Peptide Basics
FDA-Approved Peptides: A List of Peptide Medicines From Drugs@FDA
FDA has approved dozens of peptide medicines, from insulin and oxytocin to semaglutide, tirzepatide and elamipretide. This page lists 47 of them in six groups, each with the year Drugs@FDA records for its first approval, a brand name and what its U.S. label says the molecule is. It also names the medicines that are often listed as peptides but are not, and how the peptides sold for research compare. Every row was read from FDA’s own database and labels on 2 November 2026.
What “FDA-approved” means for a peptide
FDA approves products, not molecules. An approval belongs to one applicant’s product, made to one specification, for the uses written on its label. Drugs@FDA, the agency’s public database, lists each application, its approval history and whether each product is still marketed. A peptide “is FDA-approved” in the loose sense that at least one product containing it has an approval; a different product with the same peptide does not share it.
FDA has no “peptide” category, so lists of approved peptides differ in where they stop. This one includes a substance when its U.S. label calls it a peptide, polypeptide or an analogue of a peptide hormone. It leaves out larger proteins such as somatropin and antibodies, but keeps insulin, which the peptide hormones page also treats as a peptide hormone.
Pituitary and hypothalamic hormones and their analogues
Copies or analogues of the hormones that the brain and pituitary use to run other glands.
| Peptide | Brand (examples) | What the U.S. label says it is | First approval in Drugs@FDA |
|---|---|---|---|
| Corticotropin (ACTH) | Acthar Gel | Adrenocorticotropic hormone, 39 amino acids | 1950 |
| Cosyntropin | Cortrosyn | Open-chain polypeptide: the first 24 of ACTH's 39 amino acids | 1970 |
| Desmopressin | DDAVP | Synthetic vasopressin analogue | 1978 |
| Oxytocin | Pitocin | Nonapeptide (9 amino acids), made synthetically | 1980 |
| Leuprolide | Lupron Depot | Synthetic nonapeptide analogue of GnRH | 1985 |
| Octreotide | Sandostatin | Cyclic octapeptide that mimics somatostatin | 1988 |
| Goserelin | Zoladex | GnRH agonist, ten residues ending in aza-glycine amide | 1989 |
| Ganirelix | Ganirelix acetate | Synthetic decapeptide, GnRH antagonist | 1999 |
| Triptorelin | Trelstar | Synthetic decapeptide, GnRH agonist | 2000 |
| Cetrorelix | Cetrotide | Synthetic decapeptide, GnRH antagonist | 2000 |
| Lanreotide | Somatuline Depot | Synthetic cyclic octapeptide analogue of somatostatin | 2007 |
| Degarelix | Firmagon | Linear decapeptide amide with seven unnatural amino acids | 2008 |
| Tesamorelin | Egrifta, Egrifta SV | The 44 amino acids of human GHRH plus a hexenoyl group | 2010 |
| Pasireotide | Signifor | Cyclohexapeptide that mimics somatostatin | 2012 |
| Vasopressin | Vasostrict | Polypeptide hormone | 2014 |
Metabolic and gut hormones
Insulin, glucagon, the incretin medicines and other gut-hormone analogues.
| Peptide | Brand (examples) | What the U.S. label says it is | First approval in Drugs@FDA |
|---|---|---|---|
| Glucagon | Glucagon | Single-chain polypeptide, 29 amino acids | 1960 |
| Insulin human | Humulin R | Recombinant human insulin, 5,808 daltons | 1982 |
| Pramlintide | Symlin (now listed as discontinued) | 37-amino-acid analogue of human amylin | 2005 |
| Exenatide | Byetta | 39-amino-acid peptide amide, first identified in the Gila monster | 2005 |
| Liraglutide | Victoza, Saxenda | GLP-1 analogue carrying a C-16 fatty acid | 2010 |
| Teduglutide | Gattex | 33-amino-acid GLP-2 analogue, made in E. coli | 2012 |
| Lixisenatide | Adlyxin | Synthetic GLP-1 analogue | 2016 |
| Semaglutide | Ozempic, Rybelsus, Wegovy | GLP-1 analogue; the peptide backbone is made by yeast | 2017 |
| Setmelanotide | Imcivree | Cyclic 8-amino-acid analogue of alpha-MSH | 2020 |
| Tirzepatide | Mounjaro, Zepbound | Based on the GIP sequence, with a C20 fatty diacid | 2022 |
Bone, calcium and growth
Parathyroid hormone analogues, calcitonin and a growth-plate peptide.
