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Drug / geroscience

Rapamycin (sirolimus)

mTOR inhibitor being studied for effects on aging biology and healthspan-related outcomes.

Where the science stands

This page summarizes the current human evidence captured in the Longevity Compass database. Result interpretation is conservative and unresolved outcomes remain unknown.

Evidence depth 67 / 100

Research path

From biological idea to human evidence

These stages show different kinds of evidence for Rapamycin (sirolimus). Moving through them does not mean an intervention is proven to slow aging.

  1. 1

    Biological idea

    Reviewing animal and laboratory research…

  2. 2

    Human testing

    8 direct aging trial links and 10 related trial links tracked. A trial count describes research activity, not benefit.

  3. 3

    What results show

    0 beneficial, 0 neutral and 0 harmful result links interpreted; 11 remain unresolved.

  4. 4

    Still unanswered

    Whether these findings translate into meaningful, lasting healthy-aging benefits in people remains unproven. Longer follow-up and clearer safety and clinical outcomes are needed.

How AgeBeacon evaluates evidence →

Beyond human trials

The bigger longevity story

Loading animal and laboratory evidence…

Animal and cell studies help explain biological plausibility and identify promising directions. They are shown separately and do not increase the human evidence-depth score.

Signals we're watching

What human studies are measuring

Living longer

4 result(s) are linked, but direction remains unknown.

Research depth

Human evidence picture

Evidence depth describes how much relevant human research exists; it is not an efficacy score. Unknown results are not treated as neutral.

8
Direct aging trials
10
Indirect relevant trials
45
Publications linked
3
Results publications

Interpreted results

Beneficial
0
Neutral
0
Harmful
0
Unknown / unresolved
11

Population relevance

Healthy / aging
0
Disease-specific
1

Safety evidence

0

Trials currently identified with safety-result data.

Go to the source

Studies & publications

Inspect the original evidence behind this profile. Links open the trial registry, PubMed or the publication DOI.

