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MK-677 Mechanism Studies: Comparison of Key Clinical Trials

Healthy elderly adults (Chapman et al., 1996, JCEM) 25mg 4 weeks GH increased 55%, IGF-1 increased 46% Improved nitrogen balance, no change in cortisol Proved oral efficacy and sustained GH elevation without HPA axis disruption Young obese males (Svensson et a

This comparison does not assign a generated winner or score.

  • Healthy elderly adults (Chapman et al., 1996, JCEM)
  • 25mg
  • 4 weeks
  • GH increased 55%, IGF-1 increased 46%
  • Improved nitrogen balance, no change in cortisol
  • Proved oral efficacy and sustained GH elevation without HPA axis disruption
  • Young obese males (Svensson et al., 1998, J Clin Endocrinol Metab)
  • 8 weeks
  • GH pulse amplitude increased 97%, IGF-1 up 84%
  • Increased lean mass by 1.1 kg, visceral fat unchanged
  • Demonstrated anabolic potential but appetite increase offset fat loss
  • Elderly frail patients (Murphy et al., 1999, JBMR)
  • 12 months
  • Sustained IGF-1 increase of 72%
  • BMD increase of 1.8% (femoral neck), improved gait speed
  • Longest-duration trial. No tachyphylaxis, confirmed bone anabolic effects
  • Growth hormone-deficient adults (Nass et al., 2008, JCEM)
  • 6 months
  • IGF-1 normalised to age-matched controls
  • Body composition improved, no difference in glucose homeostasis vs placebo
  • Showed clinical utility in GH deficiency without insulin resistance
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