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NAD+

Amino

NAD+

$45.00

In Stock

NAD+ is a clearly identified research-use reference material. Verified product specification: 500mg; 100mg; 1000mg; 500 mg; 100 mg; 1000 mg. A current lot-specific Certificate of Analysis is available for quality and traceability documentation. Research Use Only. Not for human use. Not for animal use.

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1
Research use only. Products are intended strictly for qualified laboratory or in-vitro research and are not for human or veterinary use.

COAs & testing

Current and historical batch documentation

Approved testing records for this product and selected strength are shown directly on the purchase page. Results apply only to the documented sample or batch.

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Safety Data Sheet (SDS)

NAD+

Revision 1.0 · August 30, 2026 · Formulation-level safety, handling, storage, first-aid, and transport information.

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Historical COA

Lot 06112026

500mg

Laboratory
VANGUARD
Test date
2026-06-12
Purity
99.80% purity
Disposition
pass

Technical specifications

Compound information

Molecular, technical, storage, and laboratory-handling information for the selected variation. Unknown or unverified fields remain blank.

Molecular profile

Product
NAD+
Strength
500mg
Product form
variable
Canonical compound
NAD+

Storage requirements

Storage
Refrigerate after mixing, 0°C–8°C. Keep away from UV light.

Storage and handling information is for laboratory operations only. It is not dosing, administration, or medical guidance, and it does not replace a lot-specific expiration or stability document.

Peer-reviewed research

The research behind this compound

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Journal studies

Research articles and study summaries

All articles

NAD+: Editorial: The Versatile Role of Nicotinamide Adenine Dinucleotide in Immunity.

This record is linked for reviewer verification. Open the source to confirm the study design, model, outcomes, and limitations before publication.

Read sourced summary

NAD+: Nicotinamide Adenine Dinucleotide-Loaded Lubricated Hydrogel Microspheres with a Three-Pronged Approach Alleviate Age-Related Osteoarthritis.

Chondrocyte senescence, synovitis, and decreased level of lubrication play pivotal roles in the pathogenesis of age-related osteoarthritis (AROA). However, there are currently no effective therapeutic interventions capable of altering the progression of OA until it reaches advanced stages, necessitating joint replacement. In this study, lubricious and drug-loaded hydrogel microspheres were designed and fabricated by utilizing microfluidic technology for radical polymerization of chondroitin sulfate methacrylate and incorporating nicotinamide adenine dinucleotide (NAD)-loaded liposomes modified with lactoferrin that are positively charged.

Read sourced summary

NAD+: Novel Approach to Skin Anti-Aging: Boosting Pharmacological Effects of Exogenous Nicotinamide Adenine Dinucleotide (NAD + ) by Synergistic Inhibition of CD38 Expression.

Nicotinamide adenine dinucleotide (NAD + ) is indispensable for the regulation of biological metabolism. Previous studies have revealed its role in aging and degenerative diseases, while crucially showing that supplementation with NAD + or its precursors could ameliorate or reverse the progression of aging. Despite extensive evidence for the role and action of NAD + in aging, its pharmacological activity on the skin, or even its mechanism, has not been elucidated.

Read sourced summary

NAD+: Age-associated nicotinamide adenine dinucleotide decline drives CAR-T cell failure.

Chimeric antigen receptor (CAR) T cell therapy is one of the most promising cancer treatments. However, different hurdles are limiting its application and efficacy. In this context, how aging influences CAR-T cell outcomes is largely unknown.

Read sourced summary

NAD+: Placental nicotinamide adenine dinucleotide modulates the timing of labor.

Labor is mediated proximately by prostaglandin signaling within gestational tissues and must be tightly regulated for birth to occur after appropriate fetal development. Metabolic changes accompanying gestational aging have been postulated as a determinant of birth timing, but specific nutrients, sensors, and messengers remain obscure. We report that placental nicotinamide adenine dinucleotide (NAD + ) dynamically tunes gestational length.

Read sourced summary

NAD+: Chronic nicotinamide mononucleotide supplementation elevates blood nicotinamide adenine dinucleotide levels and alters muscle function in healthy older men.

