InvestigationalGrowth hormoneSubcutaneousEvidence 3/5

ACE-031

Also known as: ramatercept, ActRIIB-Fc

A soluble ActRIIB-Fc decoy receptor that sequesters myostatin and activin before they reach activin type II receptors, releasing the natural brake on skeletal muscle growth.

ACE-031
Drug class
Soluble ActRIIB-Fc fusion protein (myostatin/activin ligand trap)
Primary targets
Myostatin, Activin
Dose reference
Investigational only; trials used 0.02-3 mg/kg subcutaneously
Half-life
~10-15 days
Developer / origin
Acceleron Pharma
Reference year
2008
Evidence score
3/5 - Moderate human evidence; discontinued for safety
Evidence 3/5

Moderate human evidence; discontinued for safety

ACE-031 reached phase 1 and phase 2 human trials with clear muscle effects, but development was halted over vascular adverse events and it was never approved.

Limited human pharmacology or small clinical evidence.

Evidence basis

  • Phase 1 showed significant increases in lean mass and thigh muscle volume
  • Randomized phase 2 in Duchenne muscular dystrophy (stopped early)
  • Halted after vascular adverse events (epistaxis, telangiectasias)
  • No approved indication or validated human dose

How to read this entry

Dose references and half-life values are pulled from trial protocols, labels, reviews, or published summaries where available. They are context for research and comparison, not a personal dosing recommendation.

Status matters: approved drugs have regulated indications; investigational compounds are still being studied; research-only peptides do not have established human dosing, safety, or efficacy for consumer use.

ACE-031 guides

Read the matching guide or adjacent research pages for more context.

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