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MK-677 phase 2b CHF signal confirmed in re-analysis.

Pooled analysis of two terminated trials shows 6.5% vs 1.7% heart-failure incidence at 25mg/d. We've added a stronger flag to the MK-677 page.

3 min#mk-677#safety#ghs

A pooled re-analysis of the two terminated MK-677 elderly-frailty phase 2b trials confirms a meaningful congestive heart failure signal: 6.5% incidence at 25mg/d vs 1.7% on placebo over 12 months (p=0.014).

Why it matters:
the off-label community has been using MK-677 at 12.5–25mg/d for years on the assumption that the original CHF signal was "just elderly frailty noise." The re-analysis stratifies by age and baseline cardiac function — the signal persists in healthy adults under 65.

Mechanism is plausible: MK-677 raises GH/ and causes fluid retention. Combined with cortisol-stimulating effect and increased aldosterone, the cardiac load thesis holds.

We've updated the MK-677 page with the stronger flag. The trial-dose record was already marked with this caveat — now it's the lead.

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