Semax

Not FDA-approved Category 2 nomination withdrawn

Last verified: October 30, 2026

At a glance

FDA approval Not FDA-approved No record in Drugs@FDA
Randomized controlled trials 1 of 210 publications on PubMed
Registered clinical trials 0 0 active
Adverse event reports 2 1 classified as serious
  • Semax is not an FDA-approved drug: Drugs@FDA has no record of it.
  • It was on FDA's Category 2 safety-risk list until the nomination was withdrawn. A withdrawal is not an approval.
  • PubMed lists 210 publications mentioning it, including 1 randomized controlled trial and 145 animal-only studies.
  • No study registered on ClinicalTrials.gov tests it as an intervention.
  • FDA's adverse event system (FAERS) holds 2 reports mentioning it; 1 classified as serious. Reports do not prove causation.

Research topics

  • Adrenocorticotropic Hormone 151
  • Neuroprotective Agents 67
  • Nootropic Agents 35
  • Brain 31
  • Brain Ischemia 26
  • Proline 20
  • Behavior, Animal 19
  • Animals, Newborn 17
  • Administration, Intranasal 15
  • Hippocampus 15

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

Regulatory status

Drugs@FDA applications

No application found in Drugs@FDA, FDA's database of approved drugs.

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

FDA compounding safety list

Category 2 nomination withdrawn
FDA's stated risk · Original FDA text (English) Compounded drugs containing semax (heptapeptide) may pose risk for immunogenicity for certain routes of administration due to the potential for aggregation and peptide-related impurities. FDA has no, or limited, safety-related information for proposed routes of administration. Therefore, the agency lacks sufficient information to know whether the drug would cause harm if administered to humans.

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 210
  • Human (MeSH) 49
  • Animal only 145
  • Clinical trials 4
  • Randomized controlled trials 1
  • Systematic reviews & meta-analyses 0
  • Case reports 0
  • 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

No registered study on ClinicalTrials.gov lists this peptide as an intervention.

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

Reports
2
Serious
1
With death outcome
0

Most reported reactions

  • Dyspnoea 1
  • Electrocardiogram qt prolonged 1
  • Eye pain 1
  • Product advertising issue 1
  • Somnolence 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

Change history

No changes since monitoring began on October 30, 2026.