Preclinical studies have revealed that the elevation of nicotinamide adenine dinucleotide (NAD + ) upon the administration of nicotinamide mononucleotide (NMN), an NAD + precursor, can mitigate aging-related disorders; however, human data on this are limited. We investigated whether the chronic oral supplementation of NMN can elevate blood NAD + levels and alter physiological dysfunctions in healthy older participants. We administered 250 mg NMN per day to aged men for 6 or 12 weeks in a placebo-controlled, randomized, double-blind, parallel-group trial.

Read sourced summary

NAD+: NAD + (nicotinamide adenine dinucleotide, oxidized form).

This record is linked for reviewer verification. Open the source to confirm the study design, model, outcomes, and limitations before publication.

Read sourced summary

NAD+: β-Nicotinamide adenine dinucleotide (β-NAD) acts as a bronchodilator.

β-Nicotinamide adenine dinucleotide (β-NAD) is recognized as a sympathetic neurotransmitter that relaxes vascular and intestinal smooth muscle through purinergic receptor pathways. In the lung, β-NAD has been associated with anti-inflammatory effects, but its role in regulating airway smooth muscle tone remains unexplored. This study investigates the impact of β-NAD on airway smooth muscle and elucidates the underlying mechanisms of its action.

Read sourced summary

Registered clinical trials

All trials

NCT05849519 · UNKNOWN

Small Sample,Unicentric,Randomized, Controlled Clinical Study of Coenzyme I for Injection in the Treatment of Sudden Sensorineural Hearing Loss

Sudden sensorineural hearing loss is one of the most common emergencies in otorhinolaryngology, and its incidence is increasing year by year and tends to be younger. At present, the pathogenesis of sudden deafness is not clear and the individual treatment effects vary significantly. In order to break through this specific treatment bottleneck, this project pioneered the clinical application of the co-regulator nicotinamide adenine dinucleotide (NAD+) in the treatment of sudden deafness. Therefore, this project intends to use pure tone audiometry, speech audiometry, tinnitus disability scale THI, tinnitus subjective visual analog score method VAS, ear fullness subjective visual analog score method VAS for data analysis, and explore the safety of coenzyme I for injection on sudden deafness and efficacy assessment.

Registry record

NCT06505967 · UNKNOWN

Effectiveness of Qualia NAD+ Supplementation on Intracellular NAD Levels

The goal of this clinical trial is to determine if Qualia NAD+ effectively increases NAD+ levels in the blood and to evaluate its safety. Researchers will compare Qualia NAD+ to a placebo (a look-alike substance that contains no active drug) to assess its efficacy in increasing NAD+ levels in the blood. Participants will: Take Qualia NAD+ or a placebo every day for 4 weeks. Undergo blood tests before and after the trial.

Registry record

NCT07692633 · NOT_YET_RECRUITING

A Clinical Trial to Assess the Absorption, Safety, and Efficacy of an Oral Nicotinamide Adenine Dinucleotide (NAD+) Supplement in Healthy Adults

The goal of this clinical trial is to assess the absorption, safety, and efficacy of an NAD+ supplement in healthy adults. The main question it aims to answer is: What is the change in NAD+ levels in whole blood from baseline to day 56 between the NAD+ supplement and placebo? Researchers will compare the NAD+ supplement to placebo to evaluate its absorption, safety, and efficacy. Participants will be asked to: * Complete questionnaires * Provide blood samples * Consume either the NAD+ supplement or a placebo for 55 days * Have their endothelial function evaluated

Registry record

NCT04192136 · COMPLETED

NAD+ and Exercise in FA

Randomized, placebo-controlled trial with a 2x2 factorial design testing the effects of an NAD+ precursor (NR) and exercise on Peak VO2 and Si in Friedreich's Ataxia (FA). The primary objective of this research is to measure the effect of combination administration (NR + exercise) on aerobic capacity (Peak VO2) in FA. A key secondary objective is to measure the effect of combination administration (NR + exercise) on glucose homeostasis (Si) in FA.

