Insulin entered clinical use in the 1920s, and peptides have been part of medicine ever since. Reviews of peptide drug development describe a long middle stretch in which the class was held back by exactly the problems above, followed by a marked acceleration as synthesis, stabilisation chemistry, and delivery methods improved.
The field today is genuinely active and genuinely uneven. Some peptide classes are supported by large controlled trials; many more are supported only by laboratory and animal work. Treating those two situations as though they were the same is the most common error in how this subject is discussed — which is why trial counts sit beside every compound class rather than a single undifferentiated claim.


