Semax
Tested in peopleGet notified when the evidence changes.
It has been tested in people, but it is not an approved medicine. The studies are usually small.
Compiled and reviewed by the PeptideSearch Editorial Team · Status checked 2026-07-24
Also called ACTH 4-10 analogue / Met-Glu-His-Phe-Pro-Gly-Pro / N-Acetyl Semax
Developed in Russia and used there for stroke recovery. Little research exists outside Russia.
Official status: Recommended, pending FDA rulemaking · Checked 2026-07-24
Can a doctor prescribe this?
- Small pharmacy (503A)
- Reviewed by FDA — see timeline
- Large outsourcing facility (503B)
- Never put forward to FDA
An FDA advisory panel voted 8-5 in favor in July 2026, but the rule isn't final. That usually takes a year or more.
503A is a pharmacy making a single prescription for one patient. 503B is a facility making batches. They are governed by separate lists. Where a category is shown, it is a position on the FDA's list of substances that have been put forward and are still being worked through — not the final list, which is set by rulemaking. Category 1 means the FDA does not plan to act against a pharmacy that makes it while the review runs.
Lab suppliers we list: 16
Doses used in research
Taken word for word from the studies and trials listed on this page. This is not a recommendation and not a dose for anyone to take.
- Study in people[The study of chronic partial denervation and quality of life in patients with motor neuron disease treated with semax].
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova · 2007
- Study in people[Evaluation of therapeutic effect of new Russian drug semax in optic nerve disease].
Vestnik oftalmologii · 2000
- Data from people, not a trialDigitally Guided Hybrid Maxillary Expansion with Supragingival Mandibular Miniplates for Class III Correction in Late Adolescents: A Pilot Clinical Study.
Journal of clinical medicine · 2026
- Animal study, rats or miceThe Effect of Peptide Semax, an ACTH(4-10) Analogue, on Intracellular Calcium Dynamics in Rat Brain Neurons.
Bulletin of experimental biology and medicine · 2025
- Animal study, rats or miceThe Potential of the Peptide Drug Semax and Its Derivative for Correcting Pathological Impairments in the Animal Model of Alzheimer's Disease.
Acta naturae · 2025
- Animal study, rats or miceGenes That Associated with Action of ACTH-like Peptides with Neuroprotective Potential in Rat Brain Regions with Different Degrees of Ischemic Damage.
International journal of molecular sciences · 2025
- Animal study, rats or miceEffect of ACTH4-10Pro8-Gly9-Pro10 on anti-inflammatory cytokine (IL-4, IL-10, IL-13) expression in acute spinal cord injury models (male Sprague Dawley rats)
2025
- Animal study, rats or miceACTH-like Peptides Compensate Rat Brain Gene Expression Profile Disrupted by Ischemia a Day After Experimental Stroke.
Biomedicines · 2024
- Animal study, rats or miceChanges of Transcriptomic Activity in Rat Brain Cells under the Influence of Synthetic Adrenocorticotropic Hormone-Like Peptides.
Biochemistry. Biokhimiia · 2024
- Animal study, rats or miceAntidepressant-like and antistress effects of the ACTH(4-10) synthetic analogs Semax and Melanotan II on male rats in a model of chronic unpredictable stress.
European journal of pharmacology · 2024
- Animal study, rats or miceSynthetic Adrenocorticotropic Peptides Modulate the Expression Pattern of Immune Genes in Rat Brain following the Early Post-Stroke Period.
Genes · 2023
- Animal study, rats or miceInsight into Glyproline Peptides' Activity through the Modulation of the Inflammatory and Neurosignaling Genetic Response Following Cerebral Ischemia-Reperfusion.
Genes · 2022
- Animal study, rats or miceA Mouse Model of Nigrostriatal Dopaminergic Axonal Degeneration As a Tool for Testing Neuroprotectors.
Acta naturae · 2021
- Animal study, rats or miceSemax, synthetic ACTH(4-10) analogue, attenuates behavioural and neurochemical alterations following early-life fluvoxamine exposure in white rats.
Neuropeptides · 2021
- Animal study, rats or miceAntistress Action of Melanocortin Derivatives Associated with Correction of Gene Expression Patterns in the Hippocampus of Male Rats Following Acute Stress.
International journal of molecular sciences · 2021
- Animal study, rats or miceBrain Protein Expression Profile Confirms the Protective Effect of the ACTH<sub>(4-7)</sub>PGP Peptide (Semax) in a Rat Model of Cerebral Ischemia-Reperfusion.
International journal of molecular sciences · 2021
- Animal study, rats or miceNovel Insights into the Protective Properties of ACTH<sub>(4-7)</sub>PGP (Semax) Peptide at the Transcriptome Level Following Cerebral Ischaemia-Reperfusion in Rats.
