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Dihexa

Evidence: D

Cognitive / Neuro

2 min readLast reviewed July 30, 2026

Key facts

  • Research areaCognitive / Neuro
  • Study records15
  • Last updated2026-07-30

Evidence Snapshot

Evidence: DMostly Preclinical Evidence
2026-07-30Last updated

What this grade covers

A for chemical identity; B for selected cell and animal mechanism/cognition findings; E for human exposure, safety, efficacy, dementia treatment, neuroregeneration, cognitive enhancement, approval, or dosing.

Regulatory Context

Experimental research compound; no FDA-approved Dihexa product or verified direct human clinical trial was identified. Do not equate Dihexa with later related development compounds or prodrugs.

In Plain English

A quick, research-focused overview. It does not replace, and cannot outrank, the detailed evidence below.

What is it?

Dihexa is a metabolically stabilized angiotensin-IV-derived peptidomimetic studied for HGF/c-Met potentiation and synaptogenic effects. Evidence remains preclinical.

Why are researchers interested in it?

Dihexa binds hepatocyte growth factor and potentiates HGF-dependent c-Met signaling in experimental systems. Rodent studies report synaptogenic and cognitive effects in impairment models.

What does the evidence look like?

Evidence grade D. Human, preclinical, regulatory, and review evidence must remain separated.

Biggest things to know

No direct human pharmacokinetic, safety, or efficacy data were verified.

Research Takeaway

Dihexa is a metabolically stabilized angiotensin-IV-derived peptidomimetic developed as a procognitive/synaptogenic research compound and is distinct from angiotensin IV, Nle1-AngIV, HGF itself, fosgonimeton, and unrelated nootropic peptides.

Evidence boundary: Results for parent AngIV compounds or other HGF/c-Met modulators do not automatically transfer to Dihexa.

See all 6 evidence claims →

Quick Summary

Cognitive / Neuro

Dihexa is a metabolically stabilized angiotensin-IV-derived peptidomimetic studied for HGF/c-Met potentiation and synaptogenic effects. Evidence remains preclinical.

Mechanism & Research Overview

Dihexa binds hepatocyte growth factor and potentiates HGF-dependent c-Met signaling in experimental systems. Rodent studies report synaptogenic and cognitive effects in impairment models.

Mechanism pathway

Relationship-support labels describe the type and directness of the research available, not proof of safety or effectiveness. Indirectly supported, inferred and uncertain relationships are not equivalent to directly supported ones.

  1. CompoundDihexa
  2. Directly supported (Directly supported relationship)
    Biological targetHGFExtracellular Protein
  3. Supported indirectly (Indirectly supported relationship)
    Signal / mechanism stepc-Met receptor activationHGF-dependent c-Met signaling potentiation.
  4. Leads to
    PathwayOther Defined PathwayPF14 is used because the frozen HGF/c-Met potentiation mechanism is a defined growth-factor-related mechanism that does not fit any more specific governed Stage 28 pathway family.

Relationship support in this pathway

  • Directly supported
  • Supported indirectly

Thin grey links (“Leads to”, “Contributes to”) show structure only and carry no support rating.

Relationship details

  1. Dihexa → HGF — Directly supportedDihexa binds hepatocyte growth factor, potentiating HGF-dependent signaling in experimental systems.
  2. c-Met receptor activation — Supported indirectlySources: b06-dihexa-01-the-procognitive-and-synaptogenic-effects-of-angiotensin-iv

Relevant tissue/system context: CNS (synaptic)

Open in the Mechanism & Pathway Explorer→

Evidence Claims

Individual scientific statements drawn from the sources cited below, each shown with the specific evidence boundary that statement does not establish.

identity

Supported

Dihexa is a metabolically stabilized angiotensin-IV-derived peptidomimetic developed as a procognitive/synaptogenic research compound and is distinct from angiotensin IV, Nle1-AngIV, HGF itself, fosgonimeton, and unrelated nootropic peptides.

Does not establish

Evidence boundary: Results for parent AngIV compounds or other HGF/c-Met modulators do not automatically transfer to Dihexa.

