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Nicotinamide adenine dinucleotide (NAD) is a coenzyme playing a central role in human metabolic pathways. A recognized approach to increase NAD level is through oral supplementation of its precursors promoting NAD synthesis in vivo. NAD precursors exist in multiple forms. However, it is unclear how the various precursors compare in their ability to increase NAD levels in human blood. The purpose of this study is to compare the effect of 3 NAD precursors on whole blood NAD metabolome.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nicotinamide (NAM) | Experimental |
| |
| Nicotinamide Riboside (NR) | Experimental |
| |
| Nicotinamide Mono Nucleotide (NMN) | Experimental |
| |
| Microcrystalline cellulose | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nicotinamide (NAM) | Dietary Supplement | 500 mg a day |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Determine the extent of increase in NAD+ level in whole blood, for each NAD+ precursor (NAM, NR and NMN) compared to placebo | Measure the changes in whole blood NAD+ level interventions vs placebo: NAM vs placebo, NR vs placebo, NMN versus placebo by quantitative liquid chromatography-mass spectroscopy | at Day 14 |
| Compare the extent of increase in NAD+ level in whole blood across the 3 NAD+ precursors (NAM, NR and NMN) | Measure the changes in whole blood NAD+ level across interventions: NAM vs NR, NAM vs NMN, NR vs NMN by quantitative liquid chromatography-mass spectroscopy | at Day 14 |
| Measure | Description | Time Frame |
|---|---|---|
| Determine the extent the NAD+ precursors(NAM, NR and NMN) affect the NAD metabolome in whole blood compared to placebo | Measure the change in whole blood NAD+ metabolites iAUC (reported as microM*h) and Cmax (microM) by quantitative liquid chromatography-mass spectroscopy | over 4 hours at Day 1 and at Day 14. |
| Measure | Description | Time Frame |
|---|---|---|
| Comparer the extend the NAD+ precursors (NAM, NR and NMN) affect the NAD+ metabolome in in plasma. | Measure the change in plasma NAD+ metabolites iAUC (reported in microM) and Cmax (microM) determined by quantitative liquid chromatography-mass spectroscopy | over 4 hours at Day 1 and at Day 14. |
| Comparer the extend the NAD+ precursors (NAM, NR and NMN) affect the NAD+ metabolome in urine |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nestlé Clinical Innovation Lab | Lausanne | Canton of Vaud | 1000 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41540253 | Derived | Christen S, Redeuil K, Goulet L, Giner MP, Breton I, Rota R, Frezal A, Nazari A, Van den Abbeele P, Godin JP, Nutten S, Cuenoud B. The differential impact of three different NAD+ boosters on circulatory NAD and microbial metabolism in humans. Nat Metab. 2026 Jan;8(1):62-73. doi: 10.1038/s42255-025-01421-8. Epub 2026 Jan 15. |
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| ID | Term |
|---|---|
| D009536 | Niacinamide |
| C018613 | nicotinamide-beta-riboside |
| C109691 | microcrystalline cellulose |
| ID | Term |
|---|---|
| D009539 | Nicotinic Acids |
| D000147 | Acids, Heterocyclic |
| D006571 | Heterocyclic Compounds |
| D011725 | Pyridines |
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| Nicotinamide Riboside (NR) |
| Dietary Supplement |
1000 mg a day |
|
| Nicotinamide Mono Nucleotide (NMN) | Dietary Supplement | 1000 mg a day |
|
| Microcrystalline cellulose | Dietary Supplement | 500 mg a day |
|
| Compare the extent the NAD+ precursors (NAM, NR and NMN) affect the NAD+ metabolome in whole blood. |
Measure the change in whole blood NAD+ metabolites iAUC (reported as microM*h) and Cmax (microM) determined by quantitative liquid chromatography-mass spectroscopy |
| over 4 hours at Day 1 and at Day 14. |
Measure the change in urine NAD+ metabolites iAUC (reported in microM) and Cmax (microM) determined by quantitative liquid chromatography-mass spectroscopy |
| at baseline Day 14 versus Day 1 |
| D006573 |
| Heterocyclic Compounds, 1-Ring |