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Compound monograph

Anamorelin

Anamorelin is a nonpeptide small-molecule agonist at the ghrelin receptor, structurally unrelated to the peptide secretagogues that share its target.

Published: 2026-09-13Literature/identifier verification: 2026-09-13
Also known asONO-7643RC-1291ST-1291

01

Identity & nomenclature

Anamorelin is a nonpeptide small-molecule agonist at the ghrelin receptor, structurally unrelated to the peptide secretagogues that share its target.

The CAS recorded here is the parent free base. The hydrochloride requires separate salt accounting; chloride is not part of this formula. Describing anamorelin as a ghrelin mimetic says nothing about sequence homology with ghrelin, of which it has none.

Declared aliases and development codes: ONO-7643, RC-1291, ST-1291.

02

Molecular properties

Molecular formulaC31H42N6O3
Molecular mass546.72 Da
CAS Registry Number249921-19-5
PubChem CID9828911
UNIIDD5RBA1NKF

Not a conventional peptide and no sequence string is published here. A 3R-substituted piperidine-3-carbohydrazide bearing a benzyl group and an N,N',N'-trimethylhydrazide, acylated through a D-Trp-derived 2R centre and an Aib-derived aminoacyl unit. No lipid conjugation and no macrocycle.

03

Structural characteristics

Receptor-bound structural work reports anamorelin behaving as a superagonist in the system studied, and separate structures place it alongside macimorelin in the same bifurcated binding pocket. A comparison across two assay formats found it a full agonist in both. 'Full agonist' versus 'superagonist' is a question of assay context, not two chemical identities; a single assay-independent intrinsic-activity or signalling-bias label is not established.

  • trimethylhydrazide
  • 2R and 3R stereocentres

04

Molecular targets & mechanisms

05

Analytical considerations

Matching molecular mass excludes neither epimers nor connectivity isomers, and a receptor activation assay cannot distinguish anamorelin from macimorelin or any other active ligand. NMR should establish the piperidine, hydrazide and aminoacyl connectivity, with a chiral method for the 2R and 3R centres. For hydrochloride material, quantify chloride independently rather than inferring it from the parent ion.

Disagreements and mix-ups

Points where sources disagree about this compound's identity, or where a name or form is easily confused with another, as noted in this record. The discrepancy register quotes the passage for each one.

What the studies reported

Each finding describes one cited study in its stated model. These observations are specific to that study and do not establish effects in other settings.

Cell and tissue studies

  • Gq-coupled GHSR cryo-electron microscopy preparation

    Using a Gq-coupled GHSR cryo-electron microscopy preparation, the study reported the anamorelin-bound structure at 2.52 Å resolution.

    Reference [1]
  • Anamorelin-bound Gq-coupled GHSR structural preparation

    Using an anamorelin-bound Gq-coupled GHSR structural preparation, the study identified a bifurcated ligand-binding pocket divided by the conserved E1243.33-R2836.55 salt bridge.

    Reference [1]
  • Ghrelin receptor-miniGq structural preparation

    Using a ghrelin receptor-miniGq structural preparation, the study reported an anamorelin-bound receptor structure.

    Reference [2]
  • GHSR dynamic mass redistribution and calcium mobilization assays

    Using GHSR dynamic mass redistribution and calcium mobilization assays, the study reported anamorelin as a potent full agonist.

    Reference [3]

06

Verified bibliography

Cited studies by type

The 3 papers this record cites, counted by the kind of work each reports. A count is the size of this record's selection, not of the research that exists, and says nothing about results, safety, effectiveness or approval.

A paper can report more than one kind of work. Each count opens those papers in the bibliography. Compare every record on the Evidence Map.

  1. Reference 1

    Molecular recognition of two approved drugs Macimorelin and Anamorelin by the growth hormone secretagogue receptor.

    Wang RL, Sun J, Liu H, Guo SM, Zhang Y, Hu W, Wang J, Liu H, Zhuang YW, Jiang Y, Xie X, Xu HE, Wang Y

    Acta pharmacologica Sinica · 2025-06-20 · Journal Article

    current
  2. Reference 2

    The structure and function of the ghrelin receptor coding for drug actions.

    Shiimura Y, Im D, Tany R, Asada H, Kise R, Kurumiya E, Wakasugi-Masuho H, Yasuda S, Matsui K, Kishikawa JI, Kato T, Murata T, Kojima M, Iwata S, Masuho I

    Nature structural & molecular biology · 2025-01-20 · Journal Article

    current
  3. Reference 3

    In vitro pharmacological characterization of growth hormone secretagogue receptor ligands using the dynamic mass redistribution and calcium mobilization assays.

    Sturaro C, Ruzza C, Ferrari F, Pola P, Argentieri M, Frezza A, Marzola E, Bettegazzi B, Cattaneo S, Pietra C, Malfacini D, Calò G

    European journal of pharmacology · 2024-08-10 · Journal Article

    current

Study models of these references

What kind of experiment each cited paper reports, taken from its abstract unless marked. Not a summary of results.

ReferenceStudy models
Wang RL et al. 2025Study models reported: in vitro · from the abstract
Shiimura Y et al. 2025Study models reported: in vitro · from the abstract
Sturaro C et al. 2024Study models reported: in vitro · from the abstract

Record history

Published 2026-09-13.

No changes to this record's content have been recorded since publication.

Each entry names the parts of this record that changed on that date. Changes to links between records and to catalogue links are not listed. This history covers the tracked record fields; study findings are not listed here.

Cite this record: Purely Peptides Research Library. Anamorelin. Published 2026-09-13. https://purelypeptides.org/research/compounds/anamorelin/

10

Methodology & citation verification

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