RAD-140

RAD-140, sold as testolone, is a non-steroidal selective androgen receptor modulator first described in 2011.

Human trialsNon-peptide compound reference

Also known as: Testolone, RAD140, RAD-140, Vosilasarm, EP-0062, UNII 4O87Q44KNC, CHEMBL1672635

(how we review)

Dosing & scaling, explained

Amounts reported for RAD-140 are listed under Reported protocols, each with its source and study kind. No amount ladder is inferred from them. This is educational source context, not a protocol or recommendation.

No source-supported amount ladder is shown

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No independently verified schedule

Clinical context

Human study rows are described per source under Reported protocols; they belong to their trial populations and are not a general amount.

Storage, handling and interpretation

Product identity

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Storage & handling

Follow the product label, certificate and validated laboratory SOP; no universal storage assumption is applied here.

Prepared solutions

Label concentration and preparation date, use sterile technique where applicable, and follow a validated stability protocol.

Reported protocols for RAD-140

What published studies and recent community write-ups report about amounts, timing and course length. 4 clinical and 1 community-reported rows, each linked to its source. These are descriptions of what others report, not instructions, and nothing here is medical advice.

ContextDoseFrequencyRouteCourseSource
Clinical4 rows
First-in-human phase 1, metastatic breast cancer22 heavily pretreated postmenopausal women with ER-positive, HER2-negative metastatic breast cancer, 21 of them androgen-receptor positive50 mg (n=6), 100 mg (n=13) or 150 mg (n=3)Once dailyOralContinuous dosing in a 3+3 dose-escalation design with a pharmacokinetic expansion cohortDose interruption and reduction as required for toxicityClinical Breast Cancer2022
The maximum tolerated dose was 100 mg a day and the half-life of 44.7 hours supported once-daily dosing. Raised AST occurred in 59.1% of patients, raised ALT in 45.5% and raised bilirubin in 27.3%, with grade 3 or 4 events in 16 of 22 patients. Sex hormone binding globulin fell in all 18 patients measured and prostate-specific antigen rose in 16 of 20, confirming the drug engaged the androgen receptor. Clinical benefit at 24 weeks was 18.2% and median progression-free survival 2.3 months. These are doses chosen for women with advanced cancer, where a high rate of liver toxicity is an acceptable trade.
Reformulated programme as vosilasarm, phase 1/2 dose optimisation20 postmenopausal women with advanced androgen-receptor-positive, ER-positive, HER2-negative breast cancer, all previously treated with a CDK4/6 inhibitor10 mg once daily (n=5), 10 mg twice daily (n=10), 15 mg twice daily (n=3) or 20 mg once daily (n=2)Once or twice daily by cohortOralOngoing study; 10 mg twice daily was selected as the optimal dose for phase 2Three patients needed a dose interruption, two then a reduction and one withdrewEllipses Pharma2025
The molecule was reformulated for markedly better bioavailability, which is why these milligram numbers are roughly a tenth of the original programme's and are not comparable with them. Raised ALT occurred in 50% of patients and raised AST in 40%, mostly low grade, transient and in the first cycle, with grade 3 or higher ALT rises in 4 patients. No dose-limiting toxicities or treatment-related serious adverse events were reported. Best response was stable disease in 11 of 19 evaluable patients. This is a conference poster rather than a peer-reviewed paper.
Published liver injury in a consumer userA 24-year-old man who took a product sold as this compound for muscle growthSelf-administered for 5 weeks; the product amount was not verifiedNot statedOral5 weeks of use, with bilirubin peaking about 6 weeks after he stoppedNot applicableJournal of Investigative Medicine High Impact Case Reports (PubMed)2022
He presented with two weeks of abdominal pain, itching and jaundice, and peak total bilirubin reached 38.5 mg/dL. A liver biopsy showed intracytoplasmic and canalicular cholestasis with minimal portal inflammation, and the case scored probable on the Drug-Induced Liver Injury Network scale with a severity of 3. Symptoms and liver injury resolved after he stopped the product. The authors note that jaundice was the presenting symptom in the previously published cases too.
Reported adverse events outside trialsPublished case reports and adverse event database entries from recreational usersSelf-reported amounts; a survey of 2,269 young male gym users found 2.7% reported SARM use, with this compound among the three most commonly namedNot statedOral, usually as a product bought onlineNot statedEuropean Journal of Clinical Pharmacology2023
This review collects suspected cases of liver injury attributed to this compound alone and in combination with other SARMs, together with database reports of visual impairment, cerebrovascular events, abnormal hormone levels and testicular changes. None of these exposures was supervised or verified.
Community-reported1 row
What is actually in products sold onlineLabel amount matched laboratory analysis in only 18 of 44 productsNot statedProducts bought from internet suppliers and analysed under anti-doping proceduresNot statedJAMA (PubMed)2017
This JAMA analysis of 44 products sold as selective androgen receptor modulators found that only 52% contained a SARM of any kind, 39% contained a different unapproved drug, 9% contained no active compound, 25% contained substances absent from the label and 59% differed substantially from the stated amount. The three SARMs actually detected were ostarine, ligandrol and andarine, so a product sold under this name may not contain it.

