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Dihexa

Awaiting Reclassification

Rewiring the brain's growth network

An orally active 6-residue peptide that promotes synaptogenesis via HGF/c-Met signaling.

Educational content. This page describes Dihexa for informational purposes only and is not medical advice, diagnosis, or treatment. Consult a licensed provider before starting, stopping, or modifying any therapy.

Primary Use
An orally active 6-residue peptide that promotes synaptogenesis via HGF/c-Met signaling.
Administration
oral
Typical Cycle
30–60 days
Legal Status
Awaiting Reclassification
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Key Benefits

Potent Cognitive Enhancement

Among the most potent procognitive agents identified in preclinical research, restoring memory in impaired animals at very low doses via oral or subcutaneous routes.[1][6]

Synaptogenesis Promotion

Directly stimulates formation of new synaptic connections through activation of the HGF/c-Met system, the brain's primary growth factor pathway for connectivity.[2][3]

Blood-Brain Barrier Permeability

Unlike most peptide therapeutics, Dihexa crosses the blood-brain barrier and is orally bioavailable, a significant pharmacological advantage.[1][4]

Alzheimer's Disease Potential

Reduces amyloid plaque burden and rescues cognitive impairment in transgenic Alzheimer's mouse models through PI3K/AKT signaling.[5][3]

What is Dihexa?

Dihexa (N-hexanoic-Tyr-Ile-(6)-aminohexanoic amide, also known as PNB-0408) is a small synthetic peptide derivative of angiotensin IV developed by researchers at Washington State University. It was designed to overcome the limitations of natural angiotensin IV (namely its rapid metabolic degradation and inability to cross the blood-brain barrier) while preserving and amplifying its procognitive properties.

Dihexa has attracted extraordinary attention in neuroscience because it is reportedly up to 10 million times more potent than BDNF in promoting new synapse formation in cell culture studies. It is the first orally active, blood-brain barrier-permeable angiotensin IV analog. It remains investigational and has not entered formal human clinical trials.

How Does It Work?

Dihexa's primary mechanism involves allosteric activation of the hepatocyte growth factor (HGF) / c-Met receptor system in the brain. HGF and its receptor c-Met are critical for neuronal growth, survival, and the formation of new synaptic connections (synaptogenesis).

Research has shown that Dihexa's procognitive and synaptogenic effects are entirely dependent on HGF/c-Met activation: when the c-Met receptor is blocked, Dihexa's cognitive benefits are abolished. This distinguishes it mechanistically from other nootropics that work through neurotransmitter modulation.

In Alzheimer's disease models, Dihexa additionally engages the PI3K/AKT signaling pathway, promoting neuronal survival, reducing amyloid-beta plaque accumulation, and restoring impaired memory function.

Mechanism of Action

Dihexa acts as a potent allosteric activator of the brain's HGF/c-Met receptor system, promoting synaptogenesis and neuronal survival. Downstream, it engages PI3K/AKT signaling to protect neurons, reduce amyloid plaque burden, and restore cognitive function.

DihexaHGF / c-MetAllosteric activationPI3K / AKTSurvival signalingBBB PermeationOral bioavailabilitySynaptogenesisNew synaptic connectionformationNeuronal SurvivalAnti-apoptotic& amyloid reductionOral CNS AccessBlood-brain barrierpenetrationHGF/c-Met Synaptogenesis & Cognitive Restoration

Clinical Evidence

Key studies supporting the therapeutic use of this peptide.

Procognitive Evaluation in Impaired Rats

Preclinical controlled studyRats with scopolamine-induced cognitive impairment

Dihexa restored cognitive function at picomolar doses via oral, subcutaneous, and intracerebroventricular routes, demonstrating oral bioavailability and BBB penetration.

McCoy AT, Benoist CC, Wright JW, et al.J Pharmacol Exp Ther, 344(1):141-54 (2013) · PubMed

APP/PS1 Alzheimer's Model Study

Preclinical transgenic mouse studyAPP/PS1 Alzheimer's disease model mice

Dihexa rescued cognitive impairment, recovered memory function, reduced amyloid plaques, and activated PI3K/AKT survival signaling.

Sun X, Deng Y, Fu X, et al.Brain Sci, 11(11):1487 (2021) · PubMed

Systematic Review of AngIV Cognitive Benefits

Systematic review of 32 experimental studiesMultiple animal species and cognitive paradigms

Confirmed that angiotensin IV and its analogs reliably improve passive avoidance, object recognition, and spatial learning across diverse models of cognitive impairment.

Ho JK, Nation DANeurosci Biobehav Rev, 92:209-225 (2018) · PubMed

Dosing & Administration

Typical protocols used in clinical practice. Always consult a licensed provider for personalized dosing.

Oral

Dosage
10–20 mg
Frequency
Once daily
Cycle
30–60 days

Subcutaneous Injection

Dosage
0.5–2 mg
Frequency
Once daily
Cycle
30–60 days

Oral: Orally active and BBB-permeable in animal studies. No established human dosing.

Subcutaneous Injection: Alternative route; doses extrapolated from preclinical data.

Dihexa has NOT undergone human clinical trials. All dosing information is extrapolated from preclinical studies and anecdotal use.

Its oral bioavailability is a major advantage over most peptides, but optimal human dosing remains undetermined.

Given its investigational nature, users should exercise particular caution and consult with knowledgeable medical professionals.

Side Effects & Safety

Uncommon

  • Headache Reported anecdotally; no formal human safety data available
  • Overstimulation Some users report difficulty sleeping or mental over-activity
  • Blood pressure changes Theoretical concern given angiotensin system involvement

Safety Profile

Dihexa is an investigational compound that has NOT undergone human clinical trials. All safety information is derived from preclinical animal studies and anecdotal reports.

