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Peptide

Semax

Semax is a synthetic heptapeptide derived from ACTH (adrenocorticotropic hormone). It has been approved as a prescription medication in Russia and Ukraine for treating stroke, cognitive disorders, and peptic ulcers. Research suggests it may enhance BDNF expression and exhibit nootropic and neuroprotective effects. Most clinical research has been conducted in Russia, with limited Western clinical trials.

Research notice. This page is for education and research. Peptides may not be FDA-approved for human use and may only be legally available for research. Talk to a qualified clinician before considering any peptide.

Best evidence
Grade B
Conditions studied
3
Outcomes
12
Graded outcomes
0165

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

3 conditions, plus general outcomes

Cognitive Function: outcomes studied for Semax
GradeOutcomeEffectSizeStudiesPeopleStudies list
BDNF Levels

Moderate Increase

Improves (the measure goes up)Moderate effect8 studies95 people
Memory Performance

Moderate Increase

Improves (the measure goes up)Moderate effect7 studies180 people
Neurological Health: outcomes studied for Semax
GradeOutcomeEffectSizeStudiesPeopleStudies list
Stroke Recovery

Moderate Improvement

Improves (the measure goes up)Moderate effect8 studies220 people

Mental Health

  • Anxiety Symptoms: improves
Mental Health: outcomes studied for Semax
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anxiety Symptoms

Small Decrease

Improves (the measure goes down)Small effect6 studies60 people

General

  • GI Protection: improves
  • Immune Function: improves
  • Safety/Tolerability: improves
General: outcomes studied for Semax
GradeOutcomeEffectSizeStudiesPeopleStudies list
GI Protection

4 preclinical studies support this finding. Primarily preclinical evidence.

Improves (the measure goes up)Small effect6 studies

Studies that measured gi protection

Immune Function

4 preclinical studies support this finding. Primarily preclinical evidence.

Improves (the measure goes up)Small effect6 studies
Safety/Tolerability

3 preclinical studies support this finding. Primarily preclinical evidence.

Improves (the measure goes up)Small effect5 studies
Mortality

2 preclinical studies support this finding. Primarily preclinical evidence.

Improves (the measure goes down)Small effect4 studies
Pain

2 preclinical studies support this finding. Primarily preclinical evidence.

Improves (the measure goes down)Small effect4 studies

Studies that measured pain

Depression Symptoms

2 preclinical studies support this finding. Primarily preclinical evidence.

Improves (the measure goes down)Small effect4 studies
Lipid Profile

2 preclinical studies support this finding. Primarily preclinical evidence.

Improves (the measure goes down)Small effect4 studies
Cognitive Function

2 preclinical studies support this finding. Primarily preclinical evidence.

Improves (the measure goes up)Small effect4 studies

Key findings

  • BDNF LevelsCognitive FunctionImproves (the measure goes up)
  • Stroke RecoveryNeurological HealthImproves (the measure goes up)
  • Memory PerformanceCognitive FunctionImproves (the measure goes up)

