Peptide database / Tissue repair

BPC-157

A 15-amino-acid synthetic peptide studied mostly in rats for tendon, muscle and gut healing. Human data is a handful of tiny pilot studies.

In clinical trials WADA prohibited C Evidence Small or open-label human studies only

Also called Body Protection Compound 157, Bepecin, PL 14736, PL-10, PLD-116, Pentadecapeptide BPC 157

All peptides Last reviewed October 13, 2026
Legal status In clinical trials Banned in sport (WADA)
Evidence grade C Small or open-label human studies only
Human studies 5 published, approximate count
Half-life Not established time for levels to halve
Route studied Subcutaneous injection plus oral, intra-articular injection, rectal enema, intravenous
What it is

BPC-157 is a lab-made chain of 15 amino acids. A Croatian group at the University of Zagreb described it in 1993 as a fragment of a larger protein they isolated from human gastric juice. Almost everything known about it comes from rat studies, and most of those come from that same group. In rats it speeds the healing of cut Achilles tendons, crushed muscles, stomach ulcers and surgically made fistulas.

The human record is thin. There are two rectal-enema studies from the early 2000s that were only ever published as conference abstracts, and three small reports from one Florida clinic: 16 people with knee pain surveyed by phone, 12 women with interstitial cystitis, and 2 healthy adults given IV infusions. Only the two enema studies had placebo groups. The healthy-volunteer study tested safety, and the ulcerative colitis trial did not show a clear difference from placebo.

Read the full overview 1 more

It is not approved as a drug anywhere in the world. WADA bans it at all times. In 2026 the FDA took it off its list of peptides flagged as a safety risk for compounding, and an FDA advisory panel voted 8 to 6 to let pharmacies compound it, but the FDA has not acted on that vote, so it is still not a legal compounding ingredient in the US as of October 2026.

Structure 15 residues
1. Glycine G 2. Glutamic acid E 3. Proline P 4. Proline P 5. Proline P 6. Glycine G 7. Lysine K 8. Proline P 9. Alanine A 10. Aspartic acid D 11. Aspartic acid D 12. Alanine A 13. Glycine G 14. Leucine L 15. Valine V N C
  • Hydrophobic
  • Positive charge
  • Negative charge
  • Gly / Pro / Cys
Sequence
GEPPPGKPADDAGLV (Gly-Glu-Pro-Pro-Pro-Gly-Lys-Pro-Ala-Asp-Asp-Ala-Gly-Leu-Val)
Length
15 amino acids
Molecular weight
1419.5 g/mol
Origin
Synthetic 15-amino-acid fragment of a larger protein (BPC) that the Zagreb group reported isolating from human gastric juice in 1993.
Mechanism

How BPC-157 works

What it binds to, and what happens inside the body after that, step by step.

Outside the cell Inside the cell
Target No confirmed receptor. Proposed: VEGFR2-Akt-eNOS signaling, FAK-paxillin pathway in fibroblasts, nitric oxide system

Nobody has identified a single receptor that BPC-157 binds. FDA reviewers wrote in 2026 that its molecular targets are unknown. Cell and rat studies point to three effects that overlap: more new blood vessel growth around an injury, faster movement of fibroblasts into the wound, and changes in nitric oxide signaling. One cell study found it raised growth hormone receptor levels on rat tendon cells.

  1. 1 Injury site In rat models the peptide is given by injection, in drinking water, or applied locally after a tendon cut, muscle crush or gut lesion.
  2. 2 Blood vessel signaling In human endothelial cells it raised VEGFR2 levels and switched on the VEGFR2-Akt-eNOS pathway, and in rats it sped blood flow recovery in an ischemic leg.
  3. 3 Fibroblast migration In rat tendon fibroblasts it increased cell spreading and migration through FAK and paxillin phosphorylation, and helped cells survive hydrogen peroxide stress.
  4. 4 Growth hormone receptor Rat tendon fibroblasts exposed to BPC-157 made more growth hormone receptor, so added growth hormone pushed them to divide faster.
  5. 5 Tissue repair in rats Treated rats showed stronger healed tendons on load testing, more organized collagen, and smaller defects than saline controls. This has not been confirmed in humans.
The research

What the studies show

Human results and animal results are kept apart below. A result in rats tells you a mechanism is plausible. It does not tell you what happens in a person.