Sources: Evaluation of Metabolically Stabilized Angiotensin IV Analogs as Procognitive/Antidementia Agents

Mechanism

Supported

Preclinical work indicates that Dihexa's synaptogenic/procognitive activity depends on the hepatocyte-growth-factor/c-Met signaling system.

Does not establish

Evidence boundary: Demonstrating pathway dependence in experimental models does not establish human cognitive efficacy.

Sources: The Procognitive and Synaptogenic Effects of Angiotensin IV-Derived Peptides Are Dependent on Activation of the Hepatocyte Growth Factor/c-Met System

preclinical_evidence

Supported

Dihexa increased dendritic-spine/synaptic measures and improved performance in animal models of cognitive impairment in the published preclinical program.

Does not establish

Evidence boundary: Animal cognitive-model results cannot be presented as evidence that Dihexa treats Alzheimer's disease, Parkinson's disease, traumatic brain injury, or normal human cognition.

Sources: Evaluation of Metabolically Stabilized Angiotensin IV Analogs as Procognitive/Antidementia Agents; The Procognitive and Synaptogenic Effects of Angiotensin IV-Derived Peptides Are Dependent on Activation of the Hepatocyte Growth Factor/c-Met System

Evidence Boundary

Supported

The verified source set for Dihexa is preclinical; this package does not identify controlled human trials establishing efficacy, dose-response, long-term safety, or clinical benefit.

Does not establish

Evidence boundary: Human use claims from vendors, clinics, forums, or anecdotal reports are excluded from evidence grading.

Sources: Evaluation of Metabolically Stabilized Angiotensin IV Analogs as Procognitive/Antidementia Agents; The Procognitive and Synaptogenic Effects of Angiotensin IV-Derived Peptides Are Dependent on Activation of the Hepatocyte Growth Factor/c-Met System; Hepatocyte growth factor mimetic protects lateral line hair cells from aminoglycoside exposure

Safety

Supported

Because Dihexa engages an HGF/c-Met-linked signaling mechanism associated with cell growth and survival biology, proliferative or oncogenic risk is a reasonable theoretical safety question, but direct clinical carcinogenic risk from Dihexa has not been established.

Does not establish

Evidence boundary: This is a mechanistic risk hypothesis, not evidence that Dihexa causes cancer in humans.

Sources: The Procognitive and Synaptogenic Effects of Angiotensin IV-Derived Peptides Are Dependent on Activation of the Hepatocyte Growth Factor/c-Met System

Regulatory Status

Supported

Dihexa should remain presented as an experimental preclinical compound rather than an established neurocognitive therapy. FDA states that it has not identified human exposure data for dihexa acetate and lacks important information needed to determine whether administration could cause harm in humans.

Does not establish

Evidence boundary: This FDA statement concerns dihexa acetate and current compounding-safety review; it does not establish that Dihexa is clinically harmful, but it reinforces that human safety and efficacy are not established.

Sources: Evaluation of Metabolically Stabilized Angiotensin IV Analogs as Procognitive/Antidementia Agents; The Procognitive and Synaptogenic Effects of Angiotensin IV-Derived Peptides Are Dependent on Activation of the Hepatocyte Growth Factor/c-Met System; FDA Significant Safety Risks for Certain Compounded Bulk Substances

Safety & Evidence Limitations

Considerations reported in the sources cited on this page — not a complete list of every possible risk, and not medical advice.

  • Higher-Priority Safety Consideration

    c-Met is a receptor tyrosine kinase involved in cell growth, survival, motility, angiogenesis, development, invasion, and oncogenic signaling. Potentiating HGF/c-Met could have context-dependent proliferative or tumor-related effects; off-target or maladaptive synaptogenesis, altered excitatory signaling, seizure risk, behavioral change, or neuropsychiatric effects are additional concerns. Preclinical potency does not establish a therapeutic window.
  • Safety Consideration

    No direct human pharmacokinetic, safety, or efficacy data were verified.
  • Safety Consideration

    Long-term systemic c-Met potentiation raises theoretical tumor-growth and metastasis concerns; this has not been adequately tested for Dihexa.
  • Safety Consideration

    Dihexa must not be conflated with fosgonimeton/ATH-1017 or other related HGF-modulating compounds.
  • Safety Consideration

    Unknown angiogenic, hepatic, renal, cardiovascular, reproductive, and developmental effects; unknown interaction with cancers or premalignant lesions or with HGF/c-Met inhibitors or cancer therapy; uncertain human metabolism, distribution, accumulation, and blood-brain-barrier exposure; parent-versus-acetate identity differences; chemical impurities, stereochemical errors, degradation, mislabeled strength, sterility, and endotoxin risk; and unknown pregnancy, pediatric, and long-term safety.

