BPC-157: the human data we have
Every published human study of BPC-157: the knee pain, bladder pain and IV safety pilots, what each found, the trials now registered, and how it works.
- Last reviewed
- Sources
- 20
- Questions
- 8
- Compounds
- 2
The short answer
Three small published studies have tested BPC-157 in people: 16 patients with knee pain, 12 women with interstitial cystitis and 2 adults given it by IV. In the two treatment studies, most patients reported clear relief after a single treatment, and no study reported a side effect. None had a placebo group. The first randomized, blinded trial in patients is set to start in January 2027.
Evidence: Extensive animal research, mostly in rats; in people, three small uncontrolled pilot studies and no published controlled trial yet.
How much research is there on BPC-157?
BPC-157 has more than three decades of animal research behind it and only a handful of people in its published human studies. PubMed holds 235 records on it, the first from the early 1990s6. The people in its published human studies add up to 30123.
The gap comes from who did the work. About three in four of those records carry the name of Predrag Sikiric, whose group at the University of Zagreb discovered the peptide, and that group has spent three decades testing it in rats: cut tendons, cut ligaments, stitched bowels111314. Labs in Taiwan and China have since confirmed key pieces of how it works and how the body clears it8915. What it has never had is a drug company carrying it through large human trials to approval.
Which human studies have been published?
Three, all pilots. Here is each one, how big it was and what it found.
| Study | Who | What was given | What they found |
|---|---|---|---|
| Knee pain, 20211 | 16 patients with knee pain from several causes; 12 got BPC-157 alone, 4 with TB-4 | Injection into the knee | 11 of 12 on BPC-157 alone reported significant improvement; 14 of 16 overall |
| Interstitial cystitis, 20242 | 12 women aged 39 to 76 whom the approved drug had not helped | 10 mg injected around the inflamed bladder wall, in one procedure | 10 of 12 reported complete resolution; the other 2 rated their improvement at 80%; no adverse events |
| IV safety, 20253 | 2 healthy adults, aged 58 and 68 | 10 mg by IV on day 1, 20 mg on day 2 | No change in heart, liver, kidney, thyroid or blood sugar markers; no side effects |
All three come from one physician, Edwin Lee, working in private clinics, and all three appeared in the journal Alternative Therapies in Health and Medicine. None had a comparison group. The knee study was a chart review: patients rated their own pain by phone, most of them six months to a year after the injection, and a 2025 systematic review notes that 7 of the 12 reported relief lasting more than six months5. A 2025 review from the University of Utah counts the same three pilots as the whole published human record, with no adverse effects reported in any of them4.
The doses in the table are what each study used. They describe the research, not a protocol to copy.
What did the bladder study find?
It is the most striking of the three. Interstitial cystitis, also called bladder pain syndrome, is a painful long-term condition with few treatments that work well. All 12 women in the study had already tried pentosan polysulfate, the approved drug, without a response2.
Each had a single procedure in which BPC-157 was injected around the inflamed area of the bladder. Afterwards, 10 of the 12 reported that their symptoms had resolved completely, and the other 2 rated their improvement at 80%. No one dropped out, and no adverse events were recorded2. Twelve people and no control group is a small base, but it is the kind of result that earns a proper trial.
Are there controlled trials underway?
One, and it is the first of its kind in patients. The University of Arkansas has registered a randomized, quadruple-blinded trial of BPC-157 after rotator cuff repair surgery: a planned 30 patients, daily injections under the skin for 90 days after the operation, and tendon healing checked by MRI alongside strength, range of motion and patient-reported scores. It is not yet recruiting, with an estimated start of January 202716.
Two other records exist on ClinicalTrials.gov. A placebo-controlled phase 1 trial of BPC-157 tablets in 42 healthy volunteers in Mexico was registered in 2015 and never updated, and it has posted no results17. A study of BPC-157 gummies in 40 active adults, with no comparison group, finished in November 2025 and has not posted results either18.
Earlier still, its developers report that BPC-157 reached phase II trials for inflammatory bowel disease under the code PL 14736, with no side effects in those trials714. Full results from them have not been published in PubMed.
How does BPC-157 work?
BPC-157 is a chain of 15 amino acids, GEPPPGKPADDAGLV, cut from a larger protein its discoverers isolated from human gastric juice69. That origin explains one of its unusual traits: it holds up in human gastric juice, so in rats it works by mouth as well as by injection713.
Peptide SkySee BPC-157 as a molecule53 peptides as a night sky in 3D. Each star opens into its molecule, one bead per amino acid, with the measured shape where one exists.Open the Peptide SkyNo known human gene spells it. The sequence of the parent protein has not been published, and in our own search of all 20,442 reviewed human proteins in UniProt (October 2026), none contains even seven of BPC-157's 15 amino acids in a row.
Its main job in the animal work is building blood supply. In rats with a blocked leg artery, it restored blood flow faster and grew more vessels; in human blood-vessel cells in a dish, it raised VEGFR2, the receptor that drives vessel growth, and switched on the Akt–eNOS nitric-oxide pathway8. New vessels matter most where tissue has few of them, which is why tendons and the junctions between muscle and tendon are where it stands out4.
It also works on the repair cells themselves. Rat tendon cells treated with BPC-157 grew out of pieces of tendon faster, moved further and survived stress better9. They also carried more growth hormone receptors, so added growth hormone made them multiply faster10.
