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MK-4541 is a steroidal selective androgen receptor modulator (SARM) and 4‑azasteroid derivative developed by Merck. It acts as both a potent androgen receptor antagonist and a 5α-reductase inhibitor. In preclinical studies and animal models it has demonstrated mixed agonistic (androgenic/anabolic) effects in muscle and bone while exerting antagonistic (antiandrogenic) effects in the prostate and prostate cancer cells. MK‑4541 suppresses testosterone levels—likely via antigonadotropic activity—and inhibits proliferation/induces apoptosis in androgen-dependent prostate cancer cells. It also increases lean body mass and muscle function under androgen-deficient conditions. The compound was investigated for potential use in treating prostate cancer but has not advanced beyond preclinical development or been marketed[1][2][5].
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