Semax

clinical trials

Also known as: ACTH (4-7) Pro-Gly-Pro, N-Acetyl Semax

Semax (ACTH(4-7) Pro-Gly-Pro, N-Acetyl Semax) is a synthetic heptapeptide derived from the adrenocorticotropic hormone fragment ACTH(4-10). Its primary mechanism involves upregulation of brain-derived neurotrophic factor (BDNF) and modulation of the melanocortin system, particularly through MC1 and MC4 receptor interactions. This leads to enhanced neuroplasticity, increased neuronal survival, and improved synaptic transmission. Additionally, Semax inhibits enkephalin degradation and reduces oxidative stress, contributing to its neuroprotective and nootropic effects. Key research findings from clinical trials indicate that Semax significantly improves cognitive function, attention, and memory in patients with ischemic stroke and chronic cerebrovascular insufficiency. It has also demonstrated efficacy in accelerating recovery of motor and speech functions post-stroke. Preclinical studies show that Semax increases BDNF mRNA expression in the hippocampus and cortex, and enhances long-term potentiation. The peptide exhibits a favorable safety profile with minimal side effects, primarily mild transient hypertension or nausea. Clinically, Semax is approved in Russia for the treatment of acute ischemic stroke, cognitive impairment, and optic nerve atrophy. It is administered intranasally, allowing rapid blood-brain barrier penetration. Ongoing research explores its potential in neurodegenerative diseases, traumatic brain injury, and attention-deficit/hyperactivity disorder. Despite promising results, larger multicenter trials are needed to establish standardized protocols for broader clinical application. For research purposes only — not medical advice.

Key data

Category
Cognitive & Neuroprotective
Molecular weight
813.9 g/mol
Molecular formula
C37H51N9O10S
CAS number
80714-61-0
Administration
intranasal
Research status
clinical trials
References
207
Tags
nootropic, bdnf, neuroprotective

Research & studies

Therapeutic peptides in gerontology: mechanisms and applications for healthy aging
Frontiers in aging · 2026 · PubMed

Nine peptides were identified targeting diverse aging mechanisms including metabolic restoration, telomere biology, tissue repair, and neuroprotection.; FDA-approved peptides demonstrated robust safety profiles from large-scale trials, whereas non-approved peptides lack long-term safety data.; Significant knowledge gaps exist in optimal dosing regimens, combination therapy effects, and biomarkers for monitoring efficacy.

Modulation of neuropathological pathways by bioactive peptides and proteins/polypeptides: Targeting oxidative stress in neurodegenerative diseases
Neuropeptides · 2025 · PubMed

Bioactive peptides and proteins/polypeptides, such as NGF, BDNF, GDNF, Semax, and Exendin-4, modulate critical mechanisms including reduction of oxidative stress, inhibition of neuroinflammation, preservation of mitochondria, and enhancement of synaptic plasticity.; These peptides have demonstrated efficacy in preclinical and early-phase clinical trials across a spectrum of neurodegenerative disorders, including Alzheimer's, Parkinson's, and Huntington's diseases.; Delivery challenges, including blood-brain barrier permeability and enzymatic degradation, are being addressed through innovations in peptide engineering, nanoparticle-based delivery systems, CRISPR-assisted design, and AI-driven screening.; Peptide-based therapeutics present a rational and innovative approach to NDD management by targeting multiple pathogenic mechanisms simultaneously, highlighting their potential as next-generation neuroprotective agents.

Semax peptide targets the μ opioid receptor gene Oprm1 to promote deubiquitination and functional recovery after spinal cord injury in female mice
British journal of pharmacology · 2025 · PubMed

Semax improved functional recovery and inhibited LMP-related pyroptosis in SCI mice and neuroinflammation models.; Semax targeted the μ-opioid receptor (Oprm1) to regulate USP18 and deubiquitination of FTO.; USP18 knockdown confirmed its role in Semax-mediated SCI recovery.; Semax reduced oxidative stress in SCI models.

