Library / Growth hormone
Ibutamoren
Also known as MK-677, MK-0677
Failed trials
Not a peptide: an oral small molecule that mimics ghrelin to raise growth hormone and IGF-1. Phase 2 trials (including hip fracture recovery and Alzheimer disease) did not lead to approval.
Not an approved medicine. Ibutamoren is not an approved medicine for this use in Australia or the United States. This page summarises published research for information only. It is not a recommendation to use Ibutamoren, and VialOwl does not sell or supply it.
Background
Not a peptide: an orally active small molecule (L-163,191, later MK-0677) designed by Merck Research Laboratories and described in 1995 as a non peptide mimic of GHRP-6. Merck ran trials into the 2000s but it was never approved.
How it is thought to work
Taken by mouth, it activates the ghrelin receptor for many hours, raising growth hormone and IGF-1 levels day and night. It also increases appetite and can reduce insulin sensitivity.
What is claimed, and the evidence
| Claim | Evidence | Notes |
|---|---|---|
| Raising growth hormone and IGF-1 in older adults | Human trials | A 2 year randomised trial in 65 healthy adults aged 60 to 81 raised levels to young adult ranges. |
| Increasing lean (fat free) mass | Human trials | About 1.1 kg more fat free mass after 12 months versus placebo, but no gain in strength or function. |
| Faster recovery after hip fracture | Human trials Not supported | Phase 2b trial (123 patients) showed no benefit on most function measures and was stopped early for a heart failure safety signal. |
| Slowing Alzheimer disease | Human trials Not supported | 12 month trial in 563 patients found no effect despite higher IGF-1. |
| Reversing diet induced protein loss | Small human studies | Short crossover study in 8 healthy volunteers improved nitrogen balance. |
| Better sleep quality | Small human studies | Small sleep studies in the 1990s. |
| Muscle building, fat loss and anti ageing as a 'SARM' style supplement | No published evidence | Widely sold online as a research chemical; trials did not show strength or function gains. |
Side effects
| Effect | How often | Notes |
|---|---|---|
| Increased appetite | Common | Most frequent side effect in the 2 year trial; eased after a few months. |
| Mild swelling of the lower legs (oedema) | Common | Transient in the older adult trial. |
| Muscle pain | Common | Transient in the older adult trial. |
| Raised fasting glucose and reduced insulin sensitivity Serious | Common | Fasting glucose rose about 0.3 mmol/L on average. |
| Weight gain | Common | 2.7 kg versus 0.8 kg on placebo over 12 months, partly limb fat. |
| Raised cortisol | Common | Increased 47 nmol/L on average in the older adult trial. |
| Congestive heart failure Serious | Uncommon | Safety signal in a limited number of elderly hip fracture patients ended that trial early; cited by FDA. |
Warnings
- FDA lists ibutamoren as a significant safety risk for compounding because of the potential for congestive heart failure.
- Raises blood glucose and reduces insulin sensitivity; long term cancer and mortality effects have not been studied.
- It is sold online as a 'research chemical' with no quality control; products may be contaminated or mislabelled.
Regulatory status
- Australia
- Not included on the ARTG (unapproved). Schedule 4 in the Poisons Standard (listed by name), with Appendix D clause 5 possession controls.
- United States
- Not FDA approved. In 503A and 503B Category 2 (significant safety risks), citing potential for congestive heart failure.
Sources
- PubMed: Effects of an oral ghrelin mimetic on body composition and clinical outcomes in healthy older adults: a randomized trial
- PubMed: MK-0677 for patients recovering from hip fracture: phase IIb study
- PubMed: Growth hormone secretagogue MK-677: no clinical effect on AD progression in a randomized trial
- PubMed: Design and biological activities of L-163,191 (MK-0677)
- FDA: Certain bulk drug substances for use in compounding that may present significant safety risks
- Poisons Standard June 2026 (Federal Register of Legislation)
Also in Growth hormone
From the VialOwl library, reviewed 26 September 2026. For education and general information. It is not medical advice and not a recommendation to use Ibutamoren.