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Study breakdown

Seven Days of Oral MK-677 Boosts 24-Hour Growth Hormone Profiles in Young Men

RCTStrong evidence
The takeaway

Seven days of bedtime oral MK-677 at 25 mg significantly increased 24-hour GH profiles and IGF-1 levels in healthy young men without disrupting cortisol rhythms.

25 mg effective, 5 mg not

The 25 mg bedtime dose significantly increased GH and IGF-1, while 5 mg showed lesser effects

What the researchers found

Bedtime MK-677 at 25 mg for 7 days significantly increased 24-hour GH profiles and IGF-1 in young men without altering adrenocortical function.

Why it matters

This study established a practical dosing protocol (25 mg at bedtime) for MK-677 and confirmed it works in young men without disrupting the cortisol axis — a key safety consideration.

How the study worked

Randomized, double-blind, three-period crossover study. 9 healthy young men received placebo, 5 mg, or 25 mg MK-677 orally at bedtime for 7 consecutive days per period. 24-hour GH profiles, IGF-1, and cortisol were measured.

What this study cannot tell us

Very small sample (9 men). Only 7-day treatment period. No women included. Limited to hormonal endpoints without functional outcome measures.

How to read the evidence

Strong study design (randomized, double-blind, crossover) but very small sample size (9). Provides robust individual-level data but limited generalizability.

When this study was published

Published in 1996, this is a key early dosing study for MK-677. The 25 mg bedtime protocol it established remains the standard reference dose.

The bigger picture

This study helped establish the standard MK-677 dosing protocol (25 mg at bedtime) that is widely referenced in subsequent research and clinical practice.

Questions still open

  • Does the GH-boosting effect of MK-677 persist with longer-term use, or does tolerance develop?
  • Would women show similar responses to MK-677 at these doses?

Common questions

Why is MK-677 taken at bedtime?
Growth hormone is naturally released in pulses during sleep. Taking MK-677 at bedtime amplifies these natural sleep-associated GH pulses, working with the body's rhythm rather than against it.
Did MK-677 affect cortisol levels?
No. Despite boosting growth hormone, MK-677 did not alter adrenocortical function or cortisol rhythms, which is important because disrupting cortisol could cause significant side effects.

Read the original research

Effects of a 7-day treatment with a novel, orally active, growth hormone (GH) secretagogue, MK-677, on 24-hour GH profiles, insulin-like growth factor I, and adrenocortical function in normal young men.

The Journal of clinical endocrinology and metabolism, 81(8), 2776-82

Citation

Copinschi, G; Van Onderbergen, A; L'Hermite-Balériaux, M; Mendel, C M; Caufriez, A; Leproult, R; Bolognese, J A; De Smet, M; Thorner, M O; Van Cauter, E. (1996). Effects of a 7-day treatment with a novel, orally active, growth hormone (GH) secretagogue, MK-677, on 24-hour GH profiles, insulin-like growth factor I, and adrenocortical function in normal young men.. The Journal of clinical endocrinology and metabolism, 81(8), 2776-82.