Independent · non-commercial · publishes on a quarterly cycle|Current cycle 2026 Q3
Compound Evidence InstituteEvidence synthesis · established 2023Graded assessments of compounds, trials, methods and supply
Document set current to 30 July 2026
Certainty index

Very low certainty — page 2

The Institute has very little confidence in the effect estimate. The true effect is likely to be substantially different from the estimate. In this series a very low rating most often reflects an absence of controlled human evidence rather than conflicting evidence.

Graded outcomes

53 documents · page 2 of 2

Table 1. Outcomes and syntheses graded at very low certainty, on this page.

DocumentTypeEffect or conclusion as recorded
NAD+ (nicotinamide adenine dinucleotide) in mitochondrial diseaseEvidence extractNo assessable randomised evidence identified for administered NAD+
Glutathione in immune modulationEvidence extractNo assessable randomised evidence for immune outcomes
Glutathione in ageingEvidence extractNo randomised evidence for any ageing endpoint
5-amino-1MQ in obesityEvidence extractNo human trial of any kind identified
5-amino-1MQ in type 2 diabetesEvidence extractNo human trial identified
5-amino-1MQ in ageingEvidence extractNo human trial identified
Melanotan-II in sexual dysfunctionEvidence extractNo adequately powered randomised trial identified for this compound
Melanotan-II in obesityEvidence extractNo randomised trial identified
Human evidence for BPC-157SynthesisThe Institute conducted a systematic search for randomised controlled trials of BPC-157 in any human population and indication and identified no trial that met inclusion criteria for which a…
Clinical evidence for growth-hormone secretagogues supplied for researchSynthesisThe clinical development of every compound in this group was directed at diagnosis of growth-hormone deficiency, at a specific disease indication, or at nothing beyond phase 1. The Institute…
Nationally registered neuropeptides and the retrievability of their evidence baseSynthesisFor each compound in this group the Institute was able to establish that a national registration exists and was not able to retrieve a trial report containing a protocol, a randomisation procedure…
Semax in cognitive performance and neuroprotection: effect on the anchor outcomeSynthesisVery low certainty evidence from 2 contributing trials bears on the effect of Semax on the anchor outcome for cognitive performance and neuroprotection. The estimate the Institute carries in the…
Semax in cognitive performance and neuroprotection: tolerability and discontinuationSynthesisVery low certainty evidence from 2 contributing trials bears on tolerability. Discontinuation for adverse events is reported in the summary-of-findings table alongside the efficacy outcomes rather…

page 2 of 2

Nothing published by the Institute is medical advice, a diagnosis, a prescription, a treatment recommendation or a purchasing recommendation. Compounds supplied for research use are not approved for human or veterinary use in any jurisdiction, and a favourable analytical assessment of a supplier is not a statement that any product is safe or effective. The Institute publishes certainty ratings and never recommendations. No telephone number, messaging handle or ordering channel appears anywhere on this site.