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Muscle Growth
Preclinical

Trevogrumab

Also known as: Trevogrumab

Trevogrumab (REGN1033) is an investigational fully human monoclonal antibody that binds and neutralizes myostatin (GDF-8). It has been studied as an anti-myostatin therapy aimed at preserving or increasing skeletal muscle mass. Note: Trevogrumab is a monoclonal antibody (anti-myostatin), not a peptide; included here for reference.

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Mechanism of Action

Trevogrumab is an IgG4 monoclonal antibody that selectively binds mature myostatin (growth differentiation factor 8), preventing it from engaging the activin type IIB receptor (ActRIIB). Myostatin normally signals through ActRIIB and the ALK4/ALK5 receptors to activate SMAD2/3, which transcriptionally restrains muscle fiber growth. By sequestering circulating myostatin, the antibody relieves this brake, shifting the balance toward muscle protein accretion and hypertrophy. Because it targets myostatin specifically rather than the shared receptor, it is intended to spare related TGF-beta family signaling.

Half-life
Estimated multi-week, consistent with IgG monoclonal antibodies
Administration Routes
subcutaneous, intravenous
Research Status
Preclinical

Reported Benefits

  • Neutralizes myostatin to reduce inhibition of muscle growth
  • Investigated for preserving lean mass in age-related sarcopenia
  • Studied for muscle wasting associated with disuse and disease
  • Highly selective antibody targeting limits off-target receptor effects
  • Potential to support muscle mass without androgenic activity

Potential Side Effects

  • Injection-site reactions
  • Possible immune or hypersensitivity responses to antibody therapy
  • Tendon and connective-tissue concerns with rapid mass change
  • Limited human safety data outside trials

Common Dosing

Clinical investigation has explored intravenous or subcutaneous dosing in the low milligram-per-kilogram range at multi-week intervals. Provided for research and educational reference only, not as personal medical advice.

The dosing information above is aggregated from research literature and anecdotal community reports for educational purposes only. It is not a recommendation, prescription, or medical advice. Peptides are sold as research chemicals only and are not intended for human use.

Contraindications

  • Known hypersensitivity to monoclonal antibody products
  • Active malignancy without specialist oversight
  • Pregnancy and breastfeeding
  • GDF8 and activin A are the key negative regulators of muscle mass in postmenopausal females: a randomized phase I trial

    2025

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  • Myostatin blockade with a fully human monoclonal antibody induces muscle hypertrophy and reverses muscle atrophy in young and aged mice

    2015

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  • Activin A more prominently regulates muscle mass in primates than does GDF8

    2017

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  • GDF8 and activin A blockade protects against GLP-1-induced muscle loss while enhancing fat loss in obese male mice and non-human primates

    2025

    View

Trevogrumab is an antibody that binds myostatin itself, follistatin is a natural protein that sequesters several TGF-beta ligands, and ACE-031 is a soluble ActRIIB decoy receptor; all aim to reduce myostatin signaling but act at different points.

No. It is an investigational compound studied mainly in clinical and preclinical research and is not an approved therapeutic.

PeptideChat is for educational and research purposes only. Nothing on this site constitutes medical advice. Peptides are sold as research chemicals only and are not intended for human use. These statements have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease. PeptideChat is an independent educational resource — not a pharmacy, compounding, or 503A/503B outsourcing facility — and does not sell products or provide medical advice.