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All peptides
PerformanceInvestigational

ACE-031 (Ramatercept)

Subcutaneous injection
Written by Peptide Association Editorial TeamMedically reviewed by Ian Justl Ellis, MD, CPTLast reviewed Editorial policy

Overview

ACE-031 is a recombinant fusion protein combining the extracellular domain of the activin receptor type IIB with a human IgG1 Fc domain. This soluble receptor acts as a decoy to bind and neutralize myostatin, activin, and other negative regulators of muscle growth.

Mechanism of Action

By inhibiting these TGF-beta superfamily ligands, ACE-031 was designed to promote muscle hypertrophy in conditions characterized by muscle wasting.

Research Summary & Key Findings

Phase 2 clinical trials in postmenopausal women and healthy volunteers demonstrated dose-dependent increases in muscle mass and decreases in fat mass. Development was voluntarily suspended in 2013 following observations of adverse effects on skin vasculature, including telangiectasias and epistaxis. No subsequent clinical trials have been registered or published.

Clinical Status

Investigational

ACE-031 (Ramatercept) is in the investigational stage. While preclinical and early-phase data exist, it has not received regulatory approval for clinical use in the United States.

Administration Routes

Subcutaneous injection

References

Primary literature

Study-level citations for this compound are being verified against the primary sources before publication. The database queries above return the current indexed literature in the meantime.

Related Peptides in Performance

No lawful pathway today

ACE-031 (Ramatercept) is not FDA-approved and does not currently have a lawful prescription or compounding pathway in the United States, so there is nothing for us to sell you here and no consultation to book. That can change: eight peptides moved back to a lawful pathway in February 2026.

Tell me if the status changes

One email, only if this compound's regulatory standing actually moves. Not a newsletter, not a sales sequence.

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Disclaimer: This information is provided for educational and research purposes only. It is not intended as medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before starting any peptide therapy. The Peptide Association does not endorse or recommend any specific treatment protocol. See our editorial policy for how this content is produced and reviewed.