Is AOD-9604 Legal in Georgia? How to Access It Legally in 2025

At a glance

  • FDA approval / None. AOD-9604 has never been approved for any indication [1][2]
  • FDA compounding table / 'Nominated but withdrawn' with stated safety concerns [3]
  • FDA compounding categories / In none of the categories on the state-licensed pharmacy or outsourcing facility lists [4][5][6]
  • Sport / Prohibited at all times by WADA as a growth hormone fragment [7][8]
  • Approved dose / None exists [2]

What Is AOD-9604?

AOD-9604 is a 16-amino-acid fragment of human growth hormone: hGH amino acids 177 to 191 with an extra tyrosine at the N-terminus, also called hGH fragment 176-191 [9][2]. It is not full-length growth hormone [9]. It was developed by Metabolic Pharmaceuticals as an anti-obesity drug candidate, with phase IIa trials underway by February 2002; it never reached approval [1][2].

Is It FDA-Approved or GRAS?

No. It is not FDA-approved for any indication [1][2]. FDA's GRAS Notice Inventory returned no AOD-9604 notice, so there is no FDA no-questions letter for it [10]. GRAS is a food-ingredient concept and would not make an injectable lawful as a drug [10].

What Does FDA Say About Compounding?

FDA's page dated 04/22/2026 lists AOD-9604 in its "nominated but withdrawn" table of substances that may present significant safety risks when compounded [3]. FDA's stated concerns include immunogenicity risk for certain routes of administration from peptide impurities and characterization problems, no or limited safety information, and serious adverse events that may be associated with AOD-9604, though causality is not clear [3]. Removal from category 2 was not a finding that it is safe [3].

AOD-9604 appears in none of the three categories on FDA's list for state-licensed pharmacies and physicians (updated May 14, 2026) or on FDA's list for outsourcing facilities (updated March 21, 2025) [4][5][6]. FDA's category 1 policy, under which FDA generally does not act against compounders if conditions are met, does not cover it [4][5][6].

It is also not one of the six peptides (BPC-157, epitalon, KPV, MOTS-c, Semax, TB-500) in HHS's draft enforcement-discretion policy for compounding, and it was not on the agenda of FDA's July 2026 advisory committee [11][12][15]. Compounded drugs are not FDA-approved, and FDA does not review their safety, effectiveness, or quality before marketing [11][12].

Is It Banned in Sport?

Yes. WADA's Prohibited List names AOD-9604 and hGH 176-191 in S2.2.3 (growth hormone fragments), prohibited at all times, in and out of competition [7]. It is on the 2026 List, in force since January 1, 2026, and stays on the 2027 List [7][8].

What Does the Human Evidence Show?

A 2026 review describes a 24-week study (534 enrolled, 502 randomized) of AOD9604 as an oral anti-obesity drug candidate that failed to show a significant benefit on the primary weight-loss endpoint [2]. The review notes that this conclusion rests on sponsor-reported phase 2 results rather than peer-reviewed randomized trials [2]. That human study tested an oral candidate, not an injectable [2].

The positive findings are from animals. In obese rats, oral AOD9604 at 500 microgram/kg per day for 19 days cut body-weight gain to 15.8 g versus 35.6 g in controls [13]. In obese mice, 14 days of injected AOD9604 reduced body weight and fat [14].

Frequently asked questions

Is AOD-9604 FDA-approved?
No. It has never been approved for any indication [1][2]. FDA's GRAS Notice Inventory also contains no AOD-9604 notice [10].
Has FDA made AOD-9604 legal to compound?
No. FDA lists it in a nominated-but-withdrawn table with stated safety concerns, and it is in none of the categories on FDA's compounding lists [3][4][5][6]. It is also not among the six peptides in HHS's draft enforcement-discretion policy [11][12].
Is AOD-9604 banned in sport?
Yes. WADA's Prohibited List names AOD-9604 and hGH 176-191 in S2.2.3 as growth hormone fragments, prohibited at all times in and out of competition [7]. It is on the 2026 List and remains on the 2027 List [7][8].
Has AOD-9604 been shown to cause weight loss in people?
It reduced body-weight gain in obese rats and mice [13][14]. The main human obesity study, 24 weeks with 502 randomized, failed its weight-loss endpoint according to a 2026 review [2].

References

  1. Wilding J. AOD-9604 Metabolic. Curr Opin Investig Drugs. 2004;5(4):436-40. AOD-9604 Metabolic
  2. 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. The emerging landscape of performance-enhancing peptides modulating GH-IGF1 axis: bridging the gap between clinical evidence and patient self-administration
  3. Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks | FDA. Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks | FDA
  4. U.S. Food and Drug Administration. U.S. Food and Drug Administration
  5. U.S. Food and Drug Administration. U.S. Food and Drug Administration
  6. Bulk Drug Substances Used in Compounding of the FD&C Act | FDA. Bulk Drug Substances Used in Compounding of the FD&C Act | FDA
  7. World Anti-Doping Agency. World Anti-Doping Agency
  8. World Anti-Doping Agency. World Anti-Doping Agency
  9. 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. Detection and in vitro metabolism of AOD9604
  10. GRAS Notices. GRAS Notices
  11. Official web page. Official web page
  12. Official web page. Official web page
  13. Ng FM, Sun J, Sharma L, Libinaka R, Jiang WJ, Gianello R. Metabolic studies of a synthetic lipolytic domain (AOD9604) of human growth hormone. Horm Res. 2000;53(6):274-8. Metabolic studies of a synthetic lipolytic domain (AOD9604) of human growth hormone
  14. Heffernan M, Summers RJ, Thorburn A, Ogru E, Gianello R, Jiang WJ, et al. The effects of human GH and its lipolytic fragment (AOD9604) on lipid metabolism following chronic treatment in obese mice and beta(3)-AR knock-out mice. Endocrinology. 2001;142(12):5182-9. The effects of human GH and its lipolytic fragment (AOD9604) on lipid metabolism following chronic treatment in obese mice and beta(3)-AR knock-out mice
  15. July 23-24, 2026: Meeting of the Pharmacy Compounding Advisory Committee - 07/23/2026 | FDA. July 23-24, 2026: Meeting of the Pharmacy Compounding Advisory Committee - 07/23/2026 | FDA
Evidence overview for Is AOD-9604 Legal in Georgia? How to Access It Legally in 2025