Is AOD-9604 Legal in Michigan?

At a glance

  • FDA status / Not an FDA-approved drug [1]
  • Compounding lists / In none of FDA's bulk-substance categories [2][3][4]
  • FDA safety page / 'Nominated but withdrawn' table, with stated concerns [5]
  • Michigan law / MCL 333.17701 (definitions) does not mention it [6]
  • Sport / Prohibited at all times by WADA [7]
  • Approved dose / None [1]

What AOD-9604 is

AOD-9604 is a 16-amino-acid fragment of human growth hormone: hGH amino acids 177 to 191 with an extra tyrosine added at the N-terminus, which is why it is also called hGH fragment 176-191 [8]. It is not full-length growth hormone. An Australian company, Metabolic Pharmaceuticals, developed it as an obesity drug candidate, and phase IIa trials were under way by February 2002 [9]. It is not an FDA-approved drug [1].

A 2026 review reports that a 24-week oral AOD-9604 obesity study failed its primary weight-loss endpoint, and notes that this conclusion rests on sponsor-reported phase 2 results rather than peer-reviewed randomized trials [1]. There is no approved dose [1].

What the federal compounding rules say

FDA's stated conditions for state-licensed pharmacies and licensed physicians: they may compound using a bulk drug substance only if it complies with an applicable USP or NF monograph, is a component of an FDA-approved drug product when no monograph exists, or appears on FDA's list of bulk drug substances that can be used in compounding, with a valid certificate of analysis and a substance made by an FDA-registered establishment [4].

FDA's interim policy sorts nominated substances into three categories. For category 1 substances, FDA says it generally does not intend to take action against compounders, provided the policy's conditions are met [4]. AOD-9604 appears in none of the three categories on FDA's list for state-licensed pharmacies and physicians, and it is absent from FDA's corresponding list for outsourcing facilities [2][3][4]. The category 1 policy therefore does not cover it [4].

Compounded drugs are not FDA-approved in any case; FDA does not verify their safety, effectiveness or quality before they are marketed [10].

What FDA recorded about safety

FDA's page on bulk substances that may present significant safety risks places AOD-9604 in the table of substances previously in category 2 whose nominators later withdrew them [5]. The recorded concerns: compounded drugs containing AOD-9604 may pose significant immunogenicity risk for certain routes of administration because of peptide impurities and characterization problems; FDA has identified no, or only limited, safety information; and "FDA has also identified serious adverse events that may be associated with AOD-9604, though causality is not clear" [5]. Removal from category 2 was not a finding that it is safe [5].

AOD-9604 is not one of the six peptides in HHS's draft enforcement-discretion policy filed October 28, 2026, and it was not on the agenda of FDA's July 2026 advisory committee meeting [11][12][13].

FDA's GRAS Notice Inventory contains no AOD-9604 notice [14]. GRAS applies to food ingredients and is not an authorization to market an injectable as a drug [14].

Michigan law

MCL 333.17701 is a definitions section of the Michigan Public Health Code's pharmacy part [6]. It does not mention AOD-9604, peptides, bulk drug substances or compounding standards [6]. FDA states that state boards of pharmacy generally have primary day-to-day oversight of state-licensed pharmacies, so Michigan-specific requirements may also apply to a pharmacy [10]. This page does not resolve what those requirements are.

Sport

WADA's Prohibited List names AOD-9604 and hGH 176-191 under S2.2.3, growth hormone fragments, and prohibits them at all times, in and out of competition; S2 substances are non-Specified Substances [7]. It is on the 2026 List and stays on the 2027 List [7][15].

Frequently asked questions

Is AOD-9604 legal in Michigan?
It is not an FDA-approved drug, it appears in none of FDA's bulk-compounding categories, and FDA's category 1 interim policy does not cover it [1][2][3][4]. FDA lists it among substances that may carry significant safety risks when compounded [5].
Can a licensed pharmacy compound AOD-9604?
Under FDA's interim policy it falls in none of the three categories for state-licensed pharmacies and physicians, and it is absent from the outsourcing-facility list as well [2][3]. The category 1 no-action policy does not cover it [4].
Did AOD-9604 work for weight loss in people?
A 2026 review reports that a 24-week oral AOD-9604 study in obesity failed its primary weight-loss endpoint, and notes the result rests on sponsor-reported phase 2 data rather than peer-reviewed randomized trials [1].
Is AOD-9604 banned in sport?
Yes. WADA lists AOD-9604 and hGH 176-191 under S2.2.3 and prohibits them at all times, and it remains on the 2027 List [7][15].

References

  1. 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
  2. U.S. Food and Drug Administration. U.S. Food and Drug Administration
  3. U.S. Food and Drug Administration. U.S. Food and Drug Administration
  4. Bulk Drug Substances Used in Compounding Under Section 503A of the FD&C Act | FDA. Bulk Drug Substances Used in Compounding Under Section 503A of the FD&C Act | FDA
  5. 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
  6. MCL - Section 333.17701 - Michigan Legislature. MCL - Section 333.17701 - Michigan Legislature
  7. World Anti-Doping Agency. World Anti-Doping Agency
  8. 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
  9. Wilding J. AOD-9604 Metabolic. Curr Opin Investig Drugs. 2004;5(4):436-40. AOD-9604 Metabolic
  10. Compounding and the FDA: Questions and Answers | FDA. Compounding and the FDA: Questions and Answers | FDA
  11. Official web page. Official web page
  12. Official web page. Official web page
  13. U.S. Food and Drug Administration. U.S. Food and Drug Administration
  14. GRAS Notices. GRAS Notices
  15. World Anti-Doping Agency. World Anti-Doping Agency
Evidence overview for Is AOD-9604 Legal in Michigan?