Clinical Trials

Numerous clinical trials evaluate nicotinamide riboside across Phase 1 through Phase 4 protocols for a wide spectrum of metabolic, vascular, and neurodegenerative conditions, including Parkinson's disease, peripheral artery disease, hypertension, obesity, and age-related physiological decline. Sponsored by academic medical centers, government agencies like the NIDDK, and private industry, these studies span diverse recruitment statuses from completed and actively recruiting—such as dose-optimization and safety protocols—to active, terminated, or upcoming trials.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07782671 NOT_YET_RECRUITING
Peripheral Artery Disease (PAD)
Northwestern University
2026-12 PHASE3
NCT07741071 RECRUITING
Alzheimer Disease (AD)
Haukeland University Hospital
2026-08-26 PHASE2
NCT07579429 RECRUITING
Clonal Cytopenia of Undetermined Significance; Myelodysplastic Syndrome
University of Colorado, Denver
2026-05-20 PHASE2
NCT06853743 RECRUITING
Huntington Disease
Oslo University Hospital
2025-03-18 PHASE2
NCT06162013 RECRUITING
Progressive Supranuclear Palsy; Multiple System Atrophy; Corticobasal Syndrome
Haukeland University Hospital
2024-03-05 PHASE2
NCT07693543 NOT_YET_RECRUITING
Chronic Kidney Disease
University of California, San Diego
2026-10-01 PHASE2
NCT06032923 RECRUITING
Systemic Lupus Erythematosus (Sle)
National Heart, Lung, and Blood Institute (NHLBI)
2024-03-13 PHASE1; PHASE2
NCT06208527 RECRUITING
Frailty; Frail Elderly Syndrome; Frailty Syndrome; Aging
Haukeland University Hospital
2025-01 PHASE2
NCT06587945 RECRUITING
Retinal Detachment
Center for Eye Research Australia
2025-09-19 PHASE4
NCT07649161 RECRUITING
Healthy Adult
Massachusetts General Hospital
2026-06
NCT05500170 RECRUITING
Cognitive Impairment; Sleep Quality
State University of New York at Buffalo
2023-04-04
NCT05740722 RECRUITING
Multiple Sclerosis; Progressive Multiple Sclerosis
Haukeland University Hospital
2023-05-03 PHASE2
NCT06280482 RECRUITING
Smooth Muscle Dysfunction Syndrome (SMDS)
The University of Texas Health Science Center, Houston
2024-03-06 PHASE1
NCT07703137 ENROLLING_BY_INVITATION
Parkinson's Disease
University of Oklahoma
2026-08-10
NCT07344636 RECRUITING
Health Adult Subjects
ZHANG Jiaqi
2026-01-06
NCT04112641 ACTIVE_NOT_RECRUITING
Chemotherapy-induced Peripheral Neuropathy
Donna Hammond, PhD
2020-02-19 PHASE2
NCT05483465 RECRUITING
Aging
University of Oklahoma
2023-05-03 PHASE4
NCT04913805 RECRUITING
Heart Failure With Preserved Ejection Fraction
University of Pennsylvania
2021-10-11 PHASE2
NCT07563322 RECRUITING
Pulmonary Hypertension
Vanderbilt University Medical Center
2026-04-09
NCT06044935 RECRUITING
Overweight; Obesity
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
2024-01-08
NCT06567717 RECRUITING
Idiopathic Pulmonary Fibrosis
Cedars-Sinai Medical Center
2025-11-03 PHASE2
NCT07073352 RECRUITING
Adverse Childhood Experiences; Endothelial Dysfunction
University of Wisconsin, Madison
2025-03-27
NCT07284225 NOT_YET_RECRUITING
Healthy Volunteers
Eye & ENT Hospital of Fudan University
