Short answer: RAD-140 and ostarine are both oral SARMs, and neither is FDA approved.1 RAD-140 has been tested in people in one small trial, in 22 women with advanced breast cancer, where liver enzyme rises were the most common side effect.2 Ostarine has several phase 2 trials, including in healthy older adults.3 There is no RAD-140 data in healthy people and no head-to-head study.
| RAD-140 (testolone) | Ostarine (enobosarm) | |
|---|---|---|
| Approval status | Not approved1 | Not approved1 |
| Human trials | One phase 1 trial: 22 postmenopausal women with ER+/HER2- metastatic breast cancer2 | Phase 2 trials in 120 healthy older adults, 159 people with cancer and 136 women with advanced breast cancer345 |
| Doses studied | 50, 100 and 150 mg daily; 100 mg was the highest tolerated dose2 | 1 and 3 mg daily; 9 and 18 mg daily in breast cancer45 |
| Half-life | 44.7 hours in the cancer trial2 | Not given in the trial abstracts cited here |
| Liver findings in trials | Raised AST in 59.1% and ALT in 45.5%; grade 3 or 4 AST/ALT rises in 22.7%2 | Grade 3 or 4 liver enzyme rises in 4% (9 mg) and 3% (18 mg)5 |
| Liver case reports | Cholestatic liver injury in a 24-year-old man after 5 weeks6 | Cholestatic liver injury7 |
| Data in healthy people | None published | Yes: 12-week trial in healthy older men and postmenopausal women3 |
| Sport | WADA S1.2 (RAD140 named)8 | WADA S1.2 (enobosarm named)8 |
The first and only published human trial gave RAD-140 to 22 heavily pretreated women with metastatic breast cancer, at 50, 100 or 150 mg a day. The most common side effects were raised liver enzymes (AST 59.1%, ALT 45.5%) and raised bilirubin (27.3%); 72.7% had a grade 3 or 4 side effect of any cause. Its half-life was 44.7 hours.2
This was a cancer trial, so it says little about effects on muscle in healthy people. Those have not been studied in published human trials.2
In 120 healthy older adults, lean mass rose with dose over 12 weeks, and the 3 mg group improved on physical function vs placebo.3 In 159 people with cancer-related weight loss, median lean mass rose 1.5 kg (1 mg) and 1.0 kg (3 mg) by day 113.4 In 136 women with advanced breast cancer on 9 or 18 mg, grade 3 or 4 drug-related side effects occurred in 8% and 16%.5
No study has compared the two directly. These are study protocols, not personalized advice; confirm any dosing with your prescriber.
FDA warns that SARMs have been linked to liver injury and acute liver failure, heart attack and stroke risk, psychosis, infertility and testicular shrinkage.1 Published case reports describe liver injury after RAD-140 and after ostarine.67 Products sold online as SARMs often do not contain what the label says.9
More detail: the RAD-140 (Testolone) and Ostarine (Enobosarm) guides.