ACE-031 research: studies, doses and safety
An experimental muscle-growth protein whose Duchenne program stopped over bleeding concerns.
Also called: Ramatercept, ACE031, ActRIIB-IgG1, ActRIIB-Fc.
Myostatin pathway · Soluble activin receptor IIB–IgG1 Fc fusion protein.
Four registrations: two published randomized trials, a 70-person multiple-dose trial and an 11-person extension. The last two lack posted results; extension participants overlap the Duchenne trial.
Key studies
- Single dose in 48 women: At 3 mg/kg, lean mass rose 3.3% and thigh volume 5.1% at day 29. (source)
- Multiple doses in 70 women: Completed multiple-dose study has no posted results or located full publication. (source)
- Duchenne randomized trial: Nosebleeds and visible small blood vessels prompted stopping after two dose regimens. (source)
- Duchenne extension, stopped early: Extension stopped on preliminary safety data; no results were posted. (source)
- What the receptor binds: The receptor binds several growth signals; it is not a muscle-only myostatin blocker. (source)
- Marmoset muscle study: Muscle changes in primates do not override the human vascular safety signal. (source)
Related to ACE-031
- Follistatin-344: Human gene-therapy findings do not establish a dose for follistatin-344 protein vials.
- Ipamorelin: An experimental peptide that triggers growth hormone release.
- Hexarelin: A peptide that releases growth hormone; repeated use can weaken the response.
Sources
- 503B Bulk Drug Substances List, FDA · FDA · 2026
- Bulk Drug Substances Nominated for Use in Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act, FDA · FDA · 2026
- Bulk Drug Substances Used in Compounding Under Section 503A of the FD&C Act, FDA · FDA · 2026
- Cellulitis, NHS · NHS · 2026
- Find product information about medicines, Medicines and Healthcare products Regulatory Agency · MHRA · 2026
- Medicines, European Medicines Agency · European Medicines Agency · 2026
- Pyrogen and Endotoxins Testing: Questions and Answers, FDA · 2026
- The 2026 Prohibited List, World Anti-Doping Agency · WADA · 2026
- Therapeutic Goods (Poisons Standard—October 2026) Instrument 2026, Australian Government · Australian Government · 2026
- Anaphylaxis, NHS · NHS · 2023
- Definition of the Term “Biological Product” Final Regulatory Impact Analysis, FDA · 2020
- Australian Register of Therapeutic Goods (ARTG), Therapeutic Goods Administration · TGA
- Mixing, Diluting, or Repackaging Biological Products Outside the Scope of an Approved Biologics License Application Guidance for Industry, FDA
- Nosebleed, NHS
- Search criteria - Drug Product Database online query, Health Canada · Health Canada
Sources checked: 2026-10-18.
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