Tier 2 — strong

Cognitive and Alzheimer's disease biomarker effects of oral nicotinamide riboside (NR) supplementation in older adults with subjective cognitive decline and mild cognitive impairment

Wu CY, Kupferschmid AC, Chen L, McManus AJ, Kivisäkk P, Galler JA, Schwab NA, DesRuisseaux LA, Williams VJ, Gerber J, Riley M, Young C, Guzmán-Vélez E, Dodge HH, Tanzi RE, Singer CM, Arnold SE
Alzheimer's & dementia (New York, N. Y.) 2025 11; 1; e70023

Bibliography

PubMed
PMID 39817194
PubMed Central
PMC11733434
Funding
Indexed grant support includes NIA NIH HHS. The complete funding declaration is not specified in the accessible abstract.
Competing interests
Disclosures include a paid ChromaDex consultancy and equity holding by one author, plus other advisory and sponsored-research relationships.

Study snapshot

DesignRandomized placebo-controlled human trial
ModelHuman participants
Sample46 randomized; 41 baseline visits; 37 completed
InterventionNR 1000 mg/day versus placebo
Duration8-week treatment phases
EndpointsRBANS cognition; pTau217; GFAP and NfL

What the study showed, in plain terms

NR lowered plasma pTau217 relative to placebo in this crossover study, while the primary cognitive assessment did not improve.

Key findings

NR lowered plasma pTau217 relative to placebo in this crossover study, while the primary cognitive assessment did not improve.

What this study can and cannot tell us

A biomarker signal is not proof of slowed Alzheimer’s disease. Other major plasma biomarkers and between-group digital cognition outcomes were not significantly improved.

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