Metabolism and weight management
Conceptual educational illustration of AICAR / acadesine in a glass specimen jar, labelled MOLECULE PROFILE.

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AGENT PROFILE

AICAR / acadesine

Nonpeptide agent

AICAR/acadesine is converted intracellularly to ZMP; it modulates energy signaling including AMPK, with effects not exclusive to AMPK.

Sources checked · October 16, 2026

Published for review · Scientific, medical, translation and citation review pending. Reported uses are not authorized indications. Frequency reflects mentions in supplied sources, not sales or global clinical prevalence.

Identity and synonyms

Catalog label is recorded; analytical identity and equivalence are not established.

Nonpeptide agent · Nonpeptide small molecule

Detailed molecular class: Nonpeptide agent; see mechanism for subtype

Supplied sequence or chemical reference

PubChem CID: 17513

Molecular formula: C9H14N4O5

IUPAC: 5-amino-1-[(2R,3R,4S,5R)-3,4-dihydroxy-5-(hydroxymethyl)oxolan-2-yl]imidazole-4-carboxamide

Source: PC-AICAR

PubChem

Chemical structure reference

Database chemical reference; does not certify supplier vial, salt, isomer or formulation.

Mechanism

AICAR/acadesine is converted intracellularly to ZMP; it modulates energy signaling including AMPK, with effects not exclusive to AMPK.

Evidence and critical reading

Reported scientific and empirical uses

Reported muscle and performance

Promoted as an exercise mimetic; clinical acadesine development studied other aims, including coronary surgery.

Human evidence

RED-CABG randomized 3,080 patients and stopped for futility; the primary outcome was similar. It does not establish a safe exercise substitute in healthy people.

Preclinical evidence

Do not equate mechanism, cell culture or animal work with a clinical outcome. The specific level is detailed in the evidence assessment.

Critical reading and limitations

RED-CABG randomized 3,080 patients and stopped for futility; the primary outcome was similar. It does not establish a safe exercise substitute in healthy people.

RED-CABG randomized 3,080 patients and stopped for futility; the primary outcome was similar. It does not establish a safe exercise substitute in healthy people.

Source-specific regimens

Descriptive source observations, not individual recommendations.

Regulatory product labeling

No numerical human dose is assigned: reviewed sources did not verify a regimen attributable to this material, route and indication. Other molecules’ doses, animal exposures, vial amounts and dietary requirements are not substituted.

Human-study exposure

No numerical human dose is assigned: reviewed sources did not verify a regimen attributable to this material, route and indication. Other molecules’ doses, animal exposures, vial amounts and dietary requirements are not substituted.

Empirical handbook

No numerical human dose is assigned: reviewed sources did not verify a regimen attributable to this material, route and indication. Other molecules’ doses, animal exposures, vial amounts and dietary requirements are not substituted.

Regulation and safety

Jurisdiction-specific regulatory context

This record does not verify FDA/EMA authorization of the commercial identity. Where a specific medicine/product exists, jurisdiction/indication are detailed in cited sources; they do not transfer to supplier material.

Adverse effects and unknowns

Brief hospital exposure does not determine chronic research-market safety; identity, metabolism and interactions need separate evaluation.

Contraindications

A complete list must match the exact authorized product. For experimental materials without verified human labeling, a complete contraindication set is not established here. No list does not mean safety.

Interactions

Separate documented interaction, pharmacologic plausibility and unknown interaction. Absence of a blend trial does not establish compatibility.

Studies and trials

Selected studies

No selected studies are attributed in this record.

Trials attributed in the package

No trials are attributed in this record.

Trial registration does not establish efficacy or validate commercial material.

Query candidates; attribution pending

AICAR · 2 unfiltered query results, not authenticated trials

Query verification: October 16, 2026

Exact phrase intervention query; first three most recently updated records, not exhaustive. Aliases may be missed and heterogeneous products may appear. The total is the unfiltered registry query count, not authenticated trials. Source-integrity holds are excluded from ordinary listings.

View trial registry query

NCT00168519 · Contraction (Exercise) Mediated Glucose Uptake as a Therapeutic Target in Type 2 DiabetesRegistry status: CompletedLast update posted: December 15, 2009Query verification: October 16, 2026

NCT00004314 · Phase II Pilot Study of Aminoimidazole Carboxamide Riboside (AICAR), a Precursor of Purine Synthesis, for Lesch-Nyhan DiseaseRegistry status: CompletedLast update posted: June 24, 2005Query verification: October 16, 2026

Source issues and references

References include queries and bibliographic handbook attributions; not all are clinical studies. Human review remains pending.

  1. PC-AICAR

    PubChem acadesine (CID 17513)

    October 16, 2026

  2. PMID22782417

    Effect of adenosine-regulating agent acadesine on morbidity and mortality associated with coronary artery bypass grafting: the RED-CABG randomized controlled trial.

    Newman MF, Ferguson TB, White JA, Ambrosio G, Koglin J, Nussmeier NA, Pearl RG, Pitt B, Wechsler AS, Weisel RD, Reece TL, Lira A, Harrington RA, RED-CABG Steering Committee and Investigators.

    October 16, 2026

  3. SEARCH-PUBMED-aicar

    PubMed/MED targeted search: TITLE_ABS:acadesine AND TITLE_ABS:randomized

    October 16, 2026

  4. pdf01

    PEPNEXA 2.pdf

    October 16, 2026

  5. pdf02

    ELLA PEPTIDES.pdf

    October 16, 2026

  6. pdf03

    zlz list 26.8.5.pdf

    October 16, 2026

  7. pdf05

    PEPNEXA.pdf

    October 16, 2026

  8. pdf07

    US Peptide MangerCorp(1).pdf

    October 16, 2026

  9. pdf09

    PeptideFactory.pdf

    October 16, 2026

A community-based bilingual scientific education initiative for healthcare professionals and the general public across the Americas.Currently self-funded; no current sponsors. Formal governance and legal documentation pending.info@peptideamericas.org · Planned contact address — not active yet; please do not send messages.