The Potential of the Peptide Drug Semax and Its Derivative for Correcting Pathological Impairments in the Animal Model of Alzheimer's Disease
Acta naturae · 2025 · PubMed

Semax and its derivative improved cognitive functions in transgenic Alzheimer's model mice, as shown by open field, novel object recognition, and Barnes maze tests.; Histological examination revealed that both peptides reduced the number of amyloid inclusions in the cortex and hippocampus of the animals' brains.; The findings suggest high potential of Semax and its derivatives for developing therapeutic and corrective strategies for Alzheimer's disease.

Genes That Associated with Action of ACTH-like Peptides with Neuroprotective Potential in Rat Brain Regions with Different Degrees of Ischemic Damage
International journal of molecular sciences · 2025 · PubMed

ACTH-like peptides generated fewer differentially expressed genes in the striatum compared to the frontal cortex.; Both peptides tended to normalize ischemia-induced gene expression disturbances for hundreds of genes in the striatum.; ACTH(6-9)PGP action worsened the expression profile of 152 striatal genes, predominantly associated with inflammation.; Approximately one hundred genes overlapped between both peptides in both tissues, linked mainly to neuroactive ligand-receptor interaction.

ACTH-like Peptides Compensate Rat Brain Gene Expression Profile Disrupted by Ischemia a Day After Experimental Stroke
Biomedicines · 2024 · PubMed

3774 DEGs were identified under ischemia conditions, while 1539 and 2066 DEGs were found under Semax and ACTH(6-9)PGP, respectively, at 24 hours post-tMCAO.; Both peptides significantly reduced expression distortions for 1171 genes associated with immune and neurosignaling pathways.; Only 32 DEGs differed between ACTH(6-9)PGP and Semax administration at 24 hours post-tMCAO, indicating similar effects.; The pattern of peptide action on the transcriptome depended on the time elapsed after tMCAO, as shown by comparison with 4.5-hour data.

Insight into Glyproline Peptides' Activity through the Modulation of the Inflammatory and Neurosignaling Genetic Response Following Cerebral Ischemia-Reperfusion
Genes · 2022 · PubMed

PGP and PGPL showed Semax-unlike effects, mostly without changing gene expression 24 h after tMCAO.; PGP significantly changed expression of inflammatory genes iL1b, iL6, and Socs3 compared to Semax.; PGPL significantly changed expression of inflammatory genes iL6, Ccl3, Socs3, and Fos, and neurotransmitter genes Cplx2, Neurod6, and Ptk2b compared to Semax.; Gene enrichment analysis and a regulatory gene network distinguished common and unique effects of PGP, PGPL, and Semax under ischemia-reperfusion.

Semax, a Synthetic Regulatory Peptide, Affects Copper-Induced Abeta Aggregation and Amyloid Formation in Artificial Membrane Models
ACS chemical neuroscience · 2022 · PubMed

Semax prevents the formation of A:Cu2+ complexes; Semax has anti-aggregating properties against amyloid beta; Semax shows protective effects especially in the presence of Cu2+; Semax inhibits fiber formation by interfering with fibrillogenesis of A:Cu2+ complexes

Frequently asked questions

What is Semax?

Semax (ACTH(4-7) Pro-Gly-Pro, N-Acetyl Semax) is a synthetic heptapeptide derived from the adrenocorticotropic hormone fragment ACTH(4-10). Its primary mechanism involves upregulation of brain-derived neurotrophic factor (BDNF) and modulation of the melanocortin system, particularly through MC1 and MC4 receptor interac

How does Semax work?

ACTH(4-10)-derived heptapeptide that elevates BDNF and modulates the melanocortin system; used clinically in Russia for stroke and cognition.

What is the research status of Semax?

Semax is currently classified as clinical trials, with 207 research references on record. This is for research purposes only and is not medical advice.

What is the molecular weight of Semax?

Semax has a molecular weight of approximately 813.9 g/mol (formula C37H51N9O10S).

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    Semax — Mechanism, Research & Data | Peptides API