Registry record

NCT03707652 · COMPLETED

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

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

Registry record

NCT07563322 · RECRUITING

Mechanistic Study of Nicotinamide Riboside on NAD+ Biology in Individuals With Combined Pulmonary Hypertension

Pulmonary hypertension (PH) is a serious condition that puts strain on the heart and lungs and often leads to frequent hospital stays and shortened life expectancy. The most common cause is heart disease affecting the left side of the heart. A particularly high-risk form, called combined pre- and post-capillary pulmonary hypertension (CPH), occurs in about one in four people with heart failure. There are currently no approved treatments for CPH, and many patients develop right-sided heart failure and die earlier than expected. This study is based on a new approach that uses advanced computer methods to analyze a patient's unique biology and identify potential drug targets. Using this method, we identified nicotinamide riboside (NR) as a promising option for people with CPH. NR is a form of vitamin B3 that helps the body make NAD⁺, a substance essential for how cells produce energy and stay healthy. NAD⁺ plays an important role in how heart and blood vessel cells function. Previous research in animals suggests NR may help improve blood vessel changes in the lungs and support heart function. NR has also shown potential benefits in human studies related to cell energy, mitochondrial health, and reducing oxidative stress. In this study, NR is used only as a dietary supplement that supports normal body processes, not as a proven treatment. The investigators will conduct a small, carefully controlled study in which participants receive NR and a placebo at different times. The goal is to understand how NR affects biological and biochemical markers in the body, not to test whether it improves symptoms or outcomes. Any clinical measurements are included only to help interpret the biological effects.

Registry record
Educational summaries describe published research cautiously and do not make diagnostic, treatment, dosing, cure, or human-use claims. Human, animal, in-vitro, computational, and review evidence are identified separately. Registered trials are not the same as published results. Last reviewed: 2026-09-11T04:00:51.23+00:00.

Original sources

Sources, journals & trials

Third-party sources are linked for independent review. A citation does not imply endorsement of this store or product.

1. other · unknown

PubChem compound record for NAD+

National Center for Biotechnology Information · PubChem

Structured public compound identifiers and computed chemical properties. Product-specific stability, purity, lot results, and shelf life are not inferred from this record.

Why linked: Official PubChem identity record returned for the resolved component NAD+.

public compound database

2. pubmed · unknown

Editorial: The Versatile Role of Nicotinamide Adenine Dinucleotide in Immunity.

Björn Rissiek, Andreas H Guse, Sahil Adriouch, Santina Bruzzone · Frontiers in immunology · 2022

Why linked: The title contains the resolved identity “Nicotinamide Adenine Dinucleotide”.

DOI 10.3389/fimmu.2021.810280PMID 34912350PMCID PMC8666413Editorial, Introductory Journal Article, Research Support, Non-U.S. Gov't

3. pubmed · animal

Nicotinamide Adenine Dinucleotide-Loaded Lubricated Hydrogel Microspheres with a Three-Pronged Approach Alleviate Age-Related Osteoarthritis.

Yanpeng Lin, Hangtian Wu, Jun Wang, Wanling He, Jiahui Hou, Vidmi Taolam Martin, Chencheng Zhu, Yupeng Chen, Junyuan Zhong, Bin Yu, Aiping Lu, Daogang Guan, Genggeng Qin, Weiguo Chen · ACS nano · 2025

Chondrocyte senescence, synovitis, and decreased level of lubrication play pivotal roles in the pathogenesis of age-related osteoarthritis (AROA). However, there are currently no effective therapeutic interventions capable of altering the progression of OA until it reaches advanced stages, necessitating joint replacement. In this study, lubricious and drug-loaded hydrogel microspheres were designed and fabricated by utilizing microfluidic technology for radical polymerization of chondroitin sulfate methacrylate and incorporating nicotinamide adenine dinucleotide (NAD)-loaded liposomes modified with lactoferrin that are positively charged. Mechanical, tribological, and drug release analyses demonstrated enhanced lubrication properties and an extended drug dissemination time for the NAD@NPs@HM microspheres. In vitro assays unveiled the ability of NAD@NPs@HM to counteract chondrocyte senesc

Why linked: The title contains the resolved identity “Nicotinamide Adenine Dinucleotide”.

