Semax peptide: human studies, effects and safetyСемакс
What the studies found
Comparison in people · 2026
Visual-field improvement persisted after combined glaucoma rehabilitation
- Visual-field mean deviation
- −8.62 ± 1.86 → −7.03 ± 1.36 → −4.33 ± 0.98 dBBaseline → after surgery → after added physiotherapyp<0.01 after surgery; p<0.0001 after physiotherapy
- Persistence
- Improvement maintained up to 6 monthsControl group returned to baseline by month 3
- Retinal structure and visual-field index
- No significant differences in VFI, AvgRNFL or GCC
After glaucoma surgery, a physiotherapy package including Semax electrophoresis improved visual-field mean deviation from −8.62 ± 1.86 to −4.33 ± 0.98 dB, with benefit maintained through six months. The comparison group received Semax nasal drops and returned to baseline by month three. Structural retinal measures and visual-field index did not differ significantly.
Study notes · methods, sources and limitations
Participants or model 50 patients (64 eyes) with stage II–III primary open-angle glaucoma undergoing nonpenetrating deep sclerectomy.
- Participants
- 50 patients; 64 eyes
Important limitations
- Both groups received Semax. Magnetic/electrical stimulation, heliox and a different delivery method prevent isolating the contribution of Semax. Eyes and patients are separate counts. The abstract leaves group assignment and blinding unclear.
Vestnik oftalmologii 142(5) · Journal publication
Animal research · 2025
Behavior and amyloid changes in an Alzheimer’s mouse model
- Cortical plaques at two weeks
- 2.8-fold lower with Semax and 1.6-fold lower with the modified peptide versus untreated APP/PS1 mice.
- Hippocampal plaques at two weeks
- 2.6-fold lower with Semax and 1.7-fold lower with the modified peptide.
- Plaques at 1.5 months
- Cortical counts were 2.2-fold and 1.8-fold lower, and hippocampal counts were 1.7-fold and 1.6-fold lower, with Semax and the derivative respectively.
After 15 intranasal doses, cortical and hippocampal plaque counts at two weeks were 2.8-fold and 2.6-fold lower with Semax than in untreated APP/PS1 mice.
Study notes · methods, sources and limitations
Participants or model Transgenic APPswe/PS1dE9/Blg mice
Design Semax or Met-Glu-Asp-Arg-Pro-Gly-Pro at 50 μg/kg intranasally every other day for 15 doses. Controls were untreated APP/PS1 and wild-type mice. Histology figures report n=10 per group.
Important limitations
- An animal Alzheimer’s model does not establish clinical efficacy or safety in people. The derivative and Semax are distinct preparations; results must not be treated as interchangeable.
- The derivative includes EDR within a different molecule. The study did not test standalone Pinealon.
Acta naturae; 2025 Oct-Dec · Publication record
Animal research · 2001
Peptidergic correction of the effect of acute hypobaric hypoxia in pregnant rats on progeny
- Growth and eye opening
- Delayed by hypoxia; authors report prevention with the peptide mixture
- Behavior
- Hypoxia-associated changes reportedly prevented; exact tests and scores not supplied
Maternal Semax plus β-casomorphin-7 reportedly prevented delayed pup growth, weight gain, eye opening and behavioral changes after acute hypoxia. The abstract provides no numerical effect sizes.
Study notes · methods, sources and limitations
Participants or model Pregnant albino rats and offspring after acute hypobaric hypoxia; n unavailable in abstract
Design Maternal intranasal peptide exposure around an acute prenatal hypoxic insult; postnatal growth/behavior or brain monoamines evaluated.
Important limitations
- The 2001 intervention is explicitly a Semax plus β-casomorphin-7 mixture; the 2003 abstract does not isolate compound-specific effects.
- The 2001 intervention is explicitly a Semax plus β-casomorphin-7 mixture; the 2003 abstract does not isolate compound-specific effects. No verified sample sizes, effect magnitudes, randomization, masking or systematic reproductive-safety assessment in the abstract. Related papers from one laboratory do not establish independent replication or human pregnancy safety.
Bulletin of experimental biology and medicine. 2001;131(2):109. PMID 11391386 · Original journal publication
What is Semax?
Names in this research collection
ACTH(4–7)-PGP · MEHFPGP
A synthetic peptide based on a fragment of adrenocorticotropic hormone (ACTH). Its research focuses on brain function and responses to neurological injury.
