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Increase in Blood Levels of Nicotinamide Adenine Dinucleotide (NAD+)NCT03707652

Open-label Study to Assess Increasing Levels of NAD+(Nicotinamide Adenine Dinucleotide)

A study testing Oral supplement A, Oral supplement B and Oral supplement C in people with Increase in Blood Levels of Nicotinamide Adenine Dinucleotide (NAD+), run by Supplement Formulators, Inc. at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to assess an effective single oral supplement or combination of oral supplements for increasing whole blood NAD+ levels. Read more about this study

Who is it for?
Ages 30 to 80 yearsHealthy volunteers can take part
What is being tested?
Oral supplement A, Oral supplement B and Oral supplement C
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
8 participants
Where
1 siteUnited States
Study dates
12 Mar 2018to 24 May 2018
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 to 80 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Able to provide written Informed Consent
  • Able to follow verbal and written study directions in English
  • Adult men and women between age 30-80 years (inclusive)
  • Women of reproductive potential will practice contraception during the Investigation
  • Body Mass Index (BMI) between 18.5 and 35 kg/m2
  • Must not be taking or be willing to stop taking any supplements containing any form of niacin for seven days prior to baseline and for the duration of the study.
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  • Must not be using or be willing to stop use of any "100%" or higher niacin fortified foods from seven days prior to screening visit and for the duration of the investigation
  • Able to maintain consistent diet and lifestyle habits throughout the study
  • Volunteers with chronic but stable and well controlled medical conditions (i.e., hypertension controlled by a consistent dose of medication for a minimum of six months; chronic use of consistent dose of blood-thinning medication; diet-controlled Type II diabetes) may participate at the discretion of the PI or Sub-I.
  • Willing and able to provide fasting blood samples
  • Able to attend scheduled visits at the Life Extension Clinical Research (LECR) facility

Who cannot join

  • Current use of prescription or over-the-counter nicotinic acid
  • Use of statin drugs
  • Having used any tobacco product or used a recreational drug in the past 6 months
  • Medically complicated [i.e., diabetes requiring insulin; uncontrolled hypertension (blood pressure readings at screening/baseline > 140 systolic or > 90 diastolic on two consecutive readings); etc.] at the discretion of the PI or Sub-I
  • Having abnormal screening laboratory test values or other lab test result(s) that would preclude study participation in the judgment of the PI or Sub-I
  • Woman who is pregnant, nursing, or planning a pregnancy. Non-pregnant status of women of childbearing potential will be confirmed during each Day 3 Cycle LECR visit (Wednesday or Thursday) via serum pregnancy test.
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  • Currently, or within the past 30 days, enrolled in a different clinical investigation
  • Inability to provide a venous blood sample
  • Unable to refrain from any alcohol consumption for the duration of the study
  • Unable or unwilling to provide written informed consent for participation in study

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Life Extension Clinical Research, Inc.

    Fort Lauderdale, Florida, 33308

Other trials in United States

About this study

Official title: Three-Day Dosing NAD + Study

The purpose of this study is to assess an effective single oral supplement or combination of oral supplements for increasing whole blood NAD+ levels.

Read the detailed description

This is a open-label dose finding study to detect an effective single oral supplement or combination of oral supplements for enhancing whole blood levels of NAD+. Each subject will receive a specific dose of the formulation once daily for 3 days followed by a washout period. Upon completion of the treatment phase, there is a post-treatment period of assessments.

Participants receive assessments of blood tests, vital signs, body weight with completion of questionnaires.

The primary objective of the study is to identify the ideal dosage of an oral supplement to increase whole blood NAD+ levels in adults.

The secondary objective of the study is to monitor for safety from a change in fasting blood chemistry panel parameters after three day's dosing compared to cycle baseline.

Being tested
Oral supplement A, Oral supplement B, Oral supplement C, Oral supplement D, Oral Supplement D in combination with oral supplement C

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Oral supplement ADietary supplement

    Also called Vitamin B3 derivative

    1, 2 or 4 capsules daily of oral supplement A for 3 days

  • Oral supplement BDietary supplement

    Also called Vitamin B3 derivative

    4 capsules daily of oral supplement B for 3 days

  • Oral supplement CDietary supplement

    Also called Vitamin B3 derivative

    1,2 or 4 capsules daily of oral supplement C for 3 days

  • Oral supplement DDietary supplement

    Also called Vitamin B3 derivative

    1 or 2 tablets daily of oral supplement D for 3 days

  • Oral Supplement D in combination with oral supplement CDietary supplement

    1 or 2 tablets of oral supplement D in combination with 2 or 4 capsules of oral supplement C for 3 days

