ActRIIB-Fc fusion protein acts as decoy receptor, sequestering myostatin, activin A, GDF-11, and other TGF-β superfamily members that limit muscle growth. Removes the "brake" on muscle fiber hypertrophy. Greatest lean mass increases seen in any single compound in clinical research history.
Studies have administered: 1–3mg/kg monthly SC in phase 2 studies; dramatic lean mass gains at low doses
Phase 2 (Acceleron/Shire): 3mg/kg produced ~1.5kg lean mass in 28 days — extraordinary rate. Trial paused due to bleeding, telangiectasia, and gum bleeding (vascular effects of activin/TGF-β pathway modulation). Muscle efficacy unprecedented.
Vascular adverse events drove trial pause: epistaxis, gum bleeding, telangiectasia; likely due to activin/TGF-β pathway roles beyond muscle
These compounds have been examined together in research literature. Combination use is not endorsed or recommended — this information is provided for research context only.
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