Identity / background source ↗
Research background
ACTH-fragment-derived peptide with clinical stroke and optic-nerve reports, healthy-volunteer imaging and preclinical neuroregulation research. Precursor, patent and dissertation sources remain separately labeled.
Semax: what the evidence shows
Semax is an ACTH-fragment-derived peptide investigated in stroke, neurological conditions and experimental brain models. Clinical reports and brain-imaging changes answer different questions from memory enhancement in healthy people.
Curated by Molekul / @PepMariner. This guide summarizes linked source records; it is not an independent clinical review. Each source states what was inspected.
Stroke: an adjunctive clinical comparison
A historical report compared 30 patients receiving Semax plus intensive stroke care with 80 conventional-care controls. Faster regression of neurological deficits was reported, but the indexed abstract provides no numerical outcome-score difference. Randomized allocation was not established.
Healthy volunteers: imaging rather than better memory
In 24 healthy volunteers, 14 receiving Semax and 10 receiving placebo, resting-state imaging showed a frontal default-mode-network difference. A later 52-person study compared separate Semax, Selank and placebo conditions. Neither imaging result establishes improved memory, attention or anxiety symptoms; cohort overlap remains unresolved.
Recent clinical and experimental findings
A 42-patient retinal-surgery report favored heliox plus Semax electrophoresis over Semax nasal drops; both groups received Semax. A separate rat-neuron experiment found increased spontaneous calcium events but no significant effect on proton-stimulated calcium responses in the tested cerebellar cells.
- 2026: [Effect of a combined physiotherapeutic approach on changes in functional parameters after endovitreal surgery of rhegmatogenous retinal detachment with a favorable anatomical outcome]. ↗
- 2025: The Effect of Peptide Semax, an ACTH(4-10) Analogue, on Intracellular Calcium Dynamics in Rat Brain Neurons. ↗
Questions about effects and safety ↓ · All linked studies and patents ↓
Autoimmune research: disease-specific findings, immune effects and open questions ↗
Alzheimer’s research evidence map ↗
Pregnancy and offspring research
Maternal Semax plus β-casomorphin-7 reportedly prevented delayed pup growth, weight gain, eye opening and behavioral changes after acute hypoxia. The abstract provides no numerical effect sizes.
The 2001 intervention is explicitly a Semax plus β-casomorphin-7 mixture; the 2003 abstract does not isolate compound-specific effects.
Reported findings and methods ↗ · Pregnancy research: full evidence review and archive ↗
Shustov papers, coauthors and archival leads ↗
More study findings
Animal research · 2014
Semax during repeated rotarod testing in rats
- Rotarod duration
- +263% at day 21 relative to day 7Duration dropped after dosing stopped. Controls showed smaller gains with repeated testing.Authors described a trend around p=0.1
The authors reported a 263% increase in duration on day 21 relative to day 7. They classified the effect on fatigue resistance as a statistical trend.
Study notes · methods, sources and limitations
Participants or model WAG/GY rats. Arm sizes not verified in the checked section.
Design Accelerating rotarod, assessed weekly during dosing and again seven days after the course.
- Reported study exposure
- Semax 0.22 mg/kg rectally daily for 21 days.
Important limitations
- Repeated training, coordination and motivation can affect the endpoint. The graph does not supply a confirmed human effect.
- Keep the within-group percentage and weak statistical result together.
Essays on Sports Pharmacology, Vol. III, Vectors of Pharmacoregulation, Chapter 5, pp. 145–147, Figures 54–55 · Essays on Sports Pharmacology, Vol. III, Vectors of Pharmacoregulation, Chapter 5, pp. 145–147, Figures 54–55
Comparison in people · 2025
Semax in women’s basketball: conflicting tables and prose
- Reported free-throw change
- 17.3±2.6%; p=0.37Narrative comparison. No significant result.
- Reported three-point change
- 9.5±1.7%; p=0.44Narrative comparison. No significant result.
- Sample-size conflict
- 28 in methods versus 40 in the tableSeveral larger changes appear in the column labelled comparison. Allocation cannot be reconstructed.
The narrative reports nonsignificant shooting changes. The table labels and direction conflict with the prose, preventing confident assignment of a benefit.
Study notes · methods, sources and limitations
Participants or model The text describes 28 women aged 18–26 and 14 per arm; Table 1 instead labels its columns 18 and 22.
Design Competition and practice metrics, with five-minute 100–200 W cycle ergometry and early/late recovery measurements.
