MK-677
MK-677 (Ibutamoren) is an oral, non-peptide ghrelin receptor agonist that stimulates pulsatile GH and IGF-1 secretion from the pituitary. Unlike exogenous HGH, MK-677 works through the body's own GH axis, maintaining physiologic pulsatility. Phase II trials in elderly subjects and GH-deficient populations demonstrated significant increases in IGF-1 (up to 60–80% above baseline), lean mass gains, and improved bone density. Also increases deep sleep (slow-wave). 24-hour coverage from single daily oral dose. Does not suppress natural GH secretion. Main concerns: insulin resistance, cortisol elevation, water retention, and increased appetite (via ghrelin pathway). Not FDA-approved.
Evidence
Moderate evidence
Safety
Unknown safety profile
Clinical Status
Phase II
Research Sync
Feb 19, 2026
Dosing
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Pharmacology
Evidence Score
Scores estimated from study counts. Exact breakdown computed after research sync.
Plain-English Snapshot
MK-677 is currently categorized as a gh secretagogue compound.
Evidence is moderate (66/100): promising signal from 110 indexed studies, but context and population still matter.
Safety scoring is incomplete. Start conservatively and monitor carefully.
Core mechanism
Ghrelin receptor (GHSR-1a) agonist; stimulates pulsatile GH release from anterior pituitary; elevates IGF-1 without suppressing endogenous GH axis
Practical Context
Strongest current signals
- Level C: LGD-4033 and MK-677 use impacts body composition, circulating biomarkers, and skeletal muscle androgenic hormone and receptor content: A case report.
- Level D: 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.
- Level D: Hepatotoxicity induced by MK-677.