Tesamorelin is a synthetic 44-amino acid polypeptide analogue of human Growth Hormone-Releasing Hormone (GHRH), developed by Theratechnologies Inc. and approved by the FDA in 2010 under the brand name Egrifta for reducing excess abdominal fat in HIV-infected patients with lipodystrophy.
Its key structural distinction from native GHRH is an N-terminal modification, the addition of a trans-3-hexenoic acid group, which protects the peptide from rapid degradation by DPP-IV enzymes. Native GHRH has a circulating half-life of approximately 5–7 minutes; Tesamorelin's modification substantially extends its pharmacological window, making once-daily dosing viable.
Tesamorelin is notable for being one of the very few synthetic GHRH analogues to have completed large Phase 3 clinical trials and received regulatory approval in a major jurisdiction, giving it an unusually robust evidence base compared to most research peptides.