MK-677
Also known as: Ibutamoren, Nutrobal, MK677
MK-677 (also called Ibutamoren or Nutrobal) is an oral ghrelin-mimetic small molecule in the Growth Hormone Secretagogue class. MK-677, also called ibutamoren, is an orally bioavailable non-peptide agonist at growth hormone secretagogue receptor 1a.
For research use only.
Key Facts
- CAS
- 159752-10-0
- Molecular Weight (MW)
- 624.8 g/mol
- Half-life
- Not reported in an indexed human study; the trials dosed once daily
- FDA status
- Not Approved
- Evidence level
- Clinical Trial Evidence
- Human dose established
- Yes
- Administration Route
- Oral
- Frequency
- Once daily in every trial reviewed here; two sleep and hormone studies gave it at bedtime
- Last updated
- Oct 5, 2026
- Reviewed
- Aug 30, 2026
- Targets
- GHSR
Vendor price snapshot
Each vendor counts once, at the median price per mg of its own listings; the typical range is the middle half of vendors. From public vendor listings collected between Dec 2025 and Oct 2026, so confirm the live price on the vendor site. Peptide Library does not sell peptides.
- Vendors listing this peptide
- 10
- Listed offers
- 21
- Median price per mg
- $3.22/mg
- Typical $0.128โ$11.81/mg
Research summary
Oral non-peptide GH secretagogue (ibutamoren) that raises GH and IGF-1. Not FDA-approved. WADA S2 names ibutamoren (MK-677).
Peptide Library's MK-677 profile summarises 5 cited studies listed in the Science section, the compound's regulatory status, and research-protocol parameters reported for it. It is a research reference, not medical advice.
MK-677 dosage chart
MK-677 (ibutamoren mesylate) has no approved dosage, but it has been studied in randomised human trials. The year-long trials gave 25 mg by mouth once daily, in Alzheimer's disease, postmenopausal osteoporosis and healthy older adults (the last for up to 2 years); shorter studies used 2โ50 mg. It reliably raised growth hormone and IGF-1 and increased fat-free mass, but it did not slow Alzheimer's disease, did not improve most functional measures after hip fracture or strength and function in healthy older adults, and it raised fasting glucose and reduced insulin sensitivity. A hip-fracture trial was stopped early over a heart failure safety signal. MK-677 is not a peptide: it is an orally active small-molecule agonist of the ghrelin receptor.
| Human dosing established | Yes |
|---|---|
| Studied dose range | 2โ50 mg once daily studied in adults; 25 mg once daily in the year-long trials |
| Route | Oral |
| Frequency | Once daily in every trial reviewed here; two sleep and hormone studies gave it at bedtime |
| Duration studied | 4 days to 2 years; 12 months in the Alzheimer's and osteoporosis trials, up to 2 years in healthy older adults |
| Titration | The year-long trials gave 25 mg daily without escalation. In the 2-year trial the dose was reduced, blinded, to 10 mg daily in 4 participants because of raised fasting glucose or joint pain. |
| Half-life | Not reported in an indexed human study; the trials dosed once daily |
| Evidence level | Clinical Trial Evidence |
| Last reviewed | 2026-10-05 |
Research-reported dosing
Doses as studied, one row per regimen. Different trials used different regimens; they are listed separately rather than averaged.