DOI 10.1021/acsnano.5c01184PMID 40315404PMCID PMC12080321Journal Article, Research Support, Non-U.S. Gov't

4. pubmed · human

Novel Approach to Skin Anti-Aging: Boosting Pharmacological Effects of Exogenous Nicotinamide Adenine Dinucleotide (NAD + ) by Synergistic Inhibition of CD38 Expression.

Seongsu Kang, Jiwon Park, Zhihong Cheng, Sanghyun Ye, Seung-Hyun Jun, Nae-Gyu Kang · Cells · 2024

Nicotinamide adenine dinucleotide (NAD + ) is indispensable for the regulation of biological metabolism. Previous studies have revealed its role in aging and degenerative diseases, while crucially showing that supplementation with NAD + or its precursors could ameliorate or reverse the progression of aging. Despite extensive evidence for the role and action of NAD + in aging, its pharmacological activity on the skin, or even its mechanism, has not been elucidated. In this study, we established a novel approach to effectively utilize NAD + for skin anti-aging by enhancing the pharmacological efficacy of exogenous NAD + using a phytochemical complex consisting of quercetin, and enoxolone through inhibition of CD38. Through the comprehensive in vitro experiments based on human fibroblasts, we observed that exogenous NAD + could exert protective effects against both extrinsic aging induced b

Why linked: The title contains the resolved identity “Nicotinamide Adenine Dinucleotide”.

DOI 10.3390/cells13211799PMID 39513906PMCID PMC11544843Journal Article, Research Support, Non-U.S. Gov't

5. pubmed · animal

Age-associated nicotinamide adenine dinucleotide decline drives CAR-T cell failure.

Helen Carrasco Hope, Jana de Sostoa, Pierpaolo Ginefra, Massimo Andreatta, Yi-Hsuan Chiang, Catherine Ronet, Christine Pich-Bavastro, Jesús Corria Osorio, François Kuonen, Johan Auwerx, Patrizia D'Amelio, Ping-Chih Ho, Santiago J Carmona, George Coukos, Denis Migliorini, Nicola Vannini · Nature cancer · 2025

Chimeric antigen receptor (CAR) T cell therapy is one of the most promising cancer treatments. However, different hurdles are limiting its application and efficacy. In this context, how aging influences CAR-T cell outcomes is largely unknown. Here we show that CAR-T cells generated from aged female mice present a mitochondrial dysfunction derived from nicotinamide adenine dinucleotide (NAD) depletion that leads to poor stem-like properties and limited functionality in vivo. Moreover, human data analysis revealed that both age and NAD metabolism determine the responsiveness to CAR-T cell therapy. Targeting NAD pathways, we were able to recover the mitochondrial fitness and functionality of CAR-T cells derived from older adults. Altogether, our study demonstrates that aging is a limiting factor to successful CAR-T cell responses. Repairing metabolic and functional obstacles derived from ag

Why linked: The title contains the resolved identity “Nicotinamide Adenine Dinucleotide”.

6. pubmed · animal

Placental nicotinamide adenine dinucleotide modulates the timing of labor.

Erin J Ciampa, Luana M Machado, Kathy J Lee, Amanda J Clark, Kyle Q Vu, Nawal A Khan, Sarah Kispert, Samantha Armstrong, Yunping Li, Ginger L Milne, Ashley Solmonson, S Ananth Karumanchi, Samir M Parikh · Science (New York, N.Y.) · 2026

Labor is mediated proximately by prostaglandin signaling within gestational tissues and must be tightly regulated for birth to occur after appropriate fetal development. Metabolic changes accompanying gestational aging have been postulated as a determinant of birth timing, but specific nutrients, sensors, and messengers remain obscure. We report that placental nicotinamide adenine dinucleotide (NAD + ) dynamically tunes gestational length. Depletion of placental NAD + in mice provoked labor onset, mediated by the role of NAD + as a cofactor for 15-hydroxy prostaglandin dehydrogenase, an enzyme responsible for suppressing prostaglandin accumulation. Augmentation of placental NAD + prolonged gestation at baseline and in a model of preterm labor. These findings suggest a central role for metabolic exhaustion in provoking labor and reveal potential therapeutic avenues for preterm labor and t

Why linked: The title contains the resolved identity “Nicotinamide Adenine Dinucleotide”.

