Pipeline at a glance

Distribution of tracked compounds by current development status. We include compounds with documented mechanism and at least one peer-reviewed publication of any phase — earlier-stage molecules without published data are not yet tracked.

Phase II
6
compounds
Approved
3
compounds
Phase III
3
compounds
Approved*
2
compounds
Pre-clinical
4
compounds
Phase I
1
compounds

Active compounds

Sorted by editorial weighting — compounds with mature profiles on this site appear first; emerging candidates and research-only molecules follow. Click any compound name with an active link to read the full profile.

Compound
Editorial notes
Mechanism class
Status
Multiple academic groups; oral bioavailability data emerging from Croatian groups.
Tissue repair
Phase II
RegeneRx's TB4 program; ophthalmic indications most advanced.
Recovery / cardiac
Phase II
Cosmeceutical-approved; new investigations in chronic wound healing.
Cosmeceutical / dermal
Approved
St. Petersburg Institute multi-decade cohort; tier-1 western replication still pending.
Longevity / pineal
Phase III
Helsinn ulimorelin program (functional GI); GHS-R1a class continues to expand.
GH secretagogue
Phase II
Original ConjuChem development paused; renewed academic interest in DAC architecture.
GHRH analog (DAC)
Phase II
Originally FDA-approved 1997 (Geref); commercial withdrawal does not erase clinical record.
GHRH 1-29
Approved*
Selank
Russian Federation approval for anxiety; BDNF and enkephalin modulation under western study.
Anxiolytic / nootropic
Phase II
Semax
ACTH 4-10 analog; stroke-recovery and cognitive enhancement Russian Federation use cases.
Nootropic / neuroprotective
Phase II
PT-141 (Bremelanotide)
FDA-approved 2019 (Vyleesi) for HSDD; broader sexual-function and metabolic research continues.
Melanocortin-4 agonist
Approved
Tesamorelin
FDA-approved (Egrifta) for HIV-associated lipodystrophy; cognitive trials ongoing.
GHRH analog
Approved
Pinealon
Khavinson short-peptide class; epigenetic modulation hypothesis in active investigation.
Cytogen / neuropeptide
Pre-clinical
Cerebrolysin
Approved across 50+ countries (Europe, Asia, LATAM) for stroke and neurodegeneration; not US-approved.
Neurotrophic complex
Approved*
Thymalin
Russian Federation approval for immune support; geriatric mortality reduction data in Khavinson 2003.
Thymic peptide complex
Phase III
DSIP
Discovered 1977; renewed interest from sleep-architecture research community.
Delta sleep-inducing
Pre-clinical
FOXO4-DRI
Engineered FOXO4-p53 disrupter; mouse senolytic data 2017; translation hurdles remain.
Senolytic peptide
Pre-clinical
MOTS-c
Mitochondrial-derived peptide; metabolic and longevity early human trials initiating.
Mitochondrial peptide
Phase I
Humanin
First mitochondrial-derived peptide identified; Alzheimer's and metabolic indications under study.
Mitochondrial peptide
Pre-clinical
SS-31 (Elamipretide)
Stealth BioTherapeutics; Barth syndrome and primary mitochondrial myopathy programs.
Mitochondrial-targeting
Phase III

How we read the phases

Phase I

Tolerability & PK

First-in-human studies establishing safety, pharmacokinetics, and maximum tolerated dose. For peptides, often dovetailed with healthy-volunteer cohorts because of the favorable AE profile of the class.

Phase II

Proof of mechanism

Efficacy signals against a specific indication in a defined patient population. The phase where most peptide programs either find a therapeutic niche or stall on potency vs. competitor compounds.

Phase III

Pivotal efficacy

Large-cohort randomized controlled trials supporting registration. Peptides face additional manufacturing-cost scrutiny here because of synthesis complexity vs. small-molecule alternatives.

Approved

Regulatory clearance

FDA / EMA / equivalent agency approval for at least one indication. Some compounds (Sermorelin, Cerebrolysin) carry historical or non-US approvals — flagged with an asterisk in the table above.

Pre-clinical

Mechanism investigation

Animal and cell-culture work establishing mechanism, target engagement, and proof of concept. For peptide candidates, often the phase where intellectual-property strategy and synthesis scalability are decided.

Discontinued

Program halted

Sponsor has formally ended development. We retain entries on the tracker because mechanism data often survives the commercial program — and because halted-due-to-funding is not the same as halted-due-to-failure.

METHODOLOGY
How this tracker is built

The pipeline tracker is updated continuously from ClinicalTrials.gov, EU Clinical Trials Register, PubMed, conference abstracts (ENDO, AHA, AAIC), and sponsor SEC/IR disclosures. We do not include unconfirmed compounding-pharmacy "novel peptides" without a published mechanism. Corrections to the desk: contact.

The tracker ranks compounds by translational phase. The companion Innovation Leadership Index ranks vendors by forward velocity — novel-compound availability, pipeline transparency, and early-access programs — using the same four-tier vocabulary. Both refresh on a quarterly editorial cadence; the Q2 2026 reading places Oath Research at four-of-five Vanguard with a Δ-rising signal.