How a course is commonly described

  1. Original oncology programme: 50 to 150 mg a dayClinical

    The first human study escalated to 150 mg once daily and settled on 100 mg as the maximum tolerated dose, in women with advanced cancer who were monitored closely. Liver enzyme rises were the defining toxicity, affecting most participants.

  2. Reformulated programme: 10 mg twice dailyClinical

    After reformulation the same molecule reached useful exposure at about a tenth of the original dose, and liver enzyme rises clustered in the first treatment cycle before settling. A milligram figure for this compound means nothing without knowing which formulation it refers to.

  3. The published consumer case: 5 weeks to jaundiceClinical

    In the biopsy-confirmed case, five weeks of a consumer product were followed by jaundice, and bilirubin went on rising for about six weeks after he stopped taking it. Liver injury from this class can continue to worsen after the drug is discontinued.

  • Every human dose on record was given to women with advanced breast cancer under oncology monitoring, and raised liver enzymes were the main toxicity in both programmes. No trial has ever studied this compound in healthy people or for muscle gain.
  • The compound is not approved anywhere. The FDA warns that products in this class have caused liver injury requiring hospitalisation and has issued warning letters to sellers; it is also prohibited in sport at all times as an anabolic agent.
  • The original and reformulated versions reach similar exposure at tenfold different milligram amounts, so doses quoted for this compound cannot be compared without knowing the formulation behind them.
  • In the published case of severe liver injury, bilirubin peaked roughly six weeks after the product was stopped. Stopping is necessary but does not immediately reverse the injury.
Sources for this section (6)
  1. A First-in-Human Phase 1 Study of a Novel Selective Androgen Receptor Modulator (SARM), RAD140, in ER+/HER2- Metastatic Breast CancerClinical Breast Cancer2022Clinical
  2. Results of a phase 1 study of vosilasarm (EP0062), a first-in-class oral selective androgen receptor modulator in advanced AR+/ER+/HER2- breast cancer (ASCO 2025 poster)Ellipses Pharma2025Clinical
  3. RAD-140 Drug-Induced Liver InjuryJournal of Investigative Medicine High Impact Case Reports (PubMed)2022Clinical
  4. Selective androgen receptor modulator use and related adverse events including drug-induced liver injury: Analysis of suspected casesEuropean Journal of Clinical Pharmacology2023Clinical
  5. Certain bodybuilding products put consumers at risk for heart attack, stroke, serious liver damage and moreUS Food and Drug Administration2024Clinical
  6. Chemical Composition and Labeling of Substances Marketed as Selective Androgen Receptor Modulators and Sold via the InternetJAMA (PubMed)2017Clinical

Overview

RAD-140, sold as testolone, is a non-steroidal selective androgen receptor modulator first described in 2011 and developed as a cancer drug rather than a muscle drug. Its only human trials are oncology studies in women with androgen-receptor-positive advanced breast cancer, where the dose-limiting problem was raised liver enzymes; it now carries the international name vosilasarm and continues in a reformulated phase 1/2 programme. It is not approved anywhere, it is prohibited in sport at all times, and a biopsy-confirmed case of severe cholestatic liver injury has been published in a young man who took a consumer product containing it for five weeks.

