PUBLIC EVIDENCE LIBRARY

Signal Cards

Standardized therapy summaries built around the RecompSignal Evidence Maturity Framework, outcome-specific evidence strength and transparent source quality.

RecompSignal M0–M5 maturity Outcome Evidence Strength A–F source tiers
M Evidence Maturity
Maturity describes how developed the overall human evidence base is. Outcome Evidence Strength separately describes how well a specific result is supported.
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17 Signal Cards
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Orforglipron (Foundayo)

Oral small-molecule GLP-1 agonist

M5

Treatment-regimen weight changes: -7.5%, -8.4% and -11.2% across the three doses versus -2.1% placebo.

Weight 5/5
Fat 0/5
Lean 0/5
Function 0/5

CagriSema

Amylin analog + GLP-1 agonist

M4

Sponsor efficacy-estimand weight loss: 23.0% vs 25.5%; treatment-regimen estimates: 20.2% vs 23.6%. CagriSema did not demonstrate noninferiority.

Weight4/5
Fat2/5
Lean0/5
Function0/5

MariTide

GLP-1 agonism + GIP antagonism

M4

Treatment-policy weight loss in the obesity cohort ranged from 12.3% to 16.2%, versus 2.5% with placebo.

Weight 3/5
Fat 0/5
Lean 0/5
Function 0/5

Zenagamtide

GLP-1 + amylin receptor agonist

M4

Sponsor reported up to 14.6% mean weight loss in the 40 mg group, versus 2.1% placebo.

Weight 2/5
Fat 0/5
Lean 0/5
Function 0/5

Survodutide

Glucagon + GLP-1 dual agonist

M4

Published phase 3 weight findings; reported MRI composition results await full appraisal.

Weight 3/5
Fat NR
Lean NR
Function 0/5

Tirzepatide

GIP + GLP-1 receptor agonist

M5

Pooled changes: body weight -21.3%, fat mass -33.9%, lean mass -10.9%. Approximately 75% of lost weight was fat and 25% lean tissue.

Weight 5/5
Fat 3/5
Lean 3/5
Function 0/5

Semaglutide

GLP-1 receptor agonist

M5

Reported changes included fat mass -19.3% and lean mass -9.7% with semaglutide.

Weight 5/5
Fat 2/5
Lean 2/5
Function 0/5

Retatrutide

GIP + GLP-1 + glucagon agonist

M4

Published DXA data in type 2 diabetes measure fat and lean changes; superior preservation or function is not established.

Weight 3/5
Fat 3/5
Lean 3/5
Function 0/5

Tesamorelin

Growth-hormone-releasing factor analog

M5*

The evidence supports reduction of excess abdominal fat in the indicated population.

Weight 4/5
Fat 4/5
Lean 4/5
Function 0/5

BPC-157

Experimental peptide

M2

No adverse effects were reported in the two participants during the observation period.

Weight 0/5
Fat 0/5
Lean 0/5
Function 0/5

Bimagrumab

Activin type II receptor pathway

M3

At week 48, the high-dose combination produced -17.8 kg weight change versus -14.2 kg with semaglutide 2.4 mg (treatment-regimen estimand). Combinations reduced lean-mass loss relative to semaglutide alone.

Weight 3/5
Fat 4/5
Lean 4/5
Function 2/5

Trevogrumab

Myostatin pathway

M3

Sponsor reported reduced lean-mass loss with combinations versus semaglutide alone.

Weight 2/5
Fat 2/5
Lean 2/5
Function 0/5

Enobosarm

Selective androgen receptor modulator

M3

This is a registered regimen, not a result. The separate QUALITY findings summarized above are sponsor-reported.

Weight 2/5
Fat 2/5
Lean 2/5
Function 2/5

Taldefgrobep alfa

Myostatin/activin pathway

M2–3

Weight, fat and lean-mass outcomes are planned; no posted results in the reviewed record.

Weight 0/5
Fat 0/5
Lean 0/5
Function 0/5

MOTS-c

Mitochondrial-derived peptide

M1

Registered insulin-sensitivity study; no human findings established in the reviewed record.

Weight 0/5
Fat 0/5
Lean 0/5
Function 0/5

Apitegromab

Selective myostatin activation inhibitor

M3

Between-group difference: 1.9 kg less lean-mass loss (80% CI 1.2–2.7), with similar weight loss.

Weight 3/5
Fat 3/5
Lean 3/5
Function 0/5

Eloralintide

Selective amylin receptor agonist

M3

Efficacy-estimand weight reduction was approximately 20% in the 9 mg group versus 0.4% placebo.

Weight 3/5
Fat 0/5
Lean 0/5
Function 0/5
No signal cards match those filters.

Important: Evidence Maturity and Outcome Evidence Strength describe the development and support of an evidence base. They are not treatment-quality ratings, recommendations, or predictions of an individual result.

