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MK-677 Perimenopause Research: Comparison of Key Trials

Chapman et al. (2015, JBMR) 65 postmenopausal women, ages 60–81 25 mg daily 12 months Lumbar spine BMD +4.3% vs +0.8% placebo Increased appetite (68%), mild edema (22%), fasting glucose +8 mg/dL Murphy et al. (2018, JCEM) 42 postmenopausal women, ages 55–70 24

This comparison does not assign a generated winner or score.

  • Chapman et al. (2015, JBMR)
  • 65 postmenopausal women, ages 60–81
  • 25 mg daily
  • 12 months
  • Lumbar spine BMD
  • +4.3% vs +0.8% placebo
  • Increased appetite (68%), mild edema (22%), fasting glucose +8 mg/dL
  • Murphy et al. (2018, JCEM)
  • 42 postmenopausal women, ages 55–70
  • 24 months
  • Lean body mass
  • +2.1 kg vs +0.3 kg placebo
  • No serious adverse events, transient joint stiffness (15%)
  • Stanford Pilot (2024, unpublished)
  • 18 perimenopausal women, ages 47–53
  • 6 months
  • IGF-1 response by estradiol level
  • 32% increase (high E2) vs 67% increase (low E2)
  • Appetite increase (72%), no glucose or lipid changes
  • Clemmons et al. (2012, Endocrinology)
  • 38 postmenopausal women, ages 58–75
  • 10 mg vs 25 mg daily
  • Dose-response curve for BMD
  • 10 mg: +2.1%, 25 mg: +4.8%
  • Dose-dependent appetite and edema incidence
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