MK-0677 molecular structure
MK-0677 molecular structure
Clinical Trial
📈Growth Hormone

MK-0677

Also known as: Ibutamoren, Ibutamoren Mesylate, MK-0677, MK677, L-163,191, Oratrope

MW

528.67 Da

Formula

C27H36N4O5S

CAS

159634-47-6

Routes

1 route

MK-677 (ibutamoren) is an orally active, non-peptidic growth hormone secretagogue developed by Merck that mimics the GH-stimulating action of the endogenous hormone ghrelin. Unlike peptide GH secretagogues that require injection, MK-677 is a small molecule spiropiperidine compound that can be taken by mouth, making it unique among ghrelin receptor agonists. MK-677 binds to the GHS-R1a (ghrelin receptor) and produces sustained increases in growth hormone and IGF-1 levels lasting up to 24 hours from a single oral dose. In clinical studies, it increased IGF-1 levels by 40-97% to the upper normal range for young adults, making it one of the most potent orally available GH-promoting agents ever developed. Despite extensive clinical investigation (Phase 2 trials for GH deficiency, sarcopenia, osteoporosis, and hip fracture recovery), MK-677 has not received FDA approval for any indication. It remains widely available as a research chemical and is commonly encountered in the bodybuilding and anti-aging communities.

Research Use OnlyFor educational and research purposes only

Research Applications

Growth Hormone Deficiency

Phase 2 clinical trials demonstrated MK-677 increases GH and IGF-1 to youthful levels in GH-deficient adults. It produces IGF-1 increases comparable to injectable GH replacement with the advantage of oral dosing.

Sarcopenia and Muscle Wasting

Studies in elderly subjects demonstrated MK-677 (25 mg/day) increased lean body mass, muscle strength, and functional capacity. The GHRS-MK-0677 trial showed significant improvements in body composition in adults over 60 years.

Osteoporosis and Bone Health

Clinical trials demonstrated MK-677 increases bone turnover markers and bone mineral density in postmenopausal women and elderly subjects. Enhanced osteoblast activity through IGF-1 signaling drives increased bone formation.

Hip Fracture Recovery

Studies in elderly hip fracture patients showed MK-677 improved functional recovery and lean body mass, though results on fracture healing itself were mixed.

Sleep Quality

MK-677 significantly increases stage 4 (deep/slow-wave) sleep duration by approximately 50% and REM sleep by 20%. This sleep-promoting effect is attributed to enhanced nocturnal GH pulsatility and is one of the most consistently reported benefits.

Cognitive Function Research

IGF-1 signaling supports neuronal survival and synaptic plasticity. Research in the elderly has explored MK-677's potential to improve cognitive function through sustained IGF-1 elevation, though results have been mixed.

Mechanism of Action

GHS-R1a Agonism (Ghrelin Mimetic)

MK-677 binds to and activates the GHS-R1a (ghrelin/growth hormone secretagogue receptor) as a potent non-peptidic agonist. Despite being structurally unrelated to ghrelin or peptide GH secretagogues, MK-677 activates the same Gq/11-coupled signaling cascade: PLC activation, IP3-mediated calcium release, PKC activation, and GH granule exocytosis from pituitary somatotrophs.

Sustained GH and IGF-1 Elevation

Unlike injectable peptide secretagogues that produce acute GH pulses lasting 2-3 hours, MK-677's oral bioavailability and 4-6 hour plasma half-life produce sustained GH elevation over 24 hours. This results in consistent IGF-1 increases of 40-97% from baseline — maintained with chronic daily dosing without significant tachyphylaxis.

Hypothalamic Actions

MK-677 stimulates GHRH neurons and suppresses somatostatin release at the hypothalamic level, amplifying endogenous GH pulsatility in addition to direct pituitary stimulation. This dual action contributes to the robust and sustained GH response.

Appetite Stimulation

As a ghrelin mimetic, MK-677 activates hypothalamic NPY/AgRP neurons, producing significant appetite stimulation. The orexigenic effect is particularly pronounced during the first weeks of use and partially attenuates over time but remains clinically relevant.

Preserved Pulsatility

Despite sustained GH elevation, MK-677 preserves the pulsatile nature of GH secretion and maintains somatostatin feedback regulation, producing a more physiological GH profile than exogenous GH replacement.

Biological Pathways

PLC/IP3/Calcium/PKC (Somatotroph)

GHS-R1a activation engages Gq/11-PLC-IP3 signaling, producing calcium-dependent GH exocytosis. The sustained receptor activation by MK-677 (due to its oral bioavailability and long half-life) provides extended GH release compared to short-acting peptide agonists.

GH/JAK2/STAT5/IGF-1 Endocrine Axis

Sustained GH release drives continuous hepatic IGF-1 production through JAK2/STAT5 signaling. The resulting 40-97% IGF-1 increase activates the full IGF-1R signaling cascade (PI3K/Akt/mTOR, MAPK/ERK) in target tissues.

AMPK/Hypothalamic Energy Sensing

MK-677 activates hypothalamic AMPK through GHS-R1a signaling, modulating energy balance toward increased food intake and nutrient storage. This contributes to both the appetite stimulation and the anabolic effects on lean body mass.

