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
Compound monograph · §3

BPC-157 — clinical evidence

Assessed outcomes with certainty ratings, contributing trials and the reasoning for each rating.

Document identifier
CEI-MN-030/3
Series
Compound monograph
Version
1.2
Published
11 Jan 2023
Last reviewed
11 May 2024
Next review
11 May 2026
Identifier
10.71829/cei.mono.30
Certainty
Very low
Cycle
2023 Q1

§3Clinical evidence

Assessed outcomes for BPC-157Point estimates with confidence intervals for each contributing study, plotted against the line of no effect.0.00.20.40.60.81.01.2Standardised direction and relative magnitude of the recorded effectIndicationEffect as recordedWound healing0 trials · Very lowNo randomised controlled human trial…Mucosal barrier1 trial · Very lowA phase 2 programme in ulcerative…Knee osteoarthritis0 trials · Very lowNo randomised controlled human trial…Soft-tissue injury0 trials · Very lowNo randomised controlled human trial…
Moderate or high certaintyLow or very low certainty
Figure 3. Illustrative. Assessed outcomes plotted on a common standardised axis so that direction and relative magnitude can be compared at a glance. The estimates are not on a common natural scale and the intervals are the Institute's standardised representation of the reported precision, not the published confidence intervals. Published intervals appear in the per-indication extracts and in the text below.

§3.1Cutaneous wound healing and tissue repair

Anchor outcome. Time to complete closure.

Effect as recorded. No randomised controlled human trial identified; —.[1,2]

Certainty. Very low certainty Preclinical only.

Contributing trials. None identified. The rating reflects an absence of controlled evidence rather than conflicting evidence.

Full evidence extract for cutaneous wound healing and tissue repair · Indication assessment

§3.2Inflammatory bowel disease and mucosal barrier disorders

Anchor outcome. Clinical remission.

Effect as recorded. A phase 2 programme in ulcerative colitis was conducted and results were not published in a peer-reviewed journal in a form the Institute could verify; not reportable.[2,3]

Certainty. Very low certainty A registered clinical programme existed. The Institute could not locate a peer-reviewed primary publication of its results, and records the non-publication itself as the finding.

Contributing trials. BPC-PH2-UC. Full structured abstracts are published for each.

Full evidence extract for inflammatory bowel disease and mucosal barrier disorders · Indication assessment

§3.3Knee osteoarthritis with obesity

Anchor outcome. WOMAC pain subscale.

Effect as recorded. No randomised controlled human trial identified; —.[3,4]

Certainty. Very low certainty Preclinical only.

Contributing trials. None identified. The rating reflects an absence of controlled evidence rather than conflicting evidence.

Full evidence extract for knee osteoarthritis with obesity · Indication assessment

§3.4Tendon, ligament and musculoskeletal soft-tissue injury

Anchor outcome. Time to return to activity.

Effect as recorded. No randomised controlled human trial identified; —.[4,5]

Certainty. Very low certainty The tendon and ligament claims that dominate discussion of this compound rest entirely on rodent models. There is no human trial.

Contributing trials. None identified. The rating reflects an absence of controlled evidence rather than conflicting evidence.

Full evidence extract for tendon, ligament and musculoskeletal soft-tissue injury · Indication assessment

References cited on this page

References are numbered in order of first citation in this document. Each superscript in the text links to its entry below.

  1. Sikiric P, Seiwerth S, Rucman R, Turkovic B, Rokotov DS, Brcic L, Sever M, Klicek R, Radic B, Drmic D, Ilic S, Kolenc D, Aralica G, Stupnisek M, Suran J, Barisic I, Dzidic S, Prkacin I. Stable gastric pentadecapeptide BPC 157: novel therapy in gastrointestinal tract. Current Pharmaceutical Design 2011;17(16):1612–1632. doi:10.2174/138161211796196954 · PMID 21548867
  2. Bhattacharyya S, Wang J, Kaplan RM. Quality of peptide products obtained from unregulated online suppliers: an analytical survey. Journal of Pharmaceutical Sciences 2024;113(4):1102–1110. doi:10.1016/j.xphs.2023.11.021 Cited by the Institute as an indicative analytical survey; sample frame was not random.
  3. Carvalho M, Dinis-Oliveira RJ. Analytical and forensic aspects of counterfeit peptide hormones. Drug Testing and Analysis 2023;15(1):5–19. doi:10.1002/dta.3379
  4. Thevis M, Thomas A, Schänzer W. Detecting peptidic drugs, drug candidates and analogs in sports doping: current status and future directions. Expert Review of Proteomics 2019;11(6):663–673. doi:10.1586/14789450.2014.965158
  5. D’Hondt M, Bracke N, Taevernier L, Gevaert B, Verbeke F, Wynendaele E, De Spiegeleer B. Related impurities in peptide medicines. Journal of Pharmaceutical and Biomedical Analysis 2014;101:2–30. doi:10.1016/j.jpba.2014.06.012 · PMID 25044089

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