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AVERY FISK · AF COACHING

SARMs

RAD-140

An investigational androgen-receptor drug with a small oncology trial, measured pharmacokinetics and liver-injury reports.

Compound-specific research / important limitations

Also known as: testolone · vosilasarm · RAD140

RAD-140 molecular structure
Structure reference · C20H16ClN5O2

Practical use

Applying the explained evidence

Where it fits
An investigational androgen-receptor drug with a small oncology trial, measured pharmacokinetics and liver-injury reports.
Put the information into practice
Keep three questions separate: does it engage a receptor, does it improve a clinical outcome, and what harm occurs? Evidence for the first does not settle the other two.
Check the exact molecule
Keep the named molecule separate from a broad category claim. Check whether a finding comes from a human intervention, laboratory mechanism or analytical test before interpreting it as a performance benefit.
Keep this limit in view
No placebo comparator and a small, selected oncology population. Laboratory enzyme elevations, clinical liver injury and causally attributed events are distinct categories. The half-life is not a self-prescribing schedule.

First-in-human RAD-140 trial

Severe liver injury after a combination supplement

Overview

RAD-140 has been studied as an androgen-receptor-targeted treatment in advanced breast cancer. That is direct human exposure evidence, but it answers an oncology question rather than whether healthy lifters gain muscle safely.

Risks and limitations

Liver abnormalities appear in the clinical trial and in reports involving marketed supplements. A serious event after a multi-ingredient product cannot automatically be assigned to one ingredient. Rates from heavily pretreated cancer patients also cannot be treated as the expected rate in a different population.

How to read this

Keep three questions separate: does it engage a receptor, does it improve a clinical outcome, and what harm occurs? Evidence for the first does not settle the other two.

Research explained

First-in-human RAD-140 trial

Who was studied

22 postmenopausal women with heavily pretreated ER-positive/HER2-negative metastatic breast cancer; an early dose-escalation study.

What was found

AST elevations occurred in 59.1%, ALT elevations in 45.5%, and bilirubin elevations in 27.3%. Treatment-related events were reported in 17/22 patients; seven were grade 3. The reported half-life was 44.7 hours. Clinical benefit at 24 weeks was 18.2%, with median progression-free survival of 2.3 months.

What it cannot establish

No placebo comparator and a small, selected oncology population. Laboratory enzyme elevations, clinical liver injury and causally attributed events are distinct categories. The half-life is not a self-prescribing schedule.

Read the original study

Severe liver injury after a combination supplement

Who was studied

A case report involving a previously healthy young man after a product containing RAD-140 and andarine.

What was found

The reported course included severe cholestatic injury, rising bilirubin, pancreatitis and acute kidney injury requiring intensive care.

What it cannot establish

A case report identifies a possible hazard, not its frequency. Combined exposure and uncertain supplement composition limit ingredient-specific causal claims.

Read the original study

Receptor engagement is not a physique outcome

In the oncology study, changes in SHBG and PSA and paired tumor biopsies supported androgen-receptor engagement. Those measurements were selected to study tumor biology; they are not validated substitutes for strength gains or long-term health in a bodybuilding population.

Supporting source

Why yellowing skin and prolonged itching matter

The reported injury pattern was cholestatic, involving impaired bile flow. Jaundice, dark urine or persistent itching after an unregulated supplement warrants prompt medical assessment. The case’s treatment should not be copied as a do-it-yourself recovery protocol.

Supporting source

Sources

First-in-human RAD-140 trial

Severe liver injury after a combination supplement

Sources checked 2026-09-28.

General education; not a personal treatment plan.