Genes · 2020
- Animal study, rats or miceEffect of MGHPPGP Peptide Administered during the Post-Traumatic Period on Morphometric Parameters of the Neocortex and Hippocampus, Hepatocytes, and Epithelium of the Tongue and Small Intestine in Rats.
Bulletin of experimental biology and medicine · 2020
- Animal study, rats or miceThe peptide semax affects the expression of genes related to the immune and vascular systems in rat brain focal ischemia: genome-wide transcriptional analysis.
BMC genomics · 2014
- Animal study, rats or mice[Proteolysis of simple glyprolines by leucine aminopeptidase and enzymes from nasal slime, brain membranes, and rat blood].
Bioorganicheskaia khimiia · 2013
- Animal study, rats or miceEffect of semax and its C-terminal fragment Pro-Gly-Pro on the expression of VEGF family genes and their receptors in experimental focal ischemia of the rat brain.
Journal of molecular neuroscience : MN · 2013
- Animal study, rats or miceThe effect of Semax and its C-end peptide PGP on the morphology and proliferative activity of rat brain cells during experimental ischemia: a pilot study.
Journal of molecular neuroscience : MN · 2011
- Animal study, rats or miceEffects of behaviorally active ACTH (4-10) analogue - Semax on rat basal forebrain cholinergic neurons.
Restorative neurology and neuroscience · 2008
- Animal study, rats or miceSemax, an ACTH(4-10) analogue with nootropic properties, activates dopaminergic and serotoninergic brain systems in rodents.
Neurochemical research · 2005
- Lab dish studySemax, a Copper Chelator Peptide, Decreases the Cu(II)-Catalyzed ROS Production and Cytotoxicity of aβ by Metal Ion Stripping and Redox Silencing.
Bioinorganic chemistry and applications · 2025
- Lab dish studyInfluence of the N-terminus acetylation of Semax, a synthetic analog of ACTH(4-10), on copper(II) and zinc(II) coordination and biological properties.
Journal of inorganic biochemistry · 2016
- [Effect of a combined physiotherapeutic approach on changes in functional parameters after endovitreal surgery of rhegmatogenous retinal detachment with a favorable anatomical outcome].
Vestnik oftalmologii · 2026
- [Place of oligopeptide H-Met-Glu-His-Phe-Pro-Gly-Pro-OH in the therapy and rehabilitation of patients with ischemic stroke].
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova · 2024
- Semax, a Synthetic Regulatory Peptide, Affects Copper-Induced Abeta Aggregation and Amyloid Formation in Artificial Membrane Models.
ACS chemical neuroscience · 2022
- Investigation of the effect of a modified fragment of neuropeptide Y on memory phases and extrapolation escape of animals.
Ceska a Slovenska farmacie : casopis Ceske farmaceuticke spolecnosti a Slovenske farmaceuticke spolecnosti · 2021
- Experimental Substantiation of Application of Semax as a Modulator of Immune Reaction on the Model of "Social" Stress.
Bulletin of experimental biology and medicine · 2019
- [The efficacy of semax in the tretament of patients at different stages of ischemic stroke].
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova · 2018
- Strategy to discover full-length amyloid-beta peptide ligands using high-efficiency microarray technology.
Beilstein journal of nanotechnology · 2017
- [Proteolysis of semax analogues with different N-terminal amino acids by aminopeptidases].
Bioorganicheskaia khimiia · 2011
- [Effectiveness of semax in acute period of hemispheric ischemic stroke (a clinical and electrophysiological study)].
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova · 1997
- Review of earlier workTherapeutic peptides in gerontology: mechanisms and applications for healthy aging.
Frontiers in aging · 2026
- Review of earlier workTherapeutic Peptides in Orthopaedics: Applications, Challenges, and Future Directions.
Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026
- Review of earlier workSemax peptide targets the μ opioid receptor gene Oprm1 to promote deubiquitination and functional recovery after spinal cord injury in female mice.
British journal of pharmacology · 2025
- Review of earlier workModulation of neuropathological pathways by bioactive peptides and proteins/polypeptides: Targeting oxidative stress in neurodegenerative diseases.
Neuropeptides · 2025
- Review of earlier work[Prospects for use of short peptides in pharmacotherapeutic correction of Alzheimer's disease.]
Advances in gerontology = Uspekhi gerontologii · 2024
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What has happened so far
- 24 July 2026503A
FDA proposed that Semax NOT be included on the 503A Bulks List.
FDA briefing documentnot yet verified against primary source
- 16 April 2026503A
FDA published a Federal Register notice announcing a Pharmacy Compounding Advisory Committee meeting for July 23-24, 2026 at the White Oak campus, to consider seven peptides for the 503A Bulks List.
Federal Registernot yet verified against primary source