Tesamorelin (trade name Egrifta) incorporates the full 44-amino acid sequence of human GHRH stabilized by a hydrophobic trans-hexenoyl fatty acid moiety at the N-terminus. This structural addition imparts superior enzymatic resistance to DPP-4 cleavage compared to native GHRH (1-44). In randomized trials, Tesamorelin demonstrated significant selective reduction in visceral adipose tissue (VAT) and hepatic steatosis.
