MK-677 (Ibutamoren)
GH secretagogue (oral, non-peptide)
Also known as: Ibutamoren, MK-0677, L-163,191, LUM-201
Studied in registered human trials with published pharmacokinetic data, but not approved. Dosing outside a trial protocol has no established safety margin.
CORRECTION: the widely circulated "~24 hour half-life" is NOT supported by any retrievable source and appears to originate from vendor marketing. Peer-reviewed sources describe a half-life of at least 5-6 hours ("over six hours"), noting a relatively long terminal half-life versus related compounds such as capromorelin, which enables once-daily dosing. Once-daily dosing works because of prolonged biological GH/IGF-1 effect, not because of 24-hour plasma persistence. Precise terminal t½ with confidence intervals was not located, treat as approximate.
Doses studied in humans: 5 mg and 25 mg orally at bedtime for 7 days in healthy young men. 25 mg once daily is the standard research dose. Studies up to 2 years exist. The therapeutic window is not established for non-approved use.
The most consistently reported adverse signal is a clinically important decrease in insulin sensitivity with elevated fasting glucose, a genuine concern for anyone with prediabetes or diabetes. Also documented: increased appetite, fluid retention and oedema, lethargy. Substantially elevates IGF-1, so not for use with active malignancy. Congestive heart failure was a concern in an elderly-population trial. Long-term safety beyond 2 years is unknown.
- Effects of a 7-day treatment with MK-677 on 24-hour GH profiles, IGF-I, and adrenocortical function in normal young men (JCEM 1996) · pubmed
- Stimulation of the GH-IGF-I axis by daily oral MK-677 in healthy elderly subjects (JCEM 1996) · pubmed
- Growth Hormone Secretagogues as Potential Therapeutic Agents (J Gerontol A, 2023) · journal