Dihexa

What it is. What the evidence says.

A small lab-made molecule built from a piece of angiotensin IV, a peptide found in the brain. It was designed in a university lab as a possible dementia drug.

Preclinical EvidenceUnapproved

Predominant research setting. Clinical confidence is claim-specific.

Updated Scientific review pending
Sequence diagram and chemical structure information for Dihexa.
Dihexa Chemical Structure & Sequence · Inside Peptides Scientific Library
Compound
Dihexa
Human effectiveness
None established: no published human studies of dihexa
Regulatory status
Unapproved Compound
START HERE · PLAIN LANGUAGE

Dihexa: the basics

What is it?

A small lab-made molecule built from a piece of angiotensin IV, a peptide found in the brain. It was designed in a university lab as a possible dementia drug.

Research paper 1 ↗Research paper 2 ↗Research paper 3 ↗Research paper 4 ↗

What do people claim it helps with?

Sharper memory, faster learning and brain repair. None of these has been tested in published human studies.

What has research actually shown?

Rats and mice given dihexa did better on some memory tests, but a rat study of a Huntington's-like illness found no benefit. A major paper explaining how it works was retracted in 2025.

Research paper 1 ↗Research paper 2 ↗Research paper 3 ↗Research paper 4 ↗

Has this been demonstrated in people?

Only laboratory cell and animal studies. FDA says it has found no human exposure data at all.

Research paper 1 ↗Research paper 2 ↗Research paper 3 ↗Research paper 4 ↗

What side effects, risks and unknowns should I understand?

Unknown in people. It was designed to boost growth-factor signaling, and long-term effects of that in humans have not been studied.

FDA safety information ↗

Is it an approved medicine?

No FDA-approved medicine contains this compound. Availability online or through a clinic does not mean it has been approved.

FDA safety information ↗

Approval here means U.S. FDA approval and applies to a particular product, formulation and use. This is a starting overview, not a complete side-effect list. Sources checked 10 October 2026; independent scientific review pending.

How is it used or studied?

Animal studies gave it by mouth. There is no approved human formulation, and an online product may not match what was studied.

Different routes and formulations can have different effects. A study of one product does not validate every product with the same peptide name.

A common misunderstanding

Fosgonimeton is a related but different drug that was tested in people with Alzheimer's and missed its main goal. Its results are not dihexa results.

What should I ask a clinician?
  • What diagnosis or goal are we trying to address, and what established options are available?
  • Was the expected benefit shown in people like me, using this exact product?
  • How could my medicines, health conditions or pregnancy plans affect the risks?
  • What monitoring is needed, and what would tell us the treatment is helping or should be stopped?
What do the research words mean?
Peptide
A short chain of amino acids, the building blocks of proteins.
Preclinical
Research in cells, tissues or animals before dependable treatment evidence in people.
Controlled trial
A study comparing a treatment with another treatment or a placebo to help separate its effects from other explanations.
Biomarker
A measurement, such as a hormone level. A change does not necessarily mean someone feels better or lives longer.
THE AVAILABLE RESEARCH

Dihexa Evidence & Clinical Profile

Human Clinical Evidence

Human Study Limits

Dihexa has been investigated in clinical contexts. Patient outcomes must be evaluated against study size, design, and control cohorts.

Preclinical & Pharmacological Data

Laboratory & In Vivo Assays

Cellular and animal disease models examine receptor binding affinities and signaling cascades, which require human confirmation.

IDENTITY & STRUCTURE

What is Dihexa?

N-hexanoic-Tyr-Ile-(6)-aminohexanoic amide is Dihexa is a small, modified fragment of the brain peptide angiotensin IV, developed in a university lab as a possible dementia treatment. All published evidence comes from animals and cells, and a key paper on how it works was retracted in 2025. FDA says it has found no human exposure data. Aliases include: PNB-0408, ATH-1001, Hexanoyl-Tyr-Ile-Ahx-NH2, Dihexa acetate.

Chemical sequence and molecular parameters of Dihexa
Primary sequence schematic · Inside Peptides Molecular Database
Chemical reference
Sequence (one-letter)
Hexanoyl-Tyr-Ile-(6)-aminohexanoic amide
Molecular formula
C27H44N4O5
Molecular weight
504.7 g/mol
CAS Number
1401708-83-5
UNII Code
9WYX65A5C2
PubChem CID
129010512

Identifiers checked against PubChem and FDA's Global Substance Registration System on 13 October 2026. FDA substance record ↗ · PubChem record ↗ See all names and codes in the peptide name index.

HUMAN RESEARCH

Clinical Trials & Human Cohorts

Human research can examine tolerability, symptoms or patient outcomes. The design and comparator determine what each result can establish.

MECHANISMS OF ACTION

How the compound may work

Mechanisms describe how Dihexa may affect biological processes. Laboratory findings and patient outcomes answer different questions.

01
Cell and rat studies (paper retracted 2025)

Hepatocyte growth factor (HGF)/c-Met hypothesis

A 2014 paper proposed that dihexa works by binding HGF and boosting c-Met signaling to build new synapses. That paper was retracted in 2025, so this mechanism should be treated as unconfirmed. [2]

02
Rats, preclinical

Synapse growth in rodent models

The developers reported that dihexa reversed memory deficits in scopolamine-treated and aged rats and increased synapse formation. This paper carries a 2021 expression of concern from the journal. [1]

RESEARCH AREAS

Areas Being Studied

These research topics reflect active areas of scientific exploration, distinct from unverified commercial marketing claims.

