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Androgen Receptor Modulators (SARMs)

Ostarine (Enobosarm, MK-2866)

Enobosarm; MK-2866; MK2866; GTx-024; GTx024; S-22; Ostarine; Ostabolic

8 min read · Updated July 10, 2026 · 10 references

Curated by PeptideInfo Wikilast reviewed how we verify

In brief · TL;DR
Investigational — active human trials· Not approved anywhere — investigational (Phase 3)

Ostarine (enobosarm, MK-2866) is a nonsteroidal SARM — not a peptide and not an approved drug. It reached Phase 3 but its lung-cancer muscle-wasting trials (POWER1/POWER2) missed their co-primary endpoints and a bladder trial (ASTRID) failed; it is now in Phase 3 for AR+ breast cancer. On the grey market it is the most-sold SARM and the top supplement-contamination culprit, with documented drug-induced liver injury and testosterone suppression. WADA-prohibited (S1.2).

Evidence: In human clinical trials; not yet approved.

  • Nonsteroidal selective androgen receptor modulator (SARM), arylpropionamide class — NOT a peptide
  • Derived from modifications of the antiandrogen bicalutamide; PubChem CID 11326715, CAS 841205-47-8
  • Phase 3 POWER1/POWER2 (NSCLC muscle wasting) missed co-primary endpoints (lean body mass + physical function)
  • Phase 2 ASTRID (stress urinary incontinence) failed its primary endpoint (2018)
  • Now in Phase 3 for AR-positive/ER-positive, HER2-negative breast cancer (Veru); not approved anywhere
  • The most-sold grey-market SARM and the
  • Documented drug-induced liver injury (DILI) and testosterone/HPTA suppression
  • WADA-prohibited at all times — Anabolic Agents, S1.2 (Other Anabolic Agents), named
↓ Read the full referenced entry below

An orally active, nonsteroidal selective androgen receptor modulator (SARM) of the arylpropionamide class — NOT a peptide and NOT an approved medicine. Originally developed by GTx (later Oncternal, then licensed to Veru) and studied for muscle wasting, osteoporosis, and androgen-receptor-positive breast cancer. Its Phase 3 POWER1/POWER2 trials in non-small-cell-lung-cancer muscle wasting missed their co-primary endpoints, and a Phase 2 stress-urinary-incontinence trial (ASTRID) failed. Enobosarm has reached Phase 3 in AR+/ER+ breast cancer but is not approved anywhere. On the grey market it is the most-sold SARM and the single most common supplement-contamination culprit; documented harms include drug-induced liver injury and testosterone/HPTA suppression.

Overview

Ostarine (development codes MK-2866, GTx-024, S-22; INN enobosarm) is an orally active, nonsteroidal selective androgen receptor modulator (SARM) of the arylpropionamide chemical class. It is NOT a peptide — it is a small synthetic molecule derived from structural modification of the antiandrogen bicalutamide. It appears on this reference because it is heavily discussed and stacked alongside peptides in the fitness and "research chemical" community, not because it is one.

Enobosarm was developed by GTx, Inc. (Memphis; licensed from the University of Tennessee Research Foundation), briefly partnered with Merck & Co. (2007–2010), and after a 2019 reverse merger into Oncternal Therapeutics the compound was licensed to Veru Inc. (December 2020), which now runs its oncology program. Across two decades it has been studied for muscle wasting, osteoporosis, stress urinary incontinence, and androgen-receptor-positive breast cancer.

Not approved anywhere — investigational, and grey-market misuse is the real-world story

Enobosarm is not an approved medicine in any country for physique, performance, or any indication. Its Phase 3 POWER1/POWER2 trials in non-small-cell lung cancer muscle wasting missed their co-primary endpoints, and a Phase 2 stress urinary incontinence trial (ASTRID, 2018) failed its primary endpoint. It has since advanced to Phase 3 for AR-positive breast cancer, but that does not make it a usable drug today. On the grey market it is the most-sold SARM and the single most common supplement-contamination culprit, and it carries documented harms including drug-induced liver injury and testosterone suppression. This page is educational and is not medical advice; nothing here endorses or guides human use, and this is not a "milder/safer/legal alternative" to anabolic steroids.

