Semaglutide GLP-1 receptor agonist peptide SOURCE MAPPED · 6 links FDA approved comparator Established FDA approved peptide medicine FDA approved in specific products and indications UK authorised in specific products and indications NICE recommendations exist for defined diabetes and obesity uses NHS access exists within NICE criteria and commissioned pathways 10
Exposure: Very high Tirzepatide GIP and GLP-1 receptor agonist peptide SOURCE MAPPED · 6 links FDA approved comparator Established FDA approved dual agonist FDA approved in specific products and indications UK authorised in specific products and indications NICE TA1026 recommends tirzepatide with eligibility criteria NHS access is phased and prioritised under implementation policy 10
Exposure: Very high Liraglutide GLP-1 receptor agonist peptide SOURCE MAPPED · 5 links FDA approved comparator Established FDA approved peptide medicine FDA approved in specific products and indications UK authorised in specific products and indications NICE TA664 recommends liraglutide for a defined obesity pathway Specialist NHS access exists within relevant criteria 10
Exposure: High Tesamorelin GHRH analogue peptide SOURCE MAPPED · 4 links FDA approved comparator FDA approved for a narrow specialist indication FDA approved for a specific US indication No UK marketing authorisation identified for the US indication No NICE recommendation identified No routine NHS access identified 5
Exposure: High research market Bremelanotide Melanocortin receptor agonist peptide SOURCE MAPPED · 4 links FDA approved comparator FDA approved as Vyleesi for a defined indication FDA approved for a specific US product and indication No equivalent UK marketing authorisation identified No NICE recommendation identified No routine NHS access identified 4
Exposure: Moderate research market Elamipretide Mitochondrial cardiolipin binding peptide SOURCE MAPPED · 4 links FDA approved comparator FDA accelerated approval for Barth syndrome FDA accelerated approval for a defined rare disease indication No UK marketing authorisation identified No NICE recommendation identified No routine NHS access identified 4
Exposure: Emerging Setmelanotide MC4 receptor agonist peptide SOURCE MAPPED · 6 links FDA approved comparator FDA approved precision obesity medicine FDA approved for genetically defined obesity indications UK authorised for defined genetic obesity indications NICE highly specialised recommendations exist for defined populations Highly specialised NHS access exists within NICE criteria 8
Exposure: Specialist Teduglutide GLP-2 analogue peptide SOURCE MAPPED · 5 links FDA approved comparator FDA approved specialist gastrointestinal peptide FDA approved for a specific product and indication UK authorised for a specific product and indication NICE TA804 recommends teduglutide for short bowel syndrome Specialist NHS access is subject to NICE criteria and commissioning 9
Exposure: Specialist Retatrutide GIP · GLP-1 · glucagon triple agonist peptide SOURCE MAPPED · 5 links Late stage pipeline Phase 3 programme; sponsor has announced a planned regulatory filing Investigational; not FDA approved Investigational; no UK marketing authorisation No NICE recommendation identified No routine NHS access 6
Exposure: Very high grey market interest Cagrilintide Long acting amylin analogue peptide SOURCE MAPPED · 5 links Late stage pipeline Phase 3 monotherapy programme Investigational as monotherapy; not FDA approved Investigational; no UK marketing authorisation No NICE recommendation identified No routine NHS access 5
Exposure: High research market interest Zenagamtide Unimolecular GLP-1 and amylin receptor agonist peptide SOURCE MAPPED · 5 links Late stage pipeline Phase 3 obesity programme initiated in 2026 Investigational; not FDA approved Investigational; no UK marketing authorisation No NICE recommendation identified No routine NHS access 4
Exposure: Emerging Pemvidutide GLP-1 and glucagon dual receptor agonist peptide SOURCE MAPPED · 5 links Late stage pipeline Global Phase 3 MASH development Investigational; FDA Breakthrough Therapy designation does not equal approval Investigational; no UK marketing authorisation No NICE recommendation identified No routine NHS access 4