- Reported study exposure
- Intranasal Semax, identified as 0.5% in results; methods give 200–2,000 µg per administration and 500–5,000 µg per day for seven precompetition and seven competition days. Individual delivered doses are unclear.
Important limitations
- The inconsistent sample and table headings prevent a reliable treatment estimate.
Original journal text, methods and Table 1 · Original journal text, methods and Table 1
Comparison in people · 2017
Semax and hand tapping in 20 archers
- First ten seconds
- 60.05 → 63.95 tapsGroup means.
- Third and sixth intervals
- 61.65 → 61.20; 60.75 → 56.05 tapsDirectional decreases despite the favorable overall narrative.
- Fifth interval
- 56.20 → 61.40 tapsDescriptive within-session change.
Tapping increased in four intervals and declined in two, with no parallel control group or measure of shooting accuracy.
Study notes · methods, sources and limitations
Participants or model 20 competitive archers tested before and after exposure.
Design Six consecutive ten-second intervals of hand tapping, with descriptive means and standard errors.
- Reported study exposure
- Single intranasal 500 µg of 0.1% Semax; the procedure allowed a short absorption interval before retesting.
Important limitations
- Repeated testing can produce practice or fatigue effects. No controlled inference about archery performance.
FMBA conference proceedings, printed pp. 118–121, Table 1 · FMBA conference proceedings, printed pp. 118–121, Table 1
Comparison in people · 2018
Semax in shooters and martial-arts athletes
- Within-group motor measures
- Active groups reported p<0.05; saline p>0.05Full group effect estimates unavailable in these proceedings.
- Cohort and comparator
- 14 saline, 17 shooting, 14 martial artsThe paper has no hypoxic-training arm. Overlap with the earlier 20-archer study is unresolved.
Authors reported faster sound, light and choice reactions in the Semax cohorts. The same report describes stability or gains in tapping measures.
Study notes · methods, sources and limitations
Participants or model 45 qualified athletes. Saline n=14, shooting sports n=17, martial arts n=14.
Design Groups defined by sport. Reaction and tapping tasks repeated 15 minutes after exposure.
- Reported study exposure
- Single intranasal 500 µg of 0.1% Semax in the two active cohorts; saline in the comparison cohort.
Important limitations
- Sport and treatment assignment are entangled. Within-group significance cannot establish an active-placebo difference.
Student Sport, Surgut proceedings, pp. 54–57 · Student Sport, Surgut proceedings, pp. 54–57
Animal research · 2011
Semax and Selank in acute loaded swimming
Study of multiple preparations
- 30 minutes
- Semax +45%; Selank +50%Reported relative to control.
- Four hours
- Semax +110%; Selank +45%The treated groups were distinct.
- 24 hours
- No detected benefit with either peptideThe separate human physiology comparison included 36 participants and did not test either peptide.
Both peptides prolonged swimming at selected early time points. Neither had a reported effect at 24 hours.
Study notes · methods, sources and limitations
Participants or model Rat subgroups of 6–7 per sampling interval. The separate human physiology comparison included 18 athletes and 18 comparison participants without a drug intervention.
Design Forced swim with 20% body-mass load, tested 0.5, 4 or 24 hours after administration. Separate enzyme and biochemical measurements.
- Reported study exposure
- Single intranasal Semax or Selank, 300 µg/kg, 1% solution, 6 µL. Control received distilled water.
Important limitations
- Small subgroups, incomplete uncertainty and extreme swim conditions.
Doctoral dissertation author abstract, methods and animal results · Doctoral dissertation author abstract, methods and animal results
Animal research · 2006
Radiolabeled Semax in rat brain after intranasal dosing
- Brain signal at two minutes
- 0.093% of administered radioactivity per gramApproximately 80% intact Semax and the remainder metabolites.
- Biotransformation
- Rapid degradation; Pro–Gly–Pro predominated among peptide productsNeither target-site concentration nor a human half-life is supplied.
At two minutes, 0.093% of administered radioactivity per gram was detected in brain. About 80% of that signal was identified as Semax.
Study notes · methods, sources and limitations
Participants or model Outbred white rats weighing 200–250 g. Sample size unavailable in the indexed abstract.
Design Tritium label on C-terminal proline, with measurements of Semax and degradation products in blood and brain.
- Reported study exposure
- Single intranasal dose of 50 µg/kg, 20 µL solution.
Important limitations
- Rat tissue radioactivity does not resolve the transport path, blood contribution or human pharmacokinetics.