2025-12-20
NCT07475208 NOT_YET_RECRUITING
Hypertension (HTN)
ZHANG Jiaqi
2026-04
NCT05590468 ACTIVE_NOT_RECRUITING
Mitochondrial Myopathy
Ralitza Gavrilova
2023-05-26 PHASE2
NCT04562831 ACTIVE_NOT_RECRUITING
Amyotrophic Lateral Sclerosis
Haukeland University Hospital
2020-10-07
NCT06345443 ENROLLING_BY_INVITATION
Vascular Stiffness
Mayo Clinic
2024-11-25
NCT05023993 ACTIVE_NOT_RECRUITING
Hematopoietic and Lymphoid Cell Neoplasm; Malignant Solid Neoplasm; Prediabetes
City of Hope Medical Center
2022-06-23
NCT04332341 RECRUITING
Allogeneic Hematopoietic Cell Transplantation
Case Comprehensive Cancer Center
2020-05-19 EARLY_PHASE1
NCT04040959 ACTIVE_NOT_RECRUITING
Vascular Diseases; Kidney Disease; Blood Pressure; Oxidative Stress
University of Colorado, Denver
2019-11-19 PHASE2
NCT04614714 NOT_YET_RECRUITING
Preterm Birth; Inadequate Milk Production
University of California, Davis
2026-06-01 PHASE2; PHASE3
NCT05561738 TERMINATED
Ulcerative Colitis
University of Pittsburgh
2024-02-28
NCT05194397 RECRUITING
Lymphoblastic Leukemia; Cancer Survivors; Aplastic Anemia; Myelodysplastic Syndromes; Myeloid Leukemia
Children's Hospital of Philadelphia
2023-02-23 PHASE2
NCT06971224 RECRUITING
Sleep
Haukeland University Hospital
2025-10-13 PHASE2
NCT06018467 ACTIVE_NOT_RECRUITING
Osteopenia, Osteoporosis; Age-related Bone Loss
Odense University Hospital
2023-09-06 PHASE2
NCT04430517 COMPLETED
Mild Cognitive Impairment; Mild Alzheimer Disease
Mclean Hospital
2022-03-02 EARLY_PHASE1
NCT06950736 NOT_YET_RECRUITING
Infertility Female
The First Affiliated Hospital of Zhengzhou University
2025-05-05
NCT04691986 ACTIVE_NOT_RECRUITING
Sarcopenia; Nicotinamide Adenine Dinucleotide Concentration; Muscle Quality and NAD+ Content
VA Office of Research and Development
2023-09-01
NCT06991712 RECRUITING
Glaucoma
Christopher Kai Shun Leung
2025-05-19 PHASE2
NCT05095571 RECRUITING
Amyotrophic Lateral Sclerosis
Haukeland University Hospital
2021-10-07
NCT06425042 RECRUITING
Healthy Aging; Lifestyle-related Condition; Metabolic Diseases
Finis Terrae University
2024-03-01
NCT07024966 RECRUITING
Oxidative Stress; Physical Activity; Antioxidant Effect
Fundació Eurecat
2025-08-01
NCT06324877 UNKNOWN
Ataxia Telangiectasia
The University of Queensland
2024-05-01
NCT05732051 RECRUITING
Breast Cancer; Metastatic Breast Cancer; Cancer Therapy-Related Cardiac Dysfunction; Cardiotoxicity; Heart Failure
University Hospital, Akershus
2023-03-16 PHASE2
NCT06521307 UNKNOWN
Acute Kidney Injury; Cardiac Valve Disease
Instituto Nacional de Cardiologia Ignacio Chavez
2024-07-24
NCT05546567 ACTIVE_NOT_RECRUITING
Safety Issues
Haukeland University Hospital
2022-09-28
NCT03568968 COMPLETED
Parkinson Disease
Haukeland University Hospital
2020-05-06 PHASE3
NCT05617508 COMPLETED
Alzheimer Disease; Dementia
Haukeland University Hospital
2022-11-22 PHASE2
NCT03821623 RECRUITING
Hypertension; Aging
Douglas Seals
2019-05-10 PHASE2
NCT06919328 RECRUITING
Healthy Aging
Nutraceuticals Research Institute
2024-10-31
NCT05243290 RECRUITING
Gulf War Illness
Roskamp Institute Inc.
