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Studies
Mk63.0
MK-677 Research
Mostly mechanism / observational
17 peer-reviewed studies
What the evidence says
Mostly mechanism / observational
Most MK-677 studies are mechanism or observational rather than RCTs that measure a clinical effect — keep findings provisional.
Most evidence is from medium-quality randomised trials published 1996–2018 with a typical study size of 24 participants.
Based on 17 studies · 13 RCTs · 135 total participants
Confidence
Moderate confidence
By outcome
GH / IGF-1 & body compositionReliably increases pulsatile GH and serum IGF-1 in humans (IGF-1 up ~40-75%), restored to young-adult range in healthy elderly — a body-composition mechanism, not a proven strength endpoint · Days to weeks
In plain English: Over 12 months, the ghrelin mimetic MK-677 enhanced pulsatile growth hormone secretion, significantly increased fat-free mass, and was generally well tolerated ... Increased fat-free mass did not result in changes in strength or function.
Nass R, Pezzoli SS, Oliveri MC, Patrie JT, Harrell FE Jr, Clasey JL, Heymsfield SB, Bach MA, Vance ML, Thorner MO. · Ann Intern Med (2008)
2-year, double-blind, randomized, placebo-controlled, modified-crossover trial in 65 healthy adults aged 60-81; oral MK-677 25 mg once daily
Raised GH and IGF-1 into the young-adult range and increased fat-free mass (+1.1 kg vs −0.5 kg placebo; P<0.001)
CRITICAL: the increased fat-free mass did NOT result in any change in strength or physical function
In plain English: MK-0677 increased serum IGF-1 levels with minimal adverse effects in hemodialysis subjects. Studies are needed to evaluate whether long-term therapy ... improves PEW, lean body mass, physical strength, quality of life and survival.
In plain English: MK-677 reverses diet-induced nitrogen wasting, suggesting that if these short-term anabolic effects are maintained in patients who are catabolic ... it may be useful in treating catabolic conditions.
Murphy MG, Plunkett LM, Gertz BJ, He W, Wittreich J, Polvino WM, Clemmons DR. · J Clin Endocrinol Metab (1998)
Double-blind, randomized, placebo-controlled two-period crossover study in 8 healthy volunteers under caloric restriction; oral MK-677 25 mg daily
MK-677 reversed diet-induced negative nitrogen balance (+0.31 vs −1.48 g/day; P<0.01) and raised GH, IGF-1, and IGFBP-3
Cortisol and prolactin responses were not significantly increased; generally well tolerated short-term
In plain English: 2-month treatment with MK-677 in healthy obese males caused a sustained increase in serum levels of GH, IGF-I, and IGF-binding protein-3 ... an oral glucose tolerance test showed impairment of glucose homeostasis at 2 and 8 weeks.
In plain English: Activation of the ghrelin receptor with MK-0677 inhibited the Aβ burden, neuroinflammation, and neurodegeneration, which suggested that MK-0677 might have potential as a treatment of the early phase of AD.
Jeong YO, Shin SJ, Park JY, Ku BK, Song JS, Kim JJ, Jeon SG, Lee SM, Moon M. · Int J Mol Sci (2018)
Mouse study: MK-0677 given to 5XFAD Alzheimer-model mice reduced amyloid-beta deposition, gliosis, and neuronal/synaptic loss
Mechanistic support for a ghrelin-receptor neuroprotection hypothesis in AD
CONTRAST: this animal benefit did NOT translate to humans — the 563-patient human Alzheimer's RCT (Sevigny 2008) was negative
In plain English: To date, few long-term, rigorously controlled studies have examined the efficacy and safety of GHSs ... the safety of these compounds with long-term use, including evaluation of cancer incidence and mortality, is needed.
Sigalos JT, Pastuszak AW. · Sex Med Rev (2018)
Review of GH secretagogues including the oral small-molecule ibutamoren mesylate (MK-677)
Notes GHSs may stimulate appetite, improve lean mass in wasting/obesity, increase fat-free mass, and improve sleep — but on limited controlled data
Flags decreased insulin sensitivity / raised blood glucose as the main safety concern, and that long-term safety (including cancer incidence and mortality) is unestablished
In plain English: These moderate changes in the proportion non-22K GH isoforms are likely of small importance for the clinical response to MK-677 treatment.