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Tier C Tissue Repair

ACE-031

ACVR2B-Fc — Activin Receptor Type IIB Fusion Protein

Myostatin pathway inhibitor via decoy receptor — Phase II muscle mass gains halted due to vascular side effects.

Tier C — Early or Mixed: Limited human trials; effect size uncertain. How our tiers work →

Research facts

Half-life~14 days
RouteSubQ / IV
Typical dose1–3 mg/kg (Phase II dose)
FrequencyOnce every 2 weeks
SolventCommercial formulation
pHN/A
StabilityRefrigerated

Mechanism of action

ACE-031 is a fusion protein consisting of the extracellular domain of activin receptor type IIB (ACVR2B) linked to an IgG1 Fc region. It acts as a ligand trap — binding and sequestering multiple TGF-β family members including myostatin, activin A/B, GDF-11, and BMP-9. By preventing these ligands from binding their endogenous receptors, it removes the growth-inhibitory signals on skeletal muscle. Phase II trials in Duchenne muscular dystrophy demonstrated significant lean mass increases (muscle hypertrophy). However, the trial was halted due to unexpected vascular side effects: telangiectasias (dilated capillaries) and nosebleeds, attributed to inhibition of BMP-9 which maintains vascular integrity.

Documented effects (research-model)

  • Significant lean mass increase demonstrated in Phase II RCT
  • Myostatin pathway blockade via decoy receptor mechanism
  • Broader inhibitory profile than pure anti-myostatin antibodies
  • Research tool for understanding TGF-β family biology

Research protocols

ProtocolDoseFrequencyCycleVial
Historical Phase II 1–3 mg/kg every 2 weeks IV/SubQ Biweekly Trial halted — no current research protocol N/A — not available as research peptide

Research context only. Not medical advice. Consult a qualified healthcare professional before any protocol decision.

Synergies

No documented synergies in the current reference set.

Myths & misconceptions

Myth ACE-031 is available and safe to use for muscle growth.
Reality ACE-031 clinical trials were halted due to vascular side effects (telangiectasias, epistaxis). It is not commercially available as a research compound. Any product sold as "ACE-031" in research markets cannot be the genuine trial compound.

Evidence gaps

  • Whether vascular side effects are dose-dependent or mechanism-related.
  • More selective myostatin inhibitors (e.g. anti-myostatin antibodies) have been developed to avoid BMP-9 co-inhibition.

Safety notes

HALTED: Clinical trials were stopped due to vascular adverse events. Not recommended for research use. Educational profile only.

Biomarkers to monitor

Full Blood CountCreatine Kinase

Primary-source citations

  • PMID 24166931 — ACE-031 treatment of Duchenne muscular dystrophy: results of a randomised, double-blind, placebo-controlled trial (Muscle Nerve. 2013)

Frequently asked

What is ACE-031?

ACE-031 (ACVR2B-Fc — Activin Receptor Type IIB Fusion Protein) is a research compound classified in our library as Tier C — Limited human trials; effect size uncertain.. Myostatin pathway inhibitor via decoy receptor — Phase II muscle mass gains halted due to vascular side effects.

What is the evidence tier for ACE-031?

We classify ACE-031 as Tier C: Limited human trials; effect size uncertain. See our full peptide evidence tiers explainer for how we assign S/A/B/C/D.

What is the research dose of ACE-031?

For ACE-031, typical research dose is 1–3 mg/kg (Phase II dose), route is SubQ / IV, half-life is ~14 days. Protocols vary by research goal — see the protocols section on this page for standard and advanced dosing schedules. Research use only, not medical advice.

Is ACE-031 safe?

HALTED: Clinical trials were stopped due to vascular adverse events. Not recommended for research use. Research context only — no compound on this site is approved for human therapeutic use unless explicitly noted.

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