Chemistry and structure

Enobosarm is a small-molecule arylpropionamide, not an amino-acid chain.

PropertyValue
NameOstarine / Enobosarm (MK-2866, GTx-024, S-22)
ClassNonsteroidal selective androgen receptor modulator (SARM), arylpropionamide — not a peptide
Molecular formulaC19H14F3N3O3
Molecular weight389.33 g/mol (PubChem CID 11326715)
CAS number841205-47-8
RouteOrally active
Structural originDerived from modification of the antiandrogen bicalutamide

Mechanism of action

  • Androgen receptor (AR) modulation. Enobosarm binds the androgen receptor and acts as a tissue-selective agonist — designed to drive anabolic effects in muscle and bone while producing weaker androgenic activity in prostate and other reproductive tissues than testosterone. This tissue selectivity is the entire premise of the "SARM" class. [In vitro] / [Animal]
  • Anabolic effect on lean mass. Activated AR signaling in skeletal muscle increases lean body mass; in trials this was measured by DXA (lean body mass) and functional tests (e.g., stair-climb power). [Human]
  • Nonsteroidal, non-aromatizing. As an arylpropionamide it is not a steroid and is not a substrate for aromatase; its downstream endocrine effects (e.g., suppression of endogenous testosterone) arise from AR-axis feedback rather than from steroid conversion. [Human] / [Hypothesis]
  • Not tissue-perfectly-selective in practice. Human data show endocrine changes (e.g., reductions in SHBG and total/free testosterone), so "selective" does not mean "no hormonal effect." [Human]

Research and evidence

FindingModel / phaseSource
3 mg/day for 12 weeks significantly increased total lean body mass and improved physical function vs placebo; reductions in SHBG and testosterone observed[Human] — Phase 2, healthy elderly men + postmenopausal womenDalton JT et al., J Cachexia Sarcopenia Muscle 2011 (PMC3177038)
Improved lean body mass and physical function in cancer patients[Human] — Phase 2, cancer muscle wastingDobs AS et al., Lancet Oncol 2013 (PMID 23499390)
POWER1/POWER2 Phase 3 (NSCLC muscle wasting) missed co-primary endpoints (lean body mass + physical function on responder analysis); LBM signal seen but functional endpoint not met[Human] — Phase 3Crawford J et al., Curr Oncol Rep 2016 (PMC4853438); Lambert CP, J Cachexia Sarcopenia Muscle 2021
ASTRID Phase 2 for stress urinary incontinence failed its primary endpoint (2018)[Human] — Phase 2 (NCT03241342)Veru/GTx trial disclosures; ClinicalTrials.gov NCT03241342
Clinical benefit in AR-positive/ER-positive, HER2-negative advanced breast cancer; higher clinical-benefit and response rates with higher AR staining[Human] — Phase 2 (Study G200802)Palmieri C et al., Lancet Oncol 2024
Program advanced to Phase 3 in AR+/ER+/HER2- breast cancer[Human] — Phase 3 (ongoing, Veru)Wikipedia (secondary), Veru disclosures

Human evidence in context. Enobosarm is one of the most clinically advanced SARMs — it has real, peer-reviewed Phase 2 data and reached Phase 3. But the honest summary is that its muscle-wasting program did not succeed (POWER1/POWER2 missed co-primary endpoints; ASTRID failed), and its most promising current path is oncology (breast cancer), not physique or athletic performance. No trial supports its grey-market use for bodybuilding, and it is not approved for anything. Precise human pharmacokinetics (half-life, bioavailability) were not verified against a primary PK paper here — the commonly cited ~24 h half-life comes from secondary sources.

