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Reading the research

Most bold claims about peptides rest on cell or animal studies. Here is how to tell what kind of evidence sits behind a claim, and how we label it.

Tirzepatide, drawn bead by bead from its amino-acid sequence.

The four evidence levels we use

LabelWhat it meansWhat you can conclude
FDA-approvedThe compound passed large, controlled human trials and the FDA approved it for at least one use.Benefits and common side effects are well measured for the approved use and dose. Other uses may still be unproven.
Late-stage trialsLarge human trials (phase 2b or 3) have reported results, but the US has not approved it.Effects in people are fairly well described. Rare risks and long-term safety are still being learned.
Early human dataSmall human studies exist: pilot studies, phase 1 or 2, case series, or old trials that never went further.There are hints of an effect in people, but results can easily be due to chance, bias or small numbers.
Preclinical onlyStudied only in cells or animals.Nobody knows whether it works, at what dose, or how safe it is in people.

Why animal results often fail in people

Most drugs that look promising in animals never make it to approval. Reviews of drug development put the overall success rate from first human testing to approval at roughly one in ten, and lower in some fields. Rodents clear drugs faster, heal faster and are often given doses far larger than a person would receive. Many studies use small groups of genetically identical animals and are run by a single lab.

So when a page says a peptide "healed tendons in rats", read it as "worth testing in people", not "works in people".

What the trial phases mean

Questions to ask about any study

  1. Who was studied? Cells, animals or people? How many?
  2. Was there a comparison group? Without a placebo or control, improvement may be natural recovery or expectation.
  3. Was it randomized and blinded? If people knew what they got, results can be biased.
  4. What was measured? A lab marker moving is not the same as people feeling or living better.
  5. Who paid for it, and has anyone repeated it? A single lab's results, repeated only by that lab, deserve caution.
  6. Was it published in a peer-reviewed journal? Conference posters, preprints and company press releases are a starting point, not a conclusion.

How we write each profile

More in our editorial policy.