Which senolytics have human trial data?
Based on ARN's corpus, human trial data are available for the combination of dasatinib plus quercetin, as well as for fisetin12.
- Dasatinib plus quercetin: A small, randomized, double-blind, placebo-controlled phase-2 trial evaluated this regimen in 31 patients with fibrotic metabolic dysfunction-associated steatohepatitis (MASH)1. Intermittent therapy using 100 mg of dasatinib and 1,000 mg of quercetin daily significantly improved liver fibrosis without disease worsening (47% versus 7% on placebo) and lowered markers of cellular senescence, though self-limiting side effects occurred in 82% of treated participants compared to 43% receiving placebo1.
- Fisetin: A systematic review identified four completed clinical trials with available results2. However, the evidence remains limited, heterogeneous, and inconclusive, with some studies showing improvements in inflammatory or metabolic markers while others demonstrated no meaningful benefit2. The interpretation of these trials is hampered by small cohorts, multimodal interventions, and exploratory or uncontrolled designs2.
Other approaches mentioned in the sources, such as autologous cytokine-induced natural killer cells, have not yet been evaluated in human trials for senescent cell clearance or biological aging endpoints3.
Sources1 human trial, 2 reviews
- Source 1Human trialSenolytics dasatinib and quercetin in metabolic dysfunction-associated steatohepatitis: a proof-of-principle randomized, controlled trialNature metabolism · 2026
- Source 2ReviewClinical Translation of Fisetin for Age-Related Diseases: Current Evidence and Future OpportunitiesNutrients · 2026
- Source 3ReviewAutologous cytokine-induced NK cells as candidate cellular senolytics: evidence, obstacles, and the experiments still neededGeroScience · 2026
Also read, not cited (5)
- Source 4AnimalsMyocardial senescence as a mechanistic endpoint of arsenic cardiotoxicity: Cysteine-associated p53/p21 activation and reversal by quercetinToxicology and applied pharmacology · 2026
- Source 5Model organismsUHRF1 overexpression generates distinct senescent states with different Tp53 dependenciesEMBO reports · 2026
- Source 6Animals · PreprintAge-associated Autoimmunity Driven by T cell ImmunosenescencebioRxiv : the preprint server for biology · 2026
- Source 7ReviewFuture directions of osteoanabolic therapies in osteoporosis: Integrating current anabolic agents and emerging senescence-targeted strategiesBest practice & research. Clinical rheumatology · 2026
- Source 8AnimalsuPAR-Targeting T Cell Engager Exerts Senolytic Effects in Mice and Non-Human Primates With Serum Aminotransferase Activity as a Safety MonitorAging cell · 2026