GH-Mediated Lipolysis

GH activates hormone-sensitive lipase in adipocytes through a JAK2-dependent mechanism, promoting fat mobilization. However, the concurrent insulin resistance induced by sustained GH elevation can partially offset lipolytic benefits.

Dosage Information

Typical dosage ranges for research applications. Always verify with current literature.
Typical Dose
15,000 mcg
Dose Range
10,000 - 25,000 mcg
Frequency
Once daily before bed; cycle 8-12 weeks on, 4 weeks off
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Concentration
2.5 mg/ml
Dose Volume
0.1 ml0.100 ml
Insulin Syringe
10 units
Doses per Vial
2020 doses @ 250 mcg

Syringe Fill Level (100u syringe)

05010010.0uunits
0u10.0 / 100 units (10%)100u

Protocols

No protocols featuring this peptide yet.

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Stability & Storage

MK-677 is a non-peptidic small molecule, making it significantly more stable than peptide compounds. It is supplied as a white crystalline powder or in capsule/liquid oral formulations. Store at room temperature (15-25°C) in a cool, dry place. Protect from light and moisture.

In powder form, MK-677 is stable for 2+ years when stored properly. Liquid oral solutions (typically in polyethylene glycol or ethanol vehicles) should be stored at room temperature and used within 3-6 months. No reconstitution required — MK-677 is orally bioavailable.

The mesylate salt form (ibutamoren mesylate) provides enhanced aqueous solubility and stability. Unlike peptides, MK-677 is not susceptible to proteolytic degradation and can survive gastric acid exposure, enabling effective oral administration.

Side Effects & Precautions

Increased Appetite and Weight Gain

MK-677 significantly stimulates appetite, particularly during the first 4-8 weeks of use. Caloric intake increases of 300-700 kcal/day have been reported. This can lead to unwanted weight gain if diet is not carefully controlled.

Water Retention and Bloating

Fluid retention is common, particularly during initial use. This includes facial puffiness, ankle edema, and abdominal bloating. GH-mediated sodium retention in the kidneys is the primary mechanism.

Insulin Resistance

MK-677 impairs insulin sensitivity and may increase fasting blood glucose by 5-15 mg/dL. This is a direct effect of sustained GH elevation, which antagonizes insulin signaling in skeletal muscle and liver. Individuals with pre-diabetes or diabetes require careful monitoring.

Lethargy and Drowsiness

Many users report increased sleepiness, particularly during daytime. While enhanced sleep quality at night is generally beneficial, daytime drowsiness can impair function. Dosing before bedtime mitigates this effect.

Numbness and Tingling

Carpal tunnel-like symptoms from GH-mediated fluid retention affecting nerve compression areas. Dose-dependent and reversible.

Joint Pain

Mild to moderate arthralgia occurs in some users, attributed to GH effects on connective tissue. Typically transient.

Prolactin Elevation

MK-677 may modestly increase prolactin levels in some individuals. Usually not clinically significant but should be monitored with chronic use.

Research Use Only. This information is for educational and research purposes only. Not intended for medical advice or self-medication.

Regulatory Status

Clinical Trial

MK-677 (ibutamoren) is not approved by the FDA or any major regulatory authority for clinical therapeutic use. Merck conducted extensive Phase 2 clinical trials across multiple indications but did not pursue Phase 3 development or seek regulatory approval.

Despite lack of approval, MK-677 is widely available from research chemical companies and supplement retailers. Its non-peptidic, orally available nature has contributed to widespread availability and use outside of clinical settings.

WADA prohibits MK-677 under category S2 (Peptide Hormones, Growth Factors, Related Substances, and Mimetics) of the prohibited list. It is specifically named as a GH secretagogue and is banned both in-competition and out-of-competition. Several positive doping cases have involved MK-677 detection.

MK-677 is not currently a scheduled controlled substance in the United States, though it is sometimes marketed misleadingly as a "SARM" or "selective androgen receptor modulator" — which is pharmacologically incorrect.

Research Studies

MK-677 (Ibutamoren Mesylate) Stimulates the GH-IGF-1 Axis in Elderly Subjects

Chapman IM, Bach MA, Van Cauter E, et al.

Journal of Clinical Endocrinology & Metabolism
1996
View Source

Two-Year Treatment with MK-677 Increases BMD in Elderly Women

Murphy MG, Bach MA, Plotkin D, et al.

Journal of Clinical Endocrinology & Metabolism
2001
View Source

MK-677 Increases Sleep Quality and Stage IV Sleep Duration

Copinschi G, Van Onderbergen A, L'Hermite-Balériaux M, et al.

Neuroendocrinology
1997
View Source

Oral Administration of MK-677 in Sustained Recovery of Hip Fracture

Bach MA, Rockwood K, Zetterberg C, et al.

Journal of the American Geriatrics Society
2004
View Source

Effects of Ibutamoren Mesylate on Body Composition in Obese Adults

Svensson J, Lönn L, Jansson JO, et al.

Journal of Clinical Endocrinology & Metabolism
1998
View Source
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