| Study / context | Population | Dose | Route | Frequency | Duration | Outcome studied | Source |
|---|---|---|---|---|---|---|---|
| Two-year trial in healthy older adults (Nass et al., 2008)Clinical trial ยท Double-blind randomised placebo-controlled modified-crossover trial | 65 healthy adults aged 60โ81: men, and women on or off hormone replacement therapy | 25 mg (reduced, blinded, to 10 mg daily in 4 participants) | Oral | Once daily | 12 months for the primary endpoints; 2 years in total, modified crossover | Growth hormone and IGF-1 rose to young-adult levels. Fat-free mass increased 1.1 kg against a mean 0.5 kg fall on placebo; abdominal visceral fat and total fat mass did not differ from placebo, and strength and function did not change. Body weight rose 2.7 kg, fasting glucose rose 0.3 mmol/L and insulin sensitivity fell. | Nass R et al. Effects of an oral ghrelin mimetic on body composition and clinical outcomes in healthy older adults: a randomized trial. Ann Intern Med. 2008. |
| Alzheimer's disease, 12 months (Sevigny et al., 2008; NCT00074529)Clinical trial ยท Multicentre double-blind randomised placebo-controlled trial | 563 patients with mild to moderate Alzheimer's disease randomised; 416 completed 12 months | 25 mg | Oral | Once daily | 12 months | Serum IGF-1 rose 60.1% at 6 weeks and 72.9% at 12 months, but there was no difference from placebo on CIBIC-plus, ADAS-Cog, ADCS-ADL or CDR sum of boxes. The authors concluded it was ineffective at slowing progression. | Sevigny JJ et al. Growth hormone secretagogue MK-677: no clinical effect on AD progression in a randomized trial. Neurology. 2008. |
| Hip fracture, phase IIb, terminated early (Adunsky et al., 2011; NCT00128115)Clinical trial ยท Phase IIb multicentre double-blind randomised placebo-controlled trial | 123 elderly patients recovering from hip fracture (62 on MK-0677, 61 on placebo) | 25 mg | Oral | Daily | 24 weeks planned; the trial was terminated early | IGF-1 rose 51.4 ng/mL versus placebo and gait speed improved, but stair-climbing power and most other functional measures did not. The trial was terminated early because of a safety signal of congestive heart failure in a limited number of patients, and the authors concluded MK-0677 has an unfavourable safety profile in this population. | Adunsky A et al. MK-0677 (ibutamoren mesylate) for the treatment of patients recovering from hip fracture: a multicenter, randomized, placebo-controlled phase IIb study. Arch Gerontol Geriatr. 2011. |
| Postmenopausal osteoporosis, with and without alendronate (Murphy et al., 2001)Clinical trial ยท Multicentre double-blind randomised placebo-controlled trial | 292 women aged 64โ85 with low femoral neck bone mineral density | 25 mg, alone or with alendronate 10 mg | Oral | Once daily | 12 months, with bone mineral density followed to 18 months | IGF-1 rose 39โ45% and bone turnover markers increased. Combined with alendronate it raised femoral neck bone mineral density more than alendronate alone (4.2% vs 2.5%), but not lumbar spine, total hip or total body density. Growth hormone-mediated side effects were reported in the MK-677 groups. | Murphy MG et al. Effect of alendronate and MK-677 (a growth hormone secretagogue), individually and in combination, on markers of bone turnover and bone mineral density in postmenopausal osteoporotic women. J Clin Endocrinol Metab. 2001. |
| Obese men, 8 weeks (Svensson et al., 1998)Clinical trial ยท Double-blind randomised placebo-controlled parallel-group trial | 24 otherwise healthy obese men aged 18โ50 (12 on MK-677, 12 on placebo) | 25 mg | Oral | Daily | 8 weeks | IGF-1 rose about 40% and fat-free mass increased; total and visceral fat did not change significantly. Basal metabolic rate rose at 2 weeks but not at 8 weeks. Oral glucose tolerance tests showed impaired glucose homeostasis at 2 and 8 weeks. | Svensson J et al. Two-month treatment of obese subjects with the oral growth hormone (GH) secretagogue MK-677 increases GH secretion, fat-free mass, and energy expenditure. J Clin Endocrinol Metab. 1998. |
| Dose-ranging study in healthy older adults (Chapman et al., 1996)Clinical trial ยท Double-blind randomised placebo-controlled dose-ranging trial | 32 healthy adults aged 64โ81 | 2, 10 or 25 mg, or placebo | Oral | Once daily | Two study periods of 14 and 28 days | Growth hormone rose in a dose-dependent manner; 25 mg raised mean 24-hour growth hormone by 97% and restored IGF-1 to young-adult levels. Fasting glucose rose from 5.4 to 6.8 mmol/L at 4 weeks. | Chapman IM et al. Stimulation of the growth hormone (GH)-insulin-like growth factor I axis by daily oral administration of a GH secretogogue (MK-677) in healthy elderly subjects. J Clin Endocrinol Metab. 1996. |
