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The purpose of this study is to assess an effective single oral supplement or combination of oral supplements for increasing whole blood NAD+ levels.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort A (oral supplement A)-2 capsules | Experimental | Oral supplement A (2 capsules) administered daily for 3 days |
|
| Cohort A (oral supplement B)-4 capsules | Experimental | Oral supplement B (4 capsules) administered daily for 3 days |
|
| Cohort A (oral supplement C)-2 capsules | Experimental | Oral supplement C (2 capsules) administered daily for 3 days |
|
| Cohort A (oral supplement A)-1 or 4 capsules | Experimental | Oral supplement A (1 or 4 capsules) administered daily for 3 days |
|
| Cohort A (oral supplement D)-1 or 2 tablets | Experimental | Oral supplement D (1 or 2 tablets) administered daily for 3 days |
|
| Cohort A (oral supplement D) or combination with supplement C |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Oral supplement A | Dietary Supplement | 1, 2 or 4 capsules daily of oral supplement A for 3 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| Assess the mean change in NAD+ levels from baseline | Mean change in NAD+ levels | 63 days |
| Measure | Description | Time Frame |
|---|---|---|
| Assess the mean change in AST (aspartate aminotransferase) levels from baseline | Mean change in AST level | 63 days |
| Assess the mean change in ALT (alanine aminotransferase) levels from baseline |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Andrew Swick, Ph.D | LIfe Extension | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Life Extension Clinical Research, Inc. | Fort Lauderdale | Florida | 33308 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25417146 | Background | 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. | |
| 22848760 | Background |
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| Experimental |
Oral supplement D (1 or 2 tablets) or combination with oral supplement C (2 or 4 capsules) administered daily for 3 days |
|
| Cohort B (oral supplement B)-4 capsules | Experimental | Oral supplement B (4 capsules) administered daily for 3 days |
|
| Cohort B (oral supplement C)-2 capsules | Experimental | Oral supplement C (2 capsules) administered daily for 3 days |
|
| Cohort B (oral supplement A)-2 capsules | Experimental | Oral supplement A (2 capsules) administered daily for 3 days |
|
| Cohort B (oral supplement C)- 1 or 4 capsules | Experimental | Oral supplement C (1 or 4 capsules) administered daily for 3 days |
|
| Cohort B (oral supplement D)-1 or 2 tablets | Experimental | Oral supplement D (1 or 2 tablets) administered daily for 3 days |
|
| Cohort B(oral supplement D) or combination with supplement C | Experimental | Oral supplement D (1 or 2 tablets) or combination with oral supplement C (2 or 4 capsules) administered daily for 3 days |
|
|
| Oral supplement B | Dietary Supplement | 4 capsules daily of oral supplement B for 3 days |
|
|
| Oral supplement C | Dietary Supplement | 1,2 or 4 capsules daily of oral supplement C for 3 days |
|
|
| Oral supplement D | Dietary Supplement | 1 or 2 tablets daily of oral supplement D for 3 days |
|
|
| Oral Supplement D in combination with oral supplement C | Dietary Supplement | 1 or 2 tablets of oral supplement D in combination with 2 or 4 capsules of oral supplement C for 3 days |
|
Mean change in ALT level
| 63 days |
| Assess the mean change in Total Cholesterol levels from baseline | Mean change in Total Cholesterol level | 63 days |
| Assess the mean change in Triglycerides levels from baseline | Mean change in Triglycerides level | 63 days |
| Assess the mean change in LDL Cholesterol levels from baseline | Mean change in LDL Cholesterol level | 63 days |
| Assess the mean change in HDL Cholesterol levels from baseline | Mean change in HDL Cholesterol level | 63 days |
| 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. |
| 26785480 | Background | Verdin E. NAD(+) in aging, metabolism, and neurodegeneration. Science. 2015 Dec 4;350(6265):1208-13. doi: 10.1126/science.aac4854. |
| 17268245 | Background | 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. |
| 16842957 | Background | 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. |
| 6218262 | Background | 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. |
| 11126400 | Background | 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. |
| 29211728 | Background | 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. |
| 29184669 | Background | 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. |
| 27721479 | Background | 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. |
| 26970090 | Background | 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. |
| 28068222 | Background | 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. |
| Background | ClinicalTrials.gov. Effect of |
| 23193625 | Background | 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/ |