Pharmacokinetic-pharmacodynamic modeling of ipamorelin, a growth hormone releasing peptide, in human volunteers.
Gobburu. J V JV; Agersø. H H; Jusko. W J WJ; Ynddal. L L
Key Findings
- Ipamorelin shows dose‑proportional pharmacokinetics with a 2‑hour half‑life and clearance of 0.078 L/h/kg.
- GH release after ipamorelin is a single episode peaking at ~0.67 h and then quickly declines.
- The concentration needed for half‑maximal GH stimulation (SC50) is 214 nmol/L, with a maximal GH production rate of 694 mIU/L/h.
Practical Outcomes
- For self‑experimenters, the data suggest that a short, controlled ipamorelin infusion can reliably boost GH for a brief window, with the effect scaling predictably with dose. Knowing the SC50 and peak timing helps design dosing schedules (e.g., timing the infusion about 30‑45 min before a desired performance window) and sets realistic expectations about the magnitude and duration of GH elevation.
Summary
The study measured how ipamorelin behaves in the body and how it triggers growth hormone (GH) release in healthy men. It found that the drug’s levels rise and fall predictably with dose, has a short half‑life of about 2 hours, and causes a single burst of GH that peaks roughly 40 minutes after a short infusion. The amount of ipamorelin needed to get half the maximum GH effect (SC50) is about 214 nmol/L, and the peak GH production rate is around 694 mIU/L per hour.
Abstract
To examine the pharmacokinetics (PK) and pharmacodynamics (PD) of ipamorelin, a growth hormone (GH) releasing peptide, in healthy volunteers. A trial was conducted with a dose escalation design comprising 5 different infusion rates (4.21, 14.02, 42.13, 84.27 and 140.45 nmol/kg over 15 minutes) with eight healthy male subjects at each dose level. Concentrations of ipamorelin and growth hormone were measured. The PK parameters showed dose-proportionality, with a short terminal half-life of 2 hours, a clearance of 0.078 L/h/kg and a volume of distribution at steady-state of 0.22 L/kg. The time course of GH stimulation by ipamorelin showed a single episode of GH release with a peak at 0.67 hours and an exponential decline to negligible GH concentration at all doses. The ipamorelin-GH concentration relationship was characterized using an indirect response model and population fitting. The model employed a zero-order GH release rate over a finite duration of time to describe the episodic release of GH. Ipamorelin induces the release of GH at all dose levels with the concentration (SC50) required for half-maximal GH stimulation of 214 nmol/L and a maximal GH production rate of 694 mIU/L/h. The inter-individual variability of the PD parameters was larger than that of the PK parameters. The proposed PK/PD model provides a useful characterization of ipamorelin disposition and GH responses across a range of doses.
Study Information
pubmed
1999
10.1023/a:1018955126402