| Adults with childhood-onset growth hormone deficiency, rising dose (Chapman et al., 1997)Clinical trial ยท Double-blind rising-dose study with a placebo crossover arm | 9 severely growth hormone-deficient men aged 17โ34, treated with growth hormone in childhood | 10 mg, then 50 mg in 5 participants; the other 4 received placebo and 10 mg in crossover | Oral | Once daily | 4 days per treatment period, two periods at least 28 days apart | IGF-1 rose 52% on 10 mg and 79% on 50 mg, and 24-hour mean growth hormone rose 79โ82%. Fasting and postprandial insulin and postprandial glucose increased. | Chapman IM et al. Oral administration of growth hormone (GH) releasing peptide-mimetic MK-677 stimulates the GH/insulin-like growth factor-I axis in selected GH-deficient adults. J Clin Endocrinol Metab. 1997. |
| Sleep study in young and older adults (Copinschi et al., 1997)Clinical trial ยท Double-blind placebo-controlled crossover in young adults; sequential dosing without placebo in older adults | 8 healthy young adults aged 18โ30 and 6 older adults aged 65โ71 | Young adults: 5 mg, 25 mg and placebo in crossover. Older adults: 2 mg, then 25 mg | Oral, at bedtime | Once daily at bedtime | 7-day periods in young adults; 14-day periods in older adults | In young adults 25 mg increased stage IV sleep by about 50% and REM sleep by more than 20% versus placebo. In older adults REM sleep rose by nearly 50% and REM latency fell; the older group had no placebo period. | Copinschi G et al. Prolonged oral treatment with MK-677, a novel growth hormone secretagogue, improves sleep quality in man. Neuroendocrinology. 1997. |
| NCT00395291 โ haemodialysis patients, crossover, results postedClinical trial ยท Randomised blinded placebo-controlled crossover pilot study with posted results | Adults with end-stage renal disease on haemodialysis (26 started treatment, 22 completed both periods) | 25 mg | Oral | Once daily | About 30 days per period, crossed over with placebo after a 30-day washout | IGF-1 rose by a mean 92.7 ng/mL after MK-0677 versus 6.7 ng/mL after placebo (p < 0.001). The posted serious adverse events for the MK-0677 period include one case of congestive heart failure; the published report (Campbell et al., 2018) found no serious adverse effects attributable to MK-0677. | NCT00395291 โ Growth Hormone Secretagogue MK-0677 Effect on IGF-1 Levels in ESRD Patients |
| NCT05364684 โ non-alcoholic fatty liver disease pilot, results postedClinical trial ยท Single-arm open-label phase 2 pilot study with posted results | 12 adults aged 21โ60 with a BMI of 25 or more and non-alcoholic fatty liver disease; 7 completed | 25 mg, given as LUM-201 (ibutamoren mesylate) | Oral | Once daily | 6 months | Liver fat measured by MR spectroscopy did not fall: the mean change was +3.9 percentage points (SD 6.7; p = 0.4) in the 7 who completed. 7 of 12 reported increased appetite and 4 of 12 hyperglycaemia; there were no serious adverse events. | NCT05364684 โ The Impact of Ibutamoren on Nonalcoholic Fatty Liver Disease |
| NCT04614337 โ OraGrowtH210, LUM-201 in children with growth hormone deficiency, results postedClinical trial ยท Phase 2 randomised open-label active-controlled trial with posted results | Prepubertal children aged 3โ12 with idiopathic growth hormone deficiency, not previously treated (18, 22 and 22 on the three LUM-201 doses; 20 on injected growth hormone) | 0.8, 1.6 or 3.2 mg/kg per day, given as LUM-201 (ibutamoren mesylate) | Oral | Once daily | 6-month primary analysis within a 24-month study | Six-month annualised height velocity was 6.8, 8.2 and 7.7 cm per year on the three LUM-201 doses, against 10.6 cm per year on daily injected growth hormone at 34 mcg/kg. | NCT04614337 โ Phase 2 Study of LUM-201 in Children With Growth Hormone Deficiency (OraGrowtH210 Trial) |
| NCT06948214 โ phase 3, LUM-201 in children with growth hormone deficiency, recruitingClinical trial ยท Phase 3 randomised placebo-controlled trial, recruiting | Prepubertal children aged 3โ11 with growth hormone deficiency, not previously treated (150 planned) | 1.6 mg/kg per day, given as LUM-201 (ibutamoren mesylate) | Oral | Once daily | 12 months | Annualised height velocity at 12 months versus placebo. No results have been posted. | NCT06948214 โ Phase 3 Study of LUM-201 in Children With Growth Hormone Deficiency |
Where sources disagree
- MK-677 is not a peptide. Ibutamoren mesylate is an orally active small molecule that activates the ghrelin receptor, and the trials themselves describe it as a nonpeptide growth hormone secretagogue. It is sold alongside peptides but shares neither their structure nor their handling: it is swallowed, not injected, and there is nothing to reconstitute.
- No regulator has approved ibutamoren for any use. Merck took it through phase 2 trials as MK-0677, none of which led to an approved product, and it is now in development by Lumos Pharma as LUM-201 for children with growth hormone deficiency. DailyMed does carry two listings for ibutamoren mesylate powder from AX Pharmaceutical, but both are bulk-ingredient listings, categorised as a bulk ingredient for animal drug compounding, with no prescribing information or dose. A DailyMed listing is not an FDA approval.