| Peptide | Brand (examples) | What the U.S. label says it is | First approval in Drugs@FDA |
|---|---|---|---|
| Calcitonin salmon | Miacalcin | Synthetic polypeptide, 32 amino acids in the salmon sequence | 1978 |
| Teriparatide | Forteo | The first 34 amino acids of human parathyroid hormone, recombinant | 2002 |
| Etelcalcetide | Parsabiv | Synthetic peptide agonist of the calcium-sensing receptor | 2017 |
| Abaloparatide | Tymlos | Synthetic 34-amino-acid analogue of PTHrP(1-34) | 2017 |
| Vosoritide | Voxzogo | 39-amino-acid analogue of C-type natriuretic peptide | 2021 |
Blood, heart and immune system
Anticoagulants, a platelet inhibitor, complement inhibitors and others.
| Peptide | Brand (examples) | What the U.S. label says it is | First approval in Drugs@FDA |
|---|---|---|---|
| Eptifibatide | Integrilin (now listed as discontinued) | Cyclic heptapeptide | 1998 |
| Bivalirudin | Angiomax | Synthetic 20-amino-acid peptide | 2000 |
| Icatibant | Firazyr | Synthetic decapeptide with five non-proteinogenic amino acids | 2011 |
| Pegcetacoplan | Empaveli, Syfovre | Two identical 15-amino-acid peptides joined by a PEG chain | 2021 |
| Motixafortide | Aphexda | Synthetic cyclic peptide | 2023 |
| Zilucoplan | Zilbrysq | Synthetic macrocyclic peptide, 15 amino acids | 2023 |
Antibiotics and immunosuppressants
Peptides that bacteria and fungi make, used as medicines.
| Peptide | Brand (examples) | What the U.S. label says it is | First approval in Drugs@FDA |
|---|---|---|---|
| Colistimethate | Coly-Mycin M (now listed as discontinued) | Polypeptide antibiotic | 1970 |
| Cyclosporine | Sandimmune | Cyclic polypeptide of 11 amino acids | 1983 |
| Vancomycin | Vancocin | Tricyclic glycopeptide antibiotic | 1986 |
Nerves, skin, gut and diagnostics
A cone-snail toxin, two melanocortin peptides, gut peptides, a radiolabelled peptide and a diagnostic peptide.
| Peptide | Brand (examples) | What the U.S. label says it is | First approval in Drugs@FDA |
|---|---|---|---|
| Sincalide | Kinevac | Synthetic C-terminal octapeptide of cholecystokinin | 1976 |
| Ziconotide | Prialt | 25-amino-acid conopeptide from the cone snail Conus magus | 2004 |
| Plecanatide | Trulance | 16-amino-acid peptide with two disulfide bridges | 2017 |
| Lutetium Lu 177 dotatate | Lutathera | Radiolabelled cyclic peptide, a somatostatin analogue | 2018 |
| Bremelanotide (PT-141) | Vyleesi | Synthetic cyclic heptapeptide | 2019 |
| Afamelanotide | Scenesse | Synthetic peptide of 13 amino acids | 2019 |
| Difelikefalin | Korsuva | Synthetic peptide | 2021 |
| Elamipretide (SS-31) | Forzinity | Four residues: D-Arg-2,6-dimethyl-Tyr-Lys-Phe-NH2 | 2025 |
How to read the dates
Each year is the earliest original approval Drugs@FDA records for the substance across its brand-name and other new drug applications, generics excluded. For older medicines the database can start later than the medicine’s first U.S. use, so read the year as “approved by”, not “first approved in”. A few rows carry a biologics licence (BLA) rather than a drug application (NDA): since March 2020, U.S. rules treat a chain of more than 40 amino acids as a protein, which our peptide vs protein page explains. Brand names are given to identify the product; some brands, such as Symlin, are now listed as discontinued.
Sources: Drugs@FDA via openFDA, original approvals by application (for example NDA209637 semaglutide, 5 December 2017; NDA215866 tirzepatide, 13 May 2022; BLA022505 tesamorelin, 10 November 2010; NDA215244 elamipretide, 19 September 2025); the DESCRIPTION section of each product’s current U.S. label via openFDA. Read 2 November 2026.
Often listed as peptides, but not
Orforglipron (Foundayo), approved on 1 April 2026, acts on the GLP-1 receptor like the incretin peptides, but its label gives a small-molecule formula with a molecular weight of 902.0. Dulaglutide (Trulicity, 2014) carries a GLP-1 analogue sequence, but its label describes the whole molecule as a fusion protein: two GLP-1 analogue chains joined to the Fc part of an antibody. Somatropin, the medicine form of growth hormone, is a 191-amino-acid protein; our growth hormone peptides page sets it apart from the peptides that release it.
Sources: FOUNDAYO label and NDA220934; TRULICITY label and BLA125469; via openFDA, read 2 November 2026.