What researchers are exploring

These themes describe recurring questions in published research. They are not claims of effectiveness or recommendations for use.

  • 1

    Muscle & performance

    Androgen receptor modulators, myostatin pathways and exercise-mimetic research.

  • 2

    First-in-human phase 1, metastatic breast cancer

    The maximum tolerated dose was 100 mg a day and the half-life of 44.7 hours supported once-daily dosing. Raised AST occurred in 59.1% of patients, raised ALT in 45.5% and raised bilirubin in 27.3%, with grade 3 or 4.

  • 3

    Reformulated programme as vosilasarm, phase 1/2 dose optimisation

    The molecule was reformulated for markedly better bioavailability, which is why these milligram numbers are roughly a tenth of the original programme's and are not comparable with them. Raised ALT occurred in 50% of.

  • 4

    Published liver injury in a consumer user

    He presented with two weeks of abdominal pain, itching and jaundice, and peak total bilirubin reached 38.5 mg/dL. A liver biopsy showed intracytoplasmic and canalicular cholestasis with minimal portal inflammation, and.

  • 5

    Reported adverse events outside trials

    This review collects suspected cases of liver injury attributed to this compound alone and in combination with other SARMs, together with database reports of visual impairment, cerebrovascular events, abnormal hormone.

  • 6

    What is actually in products sold online

    This JAMA analysis of 44 products sold as selective androgen receptor modulators found that only 52% contained a SARM of any kind, 39% contained a different unapproved drug, 9% contained no active compound, 25%.

What the current evidence can support

Study models remain visible so laboratory and animal findings are not mistaken for established human outcomes.

  • Human

    Human studies and registrations

    4 protocol rows on this page come from human trials, trial registrations, regulator labels or reviews of human data. Approval status and populations are stated per row.

  • Not graded

    Community-reported use

    1 row record what blogs, vendor write-ups or forums describe for RAD-140. None has been verified against primary literature.

Chemistry identifiers

Sequence, synonyms and registry identifiers as recorded in PubChem, the National Library of Medicine's open chemistry database. Formula, mass and CAS number are summarized at the top of the page.

Also listed as

Testolone, RAD140, RAD-140, Vosilasarm, EP-0062, UNII 4O87Q44KNC, CHEMBL1672635

InChIKey

XMBUPPIEVAFYHO-KPZWWZAWSA-N

IUPAC name

2-chloro-4-[[(1R,2S)-1-[5-(4-cyanophenyl)-1,3,4-oxadiazol-2-yl]-2-hydroxypropyl]amino]-3-methylbenzonitrile

Limitations and unknowns

Important limitations

  • Every amount on this page is a report of what a source describes, not a protocol to follow.
  • Preclinical and community rows do not establish a human amount, schedule or route.
  • Formulation, purity and presentation vary by supplier and are not covered by the dossier.

Sources

7 curated references, each with its journal, year and study model.

  1. Vosilasarm, RAD140 (PubChem CID 44200882)PubChem, National Library of Medicine2026Not graded
  2. A First-in-Human Phase 1 Study of a Novel Selective Androgen Receptor Modulator (SARM), RAD140, in ER+/HER2- Metastatic Breast CancerClinical Breast Cancer2022Human
  3. Results of a phase 1 study of vosilasarm (EP0062), a first-in-class oral selective androgen receptor modulator in advanced AR+/ER+/HER2- breast cancer (ASCO 2025 poster)Ellipses Pharma2025Human
  4. RAD-140 Drug-Induced Liver InjuryJournal of Investigative Medicine High Impact Case Reports (PubMed)2022Human
  5. Selective androgen receptor modulator use and related adverse events including drug-induced liver injury: Analysis of suspected casesEuropean Journal of Clinical Pharmacology2023Human
  6. Certain bodybuilding products put consumers at risk for heart attack, stroke, serious liver damage and moreUS Food and Drug Administration2024Human
  7. Chemical Composition and Labeling of Substances Marketed as Selective Androgen Receptor Modulators and Sold via the InternetJAMA (PubMed)2017Human