NEW TOPICS TO WATCH

Popular questions. Clear evidence boundaries.

Short previews extend the library beyond the full Signal Cards. They identify the mechanism, status and uncertainty; detailed histories and community practice records are reserved for the expanded Therapy Atlas.


SHORT EVIDENCE PREVIEW · Amylin and satiety

Cagrilintide

A randomized phase 2 monotherapy trial supports a scoped weight finding. Monotherapy, CagriSema and improvised combinations are distinct; evidence of weight loss is not proof of muscle preservation.

Investigational · Selected scope checked October 15, 2026

Primary source / development record
SHORT EVIDENCE PREVIEW · International metabolic pipeline

Mazdutide

A GLP-1/glucagon dual agonist with a China approval announcement and published clinical research. Country-specific approval must remain separate from U.S. approval and from muscle-preservation claims.

International indication-specific status · Reviewed October 14, 2026

Primary source / development record
SHORT EVIDENCE PREVIEW · Liver and metabolic research

Pemvidutide

A GLP-1/glucagon candidate that entered the PERFORMA Phase 3 MASH program. A planned liver-outcomes study does not establish a body-composition advantage or an approved indication.

Investigational · Reviewed October 14, 2026

Primary source / development record
SHORT EVIDENCE PREVIEW · Mitochondria

SS-31 / Elamipretide

Forzinity has narrow accelerated approval for Barth syndrome based on a strength endpoint. Small open-label findings do not establish healthy-person performance, longevity or research-vial equivalence.

Approved product; narrow indication · Selected scope checked October 15, 2026

Primary source / development record
SHORT EVIDENCE PREVIEW · Recovery and repair

TB-500

The marketed fragment and full-length thymosin beta-4 must be distinguished. Repair enthusiasm does not establish clinical benefit for an injected fragment or a Wolverine blend.

Experimental · Reviewed October 14, 2026

Primary source / development record
SHORT EVIDENCE PREVIEW · Skin and repair

GHK-Cu

Topical cosmetic research and injected systemic claims involve different routes and exposures. A skin or collagen mechanism is not proof of whole-body repair or safe injection.

Route-specific evidence · Reviewed October 14, 2026

Primary source / development record
SHORT EVIDENCE PREVIEW · Gut and inflammation

KPV

A short melanocortin-related fragment studied in inflammatory models. Mouse and cell findings are useful hypotheses, not validated human gut-treatment protocols.

Preclinical-heavy · Reviewed October 14, 2026

Primary source / development record
SHORT EVIDENCE PREVIEW · GH signaling

CJC-1295

Human studies of the long-acting DAC molecule measured GH and IGF-1 responses. They do not establish outcomes for similarly named no-DAC products or CJC/ipamorelin blends.

Preliminary human pharmacology · Reviewed October 14, 2026

Primary source / development record
SHORT EVIDENCE PREVIEW · GH and recovery claims

Ipamorelin

A human postoperative trial and hormone-response research differ from sleep, recovery and physique claims. Biomarker changes are not proof of useful recomposition.

Indication- and route-specific research · Reviewed October 14, 2026

Primary source / development record
SHORT EVIDENCE PREVIEW · Neurological research

Semax

Small comparative neurological reports should be separated from healthy-person focus or enhancement claims. Sequence, route and clinical population matter.

Limited clinical / experimental context · Reviewed October 14, 2026

Primary source / development record
SHORT EVIDENCE PREVIEW · Anxiety and cognition

Selank

Limited anxiety research does not establish every calm-focus claim, modified variant, route or long-term use pattern promoted in communities.

Limited clinical / experimental context · Reviewed October 14, 2026

Primary source / development record
SHORT EVIDENCE PREVIEW · Sleep

DSIP

Small human IV insomnia studies are preliminary and mixed; they do not validate community injection schedules. Public sleep accounts include perceived benefit and no effect.

Preliminary human evidence · Selected scope checked October 15, 2026

Primary source / development record
SHORT EVIDENCE PREVIEW · Longevity and circadian claims

Epithalon / Epitalon

Cell experiments and limited human biomarker reports do not establish better sleep or longer life. Community sleep reports include benefit, loss of benefit and worse sleep. Synthetic epitalon and epithalamin remain distinct.

Preclinical-heavy · Selected scope checked October 15, 2026

Primary source / development record
SHORT EVIDENCE PREVIEW · Fat-loss claims

AOD-9604

The reviewed oral obesity program did not establish weight-loss benefit. Tolerability reports and community injection schedules do not establish injected efficacy or muscle preservation.

Clinical history; injection claims unresolved · Selected scope checked October 15, 2026

Primary source / development record

Preview the planned Therapy Atlas · How evidence is graded