7. pubmed · human

Chronic nicotinamide mononucleotide supplementation elevates blood nicotinamide adenine dinucleotide levels and alters muscle function in healthy older men.

Masaki Igarashi, Yoshiko Nakagawa-Nagahama, Masaomi Miura, Kosuke Kashiwabara, Keisuke Yaku, Mika Sawada, Rie Sekine, Yuichiro Fukamizu, Toshiya Sato, Takanobu Sakurai, Jiro Sato, Kenji Ino, Naoto Kubota, Takashi Nakagawa, Takashi Kadowaki, Toshimasa Yamauchi · npj aging · 2022

Preclinical studies have revealed that the elevation of nicotinamide adenine dinucleotide (NAD + ) upon the administration of nicotinamide mononucleotide (NMN), an NAD + precursor, can mitigate aging-related disorders; however, human data on this are limited. We investigated whether the chronic oral supplementation of NMN can elevate blood NAD + levels and alter physiological dysfunctions in healthy older participants. We administered 250 mg NMN per day to aged men for 6 or 12 weeks in a placebo-controlled, randomized, double-blind, parallel-group trial. Chronic NMN supplementation was well tolerated and caused no significant deleterious effect. Metabolomic analysis of whole blood samples demonstrated that oral NMN supplementation significantly increased the NAD + and NAD + metabolite concentrations. There were

Why linked: The title contains the resolved identity “Nicotinamide Adenine Dinucleotide”.

8. pubmed · unknown

NAD + (nicotinamide adenine dinucleotide, oxidized form).

Valentina Ferro, Sofia Moco · Trends in endocrinology and metabolism: TEM · 2025

Why linked: The title contains the resolved identity “Nicotinamide Adenine Dinucleotide”.

9. pubmed · animal

β-Nicotinamide adenine dinucleotide (β-NAD) acts as a bronchodilator.

Innokentij Jurastow, Silke Wiegand, Amir Rafiq, Anna Zakrzewicz, Sandra Engel, Adriano Sanna, Daniel von der Beck, Walter Klepetko, Andreas Hecker, Andreas Günther, Moritz Bünemann, Gabriela Krasteva-Christ, Maryam Keshavarz · PloS one · 2025

β-Nicotinamide adenine dinucleotide (β-NAD) is recognized as a sympathetic neurotransmitter that relaxes vascular and intestinal smooth muscle through purinergic receptor pathways. In the lung, β-NAD has been associated with anti-inflammatory effects, but its role in regulating airway smooth muscle tone remains unexplored. This study investigates the impact of β-NAD on airway smooth muscle and elucidates the underlying mechanisms of its action. Airway constriction was assessed as a force in organ bath (mouse trachea, human bronchioli) and as a luminal area in mouse precision-cut lung slices. The latter was combined with recording changes in [Ca2+] and membrane potential. Intracellular calcium and cyclic AMP concentrations were recorded in isolated airway smooth muscle cells. β-NAD did not affect baseline tension/area in the trachea, bronchi, and bronchioli.

Why linked: The title contains the resolved identity “Nicotinamide Adenine Dinucleotide”.

10. crossref · unknown

Nicotinamide adenine dinucleotide (NAD)

AccessScience

Why linked: The title contains the resolved identity “Nicotinamide Adenine Dinucleotide”.

11. crossref · animal

Control of the Krebs Cycle**Abbreviations F1-ATPase; the mitochondrial ATP-synthesizing complex; NAD, nicotinamide adenine dinucleotide (oxidized form-NAD+; reduced form-NADH); NADP, nicotinamide adenine dinucleotide phosphate.

