1 RCT n=218 · medium study2014 RAD001 (everolimus) enhanced the response to the influenza vaccine by about 20% at doses that were relatively well tolerated.
mTOR inhibition improves immune function in the elderly. Mannick, Del Giudice, Lattanzi, Valiante, Praestgaard, Huang · Science translational medicine (2014)
Randomized, placebo-controlled trial of low-dose everolimus (RAD001) in elderly volunteers Improved the antibody response to influenza vaccination by ~20% and reduced PD-1 exhaustion marker on CD4/CD8 T cells The best human signal that mTOR inhibition can partially reverse immunosenescence 2 RCT 2025
In the PEARL trial, 48 weeks of intermittent low-dose rapamycin was safe in healthy adults, with modest, selective healthspan signals.
Influence of rapamycin on safety and healthspan metrics after one year: PEARL trial results. Moel, Harinath, Lee, Nyquist, Morgan, Isman · Aging (2025)
PEARL: 48-week decentralized, double-blind, placebo-controlled RCT of intermittent low-dose rapamycin (5/10 mg weekly) in healthy normative-aging adults Primary focus was long-term safety — low-dose rapamycin was well tolerated with no major adverse signal Some selective improvements (e.g. lean tissue mass and pain measures in women at the higher dose); no broad healthspan transformation 3 Animal n=24 · very small study2017 A randomized controlled trial established the effects of short-term rapamycin treatment in 24 middle-aged companion dogs.
A randomized controlled trial to establish effects of short-term rapamycin treatment in 24 middle-aged companion dogs. Urfer, Kaeberlein, Mailheau, Bergman, Creevy, Promislow · GeroScience (2017)
Randomized, placebo-controlled trial of short-term (10-week) low-dose rapamycin in 24 middle-aged companion DOGS (Dog Aging Project) Assessed tolerability and cardiac/physiological effects of a non-immunosuppressive dose A veterinary aging trial — supports feasibility/safety of short-term low-dose dosing, but in dogs, not humans 4 Meta-Analysis 2017
A meta-analysis of 29 mouse survival experiments confirmed that rapamycin reliably extends life span.
Meta-Analysis of 29 Experiments Evaluating the Effects of Rapamycin on Life Span in the Laboratory Mouse. Swindell · The journals of gerontology. Series A, Biological sciences and medical sciences (2017)
Meta-analysis pooling raw data from 29 rapamycin mouse survival studies Confirmed robust, reproducible median- and maximal-lifespan extension The quantitative summary behind rapamycin's status as the best-validated lifespan drug 5 Animal 2009
Rapamycin fed late in life extends lifespan in genetically heterogeneous mice.
Rapamycin fed late in life extends lifespan in genetically heterogeneous mice. Harrison, Strong, Sharp, Nelson, Astle, Flurkey · Nature (2009)
NIA Interventions Testing Program study: rapamycin extended median and maximal lifespan in mice Benefit occurred even when started at 600 days (late life) Established mTOR inhibition as the most reproducible aging intervention 6 Review 2014
Rapamycin and ageing: when, for how long, and how much?
Rapamycin and ageing: when, for how long, and how much? Kaeberlein · Journal of genetics and genomics = Yi chuan xue bao (2014)
Review of rapamycin's anti-aging evidence and the open dosing questions Discusses intermittent dosing to limit immunosuppressive effects Frames the unresolved optimal-schedule problem 7 Review 2019
Health benefits of anti-aging drugs including rapamycin are reviewed alongside their limitations.
Health Benefits of Anti-aging Drugs. Piskovatska, Strilbytska, Koliada, Vaiserman, Lushchak · Sub-cellular biochemistry (2019)
Review of geroprotective drugs including rapamycin, metformin, and acarbose Summarizes animal lifespan data and the gap to human evidence Contextualizes rapamycin among off-label longevity agents