Research Areas Being Studied

Research areas discussed on this page reflect the Cognitive / Neuro category and the sources cited below.

Findings Reported in Studies

Educational summary only — reported in cited studies, not a claim of proven benefit.

No Human Study Findings Listed Yet

See preclinical, regulatory, and review sources below.

Study Tables by Evidence Type

15 study records

Human Studies & Clinical Data

No Human Studies & Clinical Data Listed Yet

This section will be updated as sources are added.

Animal / Cell / Preclinical Data(9)

Effects of an Angiotensin IV Analog on 3-Nitropropionic Acid-Induced Huntington Disease-Like Deficits in Rats

2024

PMID 38489193

Population / Model
3-nitropropionic-acid rat model
Dose / Duration / Finding

An AngIV analog identified as Dihexa improved selected motor and cognitive measures in a toxin-induced rat model.

Safety note

The model is not Huntington disease in humans, and the study does not provide clinical safety data.

AngIV-Analog Dihexa Rescues Cognitive Impairment and Recovers Memory in the 5XFAD Mouse Model of Alzheimer Disease

2021
Population / Model
5XFAD transgenic mice
Dose / Duration / Finding

Dihexa improved selected behavioral and neuropathologic measures in a transgenic mouse Alzheimer model.

Safety note

Transgenic mouse results do not establish human efficacy and do not resolve long-term c-Met-related safety.

Hepatocyte growth factor mimetic protects lateral line hair cells from aminoglycoside exposure

2015
Population / Model
Zebrafish lateral-line hair-cell model
Dose / Duration / Finding

Dihexa reduced aminoglycoside-associated hair-cell loss in a zebrafish lateral-line model through HGF/c-Met-related signaling.

Safety note

A zebrafish sensory-cell model does not establish hearing protection or safety in humans.

The Procognitive and Synaptogenic Effects of Angiotensin IV-Derived Peptides Are Dependent on Activation of the Hepatocyte Growth Factor/c-Met System

2014
Population / Model
Cell assays and rodent cognition models
Dose / Duration / Finding

Dihexa bound HGF and potentiated HGF-dependent c-Met signaling; synaptogenic and procognitive effects in experimental systems depended on this pathway.

Safety note

c-Met signaling is pleiotropic; pathway activation raises theoretical safety questions that were not resolved by this study.

Evaluation of Metabolically Stabilized Angiotensin IV Analogs as Procognitive/Antidementia Agents

2013
Population / Model
Rodent models of cognitive impairment and neuronal cultures
Dose / Duration / Finding

Metabolically stabilized AngIV analogs, including Dihexa, improved performance in rodent models of cognitive impairment and increased synaptic connectivity markers.

Safety note

Preclinical studies did not establish human exposure, long-term toxicity, or cancer-related safety.

Dihexa and Aminoglycoside Hair-Cell Injury in Zebrafish

PMID 25674052

Population / Model
Dose / Duration / Finding

Dihexa has been studied in zebrafish hair-cell injury and other laboratory systems. Protective effects were model-, toxin-, dose-, and pathway-specific and were not universal; preclinical c-Met activation must not be generalized into brain repair, hearing restoration, motor-neuron repair, or tissue regeneration.

Show full finding

Dihexa HGF/c-Met-Dependent Synaptogenesis and Cognition

PMID 25187433

Population / Model
Dose / Duration / Finding

In neuronal systems, Dihexa was associated with dendritic spine formation, synaptogenesis, and increased miniature excitatory postsynaptic current frequency, with effects blocked by HGF antagonism or c-Met suppression. These findings support an experimental HGF/c-Met-dependent mechanism and do not establish safe or beneficial human neurogenesis.