Exposure: Emerging Survodutide GLP-1 and glucagon dual receptor agonist peptide SOURCE MAPPED · 5 links Late stage pipeline Global Phase 3 obesity and MASH programmes Investigational; not FDA approved Investigational; no UK marketing authorisation No NICE recommendation identified No routine NHS access 4
Exposure: Emerging BPC 157 Synthetic pentadecapeptide SOURCE MAPPED · 4 links FDA 2026 compounding review FDA PCAC reviewed a 503A bulk substance nomination in July 2026 Not FDA approved; advisory review is not drug approval No UK marketing authorisation identified No NICE recommendation identified No routine NHS access 1
Exposure: Very high research market KPV Alpha MSH derived tripeptide SOURCE MAPPED · 4 links FDA 2026 compounding review FDA PCAC reviewed a 503A bulk substance nomination in July 2026 Not FDA approved; advisory review is not drug approval No UK marketing authorisation identified No NICE recommendation identified No routine NHS access 1
Exposure: Growing research market TB 500 Thymosin beta-4-related peptide SOURCE MAPPED · 4 links FDA 2026 compounding review FDA PCAC reviewed a 503A bulk substance nomination in July 2026 Not FDA approved; advisory review is not drug approval No UK marketing authorisation identified No NICE recommendation identified No routine NHS access 1
Exposure: Very high research market MOTS-c Mitochondrial derived peptide SOURCE MAPPED · 4 links FDA 2026 compounding review FDA PCAC reviewed 503A bulk substance nominations in July 2026 Not FDA approved; advisory review is not drug approval No UK marketing authorisation identified No NICE recommendation identified No routine NHS access 1
Exposure: High research market Emideltide / DSIP Delta sleep inducing peptide SOURCE MAPPED · 4 links FDA 2026 compounding review FDA PCAC reviewed a 503A bulk substance nomination in July 2026 Not FDA approved; advisory review is not drug approval No UK marketing authorisation identified No NICE recommendation identified No routine NHS access 1
Exposure: Moderate research market Semax ACTH fragment analogue peptide SOURCE MAPPED · 4 links FDA 2026 compounding review FDA PCAC reviewed a 503A bulk substance nomination in July 2026 Not FDA approved; advisory review is not drug approval No UK marketing authorisation identified No NICE recommendation identified No routine NHS access 1
Exposure: High nootropic market Epitalon Tetrapeptide SOURCE MAPPED · 4 links FDA 2026 compounding review FDA PCAC reviewed a 503A bulk substance nomination in July 2026 Not FDA approved; advisory review is not drug approval No UK marketing authorisation identified No NICE recommendation identified No routine NHS access 1
Exposure: High longevity market LL-37 Human cathelicidin antimicrobial peptide SOURCE MAPPED · 4 links FDA 2027 compounding review Listed for forthcoming FDA PCAC consideration Not FDA approved for marketed wellness uses; committee consideration is not approval No UK marketing authorisation identified No NICE recommendation identified No routine NHS access 1
Exposure: Emerging GHK-Cu Copper binding tripeptide complex SOURCE MAPPED · 4 links FDA 2027 compounding review Listed for forthcoming FDA PCAC consideration Not FDA approved as an injectable wellness medicine; committee consideration is not approval No UK injectable marketing authorisation identified for wellness use No NICE recommendation identified for injectable wellness use No routine NHS access for this use 1
Exposure: Very high Dihexa acetate Experimental peptide derived compound SOURCE MAPPED · 4 links FDA 2027 compounding review Listed for forthcoming FDA PCAC consideration Not FDA approved; committee consideration is not approval No UK marketing authorisation identified No NICE recommendation identified No routine NHS access 0
Exposure: Emerging nootropic market Melanotan II Melanocortin analogue peptide SOURCE MAPPED · 4 links FDA 2027 compounding review Listed for forthcoming FDA PCAC consideration Not FDA approved; committee consideration is not approval No UK marketing authorisation identified No NICE recommendation identified No routine NHS access 0
Exposure: Very high grey market PEG-MGF Pegylated mechano-growth factor related peptide SOURCE MAPPED · 4 links FDA 2027 compounding review Listed for forthcoming FDA PCAC consideration Not FDA approved; committee consideration is not approval No UK marketing authorisation identified No NICE recommendation identified No routine NHS access 0
Exposure: Bodybuilding research market