MK-677

MK-677 (ibutamoren; ibutamoren mesylate) is an orally active, non-peptide small-molecule ghrelin receptor (GHS-R1a) agonist developed by Merck as a research compound for GH deficiency and muscle-wasting conditions, notable as one of the few GH secretagogues with confirmed oral bioavailability and a substantial human clinical dataset spanning multiple Phase 2 randomized controlled trials. MK-677 mimics ghrelin to stimulate pulsatile GH and IGF-1 secretion from the pituitary in a dose-dependent manner without directly replacing GH, and RCTs have demonstrated significant increases in fat-free mass and GH secretion in obese adults and in hemodialysis patients with nutritional deficits, establishing the pharmacology of oral GHS-R1a agonism in humans. Despite robust human pharmacological evidence, MK-677 was not advanced to FDA registration; Merck Phase 3 trials showed efficacy on surrogate endpoints but did not demonstrate the clinical outcomes required for approval, commercial development was discontinued, and no approved indication exists. MK-677 is a non-peptide research compound — not a peptide in the pharmacological sense — with no FDA approval; it is widely available through research chemical suppliers and used off-label, and considerations including its documented effects on insulin sensitivity, fasting glucose, and sustained IGF-1 elevation are relevant to its risk profile. MK-677 dosage in clinical trials: published RCTs studied oral doses of 10 mg, 25 mg, and 50 mg once daily. The timing of administration relative to sleep has been explored in some studies in relation to the natural nocturnal GH peak. MK-677's oral bioavailability is a practical distinction from injectable GH secretagogues — it is administered as a tablet or capsule without the reconstitution steps required for peptide injectables. Side effects documented in RCTs include increased appetite (a direct ghrelin-mimetic effect), mild peripheral edema from water retention, and transient increases in fasting blood glucose — a clinically relevant finding for individuals with pre-existing insulin sensitivity concerns. Sustained IGF-1 elevation from long-duration use is a differentiated risk characteristic compared to short-half-life injectable GHRPs. MK-677 is sometimes grouped with performance peptides due to overlapping research contexts but is pharmacologically a non-peptide small molecule. Licensed telehealth and anti-aging providers who carry growth hormone secretagogues are listed in the PeptideBase directory.