U.S. regulatory status

LL-37 (cathelicidin)

Also known as Cathelicidin LL-37, Ropocamptide

In limboRemoved from Category 2 Apr 22, 2026, not on the 503A list; PCAC review expected before end of Feb 2027

Is LL-37 (cathelicidin) legal right now?

LL-37 (listed by FDA as cathelicidin LL-37; INN ropocamptide) is a peptide of the cathelicidin family.

It is not FDA-approved and not on the 503A bulks list, so a U.S. pharmacy cannot lawfully compound it. FDA placed it in 503A Category 2 (significant safety risks) on September 29, 2023, and removed it on April 22, 2026 because the nominator withdrew its nomination.

Removal from Category 2 does not authorize compounding: only Category 1 substances get FDA’s interim enforcement discretion, and LL-37 is now in no category. FDA’s Category 2 page still lists it among withdrawn nominations with its stated safety concerns.

LL-37 is one of five substances - with GHK-Cu, dihexa acetate, Melanotan II and PEG-MGF - on the agenda of a Pharmacy Compounding Advisory Committee meeting that FDA says it will host before the end of February 2027; no date or Federal Register notice has been published. The committee’s vote would be advisory.

LL-37 could become compoundable only if FDA then added it to the 503A bulks list by rulemaking.

In limbo: Moved on paper - nominated, removed from a restricted list, or recommended by an FDA committee - but not added to the 503A list. The headline implies a change; the legal status has not moved.

Verified Oct 15, 2026 (ET) · status held since Apr 22, 2026

Where it sits in the process

  1. Nominated (passed)
  2. Under review (stalled here - not advancing)
  3. Rulemaking (not reached)
  4. Compounding-legal (not reached)

Not on a path to the 503A list right now. The process stalled or reversed at this stage - read the status above. Sitting at an earlier step is not a sign it will advance.

Next scheduled dateSecond PCAC meeting on peptides, incl. LL-37 - expected before end of Feb 2027, no date published - Feb 28, 2027 (in 136 days)

What changed last

No recorded changes yet - this entry has held one status since it was added.

Status elsewhere

LL-37 (cathelicidin): regulatory status by jurisdiction
JurisdictionStatusNote
United States (FDA)In limboRemoved from 503A Category 2 on Apr 22, 2026 after the nomination was withdrawn; not on the 503A list; PCAC review expected before end of Feb 2027.
Australia (TGA)UnscheduledNot individually named in the Poisons Standard (October 2026) and no product on the ARTG; supply for human use is unlawful without ARTG registration, and the TGA is enforcing against unapproved peptides.
United Kingdom (MHRA)RestrictedNo UK marketing authorisation (not in the MHRA products substance index); supply as a medicine would be unlicensed.
European Union (EMA)RestrictedNo EU marketing authorisation or orphan designation (absent from the Union Register); sale as a medicine is unlawful EU-wide, with enforcement at member-state level.
Canada (Health Canada)RestrictedNot in the Drug Product Database; a Health Canada advisory (Aug 1, 2025) lists seized LL-37 among unauthorized injectable peptide drugs, which it regulates as prescription drugs.
Sport / anti-doping (WADA)RestrictedNot individually named, but prohibited at all times under the S0 catch-all for non-approved substances (2027 List).

The U.S. status is watched by automation every six hours. Statuses elsewhere change less often and are covered by a monthly wide-net sweep, then re-verified whenever a lead surfaces - this entry’s last-verified date covers every row above. How we track it

FDA warning letters

2 FDA warning letters mention LL-37 (cathelicidin), from Feb 2, 2021 to Nov 10, 2021.

A warning letter is the FDA telling one company it believes the company broke federal law. It does not change the status above. All warning letters, by compound

Sources & transparency

Sources for this entry

Last verified by a human
Oct 15, 2026 (ET) · how we verify
Who runs this
Peptlas Research Team - independent. About us.
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