Metabolism & weight Not a peptide

AICAR (acadesine)

Also known as: AICA riboside

Not FDA-approved

Last verified: October 30, 2026

At a glance

FDA approval Not FDA-approved No record in Drugs@FDA
Randomized controlled trials 13 of 2,587 publications on PubMed
Registered clinical trials 5 0 active
Adverse event reports 0 0 classified as serious
  • AICAR (acadesine) is not an FDA-approved drug: Drugs@FDA has no record of it.
  • PubMed lists 2,587 publications mentioning it, including 13 randomized controlled trials and 1,177 animal-only studies.
  • ClinicalTrials.gov lists 5 registered studies testing it (0 active).
  • FDA’s adverse event system (FAERS) has no reports mentioning it.

Research topics

  • AMP-Activated Protein Kinases 110
  • Aminoimidazole Carboxamide 43
  • Ribonucleotides 41
  • Mitochondria 26
  • Autophagy 22
  • Phosphorylation 19
  • TOR Serine-Threonine Kinases 17
  • Oxidative Stress 15
  • Glucose 14
  • Apoptosis 13

Most frequent MeSH subject headings in the latest PubMed records (English, as indexed).

Regulatory status

Drugs@FDA applications

No application found in Drugs@FDA, FDA's database of approved drugs.

Source: Drugs@FDA (openFDA) · verified October 30, 2026 · API query

FDA compounding safety list

Not on FDA's list of bulk drug substances that may present significant safety risks in compounding.

Source: FDA.gov — Category 2 bulk drug substances · verified October 30, 2026

Removal of a substance from a regulatory list does not mean it has been approved. A "research use only" label does not make a product safe or legal for human use.

Scientific publications

  • All publications 2,587
  • Human (MeSH) 1,068
  • Animal only 1,177
  • Clinical trials 31
  • Randomized controlled trials 13
  • Systematic reviews & meta-analyses 4
  • Case reports 9
  • Retracted 9

Counts are PubMed records that mention the peptide in the title or abstract. Categories overlap, and a mention is not the same as testing the peptide as a treatment. Each number opens the exact PubMed search. Effects seen in laboratory or animal studies may not occur in humans. A registered clinical trial does not show that a substance is effective or safe.

Latest publications

Source: PubMed (NCBI) · verified October 30, 2026

Clinical trials

Registered
5
Active
0
With posted results
1

Conditions studied

  • SMD 1
  • Coronary Artery Bypass 1
  • Myocardial Infarction 1
  • Ventricular Dysfunction, Left 1
  • Stroke 1
  • Cardiopulmonary Bypass 1
  • Leukemia, B-Cell, Chronic 1
  • Diabetes Mellitus, Type 2 1
  • Lesch-Nyhan Syndrome 1
Study Status Phase Start
GFM-Acadesine: A Phase I-II Trial of Acadesine
NCT01813838 Groupe Francophone des Myelodysplasies
Terminated Phase 1, Phase 2 Jun 2013
The Effect Of Acadesine On Reducing Cardiovascular and Cerebrovascular Adverse Events In Coronary Artery Bypass Graft (CABG) Surgery (Study P05633 AM1)(TERMINATED)
NCT00872001 Merck Sharp & Dohme LLC Results posted
Terminated Phase 3 Apr 2009
Safety and Tolerability Open Label Dose Escalation Study of Acadesine in B-CLL Patients
NCT00559624 Advancell - Advanced In Vitro Cell Technologies, S.A.
Completed Phase 1, Phase 2 Dec 2007
Contraction (Exercise) Mediated Glucose Uptake as a Therapeutic Target in Type 2 Diabetes
NCT00168519 Baker Heart Research Institute
Completed N/A Oct 2002
Phase II Pilot Study of Aminoimidazole Carboxamide Riboside (AICAR), a Precursor of Purine Synthesis, for Lesch-Nyhan Disease
NCT00004314 National Center for Research Resources (NCRR)
Completed Phase 2 Feb 1996

All 5 studies on ClinicalTrials.gov ↗

Source: ClinicalTrials.gov · verified October 30, 2026

Adverse event reports

No FAERS reports mention this peptide.

Source: FDA FAERS · verified October 30, 2026 · API query

Change history

No changes since monitoring began on October 30, 2026.