Bioorganicheskaya Khimiya, PMID 16523722 · Bioorganicheskaya Khimiya, PMID 16523722
Comparison in people · 2019
Semax, normobaric hypoxia and short reaction tests in athletes
- Flash reaction time
- Semax 0.34±0.11 → 0.25±0.04 sHypoxia 0.27±0.05 → 0.24±0.04 s; saline 0.31±0.12 → 0.32±0.11 s. Post-test p=0.01 for each active arm vs saline as printed.
- Choice reaction time
- Post-test Semax 0.32±0.06 s; hypoxia 0.33±0.06 s; saline 0.42±0.10 sTables report unadjusted group means.
- Late tapping interval
- Semax 60.41 → 55.47 tapsDirection varies by interval. A faster visual response did not imply uniform tapping improvement.
Post-test flash reaction time was 0.25 s with Semax, 0.24 s with hypoxia and 0.32 s with saline. Baseline differences and overlap with related conference cohorts remain unresolved.
Study notes · methods, sources and limitations
Participants or model 45 athletes aged 21–25; saline n=14, Semax n=17, hypoxia n=14.
Design Pre/post response to sound, flash and choice stimuli and hand tapping. Hypoxia was a 30-minute, 10%-oxygen exposure.
Important limitations
- The overlapping authors and matching arm sizes with the 2018 proceedings warrant comparison of recruitment records. The third arm is described differently.
- Short psychophysiological endpoints and baseline imbalances limit inference about sport performance.
Theory and Practice of Physical Culture, publisher article and Tables 1–2 · Theory and Practice of Physical Culture, publisher article and Tables 1–2
Comparison in people · 2021
Semax with and without laser-assisted application in biathletes
- Stress-resistance index
- 9.2±0.31 → 15.7±0.16 with laser; 8.5±0.24 → 10.4±0.14 with nasal application aloneAuthors’ index. A reliable between-arm effect is unavailable.
- HADS anxiety
- 8.41±1.22 → 5.16±0.12 vs 8.83±1.66 → 5.96±0.21Within-group p<0.05 for the laser arm and p>0.05 for the comparator as printed.
Stress-resistance and anxiety indices changed in both Semax arms. The study compared delivery procedures and did not measure race performance or brain exposure.
Study notes · methods, sources and limitations
Participants or model 66 biathletes. Abstract and tables report 47 versus 19; one methods paragraph gives 21 comparison participants.
Design Fifteen-day observation during precompetition training. Both arms used intranasal Semax, with laser application in the main group.
Important limitations
- Comparator denominator conflict, no inert placebo, and no measured delivery or pharmacokinetic endpoint.
- A comparison of two Semax procedures, with an unresolved treatment-group flow.
Journal of New Medical Technologies, electronic edition (6):132–135 · Journal of New Medical Technologies, electronic edition (6):132–135
Animal research · 2022
Cortexin and Semax in a prolonged rat cold-stress model
Study of multiple preparations
- Semax · day-14 limiting swim
- 3.2±0.1 vs 1.3±0.1 min salineTable 5, p<0.05 versus saline as marked.
- Cortexin · day-14 limiting swim
- 1.3±0.1 vs 1.3±0.1 min salineEarlier differences did not persist at day 14.
- Temperature plateau near 35°C
- 10 days saline; 12 Cortexin; 14 SemaxReported thermoregulation endpoint, separate from the swim outcome.
Day-14 swim time was 3.2±0.1 min with Semax and 1.3±0.1 min with either saline or Cortexin. The 35°C plateau lasted 10, 12 and 14 days across the three groups.
More reported outcomes
- Publication overlap
- Identical weighted-swim means and uncertainties at all six time pointsThe 2023 Russian Biomedical Research paper (DOI 10.56871/RBR.2023.20.34.002) repeats Table 5. Count one animal experiment.
Study notes · methods, sources and limitations
Participants or model 90 outbred male rats (180–220 g), with 30 each in the placebo, Cortexin and Semax groups.
Design Ninety outbred male rats, 30 per group. Prolonged cold exposure combined with altered lighting, noise and dietary restriction. Serial thermoregulation and weighted-swim measurements.
Important limitations
- The report conflicts on administration route and frequency. Cortexin and Semax were given to separate groups.
- The report conflicts on administration route and frequency. Cortexin and Semax were given to separate groups. The 2023 report repeats the weighted-swim table. It supplies no independent animal count or human performance evidence.
- Cortexin and saline had the same mean swim time at day 14. The paper reports a 14-day temperature plateau for Semax.