2022-04-13
NCT05589766 COMPLETED
Parkinson Disease
Haukeland University Hospital
2023-01-23 PHASE2
NCT06214468 COMPLETED
Drug Toxicity
University of South Alabama
2024-01-15 PHASE1
NCT04192136 COMPLETED
Friedreich Ataxia 1
Children's Hospital of Philadelphia
2020-09-03
NCT06005350 UNKNOWN
NAD
Charite University, Berlin, Germany
2023-11-01
NCT04528004 ACTIVE_NOT_RECRUITING
Heart Failure, Systolic; Heart Failure NYHA Class IV; Metabolic Disturbance
University of Washington
2020-09-26 EARLY_PHASE1
NCT03818802 COMPLETED
Healthy Elderly Volunteers
Mayo Clinic
2019-09-16
NCT05703074 COMPLETED
Long COVID
University Hospital, Akershus
2023-01-30 PHASE2
NCT06534944 COMPLETED
Peripheral Artery Disease
University of Oklahoma
2023-02-27 PHASE1; PHASE2
NCT04342975 COMPLETED
AKI
Mayo Clinic
2020-12-01 PHASE2
NCT06382688 UNKNOWN
Healthy Aging
Nutraceuticals Research Institute
2023-11-13
NCT05698771 COMPLETED
Healthy
Haukeland University Hospital
2022-09-17 PHASE1
NCT04994561 WITHDRAWN
Aging
Vitality in Aging Research Group, Inc.
2022-06 PHASE1
NCT04809974 COMPLETED
Covid19; Sequelae of; Infection; Cognitive Symptom
Massachusetts General Hospital
2021-08-28 PHASE4
NCT04112043 COMPLETED
Hypertension
University of Florida
2020-07-28 PHASE1
NCT03743636 COMPLETED
Peripheral Artery Disease
Northwestern University
2018-10-01 PHASE3
NCT03912220 COMPLETED
Small Fiber Neuropathy
Johns Hopkins University
2020-09-01 PHASE2
NCT03432871 COMPLETED
Mitochondrial Diseases; Mitochondrial Myopathies; Progressive External Ophthalmoplegia; Progressive Ophthalmoplegia; Progressive; Ophthalmoplegia, External; Mitochondria DNA Deletion; MELAS
Cambridge University Hospitals NHS Foundation Trust
2017-12-08
NCT05593939 COMPLETED
Aging
University of Copenhagen
2022-05-01 PHASE2
NCT04271735 COMPLETED
Psoriasis; Atherosclerotic Cardiovascular Disease; Obesity; Dyslipidemia; Cardiometabolic Diseases
National Heart, Lung, and Blood Institute (NHLBI)
2020-08-26
NCT04110028 COMPLETED
Inflammation; Acute Illness
Oslo University Hospital
2019-10-01 PHASE1; PHASE2
NCT05517122 COMPLETED
Healthy
Société des Produits Nestlé (SPN)
2022-07-12
NCT03151707 TERMINATED
Healthy
Mclean Hospital
2017-10-01 PHASE4
NCT04078178 COMPLETED
Cognition Disorders in Old Age; Mild Cognitive Impairment; Cognitive Decline
Steven E Arnold, MD
2020-10-30
NCT04990869 COMPLETED
COPD
University of Copenhagen
2021-08-05
NCT02721537 COMPLETED
Concussion, Mild
Mayo Clinic
2016-09
NCT05344404 COMPLETED
Parkinson Disease
Haukeland University Hospital
2022-04-29
NCT03685253 TERMINATED
Diabetic Neuropathy Peripheral
University of Maryland, Baltimore
2019-01-24 PHASE1; PHASE2
NCT04818216 COMPLETED
SARS-CoV-2 Infection; Acute Kidney Injury
The University of Texas Health Science Center at San Antonio
2021-06-11 PHASE2
NCT03642990 TERMINATED
Chemotherapy-induced Peripheral Neuropathy; Breast Cancer Metastatic; Platinum-resistant Recurrent Ovarian Cancer; Head and Neck Cancer Stage IV; Endometrial Cancer Stage IV
Donna Hammond, PhD
2019-11-08 PHASE2
NCT04841499 COMPLETED
Menopause