Status and regulation

  • Regulatory approval: None. Enobosarm is not approved by the FDA, EMA, or any other regulator for any indication. It is investigational (Phase 3 in oncology).
  • Development history: GTx, Inc. → partnership with Merck (2007–2010, ended) → reverse merger into Oncternal Therapeutics (2019) → licensed to Veru Inc. (Dec 2020), which runs the current breast-cancer program.
  • Anti-doping: Prohibited by WADA at all times (in- and out-of-competition) as an Anabolic Agent — S1.2, Other Anabolic Agents, where it is named. WADA sport-eligibility is a separate axis from legality.
  • Market reality: Sold as a "research chemical." The FDA has warned against SARMs in body-building products, citing risks including liver injury. Grey-market products are of unknown identity, purity, and potency (see Safety).

Safety

Documented human harms — liver injury and testosterone suppression

Enobosarm is not a demonstrated-safe consumer compound. Documented signals include:

  • Drug-induced liver injury (DILI). A peer-reviewed case report documented significant cholestatic liver injury attributed to ostarine, resembling the pattern seen with anabolic steroids (Bedi H et al., ACG Case Reports Journal 2021, PMID 34368386). The FDA has warned that SARMs can cause liver injury, including cases of acute liver failure. [Human]
  • Testosterone / HPTA suppression. Even at studied doses, enobosarm reduced SHBG and total/free testosterone — i.e., it suppresses the hypothalamic-pituitary-testicular axis. "Selective" does not mean "hormonally silent." [Human]

These are documented in humans, not hypothetical.

Contamination reality — a label saying 'SARM' is not a statement of contents

In a landmark analysis, Van Wagoner et al. (JAMA 2017;318(20):2004–2010, PMID 29183075) chemically tested 44 products sold as SARMs: only 52% actually contained the labeled SARM, 39% contained a different unapproved drug not on the label, and 9% contained no active compound at all. Because enobosarm is the most-sold grey-market SARM and the #1 supplement-contamination culprit, a bottle labeled "ostarine" is an unreliable statement of its actual contents — buyers may receive a different drug, a different SARM, an unapproved compound, or nothing.

Beyond DILI and endocrine suppression, long-term human safety is not established: the completed trials were of limited duration and the compound is unapproved. Grey-market products add contamination, mislabeling, and dosing errors as separate, compounding hazards.

Legality not assessed here

This page does not assess the legality of buying or possessing enobosarm in any specific country. What is documented: it is not an approved medicine, supplement, or food ingredient anywhere; it is sold only as a research reagent; and it is not legal to sell for human consumption. A compound becomes an unauthorised medicine the moment it is intended for human use. Separately, it is prohibited in sport by WADA at all times. "Research chemical" status is a legal and safety gray zone — it is not a signal of safety or approval. This is not legal advice; check your own jurisdiction.

How it compares

Enobosarm is often grouped with other SARMs and "research chemicals," but the classes are distinct:

  • Cardarine (GW-501516) — a PPARδ agonist, not a SARM and not a peptide, abandoned over a rodent cancer signal. Frequently stacked with SARMs, which is the source of the confusion.
  • Compared with other true SARMs, enobosarm is the most clinically advanced (real Phase 2/3 data), yet still unapproved, and its muscle-wasting program did not meet its primary goals.

The decisive framing: enobosarm is an investigational drug with genuine oncology trials, not an approved physique or performance product — and its grey-market form is the leading source of SARM contamination. See the Muscle growth & hormone overview.

Common misconceptions

  • "Ostarine is a peptide." No. It is a nonsteroidal small molecule (arylpropionamide, C19H14F3N3O3, 389.33 g/mol). It is covered here only because it is discussed and stacked with peptides.
  • "It's a mild, safe, legal alternative to steroids." No. It is unapproved, causes documented liver injury and testosterone suppression, and is WADA-prohibited. Framing it as a safe steroid substitute is not supported.
  • "It's approved / almost approved for muscle wasting." No. POWER1/POWER2 missed their co-primary endpoints and ASTRID failed — the muscle-wasting/incontinence programs did not succeed. Its live Phase 3 is in breast cancer.
  • "A bottle labeled ostarine contains ostarine." Not reliably. In the JAMA 2017 analysis only 52% of products sold as SARMs contained the labeled compound.

This entry is educational and summarizes published research and public regulatory information. It is not medical advice, a recommendation, or a guide to obtaining or using any substance. Not legal advice — verify your own jurisdiction.

