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Nicotinamide riboside

Accessible · Evidence and recent research

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Where things stand

Nicotinamide riboside is another way researchers try to raise NAD levels. A small randomized trial in middle-aged and older adults showed that it raises blood NAD, with exploratory findings that motivated further cardiovascular research. Successfully changing a molecule is an early research step; the clinical benefits and implications for lifespan require separate demonstration. Source ↗ Recently: The latest trial-registry update in our collection is dated Oct 27, 2026: “FEAST and HOPE: Redox PSC Pilot Study in PSC”. Its implications have not yet been summarized in a source-checked review. Read update ↗

AI-written overview · not expert-reviewed · Background sources checked Sep 23, 2026 · Recent updates cover the last 30 days of this collection. A new report does not automatically change the evidence assessment.

NR randomized human trial ↗

Regulatory status
Supplement
Availability
Widely available
Category
Accessible
Human results verified here
0

Evidence collection is needs review. 0 approved assessments; 16 assessments awaiting review; 1 published studies with verified results. Safety: not assessed.

Methodology →

A numeric breakdown will be available after baseline review. Safety is not yet assessed.

Evidence events affecting this intervention

Browse all evidence →
Registry update — unassessed

FEAST and HOPE: Redox PSC Pilot Study in PSC

Trial registry update: NOT_YET_RECRUITING. No results reported in the supplied registry record.

OTHERN=151d
Registry update — unassessed

The Effect of Exercise and Nicotinamide Riboside on Muscle Health and Insulin Resistance in Adult Survivors of Childhood Cancer With Prediabetes: A Pilot Feasibility Study

Trial registry update: ACTIVE_NOT_RECRUITING. No results reported in the supplied registry record.

RCT5d
Registry update — unassessed

A Randomized Placebo-controlled Trial of Nicotinamide/Pterostilbene Supplement in ALS: The NO-ALS Study

Trial registry update: ACTIVE_NOT_RECRUITING. No results reported in the supplied registry record.

RCTN=18023d
Registry update — unassessed

Nicotinamide Riboside Supplementation for Treating Arterial Stiffness and Elevated Systolic Blood Pressure in Patients With Moderate to Severe CKD

Trial registry update: ACTIVE_NOT_RECRUITING. No results reported in the supplied registry record.

RCT26d
Registry update — unassessed

Nicotinamide Riboside Supplementation for Treating Elevated Systolic Blood Pressure and Arterial Stiffness in Middle-aged and Older Adults

Trial registry update: ACTIVE_NOT_RECRUITING. No results reported in the supplied registry record.

RCT26d
Registry update — unassessed

The Benefits of Nicotinamide Riboside Upon Cognition and Sleep in Older Veterans

Trial registry update: RECRUITING. No results reported in the supplied registry record.

RCT1mo
Registry update — unassessed

A Randomized Placebo-controlled Trial of Nicotinamide/Pterostilbene Supplement in ALS: The NO-ALS Study. Extension Protocol

Trial registry update: ACTIVE_NOT_RECRUITING. No results reported in the supplied registry record.

OTHER1mo
Registry update — unassessed

Effect of Nicotinamide Riboside on Ketosis, Fat Oxidation &Amp;Amp;Amp;Amp; Metabolic Rate

Trial registry update: RECRUITING. No results reported in the supplied registry record.

RCT1mo
Registry update — unassessed

Efficacy of a Single Dose of Nicotinamide Riboside (NR) on Sleep: A Randomized Controlled Study

Trial registry update: COMPLETED. No results reported in the supplied registry record.

RCTN=281mo
Registry update — unassessed

Nicotinamide Riboside and Milk Production in the NICU

Trial registry update: RECRUITING. No results reported in the supplied registry record.

RCT1mo
Registry update — unassessed

Nicotinamide Riboside to Improve Functioning in PAD

Trial registry update: NOT_YET_RECRUITING. No results reported in the supplied registry record.

RCTN=2501mo
Assessment superseded

Metformin has extensive preclinical evidence but limited clinical proof of geroprotective effects in systematic review.

This systematic review examined pharmacological interventions targeting aging pathways, including metformin, from literature published January 2010–May 2026. Metformin and rapamycin had among the most extensive preclinical and translational evidence, but the review found that clinical evidence for broadly applicable geroprotection remains limited. The authors emphasize a substantial gap between mechanistic plausibility and clinically validated geroprotection in humans.

SYSTEMATIC REVIEW1mo

The 25 most recent recorded changes, including corrections and backfill

Historical record correctionSource updated; previous assessment withdrawn
Historical record correctionSource updated; previous assessment withdrawn

No published human results verified in this collection yet

No preclinical studies tracked yet

The Effect of Exercise and Nicotinamide Riboside on Muscle Health and Insulin Resistance in Adult Survivors of Childhood Cancer With Prediabetes: A Pilot Feasibility Study
Nicotinamide Riboside to Improve Functioning in PAD
NCT07782671N=250ClinicalTrials.gov ↗
The Efficacy and Safety of a Mental Intervention Program vs. Usual Care and Nicotinamide Riboside (NR) vs. Placebo for Improving Health-related Quality of Life in Long Covid: A 2 x 2 Factorial Randomized Controlled Trial
NCT05703074N=310ClinicalTrials.gov ↗
Nicotinamide Riboside and Milk Production in the NICU
Efficacy of a Single Dose of Nicotinamide Riboside (NR) on Sleep: A Randomized Controlled Study
NCT07284225N=28ClinicalTrials.gov ↗
Effect of Nicotinamide Riboside on Ketosis, Fat Oxidation &Amp;Amp;Amp;Amp; Metabolic Rate
FEAST and HOPE: Redox PSC Pilot Study in PSC
NCT07898839N=15ClinicalTrials.gov ↗
Nicotinamide Riboside Supplementation for Treating Elevated Systolic Blood Pressure and Arterial Stiffness in Middle-aged and Older Adults
Nicotinamide Riboside Supplementation for Treating Arterial Stiffness and Elevated Systolic Blood Pressure in Patients With Moderate to Severe CKD
The Benefits of Nicotinamide Riboside Upon Cognition and Sleep in Older Veterans
A Randomized Placebo-controlled Trial of Nicotinamide/Pterostilbene Supplement in ALS: The NO-ALS Study. Extension Protocol
A Randomized Placebo-controlled Trial of Nicotinamide/Pterostilbene Supplement in ALS: The NO-ALS Study
NCT04562831N=180ClinicalTrials.gov ↗