BPC-157
BPC-157 is a synthetic peptide made of 15 amino acids; controlled studies in humans are lacking, and most findings come from animal experiments.
We evaluated 13 human studies on BPC-157, including one meta-analysis or systematic review; there are no controlled human studies yet. As of 3 October 2026.
1. What Is BPC-157? Occurrence, Origin and Forms
BPC-157 (Body Protection Compound 157) is a laboratory-made peptide of 15 amino acids. Its sequence matches a section of a protein found in human gastric juice; the peptide itself does not occur in the body in this form.
BPC-157 does not occur in food. It is produced exclusively by chemical synthesis.
It is produced by peptide synthesis. It is mostly offered as a powder to be dissolved for injection and in capsules; it is not approved as a medicine. Most research comes from animal studies.
Forms and Preparations Studied
- Injection under the skin, into the muscle or into the joint
- Oral capsule or solution
- Combination products with BPC-157 – the other ingredients are named in each case
Not covered on this page:
- Other peptides such as TB-500 (thymosin beta-4) when BPC-157 is not included
2. What Does BPC-157 Do? Results by Area
| Area | Result in controlled studies | Strength of evidence | Studies | Participants |
|---|---|---|---|---|
| Tendons, ligaments and muscles | reviews only | unclear | 0 meta-analyses · 0 controlled · 3 other | 0 |
| Joints and pain | observational data only | unclear | 0 meta-analyses · 0 controlled · 5 other | 0 |
| Stomach and gut | reviews only | unclear | 0 meta-analyses · 0 controlled · 3 other | 0 |
| Blood vessels and wound healing | reviews only | unclear | 0 meta-analyses · 0 controlled · 4 other | 0 |
| Other outcomes | observational data only | unclear | 0 meta-analyses · 0 controlled · 8 other | 0 |
How to read the table: counted are human studies whose results concern the area. “High” means at least one meta-analysis and two controlled studies showing improvement, or at least three controlled studies of which three quarters show improvement, with at least 300 participants in total. “Moderate” means at least two controlled studies showing improvement, as a majority, or one meta-analysis alongside controlled studies. “Low” means one controlled study showing improvement. Where an area has no controlled study, the strength of evidence is at most “low” (result “reviews only” or “observational data only”). Everything else is “unclear”. A study counts as showing improvement when at least half of its outcomes in this area improved. Reviews of combination products do not count as meta-analyses; results that only describe side effects or shares of users do not count as an effect. The same study is counted only once.
3. What the Studies Show in Detail
BPC-157, Tendons, Ligaments and Muscles: Human Studies
For tendons, ligaments and muscles, no controlled studies in humans are available; the statements are based on reviews that evaluate almost only animal studies. In a systematic review, muscle, tendon, ligament and bone injuries healed better under BPC-157 in animal models 1. A review also describes better regeneration in tendons and myotendinous junctions, predominantly preclinical 8. Reliable statements about effects in humans cannot be derived from this.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 1 Vasireddi et al. 2025 | review · 12 participants | BPC-157; relief reported for >6 months; vs. no control group in the clinical study | functional, structural, and biomechanical outcomes in muscle, tendon, ligament, and bony injuries: improved |
| 2 Tewari et al. 2026 | systematic review | BPC-157 and five other peptide supplements; heterogeneous, no uniform dosing; vs. most human studies lacked robust controls | tendon, muscle, bone and ligament healing in animal models: improved (promising but variable effects) |
| 8 McGuire et al. 2025 | review | BPC-157 (synthetic pentadecapeptide); vs. no comparison; narrative review | Regeneration in tendons and myotendinous junctions (preclinical): improved |
BPC-157, Joints and Pain: Human Studies
For joints and pain, no controlled studies in humans are available, only small case series and reviews. In a case series without a control group, knee pain improved after injection into the joint in most patients 4. A review counts only three small pilot studies in humans and considers larger studies with a control group necessary 8. Reliable statements are not possible, because control groups are lacking and the case series are small.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 1 Vasireddi et al. 2025 | review · 12 participants | BPC-157; relief reported for >6 months; vs. no control group in the clinical study | pain relief after intraarticular injection: improved (7 of 12 patients reported relief for >6 months) |