Studies cited

46 studies from PubMed

  1. Genes That Associated with Action of ACTH-like Peptides with Neuroprotective Potential in Rat Brain Regions with Different Degrees of Ischemic Damage.International journal of molecular sciences, 2025 · PMID 40650034
  2. The Potential of the Peptide Drug Semax and Its Derivative for Correcting Pathological Impairments in the Animal Model of Alzheimer's Disease.Acta naturae, 2025 · PMID 41479572
  3. Semax, a Copper Chelator Peptide, Decreases the Cu(II)-Catalyzed ROS Production and Cytotoxicity of aβ by Metal Ion Stripping and Redox Silencing.Bioinorganic chemistry and applications, 2025 · PMID 40496623
  4. Antidepressant-like and antistress effects of the ACTH(4-10) synthetic analogs Semax and Melanotan II on male rats in a model of chronic unpredictable stress.European journal of pharmacology, 2024 · PMID 39442746
  5. Morphofunctional State of the Large Intestine in Rats under Conditions of Restraint Stress and Administration of Peptide ACTH((4-7))-PGP (Semax).Bulletin of experimental biology and medicine, 2021 · PMID 33459919
  6. Investigation of the effect of a modified fragment of neuropeptide Y on memory phases and extrapolation escape of animals.Ceska a Slovenska farmacie : casopis Ceske farmaceuticke spolecnosti a Slovenske farmaceuticke spolecnosti, 2021 · PMID 34418946
  7. Correction of Lipid Metabolism Disorders in Diabetes Mellitus with Peptide Drugs.Bulletin of experimental biology and medicine, 2020 · PMID 32246363
  8. Experimental Substantiation of Application of Semax as a Modulator of Immune Reaction on the Model of "Social" Stress.Bulletin of experimental biology and medicine, 2019 · PMID 31028579
  9. The efficacy of semax in the treatment of patients at different stages of ischemic strokeZh Nevrol Psikhiatr Im S S Korsakova, 2018 · PMID 29798983
  10. Pharmacological Aspects of Neuro-Immune Interactions.Current pharmaceutical design, 2018 · PMID 28875850
  11. Semax, an analog of ACTH((4-7)), regulates expression of immune response genes during ischemic brain injury in rats.Molecular genetics and genomics : MGG, 2017 · PMID 28255762
  12. Changes in Sympathetic Innervation of the Heart in Rats with Experimental Myocardial Infarction. Effect of Semax.Bulletin of experimental biology and medicine, 2017 · PMID 28948544
  13. [POSSIBLE ROLE OF TRANSTHYRETIN IN THE BIOLOGICAL MECHANISM OF THE REGULATORY PEPTIDE NEUROPROTECTION.].Molekuliarnaia genetika, mikrobiologiia i virusologiia, 2016 · PMID 30383932
  14. Semax prevents learning and memory inhibition by heavy metals.Doklady biological sciences : proceedings of the Academy of Sciences of the USSR, Biological sciences sections, 2016 · PMID 27411820
  15. Changes in Sympathetic Innervation of Rat Caudal Artery in Experimental Myocardial Infarction. Effect of Semax Peptide.Bulletin of experimental biology and medicine, 2016 · PMID 27591879
  16. [Study of neuroprotective, antihypoxic and antiamnesic effects of new mixture of tripeptides].Eksperimental'naia i klinicheskaia farmakologiia, 2015 · PMID 25826866
  17. Semax, an ACTH4-10 peptide analog with high affinity for copper(II) ion and protective ability against metal induced cell toxicity.Journal of inorganic biochemistry, 2015 · PMID 25310602
  18. The peptide semax affects the expression of genes related to the immune and vascular systems in rat brain focal ischemia: genome-wide transcriptional analysisBMC Genomics, 2014 · PMID 24624352
  19. The peptide semax affects the expression of genes related to the immune and vascular systems in rat brain focal ischemia: genome-wide transcriptional analysis.BMC genomics, 2014 · PMID 24661604
  20. Sigmoidal maximal effect modeling of low-density lipoprotein cholesterol concentration and annual incidence of coronary heart disease events in secondary prevention trials.Pharmacotherapy, 2014 · PMID 24877185
  21. Effect of semax and its C-terminal fragment Pro-Gly-Pro on the expression of VEGF family genes and their receptors in experimental focal ischemia of the rat brain.Journal of molecular neuroscience : MN, 2013 · PMID 22772900
  22. The effect of Semax and its C-end peptide PGP on the morphology and proliferative activity of rat brain cells during experimental ischemia: a pilot study.Journal of molecular neuroscience : MN, 2011 · PMID 20617398
