Osteoporosis, bone & mineral

Effect of Anamorelin, a Ghrelin Receptor Agonist, on Muscle and Bone in Adults With Osteosarcopenia

J Clin Endocrinol MetabPublished Randomised controlled trial

Authors' conclusion

In this pilot study, anamorelin did not significantly alter muscle mass; however, it may potentially improve lower extremity strength and bone formation in addition to increasing circulating IGF-1 levels in adults with OS. Further study of anamorelin in this population is warranted.

Study context

Population
Men and women aged ≥50 years with osteosarcopenia, Bone Metabolism Laboratory, USDA Nutrition Center at Tufts University
Participants
26 men
Comparison
Anamorelin vs placebo for 1 year
Primary endpoint
Muscle mass (D3-creatine dilution), LBM and BMD (DXA), muscle strength, serum IGF-1, and bone turnover markers (P1NP, CTX)
Follow-up
1 year
Methodological detailsplacebo-controlled, pilot study
  • Placebo-controlled
  • Pilot study

Primary result

As reported in the abstract

Muscle mass, LBM, strength, bone turnover, BMD

Knee flexion torque at 240°/s increased with anamorelin, P = .013

20%

Bone formation (P1NP) increased with anamorelin, P = .006

75%

Further findings

Serum IGF-1 — Serum IGF-1 increase with anamorelin · increased by 50% with anamorelin; no change with placebo
50% · P = 0.0001 for group difference

Serum IGF-1

Serum IGF-1 did not change with placebo

Original publication

Effect of Anamorelin, a Ghrelin Receptor Agonist, on Muscle and Bone in Adults With Osteosarcopenia. J Clin Endocrinol Metab. Published 6 December 2023. doi:10.1210/clinem/dgad702

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