Identity a synthetic hexapeptide (6 amino acids, < 40 aa → peptide) derived from GHRP-6 by a D-2-methyltryptophan substitution that boosts potency and metabolic stability. Uniquely among GHRPs, it engages two receptors: the ghrelin receptor GHS-R1a (for GH release) and the cardiac scavenger receptor CD36. ## Development & history - Developed in the early 1990s by Romano Deghenghi at Europeptides (Argenteuil, France) and Mediolanum Farmaceutici (Italy) — Deghenghi being a central figure in GHRP chemistry.
- Reached Phase 2 clinical trials for both GH-deficiency (diagnosis/therapy) and congestive heart failure — but did not advance to Phase 3 and was never marketed. ## Mechanism (as proposed) through GHS-R1a (the ghrelin receptor) on pituitary somatotrophs → GH release and downstream IGF-1 (like all GHRPs). Separately, through CD36 on cardiomyocytes → activation of PI3K/Akt and ERK1/2 pro-survival signalling → protection from ischemic apoptosis, improved contractility and reduced fibrosis — independent of GH. This dual-receptor engagement is unique among GH secretagogues.