A Pilot Study on Reverse Aging (The REVERSE Study)NCT07354620INTERVENTIONAL · EARLY_PHASE1 · 52 participants · ACTIVE_NOT_RECRUITINGEffectiveness of Alternative Therapies in Maintaining Weight Loss Achieved by GLP-1 Medications Post-CessationNCT07092618INTERVENTIONAL · PHASE2/PHASE3 · 150 participants · RECRUITINGRapalog Pharmacology (RAP PAC) StudyNCT05949658INTERVENTIONAL · PHASE1 · 72 participants · RECRUITINGEffect of Rapamycin to Improve Cardiac Function in Frail Older AdultsNCT04996719INTERVENTIONAL · PHASE1 · 24 participants · COMPLETEDParticipatory Evaluation (of) Aging (With) Rapamycin (for) Longevity StudyNCT04488601INTERVENTIONAL · PHASE2 · 129 participants · COMPLETEDCombination Gerotherapeutic Interventions for Healthspan ImprovementNCT07475546INTERVENTIONAL · PHASE3 · 30 participants · ACTIVE_NOT_RECRUITINGA Nutritional and Pharmacological Intervention for Body, Brain, and Longevity Effects (NIBBLE)NCT06682767INTERVENTIONAL · PHASE1/PHASE2 · 60 participants · NOT_YET_RECRUITINGVIAging Deceleration Trial Using Metformin, Dasatinib, Rapamycin and Nutritional SupplementsNCT04994561INTERVENTIONAL · PHASE1 · WITHDRAWNDifferent Doses of Sirolimus for the Maintenance Treatment of Kaposiform HemangioendotheliomaNCT05324384INTERVENTIONAL · PHASE2 · 30 participants · UNKNOWNLow- vs High-Dose Sirolimus With Prednisolone for KHE and KMPNCT07656909INTERVENTIONAL · PHASE2/PHASE3 · 76 participants · RECRUITINGEfficacy and Safety of Sirolimus to Vascular AnomaliesNCT03583307INTERVENTIONAL · NA · 126 participants · COMPLETEDA Study of Exercise and Pharmacologic Intervention on Systemic InflammationNCT07058974INTERVENTIONAL · PHASE1 · 20 participants · ACTIVE_NOT_RECRUITINGWallgren HA, Kivipelto M, Plaven-Sigray P, Svensson JE. Pharmacokinetic analysis of intermittent rapamycin administration in early-stage Alzheimer's Disease. Geroscience. 2026 Jun;48(3):3295-3304. doi: 10.1007/s11357-025-01911-3. Epub 2025 Oct 5.PMID 41046300Results publicationSvensson JE, Bolin M, Thor D, Williams PA, Brautaset R, Carlsson M, Sorensson P, Marlevi D, Spin-Neto R, Probst M, Hagman G, Moren AF, Kivipelto M, Plaven-Sigray P. Evaluating the effect of rapamycin treatment in Alzheimer's disease and aging using in vivo imaging: the ERAP phase IIa clinical study protocol. BMC Neurol. 2024 Apr 4;24(1):111. doi: 10.1186/s12883-024-03596-1.PMID 38575854Results publicationJi Y, Chen S, Yang K, Zhou J, Zhang X, Jiang X, Xu X, Lu G, Qiu L, Kong F, Zhang Y. A prospective multicenter study of sirolimus for complicated vascular anomalies. J Vasc Surg. 2021 Nov;74(5):1673-1681.e3. doi: 10.1016/j.jvs.2021.04.071. Epub 2021 May 31.PMID 34082006Results publicationSharrett AR, Hubbard LD, Cooper LS, Sorlie PD, Brothers RJ, Nieto FJ, Pinsky JL, Klein R. Retinal arteriolar diameters and elevated blood pressure: the Atherosclerosis Risk in Communities Study. Am J Epidemiol. 1999 Aug 1;150(3):263-70. doi: 10.1093/oxfordjournals.aje.a009997.PMID 10430230Linked publicationTedeschi-Reiner E, Strozzi M, Skoric B, Reiner Z. Relation of atherosclerotic changes in retinal arteries to the extent of coronary artery disease. Am J Cardiol. 2005 Oct 15;96(8):1107-9. doi: 10.1016/j.amjcard.2005.05.070. Epub 2005 Aug 29.PMID 16214446Linked publicationCheung N, Bluemke DA, Klein R, Sharrett AR, Islam FM, Cotch MF, Klein BE, Criqui MH, Wong TY. Retinal arteriolar narrowing and left ventricular remodeling: the multi-ethnic study of atherosclerosis. J Am Coll Cardiol. 2007 Jul 3;50(1):48-55. doi: 10.1016/j.jacc.2007.03.029. Epub 2007 Jun 18.PMID 17601545Linked publicationKlein R, Sharrett AR, Klein BE, Chambless LE, Cooper LS, Hubbard LD, Evans G. Are retinal arteriolar abnormalities related to atherosclerosis?: The Atherosclerosis Risk in Communities Study. Arterioscler Thromb Vasc Biol. 2000 Jun;20(6):1644-50. doi: 10.1161/01.atv.20.6.1644.PMID 10845884Linked publicationSCHEIE HG. Evaluation of ophthalmoscopic changes of hypertension and arteriolar sclerosis. AMA Arch Ophthalmol. 1953 Feb;49(2):117-38. doi: 10.1001/archopht.1953.00920020122001. No abstract available.PMID 13007237Linked publicationNathan DM, Buse JB, Davidson MB, Ferrannini E, Holman RR, Sherwin R, Zinman B; American Diabetes Association; European Association for Study of Diabetes. Medical management of hyperglycemia in type 2 diabetes: a consensus algorithm for the initiation and adjustment of therapy: a consensus statement of the American Diabetes Association and the European Association for the Study of Diabetes. Diabetes Care. 2009 Jan;32(1):193-203. doi: 10.2337/dc08-9025. Epub 2008 Oct 22.PMID 18945920Linked publicationKlein R, Klein BE, Knudtson MD, Wong TY, Cotch MF, Liu K, Burke G, Saad MF, Jacobs DR Jr. Prevalence of age-related macular degeneration in 4 racial/ethnic groups in the multi-ethnic study of atherosclerosis. Ophthalmology. 2006 Mar;113(3):373-80. doi: 10.1016/j.ophtha.2005.12.013.PMID 16513455Linked publicationWong TY, Klein R, Islam FM, Cotch MF, Folsom AR, Klein BE, Sharrett AR, Shea S. Diabetic retinopathy in a multi-ethnic cohort in the United States. Am J Ophthalmol. 2006 Mar;141(3):446-455. doi: 10.1016/j.ajo.2005.08.063.PMID 16490489Linked publicationShah A, Gnoj J, Fisher VJ. Complications of selective coronary arteriography by the Judkins technique and their prevention. Am Heart J. 1975 Sep;90(3):353-9. doi: 10.1016/0002-8703(75)90325-7.PMID 1163427Linked publication

The big unanswered question

Can promising biology translate into meaningful healthy-aging benefits?

That is the standard this evidence profile is tracking. New trials and results can strengthen, weaken or change the picture over time.

Confidence: lowScore model: v0.5-curated-ruleUpdated: 2026-09-21Source: live evidence database