J.T. WISKICH · Metabolism and Respiration · 1980

Why linked: The title contains the resolved identity “NAD+”.

12. crossref · unknown

Crystal Structure of the Domain2 of NAD+ Riboswitch with nicotinamide adenine dinucleotide (NAD+), soaked in Mn2+

H. Chen, A.M. Ren · 2020

Why linked: The title contains the resolved identity “NAD+”.

NCT05849519 · UNKNOWN

Small Sample,Unicentric,Randomized, Controlled Clinical Study of Coenzyme I for Injection in the Treatment of Sudden Sensorineural Hearing Loss

Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University · INTERVENTIONAL · EARLY_PHASE1

Sudden sensorineural hearing loss is one of the most common emergencies in otorhinolaryngology, and its incidence is increasing year by year and tends to be younger. At present, the pathogenesis of sudden deafness is not clear and the individual treatment effects vary significantly. In order to break through this specific treatment bottleneck, this project pioneered the clinical application of the co-regulator nicotinamide adenine dinucleotide (NAD+) in the treatment of sudden deafness. Therefore, this project intends to use pure tone audiometry, speech audiometry, tinnitus disability scale THI, tinnitus subjective visual analog score method VAS, ear fullness subjective visual analog score method VAS for data analysis, and explore the safety of coenzyme I for injection on sudden deafness and efficacy assessment.

NCT06505967 · UNKNOWN

Effectiveness of Qualia NAD+ Supplementation on Intracellular NAD Levels

Qualia Life Sciences · INTERVENTIONAL · NA

The goal of this clinical trial is to determine if Qualia NAD+ effectively increases NAD+ levels in the blood and to evaluate its safety. Researchers will compare Qualia NAD+ to a placebo (a look-alike substance that contains no active drug) to assess its efficacy in increasing NAD+ levels in the blood. Participants will: Take Qualia NAD+ or a placebo every day for 4 weeks. Undergo blood tests before and after the trial.

NCT07692633 · NOT_YET_RECRUITING

A Clinical Trial to Assess the Absorption, Safety, and Efficacy of an Oral Nicotinamide Adenine Dinucleotide (NAD+) Supplement in Healthy Adults

Reus Research · INTERVENTIONAL · NA

The goal of this clinical trial is to assess the absorption, safety, and efficacy of an NAD+ supplement in healthy adults. The main question it aims to answer is: What is the change in NAD+ levels in whole blood from baseline to day 56 between the NAD+ supplement and placebo? Researchers will compare the NAD+ supplement to placebo to evaluate its absorption, safety, and efficacy. Participants will be asked to: * Complete questionnaires * Provide blood samples * Consume either the NAD+ supplement or a placebo for 55 days * Have their endothelial function evaluated

NCT04192136 · COMPLETED

NAD+ and Exercise in FA

Children's Hospital of Philadelphia · INTERVENTIONAL · NA

Randomized, placebo-controlled trial with a 2x2 factorial design testing the effects of an NAD+ precursor (NR) and exercise on Peak VO2 and Si in Friedreich's Ataxia (FA). The primary objective of this research is to measure the effect of combination administration (NR + exercise) on aerobic capacity (Peak VO2) in FA. A key secondary objective is to measure the effect of combination administration (NR + exercise) on glucose homeostasis (Si) in FA.

NCT03707652 · COMPLETED

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

Supplement Formulators, Inc. · INTERVENTIONAL · NA

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

NCT07563322 · RECRUITING

Mechanistic Study of Nicotinamide Riboside on NAD+ Biology in Individuals With Combined Pulmonary Hypertension