Pediatrician 13(6):85–96 · Pediatrician 13(6):85–96
Animal research · 1996
Semax, TRH and FMRFamide in rat hemorrhage and hypobaric hypoxia
Study of multiple preparations
- Severe hemorrhage · mortality
- 23% with three-peptide pretreatment versus 79% in controlsMortality in the stated pretreatment comparison, not the whole 595-rat program.p<0.025 as reported
- Naloxone comparator · mortality
- 83% mortality (n=6)Small separate pretreatment group; no clear benefit.
- Serum malondialdehyde after hypoxia
- +192% versus baseline controls after hypoxia; +66% with peptide pretreatmentThe mixture alone did not significantly change the measure; p-values are not a formal direct contrast between the two hypoxia groups.p<0.01 and p<0.05 respectively versus control as described
Mortality after severe hemorrhage was reported as 23% with pretreatment and 79% in controls. The same three-peptide program reported hypobaric-hypoxia and biochemical effects.
More reported outcomes
- Acute hypobaric model
- Improved selected survival-related measures at simulated 11,000–11,500 mDistinct experiment; routes and doses differ from the hemorrhage protocol.
- Behavior after severe stress
- Motor and exploratory effects at day 2; contextual-memory changes by day 6Author reports effects on selected post-stress behavior measures, not validated neurological recovery.
Study notes · methods, sources and limitations
Participants or model 595 outbred male and female rats, 220–320 g, across the whole program; not 595 animals in the mortality comparison
Design 595 outbred male and female rats, 220–320 g, across the whole program; not 595 animals in the mortality comparison
- Reported study exposure
- Hemorrhage pretreatment: 40-minute intra-arterial infusion of FMRFamide 0.01, TRH 0.01 and Semax 0.002 mg/kg/min. Hypoxia experiments used a separate intraperitoneal schedule: FMRFamide 0.5, TRH 0.5 and Semax 0.05 mg/kg in narrative; the figure transcription appears to read TRH 0.6 mg/kg. Original scan needed to resolve that value.
Important limitations
- Small mortality groups; percentages cannot be converted into exact counts without the original group denominators.
- Small mortality groups; percentages cannot be converted into exact counts without the original group denominators. Pretreatment of rats before extreme blood loss is a distinct model from emergency treatment, athlete performance or environmental prophylaxis in people. The related 1997 report is part of this research program; its independence is not established.
- This is defined-mixture research. The outcomes cannot be assigned to Semax alone, and the magnitude of interaction among the three components was not established for human use.
Moscow State University candidate dissertation, 142 pp. · Dissertation
Animal research · 1997
Cooperative regulatory peptide effects in rat hypoxic shock
Study of multiple preparations
- Publication trail
- Journal report identified for hypoxic shockThe 79% and 23% mortality figures come from the separate hemorrhage experiment.
Companion publication on cooperative regulatory peptide effects under hypoxic shock; keep distinct from the dissertation’s quantified hemorrhage comparison.
Study notes · methods, sources and limitations
Participants or model Rat hypoxic-shock experiments in the Ashmarin research program; cohort overlap not determined
Design Rat hypoxic-shock experiments in the Ashmarin research program; cohort overlap not determined
Important limitations
- A separate publication is not necessarily an independent replication.
- A separate publication is not necessarily an independent replication. Original full methods and numerical results remain an acquisition target.
- Use the dissertation record for verified numerical context. Full paper needed to verify the exact comparison arms and outcome estimates.
Biull Eksp Biol Med. 124(10):400–402. PMID 9410168 · Original journal article
Animal research · 2009
Rat behavioral assays: semax
Study of multiple preparations
- Noopept, Semax, Selank and Dilept · vertical activity
- Reduced vertical movements reportedCompound-specific rat behavior at the stated doses, not a measure of human alertness.
- Porsolt immobility
- Lower with Oleyl-Cortagen, Dilept and Cortexin; higher with Cerebrolysin, Semax, Cortagen and SelankThis unweighted behavior assay is distinct from loaded endurance swimming. Piracetam was inactive in the report.
Separate comparisons in an assay battery.
Study notes · methods, sources and limitations
Participants or model 192 Wistar rats, 200–220 g; methods describe at least 10–12 per group across a behavioral test battery
Design 192 Wistar rats, 200–220 g; methods describe at least 10–12 per group across a behavioral test battery
- Reported study exposure
- 0.1 mg/kg intraperitoneally in the rat study.
Important limitations
- Electrical self-stimulation and immobility do not measure athletic endurance.
