Macimorelin

Also known as: Macrilen · AEZS-130

Approved, discontinued

Last verified: October 30, 2026

At a glance

FDA approval Approved, discontinued 1 application
Randomized controlled trials 4 of 34 publications on PubMed
Registered clinical trials 6 0 active
Adverse event reports 5 0 classified as serious
  • Macimorelin was approved by the FDA (Macrilen, December 20, 2017), but the products are no longer marketed.
  • PubMed lists 34 publications mentioning it, including 4 randomized controlled trials and 0 animal-only studies.
  • ClinicalTrials.gov lists 6 registered studies testing it (0 active).
  • FDA's adverse event system (FAERS) holds 5 reports mentioning it; 0 classified as serious. Reports do not prove causation.

Research topics

  • Human Growth Hormone 13
  • Indoles 13
  • Tryptophan 13
  • Insulin-Like Growth Factor I 6
  • Arginine 4
  • Ghrelin 4
  • Quality of Life 4
  • Cross-Over Studies 3
  • Glycopeptides 3
  • Growth Hormone 3

Most frequent MeSH subject headings in the latest PubMed records (English, as indexed).

Regulatory status

Drugs@FDA applications

Application Product Status First approval Sponsor
NDA205598 MACRILEN Approved, discontinued December 20, 2017 AETERNA ZENTARIS

Source: Drugs@FDA (openFDA) · verified October 30, 2026 · API query

FDA compounding safety list

Not on FDA's list of bulk drug substances that may present significant safety risks in compounding.

Source: FDA.gov — Category 2 bulk drug substances · verified October 30, 2026

Removal of a substance from a regulatory list does not mean it has been approved. A "research use only" label does not make a product safe or legal for human use.

Scientific publications

  • All publications 34
  • Human (MeSH) 26
  • Animal only 0
  • Clinical trials 4
  • Randomized controlled trials 4
  • Systematic reviews & meta-analyses 0
  • Case reports 1
  • Retracted 0

Counts are PubMed records that mention the peptide in the title or abstract. Categories overlap, and a mention is not the same as testing the peptide as a treatment. Each number opens the exact PubMed search. Effects seen in laboratory or animal studies may not occur in humans. A registered clinical trial does not show that a substance is effective or safe.

Latest publications

Source: PubMed (NCBI) · verified October 30, 2026

Clinical trials

Registered
6
Active
0
With posted results
3

Conditions studied

  • Growth Hormone Deficiency 1
  • Polyuria-polydipsia Syndrome 1
  • Growth Hormone Deficiency With Pituitary Anomalies 1
  • Cancer Cachexia 1
  • Diagnosis of Adult Growth Hormone Deficiency (AGDH) 1
  • Healthy Subjects 1
Study Status Phase Start
A Research Study of How Well Macimorelin Works to Find Out if Children Have a Lack of Growth Hormone and How Safe it is
NCT04786873 AEterna Zentaris
Completed Phase 3 November 16, 2021
Copeptin After an Oral Stimulation With Macimorelin in Healthy Volunteers
NCT03844217 University Hospital, Basel, Switzerland
Completed N/A March 7, 2019
Validation of Macimorelin as a Test for Adult Growth Hormone Deficiency
NCT02558829 AEterna Zentaris Results posted
Completed Phase 3 December 3, 2015
Pilot Clinical Trial of Repeated Doses of Macimorelin to Assess Safety and Efficacy in Patients With Cancer Cachexia
NCT01614990 Garcia, Jose M., MD, PhD Results posted
Completed Phase 2 May 2012
Investigation of a New, Oral Growth Hormone Secretagogue, AEZS-130 as a Growth Hormone Stimulation Test.
NCT00448747 AEterna Zentaris Results posted
Completed Phase 3 Jun 2007
Oral Ghrelin Agonist in Healthy Subjects
NCT00377377 University Hospital, Basel, Switzerland
Completed Phase 1 Nov 2005

All 6 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

Reports
5
Serious
0
With death outcome
0

Most reported reactions

  • Bradycardia 1
  • Dizziness 1
  • Dysgeusia 1
  • Fatigue 1
  • Feeling hot 1
  • Fluid retention 1
  • Flushing 1
  • Nausea 1
  • Off label use 1
  • Product communication issue 1
  • Therapeutic product effect variable 1
  • Wrong technique in product usage process 1

Adverse event reports do not prove that the substance caused these effects. Side effects not listed here may still occur. Reaction terms are MedDRA terms as reported to FAERS.

Source: FDA FAERS (FAERS data as of July 30, 2026) · verified October 30, 2026 · API query

FDA prescribing information

Official US prescribing information. Dosing sections are intentionally not shown.

  • Macrilen HUMAN PRESCRIPTION DRUG Aeterna Zentaris GmbH February 18, 2026
  • Macrilen HUMAN PRESCRIPTION DRUG Novo Nordisk January 30, 2021

Source: DailyMed / openFDA

Change history

No changes since monitoring began on October 30, 2026.