FDA Advisory Committee Votes to Recommend Six Peptides for 503A Compounding List
On July 23-24, 2026, the FDA convened its Pharmacy Compounding Advisory Committee for the first in a planned series of meetings evaluating peptides for the 503A bulk drug substances list. The committee voted to recommend six of seven peptides - BPC-157, KPV, TB-500, MOTS-c, Semax, and Epitalon - for compounding eligibility.
The votes were notable for overriding the agency’s own scientists, who presented unanimously against all seven nominations, citing limited and underpowered studies. The committee declined only emideltide (DSIP).
Context matters: in September 2023, the FDA had placed BPC-157, TB-500, and 17 other peptides in “Category 2,” flagging safety concerns. In April 2026, following public statements from HHS Secretary Robert F. Kennedy Jr., the agency removed 12 peptides from the Category 2 list - a procedural step, not an approval.
Researchers should note what the vote was not: it was not an FDA approval, it does not change the 503A list today, and final action requires HHS sign-off plus formal rulemaking. The committee advises; the agency decides.