peptides modulating GH-IGF1 axis: bridging the gap between clinical evidence and patient self-administration. Front Endocrinol (Lausanne). 2026;17:1822475.
  6. Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks | FDA.
  7. Official web page.
  8. Official web page.
  9. World Anti-Doping Agency.
  10. World Anti-Doping Agency.
  11. Cox HD, Smeal SJ, Hughes CM, Cox JE, Eichner D. Detection and in vitro metabolism of AOD9604. Drug Test Anal. 2015;7(1):31-8.
  12. Compounding and the FDA: Questions and Answers | FDA.
  13. Mendias CL, Awan TM. Safety and Efficacy of Approved and Unapproved Peptide Therapies for Musculoskeletal Injuries and Athletic Performance. Sports Med. 2026;56(8):1921-1935.
Evidence overview for Is AOD-9604 Legal in California? How to Access It Legally