GHRP-6 has been studied in the foundational Bowers paper (1984), in the Howard 1996 GHSR-1a deorphanization paper, in a human paediatric provocative-testing study of GH reserve after neonatal pituitary stalk transection (Pombo 1995), in a randomised placebo-controlled cross-over study of oral, sublingual and intranasal routes of administration (Frieboes 1999), in a cell-biology phosphatidylinositol-turnover experiment in human pituitary tumour cultures (Lei 1995), in a rat model of central appetite control (Lawrence 2002), in a preclinical porcine acute myocardial infarction model (Berlanga 2007), and in a Phase I IV dose-escalation PK study in N=9 healthy male volunteers at the Cuban CIGB under CECMED oversight (Cabrales 2013). All findings are reported as investigational and for research use only.
Historical anchor — discovery and in-vitro/in-vivo characterisation of the first GHRP (Bowers 1984)
preclinical Studies report, in the foundational Endocrinology paper that founded the entire GHRP field, that H-His-D-Trp-Ala-Trp-D-Phe-Lys-NH₂ specifically releases GH in rat and pig pituitary models, characterising it as the first member of a new class of peptidyl GH secretagogues. GHRP-6 was later recognised as a high-affinity ligand of the ghrelin receptor (GHSR-1a); however, the substance remained a pharmacological orphan for more than a decade until Howard 1996 cloned the receptor.
— Bowers et al., Endocrinology 1984;114(5):1537–1545 (PMID 6714155)
GHSR-1a deorphanization — Howard 1996
preclinical Studies report, in the Science publication from Merck Research Laboratories, the expression cloning of a pituitary/hypothalamic receptor that binds GHRP-6 with high affinity and mediates the GH-releasing action of the GHRP class. This work established GHSR-1a as the pharmacological target and positioned GHRP-6 as the prototype synthetic ligand of what was later identified as the ghrelin receptor.
— Howard et al., Science 1996;273(5277):974–977 (PMID 8688086)
Pituitary signalling — phosphatidylinositol turnover in human somatotroph tumour cultures (Lei 1995)
in vitro Studies report, in a human pituitary tumour culture series (n=8 tumours) stimulated with GHRP-6, a 2.1- to 7.9-fold dose-dependent increase in phosphatidylinositol turnover with onset at 15 min and peak at 2 h, in parallel with stimulated GH secretion — direct cell-biology evidence that GHRP-6 signals through Gαq/11 → phospholipase C → IP₃ + DAG.
— Lei et al., J Mol Endocrinol 1995;14(1):135–138 (PMID 7772238)
Pituitary axis reserve — neonatal pituitary stalk transection (Pombo 1995)
Phase I Studies report, in a human paediatric provocative-testing study (N=8 patients with neonatal pituitary stalk transection vs healthy controls) given IV GHRH alone, GHRP-6 alone, and GHRH + GHRP-6, that combined GHRH + GHRP-6 produced significantly higher GH peaks in healthy controls than either agent alone — establishing the synergy that underpins the clinical use of GHRH+GHRP combinations in GH-reserve assessment. In stalk-transection patients, NONE reached GH > 5 µg/L even under the combined stimulus, indicating a hypothalamic origin of the deficit and confirming GHRP-6's hypothalamic mode of action.
— Pombo et al., J Clin Endocrinol Metab 1995;80(11):3180–3184 (PMID 7593423)
Route-of-administration pharmacodynamics — oral, sublingual, intranasal cross-over (Frieboes 1999)
Phase I Studies report, in a randomised placebo-controlled cross-over study in healthy young men, that oral GHRP-6 300 µg/kg failed to change GH, ACTH, or cortisol; sublingual 30 µg/kg produced a non-significant trend toward elevated GH in the first half of the night; and intranasal 30 µg/kg produced a significant night-long increase in GH, a trend toward increased ACTH in the first half of the night, no significant change in cortisol, and a trend toward increased stage-2 sleep with reduced delta-power. The study established that GHRP-6 has substantial first-pass / mucosal-absorption barriers and that intranasal/parenteral delivery is required for clinically meaningful exposure. ACTH/cortisol elevations are modest — greater than ipamorelin and broadly comparable to GHRP-2.
— Frieboes et al., J Neuroendocrinol 1999;11(6):473–478 (PMID 10336729)
Central appetite stimulation — the principal differentiator of GHRP-6 (Lawrence 2002)
preclinical Studies report, in a mechanistic rat model with intracerebroventricular GHRP-6 (and ghrelin) administration, that the substances significantly increased food intake in fasted rats and reduced body temperature. c-Fos immunohistochemistry showed activation of the arcuate nucleus, paraventricular nucleus, and lateral hypothalamus — including orexin-expressing neurons. The feeding response was blocked by a Y1 NPY-receptor antagonist, confirming downstream NPY/AgRP involvement. Activation of hypothalamic appetite centres was independent of whether the animals actually ate, demonstrating direct central pharmacology rather than a feeding-secondary effect. Among the synthetic GHRPs, GHRP-6 is the canonical "hunger ghrelin-mimetic" — more pronounced than GHRP-2, hexarelin, or especially ipamorelin.
— Lawrence et al., Endocrinology 2002;143(1):155–162 (PMID 11751604)
Cardiac cytoprotection — porcine acute myocardial infarction model (Berlanga 2007)
preclinical Studies report, in a preclinical porcine acute myocardial infarction model (LAD occlusion + reperfusion) given IV GHRP-6 vs control, a reduction in infarct size by 78 % and infarct thickness by 50 %, with parallel reductions in CK-MB and CRP, preservation of antioxidant defences, and absence of pathological Q-waves on post-reperfusion ECG in over half of treated animals. Mechanism attributed: suppression of reactive-oxygen-species generation and PI3K/AKT survival-pathway activation. These findings form the basis of the Cuban CIGB programme (CIGB-500) for cardiac cytoprotection.
— Berlanga et al., Clin Sci (Lond) 2007;112(4):241–250 (PMID 16989643)
Phase I — Cuban CIGB pharmacokinetics in healthy volunteers (Cabrales 2013)
Phase I Studies report, in a Phase I dose-escalating single-IV-bolus pharmacokinetic study in N=9 healthy male volunteers, conducted at the Center for Genetic Engineering and Biotechnology (CIGB), Havana, under CECMED oversight as part of the CIGB-500 development programme, bi-exponential plasma kinetics (R² > 0.99): distribution half-life 7.6 ± 1.9 min; elimination half-life 2.5 ± 1.1 h. AUC scaled approximately proportionally with dose across 100, 200, and 400 µg·kg⁻¹. NO serious adverse events were reported; the IV bolus regimen was tolerated across all six dose tiers (1, 10, 50, 100, 200, 400 µg·kg⁻¹).
— Cabrales et al., Eur J Pharm Sci 2013;48(1-2):40–46 (PMID 23099431)