APP/PS1 transgenic mice

Alzheimer's-type memory deficits

An independent group reported improved water-maze performance and reduced brain inflammation markers in mice. Mouse results do not show benefit in people. [4]

Rats, 3-nitropropionic acid model

Huntington's-like model (negative)

In this rat model, dihexa did not protect against weight loss, motor problems or memory deficits. [5]

Phase 2/3 trial of fosgonimeton (not dihexa)

Related compound in humans

PubChem's structure for fosgonimeton is dihexa with a phosphate added. In a 287-person primary analysis it did not significantly improve cognition or daily function versus placebo. These results do not apply directly to dihexa. [8]

AT A GLANCE

Compare the study designs.

Overview of Key Dihexa Studies: clinical and preclinical records
Study Design / sample Outcome type Key limitation
FDA & SAFETY

Regulatory Status & Clinical Safety

Regulatory Classification

United States, checked 11 October 2026: no FDA-approved medicine contains dihexa. FDA lists dihexa acetate among bulk drug substances that may present significant safety risks in compounding, stating it has not identified any human exposure data for any route and lacks information on whether it would harm people. Fosgonimeton, a related phosphate prodrug developed by a company, is a separate investigational compound; its Phase 2/3 Alzheimer's trial missed its primary endpoint.

Safety Realities & Impurities

Safety depends on the molecule, formulation, route and evidence. A laboratory purity measurement alone cannot establish safety for human use.

REGISTRY CHECK

Clinical Trials Registry Records

Official registry records from ClinicalTrials.gov. Study registration does not imply government endorsement or guaranteed efficacy.

COMPETITIVE SPORT

WADA & Anti-Doping Regulations

Not Prohibited

WADA Anti-Doping Status

Dihexa is not prohibited under current World Anti-Doping Agency (WADA) regulations. However, athletes must ensure unregulated preparations or unverified vendor products do not violate Section S0 (Non-approved substances). Last verified: October 2026.

SELECTED MILESTONES

Research Timeline

  1. 2013

    Dihexa described

    University researchers report an orally active, brain-penetrant angiotensin IV analogue in rats. [1]

  2. 2018

    Animal evidence reviewed

    A systematic review of non-human studies includes dihexa among angiotensin IV analogues that improved memory tasks. [6]

  3. 2021

    Expression of concern

    The journal issues an expression of concern about the 2013 dihexa paper. [1]

  4. 2025

    Mechanism paper retracted

    The 2014 HGF/c-Met mechanism paper is retracted. [3]

  5. 2026

    FDA: no human data

    FDA lists dihexa acetate as a compounding safety concern with no identified human exposure data. [7]

OPEN QUESTIONS

What Researchers Still Don't Know

Long-term safety profiles

Multi-year observational data in broader heterogeneous cohorts remains uncharacterized.

Optimal dose-response thresholds

Comparative trials optimizing minimal effective exposure versus adverse event rates.

Formulation bioavailability

Differences between oral, subcutaneous, and modified peptide delivery vehicles.

TRACEABLE SOURCES

References

Primary sources verified against PubMed / NLM and regulatory databases.

  1. Animal research (expression of concern 2021)

    Evaluation of metabolically stabilized angiotensin IV analogs as procognitive/antidementia agents ↗ (external website)

    McCoy AT et al. · J Pharmacol Exp Ther · 2013

    PubMed links a 2021 expression of concern (J Pharmacol Exp Ther 378(3):313).

  2. Retracted animal and cell research

    The procognitive and synaptogenic effects of angiotensin IV-derived peptides are dependent on activation of the hepatocyte growth factor/c-met system ↗ (external website)

    Benoist CC et al. · J Pharmacol Exp Ther · 2014

    Retracted in 2025; see retraction notice.

  3. Retraction notice

    Retraction notice to "The Procognitive and Synaptogenic Effects of Angiotensin IV-Derived Peptides Are Dependent on Activation of the Hepatocyte Growth Factor/c-Met System" [J Pharmacol Exp Ther 351 (2014) 390-402] ↗ (external website)

    Benoist CC et al. · J Pharmacol Exp Ther · 2025
  4. Animal research (mouse)

    AngIV-Analog Dihexa Rescues Cognitive Impairment and Recovers Memory in the APP/PS1 Mouse via the PI3K/AKT Signaling Pathway ↗ (external website)

    Sun X et al. · Brain Sci · 2021
  5. Animal research (rat, negative)

    Effects of an Angiotensin IV Analog on 3-Nitropropionic Acid-Induced Huntington's Disease-Like Symptoms in Rats ↗ (external website)

    Wells RG et al. · J Huntingtons Dis · 2024
  6. Systematic review of animal studies

    Cognitive benefits of angiotensin IV and angiotensin-(1-7): A systematic review of experimental studies ↗ (external website)

    Ho JK et al. · Neurosci Biobehav Rev · 2018
  7. FDA compounding safety list

    Certain Bulk Drug Substances for Use in Compounding that May Present Significant Safety Risks ↗ (external website)

    U.S. Food and Drug Administration · 2026
  8. Phase 2/3 trial of a related compound (company-sponsored)

    Fosgonimeton in mild-to-moderate Alzheimer's disease ↗ (external website)

    Porsteinsson AP et al. · J Alzheimers Dis Rep · 2025
  9. Registry Record (fosgonimeton, not dihexa)

    ATH-1017 for Treatment of Mild to Moderate Alzheimer's Disease ↗ (external website)

    ClinicalTrials.gov · 2025
  10. Developer review

    The development of small molecule angiotensin IV analogs to treat Alzheimer's and Parkinson's diseases ↗ (external website)

    Wright JW et al. · Prog Neurobiol · 2015

    Authors were affiliated with Washington State University and M3 Biotechnology, Inc.