Macimorelin vs Anamorelin

Head-to-head comparison of Macimorelin (Macimorelin acetate (AEZS-130)) and Anamorelin (Anamorelin hydrochloride (ONO-7643)) — benefits, dosing, side effects, research data, and where to buy.

Research Score

PropertyMacimorelinAnamorelin
CategoryGrowth HormoneGrowth Hormone
Full NameMacimorelin acetate (AEZS-130)Anamorelin hydrochloride (ONO-7643)
Molecular WeightN/AN/A
Half-Lifeabout 4-6 hoursabout 9 hours
Amino AcidsN/AN/A
Typical Dose0.5 mg/kg single oral dose50 mg/day
RouteOralOral
Purity≥98%≥98%
Studies Count12095
Research StatusClinicalClinical

Macimorelin Benefits

  • diagnostic GH stimulation
  • single oral dose
  • rapid measurable GH response
  • high clinical utility

Anamorelin Benefits

  • stimulates appetite
  • raises IGF-1
  • may support weight gain
  • oral dosing

Macimorelin Dosing

0.5 mg/kg orally as a single dose|fasted testing conditions|serial GH sampling after administration

Anamorelin Dosing

50 mg orally once daily|often studied with food or per protocol|track weight, appetite, and glucose markers

Macimorelin Side Effects

  • dysgeusia or taste disturbance
  • nausea
  • headache

Anamorelin Side Effects

  • hyperglycemia
  • peripheral edema
  • constipation or nausea

Research Overview

Macimorelin

Macimorelin has been validated in clinical testing as an oral alternative to injectable GH stimulation tests. Its short-term use makes it a useful translational tool for evaluating pituitary GH reserve.

Anamorelin

Trials in cachexia populations showed increased appetite and modest gains in body weight and IGF-1. Regulatory progress has varied by region, but it remains a well-studied ghrelin agonist in the GH space.

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Common Stacking Partners

Macimorelin stacks with:

Pituitary testingEndocrine workup

Anamorelin stacks with:

Nutritional supportResistance training
diagnosticghrelin-mimeticgh-stimulation-testghrelin-agonistcachexiagh-secretagogue