C Evidence

In rats, BPC-157 consistently speeds the healing of tendons, muscle, ligaments, bone and gut, but nearly all of that work comes from one research group. In humans there are five small studies in which about 80 people received BPC-157. Three had no control group, and the one placebo-controlled efficacy trial (ulcerative colitis, published only as an abstract) showed no clear difference from placebo. A 2025 systematic review found 35 animal studies and 1 clinical study relevant to sports injuries and concluded there is no clinical safety data.

How far the evidence reaches Highest rung: Randomized trials
  1. Cell studies In a dish None listed
  2. Animal studies Rodents and other models 3 key studies below
  3. Small human studies Open-label, case series 3 key studies below
  4. Randomized trials Placebo-controlled RCTs, meta-analyses 1 key study below
  5. Regulatory approval Not approved No
Preclinical: tells you a mechanism is plausible Human: tells you what happened in people (5 published studies, approx.)

In people 4

Randomized trial 2005

PL 14736 enema in mild to moderate ulcerative colitis (Ruenzi et al., meeting abstract, as summarized by FDA)

53 adults with mild to moderate ulcerative colitis, randomized 1:1, 46 completed

Disease activity fell 3.2 points on BPC-157 vs 1.6 on placebo over two weeks; the difference between groups was not statistically clear (95% CI -4.84 to 1.62).

Read the study
Case series 2021

Intra-Articular Injection of BPC 157 for Multiple Types of Knee Pain (Lee and Padgett, Altern Ther Health Med)

16 adults with knee pain at one Florida clinic, retrospective phone survey

11 of 12 who got BPC-157 alone reported significant improvement; there was no control group and no standardized pain or function scale.

Read the study
Human, open-label 2024

Effect of BPC-157 on Symptoms in Patients with Interstitial Cystitis: A Pilot Study (Lee et al., Altern Ther Health Med)

12 women with moderate to severe interstitial cystitis who had failed pentosan polysulfate

10 of 12 reported complete symptom resolution after one bladder-wall injection procedure; no control group, no adverse events reported.

Read the study
Show all 4 studies
Human, open-label 2025

Safety of Intravenous Infusion of BPC157 in Humans: A Pilot Study (Lee and Burgess, Altern Ther Health Med)

2 healthy adults who had used IV BPC-157 before

Two days of infusions caused no reported side effects and no measurable change in heart, liver, kidney, thyroid or glucose markers.

Read the study

In animals and cells 3

Animal 2003

Gastric pentadecapeptide BPC 157 accelerates healing of transected rat Achilles tendon (Staresinic et al., J Orthop Res)

Rats, Achilles tendon transection model

Treated rats had higher load to failure, better walking function scores and smaller tendon defects over 14 days than saline controls.

Read the study
Animal 2017

Therapeutic potential of pro-angiogenic BPC157 is associated with VEGFR2 activation and up-regulation (Hsieh et al., J Mol Med)

Rat hind-limb ischemia model plus human endothelial cells

BPC-157 sped blood flow recovery and increased vessel counts in ischemic rat muscle, and activated VEGFR2-Akt-eNOS signaling in cells.

Read the study
Animal 2022

Pharmacokinetics, distribution, metabolism, and excretion of BPC 157 in rats and dogs (He et al., Front Pharmacol)

Rats and beagle dogs, IV and intramuscular dosing

The intact peptide had an elimination half-life under 30 minutes and was broken down into small fragments and single amino acids.

Read the study
Gaps in the research

What nobody has measured yet

These are questions the published research has not answered.

  1. 01 Whether it heals any tendon, ligament or muscle injury in humans better than placebo: no completed human RCT exists for any musculoskeletal use
  2. 02 Human half-life and how much reaches the blood after subcutaneous or oral use
  3. 03 Long-term safety beyond 2 weeks of use, including effects on existing or undiagnosed tumors given its pro-angiogenic activity in animals
  4. 04 Whether people form antibodies to injected BPC-157
  5. 05 What is actually in research-label vials: FDA noted the free base and acetate salt are different drug substances, and sellers often do not say which one they sell
  6. 06 Whether rat results hold up outside the Zagreb group, which produced most of the published animal work
History

