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Trial · Interventional

TerminatedPhase 4Results postedRegistry data

The Effects of Nicotinamide Riboside Supplementation on Brain NAD+/NADH Ratio and Bioenergetics

This trial does not test a peptide that PepBank tracks.

  • Measures NAD+ (nicotinamide adenine dinucleotide), does not give it. It appears in an outcome measure.

Overview

Status
Terminated
Phase
Phase 4
Enrollment
11 participants (actual)
Sponsor
Mclean Hospital · Other
Design
Allocation not applicable · Open label (no masking)
Countries
1 country

United States

Start
1 Oct 2017
Primary completion
30 Sept 2022
Completion
30 Sept 2022
First posted
12 May 2017
Last update posted
5 Mar 2024
Conditions
Healthy

Timeline

1 trial · 1 stopped early · 1 with posted results

  • Completed
  • Ongoing
  • Not yet recruiting
  • Stopped
  • Estimated dates (est.)
  • Results posted
2017201820192020202120222023
  1. Ph 4

    The Effects of Nicotinamide Riboside Supplementation on Brain NAD+/NADH Ratio and Bioenergetics

    NCT03151707

    1 Oct 2017 to 30 Sept 2022

    Terminated

Registry summary

Text and fields below are the sponsor's entries at ClinicalTrials.gov, shown as posted.

The primary aim of this study is to investigate the effects of exogenously administered nicotinamide riboside (NR) on brain NAD+/NADH ratio and bioenergetics functions in healthy individuals using phosphorus magnetic resonance spectroscopy (31P MRS) imaging. The secondary aims are to investigate the change in brain PCr/ATP and creatine kinase enzyme rate after NR use. In addition, NAD+/NADH ratio, PCr/ATP and CK enzyme rate will be measured in the calf muscle, as secondary outcome measures.

Interventions

  • Nicotinamide RibosideDrug

Arms1

  • Experimental

    Nicotinamide riboside 2g/day

    Participants will receive NR at a dose of 2g/day

Primary outcomes1

Outcomes the sponsor listed as primary.

  1. Change From Baseline to the End of Treatment in Brain NAD+/NADH Ratio

    Time frame · Baseline and after 15 days of supplement use

    Registry description

    Change from baseline to the end of treatment in brain NAD+/NADH ratio as measured by in vivo 31P magnetic resonance spectroscopy The NAD+/NADH ratio is calculated by first quantifying NAD+ and NADH separately in the data and then obtaining a simple ratio. There is a normative NAD+/NADH ratio range in healthy brain and deviations from this level in either direction can be a sign of pathology.

Secondary outcomes(5)
  1. Change From Baseline to the End of Treatment in Brain Phosphocreatine (PCr) to Adenosine Triphosphate (ATP) Ratio (PCr/ATP)

    Time frame · Baseline and after 15 days of supplement use

    Registry description

    Change from baseline to the end of treatment in brain phosphocreatine (PCr) to adenosine triphosphate (ATP) ratio (PCr/ATP) as measured by in vivo 31P magnetic resonance spectroscopy

  2. Change From Baseline to the End of Treatment in Brain Creatine Kinase (CK) Enzyme Rate

    Time frame · Baseline and after 15 days of supplement use

    Registry description

    Change from baseline to the end of treatment in creatine kinase (CK) enzyme rate as measured by in vivo 31P magnetic resonance spectroscopy

  3. Change From Baseline to the End of Treatment in Muscle NAD+/NADH Ratio

    Time frame · Baseline and after 15 days of supplement use

    Registry description

    Change from baseline to the end of treatment in calf muscle NAD+/NADH ratio as measured by in vivo 31P magnetic resonance spectroscopy

  4. Change From Baseline to the End of Treatment in Muscle Phosphocreatine (PCr) to Adenosine Triphosphate (ATP) Ratio (PCr/ATP)

    Time frame · Baseline and after 15 days of supplement use

    Registry description

    Change from baseline to the end of treatment in calf muscle phosphocreatine (PCr) to adenosine triphosphate (ATP) ratio (PCr/ATP) as measured by in vivo 31P magnetic resonance spectroscopy

  5. Change From Baseline to the End of Treatment in Muscle Creatine Kinase (CK) Enzyme Rate

    Time frame · Baseline and after 15 days of supplement use

    Registry description

    Change from baseline to the end of treatment in calf muscle creatine kinase (CK) enzyme rate as measured by in vivo 31P magnetic resonance spectroscopy

Posted results

Values are shown as posted at ClinicalTrials.gov, with their units. PepBank has not converted, pooled or compared them.