- Oral doses of 10โ25 mg once daily are widely published for MK-677, and unlike most compounds sold alongside peptides those figures do match trial doses: 25 mg once daily is the dose in every year-long trial (Nass 2008, Sevigny 2008, Murphy 2001), and 10 mg appears in short dose-ranging studies. What does not carry over is the population. The trials enrolled older adults and people with obesity, Alzheimer's disease, hip fracture, osteoporosis, kidney failure or growth hormone deficiency; the only studies in healthy young adults that this review found lasted 7 days.
- The fat-free mass gain is real in the trials but did not translate into function. In healthy older adults fat-free mass rose 1.1 kg over a year while strength and function did not change, abdominal visceral fat and total fat mass did not differ from placebo, and body weight rose 2.7 kg. In obese men over 8 weeks fat-free mass rose while total and visceral fat were unchanged.
- Both large patient trials missed their goals. In 563 people with Alzheimer's disease, 12 months of 25 mg daily raised IGF-1 by 72.9% but did not slow decline on any of the four cognitive, functional or global measures. After hip fracture, IGF-1 rose but most functional measures did not improve, and the phase IIb trial was terminated early because of a safety signal of congestive heart failure. An earlier 161-patient hip-fracture trial (Bach et al., 2004) also found no significant difference in functional performance, and a 24-week fibromyalgia trial of 25 mg daily (NCT00116129) completed in 2008 without posting results.
- The trials report consistent metabolic effects. Over a year in healthy older adults fasting glucose rose 0.3 mmol/L on average, HbA1c rose and insulin sensitivity fell, and the dose was cut to 10 mg in two participants because of raised fasting glucose; glucose tolerance was impaired in obese men within 2 weeks. Increased appetite, mild transient leg oedema and muscle pain were the most frequent side effects. In the fatty liver pilot, 7 of 12 participants reported increased appetite and 4 had hyperglycaemia.
- A half-life of about 24 hours is widely quoted for MK-677. No primary source reviewed here states a human half-life: the Merck assay paper describes mapping the plasma time course after a single 5 mg dose but reports no half-life in its abstract, so none is given here. The trials simply dosed once daily.
- Current development is paediatric and weight-based. As LUM-201, ibutamoren was given at 0.8โ3.2 mg/kg once daily to children with growth hormone deficiency, and no dose matched daily injected growth hormone on 6-month height velocity. Those mg/kg doses do not convert into the fixed adult doses above.
- Case reports in people taking MK-677 as a performance-enhancing supplement describe liver injury that resolved after stopping, and gynaecomastia with hypogonadism from supplements that also contained RAD-140, cardarine and undisclosed hormones. Single case reports do not establish cause, but they show that what is sold as MK-677 is not necessarily what the trials administered.
Handling & administration
- Reconstitution Guide
- Oral โ no reconstitution
- Timing Notes
- Educational catalog only โ not medical advice
Sequence & molecular data
| Molecular formula | C28H40N4O8S2 |
|---|---|
| Molecular weight | 624.8 g/mol |
| CAS number | 159752-10-0 |
| Half-life | ~24 hours |
| Appearance | Oral capsule / powder |
| Formulation | Oral capsule |
| PubChem CID | 6450830 |
| FDA UNII | R90JB6QJ2B |
| ChEMBL | CHEMBL2105872 |
Identifiers link to the public PubChem, FDA Substance Registration (UNII), ChEMBL and DrugBank records for the same entity.
Science
Mechanism of Action
MK-677, also called ibutamoren, is an orally bioavailable non-peptide agonist at growth hormone secretagogue receptor 1a. It mimics ghrelin at the pituitary and hypothalamus, producing a sustained increase in growth hormone and IGF-1 with a half-life supporting once-daily dosing โ the property that distinguishes it from injectable peptide secretagogues. Because it activates the ghrelin receptor it also increases appetite. The recognised metabolic consequences follow from sustained GH elevation: reduced insulin sensitivity and increased fasting glucose, together with fluid retention and oedema. It has been studied extensively but is not approved for any indication.
Origin
Synthetic spiropiperidine small molecule.
Targets
Studies
- MK-677, an orally active growth hormone secretagogue, reverses diet-induced catabolism
- Knowing the minimal detectable dose can facilitate the interpretation of a hair test result: II. Case example with ibutamoren (MK-677), a growth hormone secretagogue
- Hepatotoxicity induced by MK-677
- Investigating the P53-dependent anti-cancer effect of ibutamoren in human cancer cell lines
- LGD-4033 and MK-677 use impacts body composition, circulating biomarkers, and skeletal muscle androgenic hormone and receptor content: A case report
Regulatory & research status
MK-677 is not an FDA-approved product. It is sold for laboratory research and has no approved medical use.
| FDA status | Not Approved |
|---|---|
| Availability | Research-Only |
| WADA (sport) | Banned in Sport |
| Library classification | Research-Only |
Benefits
MK-677 side effects
The effects below are those reported in MK-677 clinical trials; long-term safety data may still be limited.