University of South Alabama
2021-04-05
NCT04407390 WITHDRAWN
COVID
University of Copenhagen
2020-06-01 PHASE2
NCT03579693 COMPLETED
Chronic Kidney Disease; Sarcopenia; Frailty
University of Washington
2018-11-14 PHASE2
NCT03635411 UNKNOWN
Recovery of Function
Elysium Health
2018-12-06 PHASE1
NCT03754842 COMPLETED
Muscle Injury
University of Aarhus
2019-02-12
NCT03816020 COMPLETED
Parkinson Disease; Neurodegenerative Diseases
Haukeland University Hospital
2019-03-09
NCT03501433 COMPLETED
Aging; Lipemia
Iowa State University
2018-02-01
NCT03962114 COMPLETED
Ataxia Telangiectasia; ATM Gene Mutation
Radboud University Medical Center
2019-03-18 PHASE2
NCT03565328 TERMINATED
Heart Failure
National Heart, Lung, and Blood Institute (NHLBI)
2018-09-27 PHASE2
NCT03789175 COMPLETED
Cancer; Skin Fibroblasts; Muscle Weakness
National Heart, Lung, and Blood Institute (NHLBI)
2019-03-25 PHASE1; PHASE2
NCT02942888 COMPLETED
Mild Cognitive Impairment; NAD
The University of Texas Health Science Center at San Antonio
2017-11-30
NCT03562468 COMPLETED
Cognitive Function; Mood; Sleep
ChromaDex, Inc.
2018-06-13
NCT03423342 COMPLETED
Heart Failure, Systolic
University of Washington
2016-05-19 PHASE1; PHASE2
NCT02835664 COMPLETED
Obesity; Insulin Resistance
Maastricht University Medical Center
2016-12
NCT03727646 COMPLETED
Heart Failure,Congestive; Heart Failure New York Heart Association Class IV; Mitochondrial Alteration
University of Washington
2018-09-26 EARLY_PHASE1
NCT03176628 COMPLETED
Acute Kidney Injury
Massachusetts General Hospital
2017-11-01
NCT02950441 UNKNOWN
Aging
University of Birmingham
2016-06 PHASE2
NCT02812238 COMPLETED
Atherosclerosis; Diabetes; Coronary Artery Disease
National Heart, Lung, and Blood Institute (NHLBI)
2016-06-23
NCT02303483 COMPLETED
Obese
Aarhus University Hospital
2016-01-04
NCT02712593 COMPLETED
Bioavailability
KGK Science Inc.
2016-03-21 PHASE2
NCT02921659 COMPLETED
Aging
University of Colorado, Boulder
2015-04 PHASE1; PHASE2
NCT02689882 COMPLETED
Metabolic Disturbance
University of Washington
2015-11 PHASE1
NCT02300740 COMPLETED
Healthy Participants
Aarhus University Hospital
2014-12 EARLY_PHASE1

(data from https://clinicaltrials.gov, updated on 2026-08-24)

Check the Nicotinamide riboside product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Nicotinamide riboside acts as an orally bioavailable precursor that elevates intracellular nicotinamide adenine dinucleotide pools, subsequently activating sirtuins such as SIRT1 and SIRT3 to optimize mitochondrial bioenergetics and cellular oxidative metabolism. This enhancement of mitochondrial energy production preserves cellular function and alleviates metabolic stress, providing the mechanistic rationale for its therapeutic evaluation in clinical studies targeting neurodegenerative disorders like Parkinson's disease and vascular conditions such as peripheral artery disease.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

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Note: Technical data last updated: Sep 1, 2026.