ACE-031 vs Roxadustat

Head-to-head comparison of ACE-031 (ACE-031 (soluble activin receptor type IIB-Fc)) and Roxadustat (Roxadustat (FG-4592), hypoxia-inducible factor prolyl hydroxylase inhibitor) — benefits, dosing, side effects, research data, and where to buy.

Research Score

PropertyACE-031Roxadustat
CategoryMuscle & PerformanceMuscle & Performance
Full NameACE-031 (soluble activin receptor type IIB-Fc)Roxadustat (FG-4592), hypoxia-inducible factor prolyl hydroxylase inhibitor
Molecular Weight~95 kDa352.35 Da
Half-LifeDays to weeks~12-16 h
Amino AcidsN/AN/A
Typical Dose0.1-3 mg/kg in early studies70-100 mg orally three times weekly
RouteSubcutaneousOral
Purity≥98%≥98%
Studies Count75180
Research StatusClinicalClinical

ACE-031 Benefits

  • myostatin/activin neutralization
  • lean mass gain
  • muscle function support
  • anti-catabolic effect

Roxadustat Benefits

  • induces endogenous EPO
  • improves iron handling
  • raises hemoglobin
  • may improve exercise tolerance

ACE-031 Dosing

Clinical studies used single or repeated SC doses|dose escalation in mg/kg|monitoring for edema/bleeding

Roxadustat Dosing

70-100 mg orally 3x weekly|Titrate by hemoglobin response|Monitor iron indices regularly

ACE-031 Side Effects

  • telangiectasia/vascular effects
  • epistaxis
  • headache/edema

Roxadustat Side Effects

  • nausea
  • hypertension
  • thrombotic events

Research Overview

ACE-031

ACE-031 produced increases in lean mass in early studies, but development was curtailed after safety concerns and variable efficacy. Its literature remains important because it validated activin receptor blockade as a muscle-building strategy.

Roxadustat

Large clinical studies support roxadustat for anemia, especially in chronic kidney disease populations. Direct VO2 max enhancement data in healthy athletes are limited, so its performance effects remain mostly inferential.

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Common Stacking Partners

ACE-031 stacks with:

CreatineVitamin DLeucine

Roxadustat stacks with:

IronFolate
actr2b-decoymyostatin-inhibitorlean-massfusion-proteinhif-stabilizererythropoiesisvo2-maxoral