BPC-157 from discovery to today

1993202633 years of research history
  1. 1993Sikiric and colleagues in Zagreb describe BPC, a gastric juice protein, and its 15-amino-acid fragment BPC 157.
  2. 2003Rat Achilles tendon study reports faster, stronger healing; the peptide is in Pliva's clinical trials as PL 14736 for inflammatory bowel disease.
  3. 2005Placebo-controlled enema trial in 53 people with ulcerative colitis is presented as a meeting abstract; it is never published in full.
  4. 2015A phase 1 oral tablet trial (PCO-02) is registered in Mexico; no results are ever posted.
  5. 2022WADA names BPC-157 on the Prohibited List under S0, non-approved substances.
  6. 2023FDA places BPC-157 in 503A Category 2, flagging significant safety concerns for compounding.
  7. 2026FDA removes it from Category 2 in April; in July an FDA advisory committee votes 8 to 6 to recommend it for compounding. FDA has not acted.
Approval or regulatory milestoneResearch milestone
Pharmacokinetics

How long it stays in the body

Half-life
Not established
Under 30 minutes for the intact peptide in rats and dogs; unknown in humans
Routes studied
Subcutaneous injection, Oral, Intra-articular injection, Rectal enema, Intravenous
Bioavailability
Unknown in humans. Intramuscular bioavailability was 14 to 19% in rats and 45 to 51% in dogs. In two human enema studies the peptide was not detected in blood.
Notes
FDA found no human pharmacokinetic data for oral, subcutaneous, nasal or transdermal use. Oral activity in rats is often attributed to stability in gastric juice, but this has not been measured in people. The only rat and dog data show fast breakdown into small fragments cleared through urine and bile.

No human half-life has been published for BPC-157, so we do not draw a clearance curve. Half-lives quoted online for it are usually estimates from animal data.

Members

Doses used in published studies

This table records the doses that trials and approved labels used, with the source for each row. It is a record of research, not a recommendation, and it is open to free members.

Doses used in published research and approved labels5 rows
Checking membershipEach row names the trial or label, the dose, route, frequency, duration and a link to the source. Free account, no card.
Safety

Side effects, higher-risk groups and interactions

2Rareunder 1 in 100
3Frequency unknownnot measured in trials
EffectCommonUncommonRareUnknown
Shortness of breathOne FAERS report after subcutaneous compounded BPC-157 led to an ER visit; no details on timing or other drugs.Rare
Diffuse skin darkening and dark gumsOne FAERS report with a research-label BPC-157 plus TB-500 blend; the reaction returned on re-exposure, so the product likely caused it, but which peptide is unknown.Rare
Headache and flatulenceMost common events in the healthy-volunteer enema study, at similar rates on BPC-157 and placebo.Frequency unknown
Injection site redness and swellingReported to FDA's adverse event system by a woman also injecting thymosin; cause unclear.Frequency unknown
Immune reaction to the peptide or impuritiesFDA flagged injected and nasal BPC-157 as a significant immunogenicity risk because of aggregation and synthesis impurities. No study has measured antibodies.Frequency unknown
Groups with specific risks
  • Pregnancy and breastfeeding: no human or adequate animal reproductive safety data
  • Active cancer or history of cancer: BPC-157 promotes blood vessel growth in animal and cell studies, and its effect on tumors has not been tested in humans
  • Competitive athletes under WADA or league testing: prohibited at all times
Interactions
  • No human drug interaction studies exist.
  • Rat studies report BPC-157 changes nitric oxide signaling and reduces stomach damage from NSAIDs, so interactions with NSAIDs and drugs that act on nitric oxide are plausible but untested in people.

Which symptoms are expected and which mean stop and get help: side effects and red flags.

Claims checked

What people say online, checked against the studies

Tap a claim to see what the studies found.

The claim"BPC-157 heals torn tendons and ligaments in people."UntestedNobody has measured this in people

Tendon healing has been shown in rats. No controlled human trial of a tendon or ligament injury has been completed; the first placebo-controlled hamstring trial only started recruiting in 2026.

The claim"BPC-157 is natural because it comes from human stomach acid."Not supportedThe evidence does not back this

What is sold is a lab-made 15-amino-acid chain. The Zagreb group described it in 1993 as a piece of a larger gastric juice protein, but coming from a body protein does not make an injected synthetic dose natural or safe, and no human study has measured its safety beyond two weeks.