In whole rats, the results line up. Cut Achilles tendons healed stronger, with better function by day 1411. Tendons cut from the heel bone reattached better over 21 days, with better-organized collagen12. Cut knee ligaments healed better throughout 90 days, whether the peptide was injected, put in drinking water or applied as a cream13. A stitched bowel held more pressure before leaking14. Across 35 animal and lab studies, a 2025 systematic review found better function, structure and strength in injured muscle, tendon, ligament and bone5.
It is also fast. In rats and dogs, its half-life was under 30 minutes, and the body broke it down into ordinary amino acids15. Its half-life in people is not yet established.
What do people who use it report?
Commonly reported: tendon and ligament pain easing within the first one to three weeks, a calmer gut with less reflux or bloating (especially when taken by mouth), and mild injection-site irritation that passes on its own.
These are user reports, not trial results. The two treatment pilots point the same way: in both, most patients reported relief after a single treatment125. Healing is gradual, so the first weeks are a good time to note how an injury moves and hurts, as a baseline for later.
Is BPC-157 approved or allowed in sport?
It is not an FDA-approved drug5. The World Anti-Doping Agency names it on its 2026 Prohibited List under non-approved substances, banned in and out of competition, so it is off limits for tested athletes19. The FDA lists BPC-157 among substances nominated for pharmacy compounding and later withdrawn, noting a possible risk of immune reactions by some routes and little safety information to go on20. Reviewers flag unregulated manufacturing and possible contamination as the practical concerns5.
What would settle the question?
A randomized, blinded trial with imaging, which is exactly what the Arkansas rotator cuff study is built to be16. Until it reports, the picture is clear enough to state plainly: a deep and consistent animal record on tendon, ligament and gut repair, three encouraging human pilots, and the first real test of it in people on the calendar.
Sources
- Lee E, Padgett B. Intra-articular injection of BPC 157 for multiple types of knee pain. Altern Ther Health Med. 2021. PubMed 34324435
- Lee E, Walker C, Ayadi B. Effect of BPC-157 on symptoms in patients with interstitial cystitis: a pilot study. Altern Ther Health Med. 2024. PubMed 39325560
- Lee E, Burgess K. Safety of intravenous infusion of BPC157 in humans: a pilot study. Altern Ther Health Med. 2025. PubMed 40131143
- McGuire FP et al. Regeneration or risk? A narrative review of BPC-157 for musculoskeletal healing. Curr Rev Musculoskelet Med. 2025. PubMed 40789979
- Vasireddi N et al. Emerging use of BPC-157 in orthopaedic sports medicine: a systematic review. HSS J. 2025. PubMed 40756949
- Sikirić P et al. A new gastric juice peptide, BPC. An overview of the stomach-stress-organoprotection hypothesis and beneficial effects of BPC. J Physiol Paris. 1993. PubMed 8298609
- Sikiric P et al. Focus on ulcerative colitis: stable gastric pentadecapeptide BPC 157. Curr Med Chem. 2012. PubMed 22300085
- Hsieh MJ et al. Therapeutic potential of pro-angiogenic BPC157 is associated with VEGFR2 activation and up-regulation. J Mol Med (Berl). 2017. PubMed 27847966
- Chang CH et al. The promoting effect of pentadecapeptide BPC 157 on tendon healing involves tendon outgrowth, cell survival, and cell migration. J Appl Physiol. 2011. PubMed 21030672
- Chang CH et al. Pentadecapeptide BPC 157 enhances the growth hormone receptor expression in tendon fibroblasts. Molecules. 2014. PubMed 25415472
- Staresinic M et al. Gastric pentadecapeptide BPC 157 accelerates healing of transected rat Achilles tendon and in vitro stimulates tendocytes growth. J Orthop Res. 2003. PubMed 14554208
- Krivic A et al. Achilles detachment in rat and stable gastric pentadecapeptide BPC 157: promoted tendon-to-bone healing and opposed corticosteroid aggravation. J Orthop Res. 2006. PubMed 16583442
- Cerovecki T et al. Pentadecapeptide BPC 157 (PL 14736) improves ligament healing in the rat. J Orthop Res. 2010. PubMed 20225319
- Vuksic T et al. Stable gastric pentadecapeptide BPC 157 in trials for inflammatory bowel disease (PL-10, PLD-116, PL14736, Pliva, Croatia) heals ileoileal anastomosis in the rat. Surg Today. 2007. PubMed 17713731
- He L et al. Pharmacokinetics, distribution, metabolism, and excretion of body-protective compound 157, a potential drug for treating various wounds, in rats and dogs. Front Pharmacol. 2022. PubMed 36588717
- ClinicalTrials.gov NCT07803250. Impact of BPC-157 on recovery following rotator cuff repair surgery. University of Arkansas. clinicaltrials.gov
- ClinicalTrials.gov NCT02637284. PCO-02: safety and pharmacokinetics trial. PharmaCotherapia. clinicaltrials.gov
- ClinicalTrials.gov NCT07752381. A clinical trial to evaluate the effects of peptide gummies on markers of inflammation, physical performance, and recovery. Parlay Wellness. clinicaltrials.gov
- World Anti-Doping Agency. The 2026 Prohibited List, S0 Non-approved substances. wada-ama.org
- U.S. Food and Drug Administration. Certain bulk drug substances for use in compounding that may present significant safety risks (updated April 2026). fda.gov
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