Informational only. Not medical advice.INFORMATIONAL PLATFORM ONLY — NOT MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT
Informational only. Not medical advice.INFORMATIONAL PLATFORM ONLY — NOT MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT
Head-to-head comparison of AICAR and AOD-9604 — mechanism, dosing, side effects, legal status, and pricing.
AICAR (acadesine / AICA riboside) is a purine nucleoside analog and AMP-mimetic — not a peptide — that activates AMPK. Studied in registered human trials under the name acadesine (for cardioprotection and leukemia, not performance), it is not FDA-approved for any indication and is WADA-prohibited at all times. It is sold on the gray market as an "exercise mimetic."
AOD-9604 is a 16-amino-acid synthetic peptide corresponding to the C-terminal fragment of human growth hormone (residues 177-191) with an additional N-terminal tyrosine. Developed by Metabolic Pharmaceuticals (Australia) to isolate a purported 'lipolytic' activity of GH without GH-receptor-mediated growth or diabetogenic effects. AOD-9604 is NOT FDA-approved for any indication; controlled human trials for obesity did not demonstrate clinically meaningful weight loss, and obesity development was terminated in 2007.
AICAR
AOD-9604
Category
Legal Status
Mechanism
Dose Range
Route
COA-verified vendors · trust score ≥70 required · single-vial price — bulk/bundle deals may be lower
AICAR
AOD-9604
COA corpus from Disclosed Labs — independently tested batches only.
AICAR
3
COAs
99.3%
Avg purity
3
Labs
AOD-9604
97
COAs
99.5%
Avg purity
16
Labs
As acadesine, AICAR was tested in registered human trials by IV infusion: the large RED-CABG cardioprotection trial (JAMA 2012) was stopped for futility, and a Phase I/II study in relapsed/refractory CLL established 210 mg/kg IV as the optimal dose. No human trial evaluated AICAR for exercise, fat loss, or longevity, and no validated non-IV dosing exists. Not FDA-approved; not a peptide.
Key references
Clinical: AOD-9604 went through six randomized, double-blind, placebo-controlled Phase 1/2 trials across approximately 900 subjects (Stier et al., J Endocrinol Metab 2013). These established a safety profile indistinguishable from placebo — no effect on IGF-1, no impairment of glucose tolerance, no anti-AOD-9604 antibodies — but did NOT demonstrate clinically meaningful weight loss. A 24-week Phase 2b trial (~536 obese subjects) failed its primary efficacy endpoint and Metabolic Pharmaceuticals / Calzada terminated obesity development in 2007. Preclinical: Heffernan et al. (Int J Obes 2001, PMID 11673763; Endocrinology 2001, PMID 11713213) reported reduced body-weight gain and increased fat oxidation in obese mice and showed the lipolytic action did not require direct β3-AR agonism (β3-knock-out animals still responded). Ng et al. (Horm Res 2000, PMID 11146367) reported metabolic effects in obese Zucker rats without insulin-sensitivity impairment. Osteoarthritis exploration is limited to preclinical animal work — Kwon & Park (Ann Clin Lab Sci 2015, PMID 26275694) reported intra-articular AOD-9604 plus hyaluronic acid was superior to either alone in a collagenase-induced rabbit OA model; no adequately powered human OA trial has been published. Regulatory: NOT FDA-approved; widely-cited 'FDA GRAS' status has not been confirmed in the FDA GRAS Notice Inventory. PCAC voted AGAINST including AOD-9604 on the 503A Bulks List on December 4, 2024.
AICAR and AOD-9604 are both in the Metabolic category and may have overlapping mechanisms. Researchers should review both profiles carefully, understand the mechanisms of action, and monitor the relevant biomarkers when combining compounds in the same class. As always, consult a licensed healthcare provider before making any decisions about combining research compounds.
This platform provides informational tools only, not medical advice. This comparison is for educational purposes only. Consult a licensed provider.
Frequency
Dosing Notes
Half-life
Side Effects
Contraindications
Lab Testing
Key references
Disclosed Labs