Growth hormone & IGF Not a peptide

MK-677 (ibutamoren)

Also known as: MK-0677

Not FDA-approved FDA risk list (Category 2)

Last verified: October 30, 2026

At a glance

FDA approval Not FDA-approved No record in Drugs@FDA
Randomized controlled trials 18 of 118 publications on PubMed
Registered clinical trials 8 1 active
Adverse event reports 12 10 classified as serious
  • MK-677 (ibutamoren) is not an FDA-approved drug: Drugs@FDA has no record of it.
  • FDA lists it in Category 2, bulk substances that may present significant safety risks in compounding (since December 29, 2022).
  • PubMed lists 118 publications mentioning it, including 18 randomized controlled trials and 31 animal-only studies.
  • ClinicalTrials.gov lists 8 registered studies testing it (1 active).
  • FDA's adverse event system (FAERS) holds 12 reports mentioning it; 10 classified as serious. Reports do not prove causation.

Research topics

  • Indoles 63
  • Spiro Compounds 61
  • Growth Hormone 35
  • Receptors, Ghrelin 29
  • Ghrelin 27
  • Human Growth Hormone 27
  • Insulin-Like Growth Factor I 24
  • Peptide Hormones 16
  • Receptors, G-Protein-Coupled 16
  • Receptors, Cell Surface 14

Most frequent MeSH subject headings in the latest PubMed records (English, as indexed).

Regulatory status

Drugs@FDA applications

No application found in Drugs@FDA, FDA's database of approved drugs.

Source: Drugs@FDA (openFDA) · verified October 30, 2026 · API query

FDA compounding safety list

FDA risk list (Category 2) Applies to: 503A; 503B Added (503A): September 29, 2023Added (503B): December 29, 2022
FDA's stated risk · Original FDA text (English) Ibutamoren mesylate poses significant safety risks due to the potential for congestive heart failure in certain patients. The agency is aware of a randomized, placebo-controlled trial assessing ibutamoren mesylate for the treatment of patients recovering from hip fracture that “was terminated early due to a potential safety signal of congestive heart failure.”

Source: FDA.gov — Category 2 bulk drug substances · verified October 30, 2026

Removal of a substance from a regulatory list does not mean it has been approved. A "research use only" label does not make a product safe or legal for human use.

Scientific publications

  • All publications 118
  • Human (MeSH) 74
  • Animal only 31
  • Clinical trials 19
  • Randomized controlled trials 18
  • Systematic reviews & meta-analyses 0
  • Case reports 4
  • Retracted 0

Counts are PubMed records that mention the peptide in the title or abstract. Categories overlap, and a mention is not the same as testing the peptide as a treatment. Each number opens the exact PubMed search. Effects seen in laboratory or animal studies may not occur in humans. A registered clinical trial does not show that a substance is effective or safe.

Latest publications

Source: PubMed (NCBI) · verified October 30, 2026

Clinical trials

Registered
8
Active
1
With posted results
2

Conditions studied

  • Chronic Kidney Disease 2
  • Growth Hormone Deficiency (GHD) 1
  • NAFLD 1
  • Nonalcoholic Fatty Liver 1
  • NASH - Nonalcoholic Steatohepatitis 1
  • Kidney Disease 1
  • End Stage Renal Disease 1
  • Hip Fracture 1
  • Fibromyalgia 1
  • Alzheimer's Disease 1
  • Aging 1
Study Status Phase Start
Phase 3 Study of LUM-201 in Children With Growth Hormone Deficiency
NCT06948214 Lumos Pharma
Recruiting Phase 3 May 20, 2026
The Impact of Ibutamoren on Nonalcoholic Fatty Liver Disease
NCT05364684 Massachusetts General Hospital Results posted
Completed Phase 2 August 10, 2022
Growth Hormone Secretagogue MK-0677's Effect on Lean Body Mass in Chronic Kidney Disease Stage 4/5 Subjects
NCT01343641 University of Virginia
Withdrawn Phase 2 Mar 2009
Growth Hormone Secretagogue MK-0677 Effect on IGF-1 Levels in ESRD Patients
NCT00395291 University of Virginia Results posted
Completed N/A Aug 2006
Treatment of Sarcopenia in Post-Hip Fracture Patients (0677-032)
NCT00128115 Merck Sharp & Dohme LLC
Terminated Phase 2 Sep 2005
Efficacy and Safety of an Oral Growth Hormone Drug in the Treatment of Fibromyalgia
NCT00116129 Bennett, Robert, M.D.
Completed Phase 2 Jul 2005
Study of MK0677 for the Treatment of Alzheimer's Disease (0677-030)(COMPLETED)
NCT00074529 Merck Sharp & Dohme LLC
Completed Phase 2 Oct 2003
Effects of an Oral GH Secretagogue (MK-677) on Body Composition and Functional Ability of Older Adults
NCT00474279 University of Virginia
Completed Phase 1, Phase 2 Jul 1998

All 8 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

Reports
12
Serious
10
With death outcome
0

Most reported reactions

  • Cerebrovascular accident 3
  • Cold type haemolytic anaemia 2
  • Jaundice 2
  • Liver injury 2
  • Off label use 2
  • Seizure 2
  • Abnormal behaviour 1
  • Acute coronary syndrome 1
  • Acute psychosis 1
  • Administration site discharge 1
  • Administration site pain 1
  • Chest pain 1

Adverse event reports do not prove that the substance caused these effects. Side effects not listed here may still occur. Reaction terms are MedDRA terms as reported to FAERS.

Source: FDA FAERS (FAERS data as of July 30, 2026) · verified October 30, 2026 · API query

Change history

No changes since monitoring began on October 30, 2026.