- Multiple behavioral comparisons, endpoint-specific group sizes and precise uncertainties need table recovery. Deltaran is the tested DSIP-containing formulation; no result for isolated DSIP can be inferred. The 2015 dissertation used separate doses/routes; it is not confirmed as independent replication of every experiment.
- Opposing effects across assays are informative. Electrical self-stimulation and immobility are behavior readouts, and neither establishes improved human motivation or endurance.
Medical Academic Journal, 2009; publisher article 9357 · Original journal article
Animal research · 2003
Effect of acute progestational hypoxia on the content of biogenic amines in the brain of albino rat pups
- Offspring catecholamines
- Age-dependent brainstem/cortical disturbances reportedly preventedNo numerical concentrations or separate compound effects supplied
Maternal intranasal Semax and β-casomorphin-7 were reported to prevent age-dependent disturbances of offspring brain amines. Exact concentrations, group sizes and peptide-specific effects are unavailable in the abstract.
Study notes · methods, sources and limitations
Participants or model Pregnant albino rats and offspring after acute hypobaric hypoxia; n unavailable in abstract
Design Maternal intranasal peptide exposure around an acute prenatal hypoxic insult; postnatal growth/behavior or brain monoamines evaluated.
Important limitations
- The 2001 intervention is explicitly a Semax plus β-casomorphin-7 mixture; the 2003 abstract does not isolate compound-specific effects.
- The 2001 intervention is explicitly a Semax plus β-casomorphin-7 mixture; the 2003 abstract does not isolate compound-specific effects. No verified sample sizes, effect magnitudes, randomization, masking or systematic reproductive-safety assessment in the abstract. Related papers from one laboratory do not establish independent replication or human pregnancy safety.
Bulletin of experimental biology and medicine. 2003;136(2):123. PMID 14631488 · Original journal publication
Review of earlier studies · 2003
The effects of ante- and postnatal hypoxia on the central nervous system and their correction with peptide hormones
- Development and behavior
- Qualitative peptide-constellation benefit described; not an independently established new experiment
The synthesis describes poorer postnatal learning and hyperactivity after hypoxia and improvement with a peptide constellation. It supplies no extractable trial-level numerical effect.
Study notes · methods, sources and limitations
Participants or model Review/synthesis of ante- and postnatal hypoxia experiments; no new cohort established
Design Review/synthesis; English translation of the 2002 Russian Physiological Journal article, 88(2):184–190.
Important limitations
- Russian 2002 original and English 2003 translation must be counted once.
- Russian 2002 original and English 2003 translation must be counted once. Related experimental papers from the same research program may overlap; the review supplies no independent replication or human safety estimate.
Neuroscience and behavioral physiology. 2003;33(6):607-11. PMID 14552554 · Review and translated source
Lab research · 2017
Studying the Toxic Effects of Some Biologically Active Peptides on the Model of Mouse Embryonic Stem Cells
Study of multiple preparations
- Selank neuronal differentiation
- GABA-positive neuron ratio decreased by 61%Selank 100 µM versus control; not an in-vivo malformation endpoint
- PGP proliferation
- Small but significant inhibition at 10 µMNo numerical inhibition magnitude in abstract
- Semax cell survival
- Increased survival at 10 and 0.1 µM during serum deprivationCell-stress endpoint, not reproductive toxicology
Selank at 100 µM reduced the GABA-positive neuron ratio by 61% versus control. Semax improved cell survival under serum deprivation, while PGP modestly inhibited proliferation at 10 µM. Cell findings cannot substantiate the abstract’s broad fetal-safety conclusion.
More reported outcomes
- Safety-inference limit
- The authors infer no embryonic/fetal toxicity; this culture model does not establish that claim in pregnancy
Study notes · methods, sources and limitations
Participants or model Mouse embryonic stem cells and neuronal derivatives, not pregnant animals or human fetuses
Design Cultured mouse embryonic stem cells; proliferation, survival during serum deprivation and neuronal differentiation after several peptides and growth-factor controls.
Important limitations
- Embryonic-cell experiments do not test placental exposure, whole-embryo development, birth defects or pregnancy outcomes.
- Embryonic-cell experiments do not test placental exposure, whole-embryo development, birth defects or pregnancy outcomes. The study also found reduced cell differentiation and proliferation. Concentrations in a culture dish are not human doses; biological replicate counts and complete numerical results absent from the abstract.