  23. Semax increases erythrocyte deformability in the shearing blood stream in intact rats and rats with cerebral ischemia.Doklady biological sciences : proceedings of the Academy of Sciences of the USSR, Biological sciences sections, 2011 · PMID 21953224
  24. [The effect of semax and its C-end peptide PGP on expression of the neurotrophins and their receptors in the rat brain during incomplete global ischemia].Molekuliarnaia biologiia, 2011 · PMID 22295573
  25. Semax and Pro-Gly-Pro activate the transcription of neurotrophins and their receptor genes after cerebral ischemia.Cellular and molecular neurobiology, 2010 · PMID 19633950
  26. [Nootropic and analgesic effects of Semax following different routes of administration].Rossiiskii fiziologicheskii zhurnal imeni I.M. Sechenova, 2010 · PMID 21268834
  27. The effect of semax and the C-terminal peptide PGP on expression of growth factor genes and receptors in rats under conditions of experimental cerebral ischemia.Doklady. Biochemistry and biophysics, 2008 · PMID 19024553
  28. Therapeutic possibility of "Semax" for depression.CNS spectrums, 2008 · PMID 18204410
  29. Effects of semax and its Pro-Gly-Pro fragment on calcium homeostasis of neurons and their survival under conditions of glutamate toxicity.Bulletin of experimental biology and medicine, 2007 · PMID 18239779
  30. Comparative study of analgesic potency of ACTH4-10 fragment and its analog semax.Bulletin of experimental biology and medicine, 2007 · PMID 18018999
  31. Semax, an analog of ACTH(4-10) with cognitive effects, regulates BDNF and trkB expression in the rat hippocampusBrain Res, 2006 · PMID 16996037
  32. Semax, an analogue of adrenocorticotropin (4-10), binds specifically and increases levels of brain-derived neurotrophic factor protein in rat basal forebrainNeurosci Lett, 2006 · PMID 16635254
  33. Semax, an ACTH(4-10) analog with nootropic properties, activates the expression of the genes for BDNF and TrkB in the rat hippocampusDokl Biochem Biophys, 2006 · PMID 24392227
  34. [Protective effect of peptide semax (ACTH(4-7)Pro-Gly-Pro) on the rat heart rate after myocardial infarction].Rossiiskii fiziologicheskii zhurnal imeni I.M. Sechenova, 2006 · PMID 17385423
  35. Neuroprotective and antiamnesic effects of Semax during experimental ischemic infarction of the cerebral cortex.Bulletin of experimental biology and medicine, 2006 · PMID 17603664
  36. Semax, an ACTH(4-10) analogue with nootropic properties, activates dopaminergic and serotoninergic brain systems in rodentsNeurochem Res, 2005 · PMID 16287841
  37. The neuroprotective effects of Semax in conditions of MPTP-induced lesions of the brain dopaminergic system.Neuroscience and behavioral physiology, 2004 · PMID 15341218
  38. [An experimental substantiation for using the "Semax" neuroprotector in the treatment of optic-nerve diseases].Vestnik oftalmologii, 2004 · PMID 15678666
  39. [Semax and some glyproline peptides accelerate the healing of acetic ulcers in rats].Eksperimental'naia i klinicheskaia gastroenterologiia = Experimental & clinical gastroenterology, 2003 · PMID 14653248
  40. Effect of Semax peptide on survival of cultured rat pheochromocytoma cells during oxidative stress.Bulletin of experimental biology and medicine, 2003 · PMID 12802399
  41. Possible mechanism underlying the effect of Semax on the formation of indomethacin-induced ulcers in rats.Bulletin of experimental biology and medicine, 2002 · PMID 12447470
  42. Therapy of peptic ulcer with semax peptide.Bulletin of experimental biology and medicine, 2002 · PMID 12459874
  43. Semax--a peptide with nootropic and neuroprotective propertiesZh Vyssh Nerv Deiat Im I P Pavlova, 2001 · PMID 11564239
  44. Novel synthetic analogue of ACTH 4-10 (Semax) but not glycine prevents the enhanced nitric oxide generation in cerebral cortex of rats with incomplete global ischemia.Brain research, 2001 · PMID 11245825
  45. Investigation of mechanisms of neuro-protective effect of semax in acute period of ischemic strokeZh Nevrol Psikhiatr Im S S Korsakova, 1999 · PMID 10358912
  46. [Relationship between the therapeutic effect of the peptide preparation semax and the severity of brain ischemia].Biulleten' eksperimental'noi biologii i meditsiny, 1997 · PMID 9303728