Primary outcome results

Primary outcomeMean· Baseline and after 15 days of supplement use

Change From Baseline to the End of Treatment in Brain NAD+/NADH Ratio

GroupValue (Ratio)Spread
Nicotinamide Riboside 2g/Day0.1980.025
Secondary and other outcome results(5)
Secondary outcome· Baseline and after 15 days of supplement use

Change From Baseline to the End of Treatment in Brain Phosphocreatine (PCr) to Adenosine Triphosphate (ATP) Ratio (PCr/ATP)

GroupValue
Nicotinamide Riboside 2g/Daynot posted
Secondary outcome· Baseline and after 15 days of supplement use

Change From Baseline to the End of Treatment in Brain Creatine Kinase (CK) Enzyme Rate

GroupValue
Nicotinamide Riboside 2g/Daynot posted
Secondary outcome· Baseline and after 15 days of supplement use

Change From Baseline to the End of Treatment in Muscle NAD+/NADH Ratio

GroupValue
Nicotinamide Riboside 2g/Daynot posted
Secondary outcome· Baseline and after 15 days of supplement use

Change From Baseline to the End of Treatment in Muscle Phosphocreatine (PCr) to Adenosine Triphosphate (ATP) Ratio (PCr/ATP)

GroupValue
Nicotinamide Riboside 2g/Daynot posted
Secondary outcome· Baseline and after 15 days of supplement use

Change From Baseline to the End of Treatment in Muscle Creatine Kinase (CK) Enzyme Rate

GroupValue
Nicotinamide Riboside 2g/Daynot posted

Adverse events, as posted

Adverse events as posted: participants affected out of participants at risk, by group
GroupDeathsSerious eventsOther events
Nicotinamide Riboside 2g/DayParticipants will receive NR at a dose of 2g/day Nicotinamide Riboside: Nicotinamide riboside 2g/day for a 2 week duration0 / 110 / 113 / 11

Each cell reads participants affected / participants at risk, as the registry posted them.

Registry data comes from ClinicalTrials.gov. Study results come from studies, not from the registry. How PepBank works

Studies0

Studies that cite this trial.

No study cites this trial.

Eligibility

Who could join, as posted.

Sex
All
Age
from 18 Years up to 80 Years
Healthy volunteers
Accepted
Inclusion and exclusion criteria, as posted
Inclusion Criteria: 1. Age: 18-80 year-old 2. Male or female 3. Without psychiatric diagnosis according to a structured psychiatric interview (Structured Clinical Interview for DSM-V Axis I Disorders (SCID)) 4. Without history of a psychotic disorder and/or mood disorder among parents, siblings, or children, as obtained via self-report only. Exclusion Criteria: 1. Significant medical or neurological illness. 2. Diagnosis diabetes mellitus (DM), uncontrolled hypertension (HTN), severe hypotension, coronary artery disease (CAD), metabolic syndrome, glaucoma, liver impairment, decreased renal function, respiratory disorders, uncontrolled peptic ulcer disease. 3. Taking any other medications, including over the counter supplements with the exception of oral contraceptives for women 4. Pregnancy. Females of child-bearing age must be using an effective contraceptive method. 5. History of smoking, substance abuse or dependence. 6. Contraindication to MR scan (claustrophobia, cardiac pacemakers, metal clips and stents on blood vessels, artificial heart valves, artificial arms, hands, legs, etc., brain stimulator devices, implanted drug pumps, ear implants, eye implants or known metal fragments in eyes, exposure to shrapnel or metal filings, other metallic surgical hardware in vital areas, certain tattoos with metallic ink, certain transdermal patches, metal- containing intrauterine devices) 7. Medical condition that would prevent blood draws, including current anti-coagulant or anti-aggregant therapy, tendency for abnormal scarring (e.g. keloids). 8. Difficulty in swallowing capsules.

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