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Dihexa in APP/PS1 Alzheimer-Model Mice

PMID 34827486

Population / Model
Dose / Duration / Finding

Orally administered Dihexa improved performance in the APP/PS1 Alzheimer-model mouse, a model-specific finding that does not establish treatment of Alzheimer disease, mild cognitive impairment, traumatic brain injury, Parkinson disease, or healthy aging.

Metabolically Stabilized Angiotensin IV Analogues Including Dihexa

PMID 23055539

Population / Model
Dose / Duration / Finding

Dihexa is a metabolically stabilized Angiotensin-IV-derived analogue distinct from native Angiotensin IV and Nle1-Angiotensin IV. Laboratory studies report that Dihexa binds HGF and potentiates HGF-dependent c-Met activation.

Regulatory Documents & Official Trial Registries(6)

ClinicalTrials.gov Search Portal

Population / Model
Dose / Duration / Finding

General trial-registry search portal used as part of this review's regulatory/trial-landscape check.

FDA Drug Approvals and Databases

Population / Model
Dose / Duration / Finding

No FDA-approved Orexin A or Orexin B peptide drug or indication was identified in the reviewed FDA drug databases.

FDA GSRS/UNII Dihexa Record

Population / Model
Dose / Duration / Finding

An FDA GSRS/UNII identity record is a substance-identification record, not drug approval.

FDA PCAC Page Listing Planned Dihexa Acetate Review

Population / Model
Dose / Duration / Finding

FDA announced that Dihexa acetate is among substances intended for discussion by the Pharmacy Compounding Advisory Committee for possible 503A-list inclusion. Advisory review or nomination is not FDA approval, and no final favorable FDA determination was identified as of the research cutoff.

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FDA Significant Safety Risks for Certain Compounded Bulk Substances

Population / Model
Dose / Duration / Finding

FDA states that it has not identified human exposure data for drug products containing Dihexa acetate administered by any route and lacks important information needed to determine whether it would harm humans.

PubChem Dihexa Record

Population / Model
Dose / Duration / Finding

Dihexa, also called PNB-0408, is the metabolically stabilized Angiotensin-IV-derived analogue N-hexanoic-Tyr-Ile-(6-aminohexanoic amide) -- a small peptidomimetic/oligopeptide-derived molecule rather than a native endogenous peptide, distinct from Angiotensin IV, HGF, c-Met, HGF/c-Met agonist antibodies, fosgonimeton, and other unrelated compounds.

Show full finding

Anecdotal Reported Patterns — Not Medical Advice

Anecdotal Reported Patterns — Not Medical Advice

Reported dosing patterns are included for educational context only. They are self-reported, unverified, not medical advice, and not instructions for human use. Community-submitted patterns are not yet available in this Phase 1 prototype; this section is a placeholder reserved for moderated, aggregated community data.

Lab Markers to Discuss With a Clinician

Educational topics only — not self-monitoring instructions.

complete blood countliver and kidney functionblood pressure and neurologic assessment

FAQ

Dihexa is an angiotensin-IV-derived peptidomimetic investigated in laboratory and animal models.

Disclaimer

Educational information only. This page summarizes published and official research and does not provide medical advice, a recommendation, or instructions for human use.

Educational use only. This content is provided for informational and research-summary purposes only. It is not medical advice, not a treatment recommendation, not a dosing guide, and not a substitute for care from a licensed medical professional. Nothing here is intended to diagnose, treat, cure, prevent, or mitigate disease. Reported dosing patterns, when shown elsewhere on the site, must be labeled either as Study / Trial Dosing or Anecdotal Reported Patterns — Not Medical Advice. Community reports are self-reported, unverified, and not scientific proof.

Community-reported experiences, once enabled, must be displayed only as moderated, anonymized, or aggregated data. They are anecdotal, self-reported, unverified, and should never be presented as proof of safety, efficacy, or expected results.

Content status: Published. Last updated 2026-07-30.

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