Vanderbilt University Medical Center · INTERVENTIONAL · NA

Pulmonary hypertension (PH) is a serious condition that puts strain on the heart and lungs and often leads to frequent hospital stays and shortened life expectancy. The most common cause is heart disease affecting the left side of the heart. A particularly high-risk form, called combined pre- and post-capillary pulmonary hypertension (CPH), occurs in about one in four people with heart failure. There are currently no approved treatments for CPH, and many patients develop right-sided heart failure and die earlier than expected. This study is based on a new approach that uses advanced computer methods to analyze a patient's unique biology and identify potential drug targets. Using this method, we identified nicotinamide riboside (NR) as a promising option for people with CPH. NR is a form of vitamin B3 that helps the body make NAD⁺, a substance essential for how cells produce energy and stay healthy. NAD⁺ plays an important role in how heart and blood vessel cells function. Previous research in animals suggests NR may help improve blood vessel changes in the lungs and support heart function. NR has also shown potential benefits in human studies related to cell energy, mitochondrial health, and reducing oxidative stress. In this study, NR is used only as a dietary supplement that supports normal body processes, not as a proven treatment. The investigators will conduct a small, carefully controlled study in which participants receive NR and a placebo at different times. The goal is to understand how NR affects biological and biochemical markers in the body, not to test whether it improves symptoms or outcomes. Any clinical measurements are included only to help interpret the biological effects.

NCT06950736 · NOT_YET_RECRUITING

NR vs. Vitamin E in Enhancing Fertility

The First Affiliated Hospital of Zhengzhou University · INTERVENTIONAL · NA

This randomized controlled trial enrolled women of advanced maternal age (≥35 years) undergoing ART, who were allocated to an intervention group (oral nicotinamide riboside, NR) or a control group (oral vitamin E, VitE) for a 2-month pre-ART intervention. The study systematically evaluated NR's regulatory effects on ovarian function and ART outcomes by measuring NAD+ levels in ovarian granulosa cells (GCs) and peripheral blood mononuclear cells (PBMCs), anti-Müllerian hormone (AMH) concentrations.

NCT07655791 · NOT_YET_RECRUITING

Efficacy and Safety of Oral Nicotinamide as an Adjunctive Therapy in Patients With Sepsis

Ain Shams University · INTERVENTIONAL · PHASE4

Sepsis is a severe, life-threatening condition caused by an abnormal host response to infection, which includes systemic inflammation, oxidative stress, and increasing organ dysfunction. It is frequently associated with bacterial, viral, fungal, or parasite infections, as well as non-infectious illnesses like trauma and pancreatitis. It remains a primary cause of mortality in hospitals, with rates nearing 40% in severely ill patients. pathophysiological, excessive cytokine release (e.g., TNFα, IL-6, IL-1β) and reactive oxygen/nitrogen species lead to mitochondrial injury, immunosuppression, and multiple organ failure. Sepsis diagnosis is guided byNEWS2 \& a SOFA score ≥2, hypotension, and elevated lactate, while worsening SOFA scores predict poor outcomes. Standard management focusses on early antibiotic therapy, fluid resuscitation, and vasoactive support. Standard anti-inflammatory methods using steroidal or non-steroidal medicines may show little efficacy to improve the patient's clinical outcomes. Adjunctive antioxidant therapies, including vitamins C and E, NAC, and melatonin, have demonstrated reductions in oxidative stress and organ dysfunction. Nicotinamide (NAM) (vitamin B3), a precursor of NAD+/NADP+ critical for energy metabolism and cellular repair, has emerged as a potential therapeutic candidate due to its ability to attenuate cytokine production, modulate immune responses, and mitigate oxidative damage. Usual dose of NAM (500mg-1500mg per day) is generally safe. A dose of 1000 mg was found to be safe and effective in reducing the circulating inflammatory cytokines showing a good profile as an anti-inflammatory adjunct therapy. Higher than usual NAM dose can increase the likelihood of adverse effects, such as diarrhea, increased liver enzymes (rarely occurring at doses exceeding 3 grams per day), symptoms of thrombocytopenia (including increased bruising and bleeding), and stomach upset. Since the role of NAM as adjunct therapy in sepsis management is not yet established, further large-scale clinical studies are recommended to establish its efficacy and safety in sepsis management. The aim of our study is to evaluate the efficacy and safety of the addition of Nicotinamide (1000mg oral tablet) as an adjunct therapy to improve the outcome of septic patients.

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