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ACE-031: Reference Overview and Reconstitution Notes

Machine-readable facts for this Lab article. The full page is https://www.preppinpeppers.com/blogs/the-lab/ace-031.

TL;DR

ACE-031 (ramatercept) is an experimental protein being studied for its effects on muscle mass. It is for research only and has not been approved by the FDA.

Facts Index

Fact IDCategoryEntityAttributeValueSource
ace-031:titleidentityACE-031: Reference Overview and Reconstitution NotestitleACE-031: Reference Overview and Reconstitution NotesLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:publishedidentityACE-031: Reference Overview and Reconstitution Notespublished2026-08-15Lab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:authoridentityACE-031: Reference Overview and Reconstitution NotesauthorPreppin' Peppers Editorial TeamLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:topicsidentityACE-031: Reference Overview and Reconstitution NotestopicsInvestigational, researchLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:summarycontentACE-031: Reference Overview and Reconstitution NotessummaryACE-031 (ramatercept) is an experimental protein being studied for its effects on muscle mass. It is for research only and has not been approved by the FDA.Lab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:section-1contentACE-031: Reference Overview and Reconstitution NotessectionWhat it isLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:section-2contentACE-031: Reference Overview and Reconstitution NotessectionACE-031Lab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:section-3contentACE-031: Reference Overview and Reconstitution NotessectionWhat it isLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:section-4contentACE-031: Reference Overview and Reconstitution NotessectionResearch context and categorizationLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:section-5contentACE-031: Reference Overview and Reconstitution NotessectionStatusLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:section-6contentACE-031: Reference Overview and Reconstitution NotessectionReconstitution notes (general)Lab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:section-7contentACE-031: Reference Overview and Reconstitution NotessectionDilution and handling notes (compound-specific)Lab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:section-8contentACE-031: Reference Overview and Reconstitution NotessectionHandling and storageLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:section-9contentACE-031: Reference Overview and Reconstitution NotessectionRelated readingLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:section-10contentACE-031: Reference Overview and Reconstitution NotessectionTools and suppliesLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:section-12contentACE-031: Reference Overview and Reconstitution NotessectionWhat the research community gets wrong about ACE-031 (ramatercept)Lab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:product-gansulin-metal-peptide-penproductsACE-031: Reference Overview and Reconstitution Notesreferences productGansulin Pen · Reusable Click-Dial, 3 ml (1-60 Units)Lab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:product-gansulin-3ml-cartridgeproductsACE-031: Reference Overview and Reconstitution Notesreferences productGansulin-Compatible 3 ml Glass Cartridge for Pens (10-Pack)Lab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:source-pubmed-ncbi-nlm-nih-govsourceACE-031: Reference Overview and Reconstitution NotescitesCampbell et al., Muscle Nerve 2017: Myostatin inhibitor ACE-031 treatment of ambulatory boys with Duchenne muscular dystrophy: Results of a randomized, placebo-controlled clinical trial - pubmed.ncbi.nlm.nih.govLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:source-pubmed-ncbi-nlm-nih-gov-2sourceACE-031: Reference Overview and Reconstitution NotescitesAttie et al., Muscle Nerve 2013: A single ascending-dose study of muscle regulator ACE-031 in healthy volunteers - pubmed.ncbi.nlm.nih.govLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:source-pmc-ncbi-nlm-nih-govsourceACE-031: Reference Overview and Reconstitution NotescitesCadena et al., PLoS One 2026: ACE-031, a soluble activin type IIB receptor, increases muscle mass and strength in the common marmoset (Callithrix jacchus) - pmc.ncbi.nlm.nih.govLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:source-pmc-ncbi-nlm-nih-gov-2sourceACE-031: Reference Overview and Reconstitution NotescitesReichel et al., Drug Test Anal 2025: Gel Electrophoretic Detection of Black Market ACE-031 - pmc.ncbi.nlm.nih.govLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:source-www-uniprot-orgsourceACE-031: Reference Overview and Reconstitution NotescitesUniProtKB/Swiss-Prot Q13705: Activin receptor type-2B (ACVR2B, Homo sapiens), UniProt release 2026-03 - www.uniprot.orgLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)
ace-031:source-clinicaltrials-govsourceACE-031: Reference Overview and Reconstitution NotescitesClinicalTrials.gov NCT00952887 (Phase 1, completed, first posted 2009-08-06): A Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Study of ACE-031 in Healthy Postmenopausal Women - clinicaltrials.govLab article (https://www.preppinpeppers.com/blogs/the-lab/ace-031) (evidence)

FAQ

What is ACE-031 (ramatercept) and how does it work mechanistically?
ACE-031 is a soluble ActRIIB-IgG1 fusion protein that acts as a ligand trap, sequestering myostatin and other TGF-beta superfamily ligands before they bind cell-surface receptors, thereby modulating muscle-growth signaling pathways.
Why was ACE-031 clinical development discontinued?
Trials were halted after participants experienced vascular side effects—nosebleeds, telangiectasias, and gum bleeding—attributed to off-target inhibition of BMP9, a protein required for blood vessel homeostasis.
What is ACE-031's regulatory and WADA doping status?
ACE-031 has no FDA approval or marketing authorization. It is prohibited at all times under WADA Prohibited List section S4.3, which covers myostatin inhibitors and activin receptor type II inhibitors.