Evidence review: Open Peptide Project (verified against primary PubMed, ClinicalTrials.gov & FDA records) · Last checked 2026-10-27. ← Back to Evidence Library
Dalargin: what the evidence says
At a glance
What it is: a synthetic hexapeptide analogue of Leu-enkephalin developed in the USSR and used there for peptic ulcer disease. R1 UNVERIFIED the sequence Tyr-D-Ala-Gly-Phe-Leu-Arg and its current Russian registration status; we did not open a primary source for either.
What the evidence says: in a Soviet trial of 180 men with duodenal ulcer, healing by day 28 was similar to cimetidine (87.5% vs 87.3%). R2 In a double-blind trial run to US standards, misoprostol healed ulcers significantly better than dalargin. R3
Biggest risks: no major safety signal was reported in the ulcer trials, but safety reporting in this literature is thin. R3
Rating
| Human Human evidence | Limited: Soviet ulcer trials R2, R4; one US-standard RCT where it lost to misoprostol R3; pancreatitis reports R5, R6 |
| Animal Animal / lab evidence | Animal pancreatitis models R7 |
| Regulatory | Not FDA-approved · not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page R8, R9, R10 · not named by WADA R11 |
| Established human dose | No (Russian-label use only; see Study details) |
Evidence verdict: Duodenal ulcer healing: Limited (Soviet-era trials; lost to misoprostol in a US-standard RCT) · Pancreatitis: Limited (small Russian studies) · Tissue repair or stress protection: Unknown
This page reports what studies used. It is not dosing advice.
Legend: HUMAN data · ANIMAL / LAB data · UNKNOWN · UNVERIFIED: not yet confirmed against a primary source
About the evidence: most studies are 1980s–1990s Soviet reports with small or unblinded designs. The best-designed trial found it worse than a standard drug of the time. Ulcer care has since moved to acid-suppressing drugs and H. pylori treatment.
What is it?
A synthetic opioid-peptide analogue that acts mostly outside the brain. R1 Related pages: BPC-157, Semax, Selank.
Does it work?
- Human Duodenal ulcer: healing similar to cimetidine in one Soviet trial (n = 180) R2; healing in 60% of 72 patients with bleeding ulcers in an uncontrolled series R4; inferior to misoprostol in a double-blind randomized trial. R3
- Human Pancreatitis: small Russian reports in chronic pancreatitis flares and postoperative prevention. R5, R6 UNVERIFIED results; abstracts not available.
- Human Newer trials: two Russian phase 3 trials (COVID-19; high-risk abdominal surgery) are listed as completed with no posted results. R12, R13
- Unknown Tissue repair, "stress protection" or anti-aging in healthy people: no human data.
Is it safe?
- Human In the misoprostol comparison no patient withdrew for side effects. R3
Gray-market vials: extra risks
A gray-market vial has no quality control and no guarantee of identity, strength or sterility. We test retail vials blind under the Open Peptide Standard; see /tests/. A passing test covers one batch on one date and does not mean the compound is safe.
Is it legal?
- US: not FDA-approved; no Drugs@FDA application found (openFDA searched Oct 26, 2026).
- Compounding: not on FDA's 503A or 503B bulk-substance category lists and not on FDA's compounding safety-risk page. R8, R9, R10
- Sport: not named on WADA's 2026 Prohibited List. R11
Study details
Study details
These are amounts researchers used, not recommendations.
| Study | People / model | Route | Amount used | Follow-up | Reported | Citation |
|---|---|---|---|---|---|---|
| Smagin 1987 | 180 men, duodenal ulcer | Injection | Per study | 28 days | 87.5% healed (vs 87.3% cimetidine) | PMID 3554590 |
| Dajani 1991 | Duodenal ulcer, double-blind RCT | IM | 1 mg twice daily | 4 weeks | Misoprostol superior (P = .001) | PMID 1811815 |
| Georgadze 1990 | 72 patients, bleeding ulcer | IV | 3 mg daily | ~20 days | 60% healed, 8% no effect | PMID 2193190 |
Full reference list (PubMed, CT.gov, FDA and WADA checked Oct 26, 2026)
- R1 Vinogradov VA, et al. Ter Arkh. 1988. PMID 3067406
- R2 Smagin VG, et al. Ter Arkh. 1987. PMID 3554590
- R3 Dajani EZ, et al. J Assoc Acad Minor Phys. 1991. PMID 1811815
- R4 Georgadze AK, et al. Khirurgiia (Mosk). 1990. PMID 2193190
- R5 Geller LI, et al. Ter Arkh. 1992. PMID 1279830
- R6 Grigorevskiĭ VP, et al. Klin Khir (1962). 1989. PMID 2640568
- R7 Georgadze AK, et al. Farmakol Toksikol. 1985. PMID 2416590
- R8 FDA, 503A bulk drug substances categories list (updated May 14, 2026). https://www.fda.gov/media/94155/download
- R9 FDA, 503B bulk drug substances categories list (updated Mar 21, 2025). https://www.fda.gov/media/94164/download
- R10 FDA, Certain bulk drug substances for use in compounding that may present significant safety risks (content current Apr 22, 2026). https://www.fda.gov/drugs/human-drug-compounding/certain-bulk-drug-substances-use-compounding-may-present-significant-safety-risks
- R11 WADA. The 2026 Prohibited List, full list checked; compound not named. https://www.wada-ama.org/sites/default/files/2025-09/2026list_en_final_clean_september_2025.pdf
- R12 ClinicalTrials.gov NCT04346693, Burnasyan FMBC phase 3 open-label COVID-19 trial, n = 320, completed 2020, no results posted (CT.gov API v2, checked Oct 26, 2026). https://clinicaltrials.gov/study/NCT04346693
- R13 ClinicalTrials.gov NCT07404358, Botkin Hospital phase 3 abdominal-surgery organ-dysfunction trial, n = 200, completed Sep 2026, no results posted (CT.gov API v2, checked Oct 26, 2026). https://clinicaltrials.gov/study/NCT07404358
Disclaimer
This page is for education and harm reduction, not medical advice or a recommendation to use Dalargin. This compound is not FDA-approved. Any product sold under this name in the US is unregulated. Report problems to FDA MedWatch (https://www.fda.gov/safety/medwatch).