Educational reference

Peptide library

AICAR

Your guide to this compound.

Mechanism illustrationEnlarge
AICAR: Medical scientific diagram. Open full size to read labels; evidence and limitations appear in the profile.
Educational illustration · Read the evidence and limitations below.

Evidence in perspective

The large cardiac-surgery trial’s neutral outcome carries more clinical weight for that indication than mouse endurance experiments. Neither the disease population nor the IV trial product validates exercise enhancement in healthy users.

About this assessment

Existing source snapshot critically reassessed.

Based on the selected source scope described in this profile, often an indexed abstract. Full methods and clinician sign-off remain pending; no systematic-review claim.

Editorial assessment · 2026-09-07

Source 1 · pubmed.ncbi.nlm.nih.gov

Source 2 · pubmed.ncbi.nlm.nih.gov

Source 3 · pubmed.ncbi.nlm.nih.gov

Source 4 · pubmed.ncbi.nlm.nih.gov

Who was studied

Mouse metabolic experiments; separately, adults undergoing coronary artery bypass graft surgery.

What the sources found

The 3,080-participant RED-CABG trial stopped for futility and did not improve its primary composite outcome; mouse exercise results cannot establish benefit for healthy people.

Exact study context; no performance-use extrapolation.

Source · Abstract: Results and Conclusion

What remains unknown

A targeted source review, not a complete clinical monograph. Product stability, long-term safety, interactions and jurisdiction-specific authorization require further verification. Research findings do not validate commercial vials.

How it works

AICA-riboside is used to study cellular energy signalling. Narkar and colleagues investigated AMPK-related metabolic responses and endurance in mice.

AICA-riboside is used to study cellular energy signalling. Narkar and colleagues investigated AMPK-related metabolic responses and endurance in mice.

Exact study context; no performance-use extrapolation.

Source · Abstract

Human trials

This catalog identifies human research. A trial can be early, small or negative; its existence does not establish approval or benefit for every proposed use. Check the study population and outcomes.

Understanding the evidence

Reported adverse effects

  • Transient elevation of uric acid was observed in the high-dose group of the 1995 surgical trial; this does not characterize safety for other uses.

Contraindications

  • The reviewed evidence does not establish a complete clinical contraindication profile.

Human trials

This catalog identifies human research. A trial can be early, small or negative; its existence does not establish approval or benefit for every proposed use. Check the study population and outcomes.

Understanding the evidence

Sources used for this snapshot

Source 1 · pubmed.ncbi.nlm.nih.gov

Source 2 · pubmed.ncbi.nlm.nih.gov

Source 3 · pubmed.ncbi.nlm.nih.gov

Source 4 · pubmed.ncbi.nlm.nih.gov

Claim-by-claim evidence

Identity

AICAR in this entry means acadesine, or AICA-riboside: a non-peptide research compound. Mouse exercise experiments and human cardiac-surgery trials answer different questions; neither establishes a personal endurance or longevity regimen.

Exact study context; no performance-use extrapolation.

Abstract; research scope

Mechanism

AICA-riboside is used to study cellular energy signalling. Narkar and colleagues investigated AMPK-related metabolic responses and endurance in mice.

Exact study context; no performance-use extrapolation.

Abstract

Findings

The 3,080-participant RED-CABG trial stopped for futility and did not improve its primary composite outcome; mouse exercise results cannot establish benefit for healthy people.

Exact study context; no performance-use extrapolation.

Abstract: Results and Conclusion

Dose

Historical CABG research used a continuous IV infusion of 0.05 or 0.1 mg/kg/min for 7 hours, plus acadesine in cardioplegia. These are infusion rates in a surgical trial, not bolus doses or a subcutaneous regimen.

Exact study context; no performance-use extrapolation.

Abstract: Methods

Pharmacokinetics

A human IV disposition study exists, but no numeric half-life is supplied here until its full pharmacokinetic methods and analyte are reviewed.

Exact study context; no performance-use extrapolation.

Abstract; full PK review remains pending

References

  1. Narkar et al. AMPK and PPARdelta agonists are exercise mimetics. Cell. 2008.

    Open

  2. Mangano et al. Acadesine in coronary artery bypass surgery. Anesthesiology. 1995.

    Open

  3. Newman et al. RED-CABG randomized controlled trial. JAMA. 2012;308:157–164.

    Open

  4. Acadesine: disposition and metabolism of an adenosine-regulating agent. J Clin Pharmacol. 1993.

    Open

Catalog review date: Sep 6, 2026. This date alone does not establish independent clinical review.

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