Tier 2 — strong

Evaluation of Nicotinamide Riboside in Prevention of Small Nerve Fiber Axon Degeneration and Promotion of Nerve Regeneration

Thomas S, Ben-Davies R, Cetinkaya-Fisgin A, Hu X, Li X, Stewart S, Pan B, Twiss JL, Ratan RR, Willis D, Polydefkis M, Höke A
Journal of the peripheral nervous system : JPNS 2026 31; 1; e70101

Bibliography

PubMed
PMID 41502156
Funding
Indexed grant support includes Dr. Miriam and Sheldon G. Adelson Medical Research Foundation. The complete funding declaration is not specified in the accessible abstract.
Competing interests
A complete competing-interest declaration is not specified in the accessible publication information.

Study snapshot

DesignRandomized placebo-controlled human trial
ModelHuman participants
SampleHuman phase II participants; denominator not established from the indexed abstract
InterventionOral synthetic NR versus placebo in an experimental capsaicin model
DurationFollow-up through 90 days
EndpointsSkin nerve-fiber density; degeneration and reinnervation; NAD+

What the study showed, in plain terms

NR did not prevent experimentally induced small-fiber degeneration or improve reinnervation at the 90-day visit.

Key findings

NR did not prevent experimentally induced small-fiber degeneration or improve reinnervation at the 90-day visit.

What this study can and cannot tell us

A small day-60 reinnervation signal was preliminary. The report does not support NR as an established neuropathy-prevention or regeneration treatment.

Editorial review

Reviewed by the Biohack Blueprint research team

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