Bulletin of experimental biology and medicine. 2017;163(6):731. PMID 29063333 · Original journal publication
Animal research · 2020
Semax in the 2020 peptide-profile study
Findings for Semax within a multi-preparation animal study
- Semax: hypoxia time
- 218±23 s versus displayed control 95±3 sTable 2, M±m; male rats; ten per group
- Semax: loaded swimming
- 221±60 s versus displayed control 135±6 sTable 2, M±m; female rats; ten per group; 10% body-weight load
Hypoxia and swimming results came from separate animal cohorts. The original raw times and dose statements are retained below.
Study notes · methods, sources and limitations
Participants or model Outbred rats; ten per treatment group and separate control groups for each endpoint. Hypoxia: three-month-old males, 250±20 g. Loaded swimming: pretrained females, 200±20 g. A pooled analysis of separate experiments, not a verified single contemporaneous head-to-head cohort.
Design Ten rats per group; males for chamber hypoxia (time to agonal signs) and females for loaded swimming (time to exhaustion). Single rectal exposure one hour before testing; saline vehicle controls. Separately performed experiments were standardized and pooled.
- Reported animal exposure
- Semax 0.22 mg/kg rectally, once, one hour before testingExperimental route; not a human regimen
Important limitations
- Different experiments and unequal doses limit comparisons. The 2019 book reproduces these results; it is not independent confirmation. The paper gives no pairwise p-value showing superiority for this preparation.
- Different-sex cohorts and separate experiments contributed to the two endpoints; randomization is stated, but masking, allocation concealment and complete animal flow are not established. Doses were unequal, and the nominal experimental-preparation dose in methods conflicts with the discussion maximum. Table 2 does not resolve each complex’s actual exposure. Table 2 reports M±m; its uncertainty notation is retained without relabeling it as a verified SD. No preparation-specific pairwise p-values or confidence intervals establish PPK-V superiority over Cortexin. T-scores standardize results against experiment-specific controls. Their percentages and ratios cannot be interpreted as proportional increases in raw swim time or clinical performance. Table 1’s final bin is printed >1 kDa, while the narrative describes <1 kDa. Some fractions do not sum to 100%; blank cells are not assumed zero and values are not renormalized. The 5–10 kDa association is observational within the pooled analysis, not isolation of an active sequence or proof of brain penetration. Rectal results do not establish intranasal delivery. Matching 2019 and 2020 numerical tables are treated as one research program. No human PPK-V efficacy or long-term safety follows from these results.
- This is a composition–activity hypothesis from pooled animal experiments. PPK-V is a distinct experimental cortex hydrolysate, not Cortexin or the brainstem PPK-B. Unequal exposures, source inconsistencies and matching earlier tables limit comparisons. No clinical superiority, formal combination synergy or intranasal PPK-V delivery has been established.
Search for the optimal mass profile of neuropeptides for the implementation of antihypoxic and activating actions. Pharmacy Formulas. 2020;2(4):72–81. · Original animal and analytical journal research
Comparison in people · 2026
Visual recovery differed between two Semax regimens
- Combined treatment
- Heliox: 21% oxygen, 79% heliumAfter 15 minutes, 1% Semax electrophoresis for 10 minutes; eight daily procedures starting postoperative day 5
- Comparison treatment
- 0.1% Semax nasal dropsStarting postoperative day 5
- Recovery difference
- Combined arm favored by month 6Abstract gives no numerical visual-acuity or sensitivity difference
Among 42 patients after retinal-detachment surgery, heliox plus Semax electrophoresis produced greater visual-acuity and retinal-sensitivity recovery than Semax nasal drops.
Study notes · methods, sources and limitations
Participants or model 42 patients after retinal-detachment surgery
Design 42 post-retinal-detachment patients: combined physiotherapy 23 versus Semax drops 19; 12-month follow-up.
Important limitations
- Both groups received Semax; the comparison cannot isolate its contribution.
- Both groups received Semax; this does not establish its benefit versus no Semax. Heliox, delivery route and formulation differed; the independent contribution of each cannot be separated. Small comparison; randomization and masking were not established from the abstract.
- Both arms received Semax; heliox and delivery differences prevent attribution to Semax alone.
Vestnik oftalmologii; 2026 · Indexed abstract
Review of earlier studies · 2026
ADHD council assessment places these preparations in its limited-evidence group
Study of multiple preparations
- Cortexin, Cerebrolysin and Semax
- Group B: limited evidence base for ADHD
- Document type
- Expert-council resolutionCouncil meeting 16 July 2026; publication 22 October 2026
The expert council places Cortexin, Cerebrolysin and Semax in Group B, its category for preparations with a limited evidence base in ADHD. It discusses adjunctive use within psychoeducation and behavioral care, rather than replacement of established first-line treatment.