Study groups in NCT03707652
Study groupRoleWhat they receive
Cohort A (oral supplement A)-2 capsulesExperimentalOral supplement A (2 capsules) administered daily for 3 days
Receives: Dietary Supplement: Oral supplement A
Cohort A (oral supplement B)-4 capsulesExperimentalOral supplement B (4 capsules) administered daily for 3 days
Receives: Dietary Supplement: Oral supplement B
Cohort A (oral supplement C)-2 capsulesExperimentalOral supplement C (2 capsules) administered daily for 3 days
Receives: Dietary Supplement: Oral supplement C
Cohort A (oral supplement A)-1 or 4 capsulesExperimentalOral supplement A (1 or 4 capsules) administered daily for 3 days
Receives: Dietary Supplement: Oral supplement A
Cohort A (oral supplement D)-1 or 2 tabletsExperimentalOral supplement D (1 or 2 tablets) administered daily for 3 days
Receives: Dietary Supplement: Oral supplement D
Cohort A (oral supplement D) or combination with supplement CExperimentalOral supplement D (1 or 2 tablets) or combination with oral supplement C (2 or 4 capsules) administered daily for 3 days
Receives: Dietary Supplement: Oral supplement D; Dietary Supplement: Oral Supplement D in combination with oral supplement C
Cohort B (oral supplement B)-4 capsulesExperimentalOral supplement B (4 capsules) administered daily for 3 days
Receives: Dietary Supplement: Oral supplement B
Cohort B (oral supplement C)-2 capsulesExperimentalOral supplement C (2 capsules) administered daily for 3 days
Receives: Dietary Supplement: Oral supplement C
Cohort B (oral supplement A)-2 capsulesExperimentalOral supplement A (2 capsules) administered daily for 3 days
Receives: Dietary Supplement: Oral supplement A
Cohort B (oral supplement C)- 1 or 4 capsulesExperimentalOral supplement C (1 or 4 capsules) administered daily for 3 days
Receives: Dietary Supplement: Oral supplement C
Cohort B (oral supplement D)-1 or 2 tabletsExperimentalOral supplement D (1 or 2 tablets) administered daily for 3 days
Receives: Dietary Supplement: Oral supplement D
Cohort B(oral supplement D) or combination with supplement CExperimentalOral supplement D (1 or 2 tablets) or combination with oral supplement C (2 or 4 capsules) administered daily for 3 days
Receives: Dietary Supplement: Oral supplement D; Dietary Supplement: Oral Supplement D in combination with oral supplement C

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Assess the mean change in NAD+ levels from baseline

    Mean change in NAD+ levels

    Measured: 63 days

Secondary outcomes (6)
  1. Assess the mean change in AST (aspartate aminotransferase) levels from baseline

    Mean change in AST level

    Measured: 63 days

  2. Assess the mean change in ALT (alanine aminotransferase) levels from baseline

    Mean change in ALT level

    Measured: 63 days

  3. Assess the mean change in Total Cholesterol levels from baseline

    Mean change in Total Cholesterol level

    Measured: 63 days

  4. Assess the mean change in Triglycerides levels from baseline

    Mean change in Triglycerides level

    Measured: 63 days

  5. Assess the mean change in LDL Cholesterol levels from baseline

    Mean change in LDL Cholesterol level

    Measured: 63 days

  6. Assess the mean change in HDL Cholesterol levels from baseline

    Mean change in HDL Cholesterol level

    Measured: 63 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Oct 2018
  2. Study start12 Mar 2018
  3. Primary completion16 May 2018
  4. Study completion24 May 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
8 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03707652
Sponsor's protocol ID
CL094
Status last verified
May 2018
First submitted
11 Oct 2018
Last updated
18 Oct 2018
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kennedy BK, Berger SL, Brunet A, Campisi J, Cuervo AM, Epel ES, Franceschi C, Lithgow GJ, Morimoto RI, Pessin JE, Rando TA, Richardson A, Schadt EE, Wyss-Coray T, Sierra F. Geroscience: linking aging to chronic disease. Cell. 2014 Nov 6;159(4):709-13. doi: 10.1016/j.cell.2014.10.039.

    PubMed 25417146
  • Massudi H, Grant R, Braidy N, Guest J, Farnsworth B, Guillemin GJ. Age-associated changes in oxidative stress and NAD+ metabolism in human tissue. PLoS One. 2012;7(7):e42357. doi: 10.1371/journal.pone.0042357. Epub 2012 Jul 27.

