Is AOD-9604 Legal in Wisconsin? Federal Rules, State Law, and How to Get It

At a glance

  • FDA approval / None, for any indication [1][2]
  • FDA compounding lists / In none of the three categories for state-licensed pharmacies and physicians; absent from the outsourcing-facility list [4][5][8]
  • FDA safety page / 'Nominated but withdrawn' table; immunogenicity concerns and serious adverse events of unclear cause [3]
  • HHS peptide draft / Not one of the six named peptides [9][10]
  • Wisconsin / Chapters 450 (pharmacy) and 448 (medical practice) are general licensing chapters; their section headings are not specific to AOD-9604 [6][7]
  • Sport / Prohibited at all times by WADA under S2.2.3 [11]

What AOD-9604 is

AOD-9604 is a 16-amino-acid fragment of human growth hormone, hGH residues 177 to 191 plus an added tyrosine, which is why it is also sold as hGH fragment 176-191 [12]. Preclinical work found no binding to the growth hormone receptor [2]. Metabolic Pharmaceuticals developed it as an obesity drug candidate; phase IIa trials were under way by February 2002, it never reached approval, and the obesity program was later dropped [1][2].

What the federal rules say

AOD-9604 has no FDA-approved drug product [1][2]. FDA's page on bulk substances that may present significant safety risks lists it in the 'nominated but withdrawn' table. FDA's stated concerns: compounded drugs containing AOD-9604 may pose significant immunogenicity risk for certain routes of administration from 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.' Withdrawal was not a finding of safety [3].

It appears in none of the three categories on FDA's list for state-licensed pharmacies and physicians (updated May 14, 2026), and it is absent from FDA's list for outsourcing facilities (updated March 21, 2025). FDA's category 1 policy, under which the agency generally takes no action against compounders that meet its conditions, does not cover it [4][5][8]. HHS's draft enforcement-discretion policy for compounded peptides names six peptides, and AOD-9604 is not one of them [9][10]. Compounded drugs are not FDA-approved: FDA does not review their safety, effectiveness or quality before marketing [9][10].

What Wisconsin adds

Chapter 450 of the Wisconsin Statutes covers the pharmacy examining board, pharmacist and pharmacy licensure, and prescription drug labeling and dispensing. Chapter 448 covers medical practice and the medical examining board [6][7]. Their section headings are general licensing and practice topics, and none is specific to AOD-9604 or to peptides.

Is AOD-9604 prohibited 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; it is on the 2026 List and stays on the 2027 List [11][13]. Anti-doping scientists have validated a urine method that detects the peptide and its stable metabolite [12].

What about 'GRAS' and interstate shipping?

FDA's GRAS Notice Inventory contains no AOD-9604 entry, and GRAS is a food-ingredient concept that would not make an injectable lawful as a drug [14]. FDA states that a drug must be the subject of an approved marketing application before it is transported across state lines, and that an IND is how a sponsor obtains an exemption for investigational use [15]. AOD-9604 has been identified in confiscated vials in the United States and in preparations seized by Belgian authorities [12][16].

Frequently asked questions

Is AOD-9604 legal in Wisconsin?
There is no FDA-approved AOD-9604 product and no FDA-listed compounding category covers it [1][2][4][5]. The Wisconsin pharmacy and medical-practice chapters do not name it, so they do not establish a state-law route to obtain it [6][7].
Can a Wisconsin pharmacy compound AOD-9604?
FDA's category 1 policy does not cover it, and it is absent from the outsourcing-facility list [4][5][8]. FDA's safety-risk page records immunogenicity concerns and serious adverse events of unclear cause [3].
Does AOD-9604 have FDA approval?
No. It was developed as an obesity drug candidate, never reached approval, and the obesity program was dropped [1][2].
Did AOD-9604 pass its weight-loss trial?
No. A 24-week study of an oral candidate (534 enrolled, 502 randomized) failed to show a significant benefit on its primary weight-loss endpoint. This rests on sponsor-reported phase 2 results [2]. There is no approved dose.

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. Wisconsin Legislature: Chapter 450. Wisconsin Legislature: Chapter 450
  7. Wisconsin Legislature: Chapter 448. Wisconsin Legislature: Chapter 448
  8. Bulk Drug Substances Used in Compounding of the FD&C Act | FDA. Bulk Drug Substances Used in Compounding of the FD&C Act | FDA
  9. Official web page. Official web page
  10. Official web page. Official web page
  11. World Anti-Doping Agency. World Anti-Doping Agency
  12. 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
  13. World Anti-Doping Agency. World Anti-Doping Agency
  14. GRAS Notices. GRAS Notices
  15. Investigational New Drug Application (IND) | FDA. Investigational New Drug Application (IND) | FDA
  16. Vanhee C, Moens G, Deconinck E, De Beer JO. Identification and characterization of peptide drugs in unknown pharmaceutical preparations seized by the Belgian authorities: case report on AOD9604. Drug Test Anal. 2014;6(9):964-8. Identification and characterization of peptide drugs in unknown pharmaceutical preparations seized by the Belgian authorities: case report on AOD9604
Evidence overview for Is AOD-9604 Legal in Wisconsin? Federal Rules, State Law, and How to Get It