Study notes · methods, sources and limitations
Participants or model Expert-council assessment of adjunctive ADHD pharmacotherapy in children and adolescents; no new patient trial.
Important limitations
- Expert consensus and evidence appraisal, not a new efficacy trial. The assessment concerns childhood ADHD, not every clinical use of these preparations.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova 126(9. Vyp. 2) · Expert-council resolution
Performance research in context
Sports performance evidence map ↗ Military & occupational evidence map ↗
- Compound class
- Synthetic regulatory neuropeptide
- Research collection
- Neuropeptide research · editorial grouping
- Research institutions
- No institutional affiliation recorded
- Source review
- Review dates and the material assessed are listed with each publication below.
Understanding the evidence
Human research
Clinical comparisons and small imaging studies
Study methods
Study-specific design and limitations below
Independent replication
Independent replication and participant overlap are unclear
Source access
Indexed abstracts, selected publisher text and archival records
Safety evidence
Long-term safety and product equivalence not established by this collection
Open a topic for the evidence assessment.
Questions about Semax
What is Semax peptide?
Semax is Met–Glu–His–Phe–Pro–Gly–Pro (MEHFPGP), a seven-amino-acid peptide comprising the ACTH(4–7) fragment followed by Pro–Gly–Pro. Studies of older ACTH fragments or modified Semax derivatives do not automatically describe the same preparation.
What benefits of Semax have been studied in humans?
Human reports include adjunctive stroke treatment, optic-nerve conditions and small healthy-volunteer imaging experiments. Some report favorable changes, but their clinical populations, background treatments and methodological limits matter. They do not establish general memory enhancement in healthy people.
Does Semax increase BDNF or improve cognition?
Neurotrophin and gene-expression research provides proposed mechanisms, much of it from animal or laboratory models. A molecular change is not itself a demonstrated cognitive benefit. The healthy-volunteer studies linked here measured brain connectivity rather than validated improvement in memory or attention.
What is the difference between Semax and Selank?
Semax is derived from an ACTH fragment; Selank is derived from tuftsin. They are distinct sequences with different research histories. The 52-person imaging report used separate Semax, Selank and placebo conditions; it was not a trial of a combined stack.
What is known about Semax side effects and long-term safety?
Safety must be assessed within each study’s preparation, route, duration and patient population. The small imaging and clinical reports in this collection do not establish long-term safety for healthy users or equivalence to N-acetylated, amidated or differently delivered products. An unreported adverse-event rate is not evidence that side effects do not occur.
- 1997: Effectiveness of semax in acute period of hemispheric ischemic stroke (a clinical and electrophysiological study) ↗
- 2018: Effects of Semax on the Default Mode Network of the Brain ↗
- 2026: [Effect of a combined physiotherapeutic approach on changes in functional parameters after endovitreal surgery of rhegmatogenous retinal detachment with a favorable anatomical outcome]. ↗
Has Semax been studied during pregnancy?
Historical pregnant-rat experiments studied Semax with β-casomorphin-7 and reported prevention of selected hypoxia-related offspring changes. These combination findings do not isolate Semax or establish safety in pregnant people. Embryonic stem-cell experiments answer a different, narrower question.
- 2001: Peptidergic correction of the effect of acute hypobaric hypoxia in pregnant rats on progeny ↗
- 2003: Effect of acute progestational hypoxia on the content of biogenic amines in the brain of albino rat pups: Peptide correction ↗
- 2017: Studying the Toxic Effects of Some Biologically Active Peptides on the Model of Mouse Embryonic Stem Cells ↗
Compare related preparations: Selank research ↗ · Cortexin research ↗
Evidence standards and review limits · Send a source correction
Patents and claimed inventions
These 4 grouped records distinguish claimed molecules, uses, formulations and related chemistry. Patent disclosure does not establish clinical benefit or approval.
Status is an indexed snapshot, not an official legal assessment. Search the patent collection and read the method →
Linked sources
Explore the research map and unresolved leads ↗
Explore related historical combinations ↗
Related compound research
Follow shared publications or research classes. These links do not establish equivalent effects between compounds.
Research collection curated by @PepMariner · editorial standards. Send a source correction ↗
Browse bibliography & PDFs ↗