    PubMed 22848760
  • Verdin E. NAD(+) in aging, metabolism, and neurodegeneration. Science. 2015 Dec 4;350(6265):1208-13. doi: 10.1126/science.aac4854.

    PubMed 26785480
  • Revollo JR, Grimm AA, Imai S. The regulation of nicotinamide adenine dinucleotide biosynthesis by Nampt/PBEF/visfatin in mammals. Curr Opin Gastroenterol. 2007 Mar;23(2):164-70. doi: 10.1097/MOG.0b013e32801b3c8f.

    PubMed 17268245
  • Yang H, Lavu S, Sinclair DA. Nampt/PBEF/Visfatin: a regulator of mammalian health and longevity? Exp Gerontol. 2006 Aug;41(8):718-26. doi: 10.1016/j.exger.2006.06.003. Epub 2006 Jul 13.

    PubMed 16842957
  • Gross CJ, Henderson LM. Digestion and absorption of NAD by the small intestine of the rat. J Nutr. 1983 Feb;113(2):412-20. doi: 10.1093/jn/113.2.412.

    PubMed 6218262
  • Knip M, Douek IF, Moore WP, Gillmor HA, McLean AE, Bingley PJ, Gale EA; European Nicotinamide Diabetes Intervention Trial Group. Safety of high-dose nicotinamide: a review. Diabetologia. 2000 Nov;43(11):1337-45. doi: 10.1007/s001250051536.

    PubMed 11126400
  • Airhart SE, Shireman LM, Risler LJ, Anderson GD, Nagana Gowda GA, Raftery D, Tian R, Shen DD, O'Brien KD. An open-label, non-randomized study of the pharmacokinetics of the nutritional supplement nicotinamide riboside (NR) and its effects on blood NAD+ levels in healthy volunteers. PLoS One. 2017 Dec 6;12(12):e0186459. doi: 10.1371/journal.pone.0186459. eCollection 2017.

    PubMed 29211728
  • Dellinger RW, Santos SR, Morris M, Evans M, Alminana D, Guarente L, Marcotulli E. Repeat dose NRPT (nicotinamide riboside and pterostilbene) increases NAD+ levels in humans safely and sustainably: a randomized, double-blind, placebo-controlled study. NPJ Aging Mech Dis. 2017 Nov 24;3:17. doi: 10.1038/s41514-017-0016-9. eCollection 2017.

    PubMed 29184669
  • Trammell SA, Schmidt MS, Weidemann BJ, Redpath P, Jaksch F, Dellinger RW, Li Z, Abel ED, Migaud ME, Brenner C. Nicotinamide riboside is uniquely and orally bioavailable in mice and humans. Nat Commun. 2016 Oct 10;7:12948. doi: 10.1038/ncomms12948.

    PubMed 27721479
  • de Picciotto NE, Gano LB, Johnson LC, Martens CR, Sindler AL, Mills KF, Imai S, Seals DR. Nicotinamide mononucleotide supplementation reverses vascular dysfunction and oxidative stress with aging in mice. Aging Cell. 2016 Jun;15(3):522-30. doi: 10.1111/acel.12461. Epub 2016 Mar 11.

    PubMed 26970090
  • Mills KF, Yoshida S, Stein LR, Grozio A, Kubota S, Sasaki Y, Redpath P, Migaud ME, Apte RS, Uchida K, Yoshino J, Imai SI. Long-Term Administration of Nicotinamide Mononucleotide Mitigates Age-Associated Physiological Decline in Mice. Cell Metab. 2016 Dec 13;24(6):795-806. doi: 10.1016/j.cmet.2016.09.013. Epub 2016 Oct 27.

    PubMed 28068222
  • ClinicalTrials.gov. Effect of

  • Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietary Reference Intakes and its Panel on Folate, Other B Vitamins, and Choline. Dietary Reference Intakes for Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline. Washington (DC): National Academies Press (US); 1998. Available from http://www.ncbi.nlm.nih.gov/books/NBK114310/

    PubMed 23193625

Questions about this trial

What is this clinical trial studying?

A study testing Oral supplement A, Oral supplement B and Oral supplement C in people with Increase in Blood Levels of Nicotinamide Adenine Dinucleotide (NAD+), run by Supplement Formulators, Inc. at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 11 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Oct 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Assess the mean change in NAD+ levels from baseline (time frame: 63 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03707652, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Oct 2018.

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