| 2 Tewari et al. 2026 | systematic review | BPC-157 and five other peptide supplements; heterogeneous, no uniform dosing; vs. most human studies lacked robust controls | degenerative knee pain in humans: improved (modest improvements at best) |
| 4 Lee et al. 2021 | case series · 17 participants | BPC-157 alone or combined with TB4, injected intra-articularly; Follow-up mostly 6 months to 1 year after injection; vs. no control arm; BPC-157 alone vs. BPC-157 plus TB4 | significant knee pain improvement with BPC-157 alone: improved (11 of the 12 patients (91.6%)); significant knee pain improvement with BPC-157 plus TB4: improved (75%); overall pain relief: improved (14 of 16 patients (87.5%)) |
| 5 Lee et al. 2024 | case series · 12 participants | BPC-157 compounded by a 503A pharmacy; Total 10 mg injected around inflamed bladder areas during a single procedure; Single treatment session; vs. No control group; assessed via Global Response Assessment post-treatment | Complete symptom resolution or residual symptoms per Global Response Assessment: improved (10 of 12 patients … rated their success at 100%; 2 of 12 … rated their success at 80%) |
| 8 McGuire et al. 2025 | review | BPC-157 (synthetic pentadecapeptide); vs. no comparison; narrative review | intraarticular knee pain (pilot study): unclear |
BPC-157, Stomach and Gut: Human Studies
For the stomach and intestines, no controlled studies in humans are available; only review articles exist. One review article describes healing effects in the gastrointestinal tract without naming results in humans in detail 10. Another review article describes BPC-157 in clinical studies in inflammatory bowel diseases as safe, but does not name any results on efficacy 11. The peptide was studied as an injection as well as a capsule or solution; the overall strength of evidence is unclear because controlled comparisons in humans are lacking.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 10 Sikiric et al. 2017 | review | BPC-157 (gastric pentadecapeptide); vs. L-NAME or L-arginine application, controls | healing in gastrointestinal tract: improved |
| 11 Sikiric et al. 2010 | review | BPC-157 (PL-10, PLD-116, PL 14736) | safety in inflammatory bowel disease; effect on alcohol- and NSAID-lesions (rats): improved |
| 12 Sikiric et al. 2006 | review | BPC 157 (PL 10, PLD 116, PL 14736, Pliva, Croatia); vs. atropine, ranitidine, omeprazole or control | lesions of stomach, esophagus and duodenum after alcohol: improved; lower esophageal and pyloric sphincter pressure: improved |
BPC-157, Blood Vessels and Wound Healing: Human Studies
For blood vessels and wound healing in humans, no controlled studies on BPC-157 are available. One review article reports better angiogenesis and endothelial repair, but relies predominantly on animal and laboratory models 8. Another review article describes effects on wound and fistula healing and on blood vessels without naming results in humans in detail 10. BPC-157 was studied as a synthetic peptide as well as intake as a capsule or solution; robust evidence for a benefit in humans is lacking.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 8 McGuire et al. 2025 | review | BPC-157 (synthetic pentadecapeptide); vs. no comparison; narrative review | angiogenesis and endothelial repair (preclinical): improved |
| 10 Sikiric et al. 2017 | review | BPC-157 (gastric pentadecapeptide); vs. L-NAME or L-arginine application, controls | wounds and fistulas healing, blood vessels: improved |
| 11 Sikiric et al. 2010 | review | BPC-157 (PL-10, PLD-116, PL 14736) | safety in wound healing |
| 12 Sikiric et al. 2006 | review | BPC 157 (PL 10, PLD 116, PL 14736, Pliva, Croatia); vs. atropine, ranitidine, omeprazole or control | vessels presentation of left gastric artery: improved |
BPC-157: Further Outcomes in Studies
For this area, no controlled studies in humans are available. According to a systematic review, BPC-157 increased the formation of growth hormone receptors in animal and laboratory studies and promoted signaling pathways of new blood vessel formation 1. The same review describes fewer inflammatory messengers, also from animal and laboratory studies 1. Proof of efficacy in humans remains open because the clinical observations are uncontrolled and the remaining studies are predominantly preclinical or narrative.