A theoretical concern with chronic HGF/c-Met activation is the potential for promoting unwanted cell growth, as this pathway is implicated in certain cancers. No tumorigenic effects have been reported in published animal studies.

Individuals with cardiovascular disease, cancer history, or those taking antihypertensive medications should be especially cautious.

Contraindications

  • Pregnancy or breastfeeding (no safety data)
  • History of cancer or active malignancy (theoretical risk due to HGF/c-Met growth signaling)
  • Cardiovascular disease or uncontrolled hypertension
  • Concurrent use of ACE inhibitors or angiotensin receptor blockers
  • Anyone not under direct medical supervision (investigational compound)

Compare with Similar Peptides

See how Dihexa compares to peptides with overlapping benefits.

PeptidePrimary UseAdministrationCycle LengthKey Differentiator
DihexaCognitive EnhancementOral, Injection30–60 daysOnly known orally bioavailable peptide nootropic working through HGF/c-Met synaptogenesis pathway
SelankAnxiolytic & NootropicIntranasal14–21 daysBenzodiazepine-class anxiety relief without sedation, cognitive impairment, or dependence risk
SemaxNootropic & NeuroprotectiveIntranasal10–21 daysDirectly upregulates BDNF (the brain's primary growth factor for learning and memory) without hormonal side effects

Regulatory Status

Current FDA classification and compounding eligibility.

Under Review (Category 2)

503A Compounding

The FDA placed this substance in Category 2 of the 503A bulk drug substances evaluation, flagging significant safety risks. 503A compounding carries FDA enforcement risk, so most pharmacies decline to prepare it and many physicians hesitate to prescribe it.

Reclassification Pending

In April 2026, HHS Secretary Robert F. Kennedy Jr. announced that nominators withdrew 12 peptides from Category 2 of the FDA's 503A bulk drug substances evaluation, including this one. The FDA referred them to its Pharmacy Compounding Advisory Committee (PCAC) for re-evaluation at meetings beginning July 2026. If PCAC recommends Category 1 status and the FDA agrees, licensed 503A pharmacies could compound it under FDA enforcement discretion again. The outcome is not final.

Regulatory Detail

Listed in Category 2 as Dihexa Acetate. No human clinical trials have been conducted. FDA lacks sufficient information to determine whether dihexa would cause harm when administered to humans. Not eligible for compounding.

FDA Action History

What do these terms mean?
503A compounding
Licensed pharmacies that prepare custom prescriptions for individual patients based on a physician's order. 503A is the section of the federal law that governs them.
503B outsourcing
FDA-registered facilities that compound in larger batches under stricter federal oversight (closer to a manufacturer than a pharmacy). Used mostly by hospitals and clinics.
Bulk drug substance
The active pharmaceutical ingredient a compounder starts with, before it's made into a finished medication.
Category 1
Interim bucket for bulk substances that have been nominated and don't appear to present significant safety risks. 503A pharmacies may compound them under FDA enforcement discretion while the agency continues its review. Not the same as FDA approval.
Category 2
Bulk substances the FDA has flagged for significant safety risks. 503A compounding carries FDA enforcement risk, so most pharmacies decline to prepare them and many physicians hesitate to prescribe them.
PCAC
Pharmacy Compounding Advisory Committee. The FDA advisory committee that reviews nominated bulk substances and recommends whether they belong in Category 1, Category 2, or on the final 503A Bulks List.

Last verified April 12, 2026. PepHookup tracks public FDA actions. This is not legal or medical advice.

Frequently Asked Questions

Research & References

  1. 1

    McCoy AT, Benoist CC, Wright JW, et al. Evaluation of metabolically stabilized angiotensin IV analogs as procognitive/antidementia agents.” J Pharmacol Exp Ther, 344(1):141-54 (2013)

  2. 2

    Benoist CC, Kawas LH, Zhu M, et al. The procognitive and synaptogenic effects of angiotensin IV-derived peptides are dependent on activation of the hepatocyte growth factor/c-met system.” J Pharmacol Exp Ther, 351(2):390-402 (2014)

  3. 3

    Wright JW, Harding JW The Brain Hepatocyte Growth Factor/c-Met Receptor System: A New Target for the Treatment of Alzheimer's Disease.” J Alzheimers Dis, 45(4):985-1000 (2015)

  4. 4

    Wright JW, Kawas LH, Harding JW The development of small molecule angiotensin IV analogs to treat Alzheimer's and Parkinson's diseases.” Prog Neurobiol, 125:26-46 (2015)

  5. 5

    Sun X, Deng Y, Fu X, et al. AngIV-Analog Dihexa Rescues Cognitive Impairment and Recovers Memory in the APP/PS1 Mouse via the PI3K/AKT Signaling Pathway.” Brain Sci, 11(11):1487 (2021)

  6. 6

    Ho JK, Nation DA Cognitive benefits of angiotensin IV and angiotensin-(1-7): A systematic review of experimental studies.” Neurosci Biobehav Rev, 92:209-225 (2018)

  7. 7

    Wells RG, Azzam AF, Hiller AL, Sardinia MF Effects of an Angiotensin IV Analog on 3-Nitropropionic Acid-Induced Huntington's Disease-Like Symptoms in Rats.” J Huntingtons Dis, 13(1):55-66 (2024)

  8. 8

    Uribe PM, Kawas LH, Harding JW, Coffin AB Hepatocyte growth factor mimetic protects lateral line hair cells from aminoglycoside exposure.” Front Cell Neurosci, 9:3 (2015)

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