How the peptides sold for research compare
Our guide library covers 55 compounds and records each one’s FDA position with a date. As of those records (October 2026), 7 have an approved product on the market (semaglutide, tirzepatide, tesamorelin, oxytocin, PT-141, SS-31 and melanotan 1 as afamelanotide), 2 were approved once and are now listed as discontinued (sermorelin and gonadorelin), and 46 have no approved medicine at all, among them BPC-157, TB-500, ipamorelin, CJC-1295, GHK-Cu, epitalon, MOTS-c, KPV, semax and selank. Even where an approved medicine exists, a product sold for research use only is not that medicine and is labelled not for human use. Whether a compound may be compounded by a pharmacy is a separate question, set out in our peptide legality page and in what research peptides are.
Medibact does not manufacture or sell peptides. We supply USP-grade bacteriostatic water, made in the USA, for research use only, and publish reference material like this page.
Where this sits in the rest of the reference
FAQ
Which peptides are FDA-approved?
Dozens. Drugs@FDA lists approved medicines for, among others, insulin, glucagon, oxytocin, vasopressin, desmopressin, octreotide, leuprolide, teriparatide, calcitonin, exenatide, liraglutide, semaglutide, tirzepatide, tesamorelin, bremelanotide, afamelanotide, setmelanotide and elamipretide, plus peptide antibiotics such as vancomycin and the immunosuppressant cyclosporine. The table on this page sets out 47 of them by group, each with the year Drugs@FDA records and what its U.S. label says the molecule is.
How many peptide drugs has FDA approved?
There is no official count, because FDA does not file medicines under a "peptide" category and published tallies differ in where they draw the line on size, cyclic structures and peptides joined to other molecules. This page lists 47 substances whose U.S. labels describe them as peptides or polypeptides; it is a reference list, not a census.
Is semaglutide an FDA-approved peptide?
Yes. Drugs@FDA records semaglutide's first approval, as Ozempic, on 5 December 2017; Rybelsus and Wegovy followed. The Ozempic label describes semaglutide as a GLP-1 analogue whose peptide backbone is produced by yeast fermentation. Tirzepatide (Mounjaro, 2022; Zepbound, 2023) is also an approved peptide.
Are BPC-157, TB-500 and other research peptides FDA-approved?
No. Our guide library's regulatory records, checked against Drugs@FDA in October 2026, find no approved medicine for 46 of its 55 compounds, including BPC-157, TB-500, ipamorelin, CJC-1295, GHK-Cu, epitalon, MOTS-c, KPV, semax and selank. Being discussed for pharmacy compounding is a separate question from approval, which our page on whether peptides are legal explains.
Is orforglipron a peptide?
No. Orforglipron (Foundayo), approved on 1 April 2026, acts on the GLP-1 receptor like the peptide medicines, but its label gives a small-molecule formula, C48H47F2N10O5·½Ca for the calcium salt, with a molecular weight of 902.0.
Why do some approved peptides carry a BLA number?
Since March 2020, U.S. rules treat a chain of more than 40 amino acids as a protein, and medicines like that moved from drug applications (NDA) to biologics licences (BLA). That is why insulin and tesamorelin (44 amino acids) carry BLA numbers while shorter peptides keep their NDA. Our peptide vs protein page explains where the line falls.
Does an approval cover every product that contains the peptide?
No. An approval belongs to a specific product from a specific applicant, for the uses on its label. Drugs@FDA lists each application and the marketing status of each product; several brands named here, such as Symlin, are now listed as discontinued even though the substance was once approved.
Is this medical advice?
No. This page lists FDA approval records and what each label says the molecule is. It gives no dose, schedule or recommendation, and the uses of each medicine are set by its own label and a prescriber. Peptides sold for research are labelled research use only, not for human use. Medibact supplies USP-grade bacteriostatic water, made in the USA, and is not affiliated with any company or brand named here.
References: Drugs@FDA (openFDA drugsfda endpoint), original approvals for the 47 substances listed; current U.S. labels via openFDA (DESCRIPTION sections); this site’s compound-guide regulatory records (US cells, October 2026). Read 2 November 2026.
Educational use only — not medical advice. This guide summarizes information reported in published research and community practice for educational purposes. It is not medical advice and not a recommendation to use any compound. Any doses, schedules, or combinations shown are examples of what has been reported, not instructions for you. Many peptides described here are research compounds that are not FDA-approved for the uses discussed and may be investigational or restricted. Effects, risks, and legal status vary; individual needs and results vary. Consult a qualified, licensed healthcare professional before making any decision. Do not use this content to diagnose, treat, or dose yourself.