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. Author manuscript; available in PMC: 2021 Mar 16.
Published in final edited form as: Nat Rev Mol Cell Biol. 2020 Dec 22;22(2):119–141. doi: 10.1038/s41580-020-00313-x

Table 2 |.

Human clinical trials focusing on ageing

NAD+ precursor Description Design Dose and duration NCT/UMIN no.
NMN Study of efficacy against insulin sensitivity and β- cell functions in elderly women Randomized, placebo-controlled, double-blind study
Postmenopausal and prediabetic women
Age 55–75 years
Oral administration
Long-term NMN administration: 250 mg daily for 8 weeks
NCT03151239
Study of pharmacokinetics and safety in healthy volunteer Non-randomized, open-label, non-placebo-controlled study
Male healthy volunteers
Age from 40 to 60 years
Oral administration
Single administration of 100, 250 or 500 mg NMN
UMIN000021309
Study of pharmacokinetics, safety and effects with regard to various hormonal levels in healthy volunteers Randomized, dose-comparison, double-blinded study
Healthy volunteers
Age from 50 to 70 years
Oral administration
Long-term NMN administration: 100 mg or 200 mg for 24 weeks
UMIN000025739
Study of pharmacokinetics, safety and efficacy with regard to glucose metabolism in healthy volunteers Non-randomized, open-label, non-placebo controlled study
Male healthy volunteers
Age from 40 to 60 years
Oral administration
Long-term NMN administration for 8 weeks. Dose is not described
UMIN000030609
Study of pharmacokinetics, safety and efficacy with regard to blood pressure and physical endurance in healthy volunteers Multicentre, randomized, double-blind, placebo-controlled study
Healthy volunteers
Age from 40 to 65 years
Oral administration
Long term NMN administration; 300 mg daily for 60 days
NCT04228640
Nicotinamide riboside Study of safety and efficacy with regard to physical activities in elderly people Non-randomized, open-label, crossover study
Healthy volunteers
Age from 55 to 79 years
Oral administration
Crossover of placebo for 6 weeks and NR 500 mg twice daily for 6 weeks
NCT02921659
Study of efficacy with regard to bone, skeletal muscle and metabolic functions in ageing Randomized, double-blind, placebo-controlled study
Female healthy volunteers
Age from 65 to 80 years
Oral administration
1,000 mg NR daily in a regimen of 500 mg every 12 hours for 4.5 months After 4.5 months, advanced individual training will be implemented with administration of 1,000 mg daily (500 mg every 12 hours) for a further 6 weeks. Total of 6 months
NCT03818802
Study of efficacy with regard to elevated systolic blood pressure and arterial stiffness in middle-aged and older adults Randomized, placebo-controlled, double-blind study
Healthy volunteers
Age from 50 to 79 years
Oral administration
Long-term NR administration: 1,000 mg daily for 3 months
NCT03821623
Study of recovery phase and improved outcome after acute illness Randomized study
Hospitalized patients with tissue damage
Age from 18 years
Oral administration
Long-term NR administration: 250, 500 or 1,000 mg daily for 3 months
NCT04110028
Study of pharmacokinetics and efficacy with regard to brain function, including cognition and blood flow in people with MCI Randomized study
Patients with MCI
Age from 65 years
Oral administration
NR dosage increased from 250 mg daily to 1 g daily as tolerated
NCT02942888
Study of cognitive performance in subjective cognitive decline and mild cognitive impairment in ageing Crossover, randomized block sequence, double-blind, placebo-controlled study
Patients with MCI
Age from 60 years
Oral administration
Long-term NR administration: 1,200 mg for 8 weeks
NCT04078178
Study of safety and efficacy with regard to NAD+ sustainability in elderly people Randomized, placebo-controlled, double-blind study
Healthy volunteers
Age from 60 to 80 years
Oral administration
1XNRPT (250 mg NR and 50 mg pterostilbene) once daily or 2XNRPT (500 mg NR and 100 mg pterostilbene) twice daily for 8 weeks
NCT02678611
NAM Study of the efficacy a mixture of the NAD+ precursors NA, NAM and tryptophan with regard to physical function and skeletal muscle mitochondrial function in physically compromised, elderly humans Randomized, double-blind, crossover trial
Healthy volunteers
Age from 65 to 75 years
Oral administration
Long-term administration of NAD+ precursors: total of 204 NE per serving in a whey protein source for 31 days
NCT03310034
Exploratory study on phosphorylated tau protein changes in CSF in mild cognitive impairment due to Alzheimer disease and mild Alzheimer disease dementia Double-blind, randomized, placebo-controlled study
Patients with Alzheimer disease
Age from 50 years
Oral administration
Long-term administration of NAM: 1,500 mg daily for 48 weeks
NCT03061474
Study of efficacy with regard to the severity of Parkinson disease symptoms Double-blind, randomized study
Patients with Parkinson disease
Age from 35 years
Oral administration
Long-term administration of NAM: 200 mg daily for 18 months
NCT03808961

CSF, cerebrospinal fluid; MCI, mild cognitive impairment; NA, nicotinic acid; NAD+, nicotinamide adenine dinucleotide; NAM, nicotinamide; NE, niacin equivalents; NMN, nicotinamide mononucleotide; NR, nicotinamide riboside.