The claim"BPC-157 has been proven safe in humans."Not supportedThe evidence does not back this

About 80 people have received it in published reports, for one day to two weeks. FDA reviewers concluded in 2026 that there is insufficient clinical safety information to characterize its safety profile.

The claim"The FDA approved BPC-157 in 2026."Not supportedThe evidence does not back this

An FDA advisory committee recommended adding it to the compounding list. That vote is not binding, it is not drug approval, and FDA had not started the required rulemaking as of October 2026.

The claim"BPC-157 cured ulcerative colitis in clinical trials."Not supportedThe evidence does not back this

The only controlled trial, a 53-person enema study, showed both groups improved and the difference between BPC-157 and placebo was not statistically clear. It was never published beyond a conference abstract.

The claim"Oral BPC-157 works as well as injections for joint injuries."UntestedNobody has measured this in people

Oral dosing works in rats. No human study has compared oral and injected BPC-157 or measured how much oral peptide reaches the blood.

Untested pairings

Combinations people discuss

These pairings come up often. Almost none have been tested together in a trial, and the evidence note on each says so plainly.

BPC-157 + TB-500 ('Wolverine stack')

Marketed for tendon, ligament and joint injuries on the idea that BPC-157 drives local blood vessel growth while TB-500 helps cells migrate.

EvidenceNo controlled study has tested the pair. The only human data is 4 knee patients in an uncontrolled survey who got BPC-157 plus thymosin beta-4 (form not stated), 3 of whom reported relief. An FDA adverse event report described skin and gum darkening after a research-label blend of the two.

BPC-157 + KPV for gut inflammation

Discussed online for inflammatory bowel symptoms because both reduced colitis in mice or rats.

EvidenceEach has only animal data for colitis, and the combination has never been studied in animals or humans.

Handling

Storage and stability

Dry powder (lyophilized)

No peer-reviewed stability study exists. Supplier data cited by FDA say the powder keeps about 3 weeks at room temperature and list long-term storage dry below -18 C (about 0 F), because moisture degrades it.

Mixed with water (reconstituted)

Supplier data cited by FDA claim 2 to 3 weeks at 4 C and 3 to 4 months frozen at -20 C. No peer-reviewed study has confirmed this, and FDA noted peptides like BPC-157 can aggregate and degrade with changes in pH, heat and concentration.

Guide Reconstitution and storage, explainedMembers Bacteriostatic water, fridge vs freezer, and how fast peptides break down.
Keep reading

Related peptides

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New BPC-157 research, explained when it is published

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Frequently asked questions
Is BPC-157 legal in the US?
It is not an FDA-approved drug and, as of October 2026, it is not on the list of ingredients pharmacies can legally compound. It is sold online labeled 'research use only', which means it is not meant for human use. An FDA advisory panel voted in July 2026 to recommend allowing compounding, but the FDA has not adopted that recommendation.
Has BPC-157 been tested in humans?
Barely. Five small studies exist: two enema studies from Pliva in the early 2000s published only as conference abstracts, and three reports from one Florida clinic covering 16 knee pain patients, 12 interstitial cystitis patients and 2 healthy adults. Only the two enema studies used a placebo, and the ulcerative colitis trial did not show a clear benefit.
Is BPC-157 banned in sports?
Yes. WADA lists BPC-157 by name under S0, non-approved substances, banned in and out of competition. Athletes in leagues with their own testing programs should check those lists too.
Can BPC-157 cause cancer?
No study has shown that it causes cancer, and none has tested it in people with cancer. The concern comes from its mechanism: in rats and cell studies it increases new blood vessel growth, which tumors also rely on. With no long-term human data, the risk is unknown rather than ruled out.
What is the difference between BPC-157 and TB-500?
BPC-157 is a 15-amino-acid fragment from a stomach protein. TB-500 is a 7-amino-acid fragment of thymosin beta-4, a protein found in most cells. They are often sold together as a 'healing stack', but no study has tested the combination except one uncontrolled knee pain survey in which 4 patients got BPC-157 plus thymosin beta-4 (the paper does not say which form).
How long does BPC-157 stay in the body?
In rats and dogs the intact peptide was gone from the blood with a half-life under 30 minutes, broken into small fragments and amino acids. Nobody has measured this in humans.