Rapamycin
Longevity Pharmaceuticals

Rapamycin

Rapamycin (Sirolimus) for Longevity

An mTOR inhibitor originally used in organ transplant patients, now emerging as the most evidence-backed pharmacological longevity intervention. The landmark Harrison 2009 study showed lifespan extension in mice, and the PEARL trial (2025) confirmed safety in healthy adults at longevity doses.

80+ Studies100+ ReportsStrongOral
73
Kamura ScoreStrong
82
Research
78
Community
72
Safety
58
Access
74
Value
📄

Key Research

Peer-Reviewed Evidence • 4 Citations

[1]

Rapamycin fed late in life extends lifespan in genetically heterogeneous mice

Harrison DE et al.Nature2009PMID: 19587680

Key Finding: First demonstration that a drug can extend mammalian lifespan. +14% for females, +9% for males at 3 independent NIA ITP sites.

View on PubMed
[2]

mTOR inhibition improves immune function in the elderly

Mannick JB et al.Sci Transl Med2014PMID: 25540326

Key Finding: RAD001 enhanced influenza vaccine response by ~20% in elderly volunteers and reduced PD-1 exhaustion markers.

View on PubMed
[3]

TORC1 inhibition enhances immune function and reduces infections in the elderly

Mannick JB et al.Sci Transl Med2018PMID: 29997249

Key Finding: Phase 2a RCT: 6 weeks of TORC1 inhibition significantly decreased infection rates for a full year (P=0.001).

View on PubMed
[4]

Influence of rapamycin on safety and healthspan metrics after one year: PEARL trial

Moel M et al.Aging2025PMID: 40188830

Key Finding: First year-long RCT of rapamycin in healthy adults. Safety equal to placebo. Women on 10mg/week showed improved lean mass and pain.

View on PubMed

Citations sourced from PubMed, Cochrane Library, and peer-reviewed journals. Study findings are summarized for accessibility. Always consult the original publication for full methodology and results.

📊 Evidence by Outcome

Lifespan Extension (Animal)A

9-14% lifespan extension in genetically diverse mice (Harrison 2009 Nature). Replicated at 3 NIA ITP sites. Strongest animal longevity drug data of any compound.

20 studies • Consistency: High • Effect: Large

Immune Function EnhancementA

Two RCTs (Mannick 2014, 2018) showed ~20% improved vaccine response and significantly reduced infection rates for 12 months after 6 weeks of low-dose treatment.

5 studies • Consistency: High • Effect: Moderate

Anti-Aging SkinC

Chung et al. 2019 RCT showed topical rapamycin reduced senescence markers (p16INK4A) and increased collagen VII in human skin. Promising but small sample.

2 studies • Consistency: Moderate • Effect: Moderate

👥 Community Insights

100+
Reports
75%
Positive
4.0/5
Satisfaction
8-24 weeks
Time to Effect

Been on 5mg weekly for a year. Labs look great, immune function improved. Longevity physician monitors closely.

Community memberUSA• Verified

📋 Protocol Snapshot

Standard Longevity
3-5mg once weekly
Most common off-label longevity dose. Monitor CBC, lipids, fasting glucose quarterly.
PEARL Protocol
5-10mg once weekly for 48 weeks
Based on published PEARL trial data. Drug holidays before vaccines or surgery.

Protocols are for informational purposes only. Always consult a qualified healthcare provider before starting any treatment protocol.

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Medical Disclaimer: The information on this page is for educational purposes only and is not intended as medical advice. Kamura Scores reflect a combination of research evidence, community data, and other factors — they are not clinical recommendations. Research citations are provided for reference; always consult the original publications for complete study details. Consult a qualified healthcare provider before starting, stopping, or modifying any treatment. Individual results may vary.