References

  1. 1.
    The selective androgen receptor modulator GTx-024 (enobosarm) improves lean body mass and physical function in healthy elderly men and postmenopausal women: results of a double-blind, placebo-controlled phase II trial Dalton JT, Barnette KG, Bohl CE, et al., Journal of Cachexia, Sarcopenia and Muscle, 2011. source
  2. 2.
    Effects of enobosarm on muscle wasting and physical function in patients with cancer: a double-blind, randomised controlled phase 2 trial Dobs AS, Boccia RV, Croot CC, et al., The Lancet Oncology, 2013. source
  3. 3.
    Study Design and Rationale for the Phase 3 Clinical Development Program of Enobosarm, a SARM, for the Prevention and Treatment of Muscle Wasting in Cancer Patients (POWER Trials) Crawford J, Prado CMM, Johnston MA, et al., Current Oncology Reports, 2016. source
  4. 4.
    Should the FDA's criteria for the clinical efficacy of cachexia drugs be changed? Is Ostarine safe and effective? Lambert CP., Journal of Cachexia, Sarcopenia and Muscle, 2021. source
  5. 5.
    Activity and safety of enobosarm in androgen receptor-positive, oestrogen receptor-positive, and HER2-negative advanced breast cancer (Study G200802): a randomised, open-label, phase 2 trial Palmieri C, Linden HM, Birrell S, et al., The Lancet Oncology, 2024. source
  6. 6.
    Drug-Induced Liver Injury From Enobosarm (Ostarine), a Selective Androgen Receptor Modulator Bedi H, Hammond C, Sanders D, Yang HM, Yoshida EM., ACG Case Reports Journal, 2021. source
  7. 7.
    Chemical Composition and Labeling of Substances Marketed as Selective Androgen Receptor Modulators and Sold via the Internet Van Wagoner RM, Eichner A, Bhasin S, et al., JAMA, 2017. source
  8. 8.
    FDA In Brief: FDA warns against using SARMs in body-building products U.S. Food and Drug Administration, FDA, 2017. source
  9. 9.
    PubChem CID 11326715 — Enobosarm (CAS 841205-47-8, C19H14F3N3O3, 389.33 g/mol) National Library of Medicine (PubChem), PubChem, 2026. source
  10. 10.
    Enobosarm Wikipedia contributors, Wikipedia, 2026. source

Frequently asked questions

What is Ostarine (Enobosarm, MK-2866)?
An orally active, nonsteroidal selective androgen receptor modulator (SARM) of the arylpropionamide class — NOT a peptide and NOT an approved medicine. Originally developed by GTx (later Oncternal, then licensed to Veru) and studied for muscle wasting, osteoporosis, and androgen-receptor-positive breast cancer. Its Phase 3 POWER1/POWER2 trials in non-small-cell-lung-cancer muscle wasting missed their co-primary endpoints, and a Phase 2 stress-urinary-incontinence trial (ASTRID) failed. Enobosarm has reached Phase 3 in AR+/ER+ breast cancer but is not approved anywhere. On the grey market it is the most-sold SARM and the single most common supplement-contamination culprit; documented harms include drug-induced liver injury and testosterone/HPTA suppression.
Is Ostarine (Enobosarm, MK-2866) approved as a medicine, and where?
No. Ostarine (Enobosarm, MK-2866) is investigational: it is being studied in human clinical trials but is not approved by any regulator and is not available as a licensed medicine.
What is Ostarine (Enobosarm, MK-2866) studied for?
Ostarine (Enobosarm, MK-2866) is most often discussed in the context of muscle & growth hormone. Research has examined muscle-growth-hormone. Being studied for an area does not mean it is proven or approved for it.
Does Ostarine (Enobosarm, MK-2866) have human clinical trials?
Yes. Ostarine (Enobosarm, MK-2866) is currently being studied in human clinical trials, but it is not yet approved.

Educational disclaimer. This article summarizes published research for informational purposes and is not medical advice. Ostarine (Enobosarm, MK-2866) is a research chemical not approved for human use. Consult a qualified healthcare professional before making health decisions.

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