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Tissue repair

B7-33

A synthetic single-chain peptide derived from the relaxin-2 B-chain that signals at RXFP1; evidence is cell and animal work only.

L1Theory onlyNot approved for this usePreclinicalPeptide analogue
How settled this rating is:
low confidence in the current evidence rating
Routes studied:
Not established · Subcutaneous injection (marketed but never approved)
Also known as:
B7-33 relaxin mimetic, single-chain relaxin B-chain analogue
Last reviewed:
2026-09-26
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Evidence passport

B7-33

A one-screen evidence identity for this compound. These fields describe research maturity, confidence and legal status. They are not a safety guarantee, efficacy percentage or recommendation.

Reviewed 2026-09-26
Evidence level
L1Theory only
Confidence
Low confidence in rating
Regulatory status
Not approved for this use
Development status
Preclinical

Evidence strength

Human efficacy evidence2 of 100 evidence strength

Higher = more and better-quality human evidence. It does not mean the effect is bigger or that the compound works for you.

Human safety evidence4 of 100 evidence strength

Higher = more mature, better-documented human safety data. It does not mean the compound is safer than one with a lower number.

The 0-100 values rate the strength and maturity of evidence, not how effective or safe the compound is.

Evidence base
Mostly animal and laboratory research
Furthest established stage
Not established
Human research maturity
Preclinical (cell and rodent studies)
Source curation
Sources fully curated

Routes recorded

SC injection· unapproved

Most of this evidence comes from animals and cells

The supporting research for B7-33 is predominantly preclinical (Level 1–2). That is a legitimate starting point for science and a poor basis for personal decisions. Human results are not simply a scaled-up version of mouse results.

Overview

Human efficacy evidence strength2 of 100 evidence strength

Higher = more and better-quality human evidence. It does not mean the effect is bigger or that the compound works for you.

Preclinical (animal / lab) evidence strength30 of 100 evidence strength

Higher = more animal, tissue or cell research. Preclinical results are a starting point, not proof of a human benefit.

Human safety evidence strength4 of 100 evidence strength

Higher = more mature, better-documented human safety data. It does not mean the compound is safer than one with a lower number.

How to read these scores

Every number here rates the evidence, not the compound. They are editorial 0-100 strength ratings, not percentages, and not a rating out of five stars.

  • Human efficacy evidence strength — Higher = more and better-quality human evidence. It does not mean the effect is bigger or that the compound works for you.
  • Preclinical evidence strength — Higher = more animal, tissue or cell research. Preclinical results are a starting point, not proof of a human benefit.
  • Human safety evidence strength — Higher = more mature, better-documented human safety data. It does not mean the compound is safer than one with a lower number. A score of 80 does not mean “80% safe”.
  • Evidence level (L0-L5) — the strongest type of study behind the compound, from anecdote (L0) to large replicated human trials (L5). It is a description of the study evidence, not a quality, safety or recommendation rating.
  • Confidence — how likely we think it is that this rating changes as new research lands. Low confidence means the picture is unsettled, not that the compound is bad.

None of these ratings is medical advice, a safety guarantee, or a recommendation to use anything. How we grade evidence.

How far human research has progressed: Preclinical (cell and rodent studies)

Routes & formulations

Marketed / research routes — never approved

SC injection· unapproved

Published studies used laboratory and animal administration. No human route has been studied, so marketed routes carry no evidence.

Route availability is not evidence of efficacy, and evidence from one route does not transfer to another. The Registry never provides dosing or sourcing information.

Peptide lifecycle

  1. Discovery

  2. Preclinical

  3. Phase I

  4. Phase II

  5. Phase III

  6. Approved

PreclinicalFurthest stage not established in our curated record

What it is

A minimised, single-chain derivative of the human relaxin-2 B-chain designed by academic groups in Melbourne. It is reported to act as a functionally selective RXFP1 agonist, preferentially activating ERK1/2 rather than the full signalling profile of native relaxin. It is not serelaxin (recombinant relaxin-2), which reached late-stage human trials.

What people claim

  • Anti-fibrotic effects in heart, lung or kidney
  • Tissue repair and recovery

What the evidence actually says

Credible academic preclinical literature exists, including rodent models of lung and cardiac fibrosis and post-infarction remodelling. No human trial of B7-33 was identified. Serelaxin's human trial record must not be transferred to B7-33 — they are different molecules with different signalling.

Useful next reads based on this compound — not recommendations.

Human evidence

  • No human interventional study of B7-33 was identified in our curated record.
  • Human trials of serelaxin (a different, full-length relaxin molecule) are not evidence for B7-33.

Preclinical evidence

  • Original characterisation as a functionally selective RXFP1 agonist with anti-fibrotic activity in rodent models (Hossain et al., Chemical Science 2016).
  • Mouse myocardial-infarction model: reported attenuation of adverse cardiac remodelling (Devarakonda et al., JAHA 2020).
  • Experimental cardiomyopathy model: reported cardioprotective and anti-fibrotic effects compared with perindopril (PMID 36753958).
  • A lipidated derivative was developed because the parent peptide has limited serum stability (Int J Mol Sci 2023) — an open pharmacokinetic limitation.

Animal and cell findings are Level 1–2 evidence.

Mechanism and pathways

  • Binds RXFP1, the cognate receptor for relaxin-2, with biased (ERK1/2-preferring) signalling.
  • Anti-fibrotic effects are attributed to reduced myofibroblast activity and collagen deposition in animal tissue.

Safety and unknowns

  • No human safety data identified.
  • Animal studies are not designed to establish human safety.
  • Material sold online is unregulated: identity, purity, sterility and labelled quantity are separate questions from what the published molecule does.

Cancer relevance

This section covers questions raised by how the compound works in the body, plus anything regulators and trial teams keep an eye on. It is not a statement that this compound causes cancer — for most compounds here, no human data exist in either direction.

No established human signal

Not established. No human data; no specific signal identified in the curated record.

Regulatory status

Regulatory decisions apply to specific jurisdictions, products, formulations and indications. An approval elsewhere is not automatically an approval in your country.

Check the regulatory note and linked primary sources for jurisdiction-specific details.

Not an approved medicine in any major jurisdiction. Sale as a 'research chemical' is a legal and supply-chain statement, not evidence of benefit or harm.

Evidence grade

L1Theory onlyLow confidence in rating

Mechanistic rationale or early development without qualifying compound-specific outcome evidence. A registered trial is not a result.

What would change our rating?

  • A registered Phase 1 study with published human safety and pharmacokinetics.
  • Independent replication of anti-fibrotic outcomes in additional animal models.

References and sources

Source transparency

A provenance snapshot of this profile. Counts show what kinds of sources are cited, not how much scientific weight each source deserves.

Sources fully curated
Last editorial review
2026-09-26
Recently reviewed · 20 days ago
Linked curated sources
4
Sources still pending
0
External specialist reviews
0
None recorded for this profile
Peer-reviewed: 4

Review provenance

Registry editorial review: Colin Jackson-White, creator and editor, who is not a doctor or clinician. External specialist review is credited only when a named reviewer has completed a review of this exact profile.

Literature-discovery and AI tools may help locate or challenge candidate evidence, but they are not counted as evidence sources here. Registry judgements are tied to the underlying papers, trial records, regulator documents and official study records.

Source hierarchy: regulatory documents and trial registries first, peer-reviewed work next, sponsor material flagged as non-independent. We never use supplier or clinic marketing as evidence, and where a verified source has not yet been curated we say so rather than inventing one.

Evidence change history

These entries record changes to our assessment of the published evidence — not changes to the compound itself.

No recorded changes yet. Baseline position set on 2026-09-26.