Side Effects
- Hunger
- Edema
- Insulin resistance
- Lethargy
Storage & stability
Lyophilized (freeze-dried) peptide powder is far more stable than the reconstituted solution. Keep sealed vials cold, dry and away from light; long-term storage is typically frozen, with short-term refrigeration for vials in use.
Once reconstituted in bacteriostatic water, keep the solution refrigerated, avoid repeated freezeโthaw cycles and agitation, and label the vial with the reconstitution date and concentration. Discard any solution that turns cloudy or shows particulates.
Degradation rates differ by sequence: peptides containing methionine, cysteine, asparagine or glutamine are more prone to oxidation and deamidation, so shelf life after reconstitution is compound-specific rather than universal.
Read the full guide: how to store peptides before and after reconstitution โ
Source: Manning MC, Chou DK, Murphy BM, Payne RW, Katayama DS. Stability of protein pharmaceuticals: an update. Pharm Res. 2010;27(4):544โ575. (PMID 20143256). General guidance for research handling; not product-specific instructions.
MK-677: frequently asked questions
What is MK-677?
Oral non-peptide GH secretagogue (ibutamoren) that raises GH and IGF-1. Not FDA-approved. WADA S2 names ibutamoren (MK-677).
What are the side effects of MK-677?
MK-677 has no controlled human safety data, so its side-effect profile is not well established. Effects recorded on this profile include hunger, edema, insulin resistance and lethargy. It is on the WADA Prohibited List for athletes. This is reference information, not medical advice.
How does MK-677 work?
MK-677, also called ibutamoren, is an orally bioavailable non-peptide agonist at growth hormone secretagogue receptor 1a. It mimics ghrelin at the pituitary and hypothalamus, producing a sustained increase in growth hormone and IGF-1 with a half-life supporting once-daily dosing โ the property that distinguishes it from injectable peptide secretagogues.
Is MK-677 FDA approved?
No. MK-677 is not approved by the FDA for any indication and is categorised as research-only. It has not been reviewed for safety or efficacy as a medicine, and published research should be read as investigation rather than established use.
What is the half-life of MK-677?
Reported half-life for MK-677 is ~24 hours. Half-life describes how long the compound persists in circulation, not how long any effect lasts, and published figures vary with route of administration, formulation and the population studied.
Is MK-677 banned in sport?
MK-677 is recorded here as prohibited in sport. Athletes subject to anti-doping rules should check the current WADA Prohibited List directly, since it is revised annually and classifications change.
What peptides are similar to MK-677?
Compounds most often compared with MK-677 include Ipamorelin, GHRP-6, GHRP-1 and Pralmorelin (GHRP-2). They are grouped by shared mechanism or research area rather than by equivalence, and their regulatory status and evidence base differ.
References
- WADA Prohibited List 2026External reference
- MK-677, an orally active growth hormone secretagogue, reverses diet-induced catabolism โ J Clin Endocrinol Metab, 1998External reference
- Knowing the minimal detectable dose can facilitate the interpretation of a hair test result: II. Case example with ibutamoren (MK-677), a growth hormone secretagogue โ Clin Chim Acta, 2026External reference
- Hepatotoxicity induced by MK-677 โ BMJ Case Rep, 2025External reference
- Investigating the P53-dependent anti-cancer effect of ibutamoren in human cancer cell lines โ Basic Clin Pharmacol Toxicol, 2025External reference
- LGD-4033 and MK-677 use impacts body composition, circulating biomarkers, and skeletal muscle androgenic hormone and receptor content: A case report โ Exp Physiol, 2022External reference
Related research, comparisons & guides
Related peptides
Compiled by Peptide Library Editorial ยท Reviewed Aug 30, 2026 ยท Updated Oct 5, 2026 ยท Version 5
This MK-677 profile is compiled from published literature (5 cited studies linked above), public regulatory records and chemical registries. It describes what research reports; it is not medical advice, and nothing here is a dosing recommendation for humans. Peptide Library does not sell peptides. Editorial policy ยท How profiles are compiled ยท Report an error
Track MK-677 research, inventory and reconstitution in the free Peptide Library app. Get the app for iOS or Android โ