| Study | Design · participants | Preparation · dose · duration · comparison | Result |
|---|---|---|---|
| 1 Vasireddi et al. 2025 | review · 12 participants | BPC-157; relief reported for >6 months; vs. no control group in the clinical study | growth hormone receptor expression and angiogenesis pathways: improved; inflammatory cytokines: improved |
| 2 Tewari et al. 2026 | systematic review | BPC-157 and five other peptide supplements; heterogeneous, no uniform dosing; vs. most human studies lacked robust controls | metabolic bone health in humans: improved (modest improvements at best) |
| 3 Venkatakrishnan et al. 2026 | cross-sectional study · 1,039 participants | BPC-157, unapproved synthetic peptide; mean 2.2 months among 130 patients; vs. background care population or no control | Documented BPC-157 use (1,039 (67.6%)); Quarterly newly confirmed users (increased 33-fold); Proportion of White users (95.9%) |
| 6 Lee et al. 2025 | case series · 2 participants | BPC-157 in 250 cc normal saline, intravenous; Day 1: 10 mg; day 2: 20 mg, each over one hour; Three days (infusions on days 1 and 2); vs. No control; before-after measurements | Biomarkers of heart, liver, kidneys, thyroid, and blood glucose: no difference (no measurable effects); Tolerability and side effects (no side effects reported) |
| 7 Mateescu et al. 2026 | review · 30 participants | BPC-157 (synthetic pentadecapeptide); vs. no controlled comparison; narrative review | plasma half-life: unclear (sub-30-min); intramuscular bioavailability: unclear (14-51%); completed Phase II clinical trials: unclear (no completed Phase II clinical trial) |
| 8 McGuire et al. 2025 | review | BPC-157 (synthetic pentadecapeptide); vs. no comparison; narrative review | intravenous safety/pharmacokinetics (pilot study) (No adverse effects were reported) |
| 9 Dekker et al. 2025 | review | Testosterone, vitamin D, growth hormones, BPC-157 | Routine perioperative supplementation: no difference |
| 10 Sikiric et al. 2017 | review | BPC-157 (gastric pentadecapeptide); vs. L-NAME or L-arginine application, controls | side effects in clinical trials (without side effects) |
4. How Is BPC-157 Dosed? Preparation, Dose and Duration in Studies
The studies and reviews investigated BPC-157 as a synthetic peptide that was injected under the skin, into the muscle or into the joint. Individual papers also consider intake as a capsule or solution. In a case series, BPC-157 was also injected into the joint together with thymosin beta-4 (TB4) 4.
5. Is BPC-157 Safe? Side Effects in Studies
Two review articles report that BPC-157 showed no side effects in clinical studies 1011; a systematic review, by contrast, found no clinical safety data and considers side effects possible due to unregulated manufacturing and impurities 1.
| Study | Reported side effects |
|---|---|
| 1 Vasireddi et al. 2025 | None in preclinical studies; no clinical safety data found |
| 2 Tewari et al. 2026 | cardiovascular complications, insulin resistance (across peptides) |
| 3 Venkatakrishnan et al. 2026 | neuropsychiatric 1.4%, injection-site 1.4%, gastrointestinal 1.3% |
| 5 Lee et al. 2024 | No adverse events were reported |
| 6 Lee et al. 2025 | No side effects reported |
| 8 McGuire et al. 2025 | no adverse effects reported, but rigorous large trials lacking |
| 9 Dekker et al. 2025 | Supplements carry risks and are not routinely indicated |
| 10 Sikiric et al. 2017 | no side effects reported, LD1 not achieved |
| 11 Sikiric et al. 2010 | no toxicity reported |
| 12 Sikiric et al. 2006 | described as safe in clinical trials |
6. What Remains Open: Limits of the Evidence
- No controlled studies in humans are available; all statements about effects are based on uncontrolled observations, case series and reviews.
