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Healing & Recovery
Phase 2

ACE-031

ACE-031

Also known as: ActRIIB-Fc, ACE031, ACVR2B-Fc

Overview

Key Facts

Primary Goal: Research and therapeutic applications of ACE-031

Acts as a soluble decoy receptor for myostatin, activin A/B, GDF-11, and BMP-9/10. Prevents ligand binding to membrane-bound ActRIIB, blocking Smad2/3 signaling.

Dosing Information

Half-Life

10-15 days (Fc fusion extends half-life)

Typical Dose

0.5–3 mg

Frequency

Once every 2 weeks (based on clinical trial dosing)

Cycle Length

8-12 weeks (limited to research context)

Administration Routes:
subcutaneousintravenous

Benefits

  • Significant increases in lean muscle mass observed in clinical trials
  • Reduction in fat mass independent of exercise
  • Broad inhibition of multiple negative regulators of muscle growth
  • Potential bone mineral density improvement
  • Dose-dependent muscle volume increases shown in healthy volunteers

Side Effects

Epistaxis (nosebleeds) and gum bleeding due to effects on vascular remodelingmild
Telangiectasias (dilated blood vessels) — led to trial discontinuationmild
Erythrocytosis (elevated red blood cell count)mild
Minor injection site reactionsmild
Potential suppression of reproductive hormonesmild

Mechanism of Action

1

Acts as a soluble decoy receptor for myostatin, activin A/B, GDF-11, and BMP-9/10

2

Prevents ligand binding to membrane-bound ActRIIB, blocking Smad2/3 signaling

3

Removes multiple parallel inhibitory pathways that limit muscle growth

4

Off-target BMP-9/10 inhibition affects vascular endothelial signaling (responsible for side effects)

Contraindications

Do not use this peptide if any of the following apply:

  • Any bleeding disorder or anticoagulant therapy
  • History of hereditary hemorrhagic telangiectasia (HHT)
  • Cardiovascular disease or vascular abnormalities
  • Pregnancy or breastfeeding
  • Active malignancy

Storage & Reconstitution

Unreconstituted (Powder)

Temperature2–8°C (36–46°F) or -20°C (-4°F) for long-term
DurationUp to 3 months

Reconstituted (Mixed)

Temperature2–8°C (36–46°F)
Duration2-4 weeks

Research Summary

Phase 2

A Phase II trial in boys with Duchenne muscular dystrophy (NCT01099761) showed dose-dependent increases in lean body mass and bone mineral density. However, the trial was discontinued due to epistaxis and telangiectasias attributed to off-target inhibition of BMP-9/10. Subsequent research by Acceleron led to more selective agents (luspatercept) that avoid the vascular side effects. ACE-031 remains a proof of concept for the ActRIIB pathway in muscle growth.

Frequently Asked Questions

Common questions about ACE-031

UK-Specific Information

Exclusive data points and guidance for UK residents using ACE-031

UK Lab Testing

UK Lab Testing

Recommended labs: Medichecks, Thriva (£89-£149 for peptide safety panel)

Why this matters: UK-specific lab testing guidance not available on US competitor sites

Commonly Stacked With

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