- Many findings come from animal and laboratory models and cannot be directly transferred to humans.
- The clinical observations include very small case numbers without a control group.
- There are hardly any data on long-term tolerability and interactions in humans.
- If BPC-157 is combined with other peptides, effects cannot be attributed to BPC-157 alone.
7. Bottom Line: What Is Established About BPC-157
BPC-157 is a synthetic peptide made of 15 amino acids; its sequence corresponds to a section of a protein from human gastric juice. Regarding tendons, ligaments and muscles, joints and pain, as well as further measures, reviews and case series report positive observations, but without controlled comparisons in humans 18. Regarding stomach, intestine, blood vessels and wound healing, the findings come predominantly from animal experiments; on effectiveness in humans, the reviews report no results 81011.
The strength of evidence is consistently limited: there are no controlled studies in humans, the clinical observations are small and uncontrolled, and part of the data comes from preclinical models. Reliable statements about benefits and risks in humans cannot be derived from this.
Frequently Asked Questions
How well has BPC-157 been studied in humans?
We evaluated 13 human studies on BPC-157, including one meta-analysis or systematic review; there are no controlled human studies yet. As of 3 October 2026.
Are there controlled studies on BPC-157 in humans?
No, controlled studies in humans are not available. The existing papers are reviews, case series and a large analysis of medical records. Positive observations in humans come from small case series without a control group, mainly on knee pain 14. Statements about effects in humans cannot be reliably derived from this.
Which forms of BPC-157 were investigated?
BPC-157 was investigated as an injection under the skin, into the muscle or into the joint. Individual papers also consider intake as a capsule or solution.
What do the studies report about side effects?
How reliable are the reports on tendons, ligaments and muscles?
Barely: controlled studies in humans are lacking, and the findings come predominantly from animal experiments. A review describes better regeneration in tendons and myotendinous junctions, predominantly preclinical 8.
What should be considered with mixed preparations containing BPC-157?
If BPC-157 is combined with other peptides such as thymosin beta-4 (TB4), observed effects cannot be attributed to BPC-157 alone. The data situation for such combinations is overall limited and predominantly preclinical.
Sources
- 1Vasireddi N, Hahamyan H, Salata MJ, Karns M, Calcei JG, Voos JE et al. · 2025
- 2Tewari K, Liu TP, Im C, Hamad C, Petrigliano F, Cheung EC et al. · 2026
- 3Venkatakrishnan A, Marwaha A, Gregg CJ, Varma G, Hurchik M, Murugadoss K et al. · 2026
- 4Intra-Articular Injection of BPC 157 for Multiple Types of Knee PainLee E, Padgett B · 2021
- 5Effect of BPC-157 on Symptoms in Patients with Interstitial Cystitis: A Pilot StudyLee E, Walker C, Ayadi B · 2024
- 6Safety of Intravenous Infusion of BPC157 in Humans: A Pilot StudyLee E, Burgess K · 2025
- 7Mateescu DM, Gavrilescu DM, Constantinescu FE, Oancea C, Ilie AC, Folescu R et al. · 2026
- 8McGuire FP, Martinez R, Lenz A, Skinner L, Cushman DM · 2025
- 9
- 10Sikiric P, Seiwerth S, Rucman R, Drmic D, Stupnisek M, Kokot A et al. · 2017
- 11Sikiric P, Seiwerth S, Brcic L, Sever M, Klicek R, Radic B et al. · 2010
- 12Sikiric P, Seiwerth S, Brcic L, Blagaic AB, Zoricic I, Sever M et al. · 2006
Every statement on this page carries its evidence tier — proven, plausible or hypothesis — and leads to the original work. The decision in the individual case rests with the practitioner; we provide the connections.