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A phase-II randomized controlled pilot study of nicotinamide riboside supplementation in older adults with amnestic mild cognitive impairment

Martens CR, Decker KP, DeConne TM, Sanjana F, Horvat F, Rizzi NA, Awad C, Habash E, Hobson JC, Kramer MK, Armstrong ML, Reisdorph N, Pohlig RT, Lanzi AM, Johnson CL, Cohen ML, Ellison JM
Alzheimer's & dementia : the journal of the Alzheimer's Association 2026 22; 7; e71605

Bibliography

PubMed
PMID 42478598
PubMed Central
PMC13386481
Funding
NIH/NIA and NIGMS support; Niagen Bioscience, formerly ChromaDex, supplied NR and placebo.
Competing interests
The authors reported no conflicts; supporting material contains the individual disclosures.

Study snapshot

DesignRandomized placebo-controlled human trial
ModelHuman participants
Sample52 randomized; 49 started treatment; 42 completed
InterventionNR 1000 mg/day versus placebo
Duration12 weeks
EndpointsCognition; cerebral blood flow; blood NAD+

What the study showed, in plain terms

NR approximately doubled blood NAD+ but did not improve cognition, total cerebral blood flow or blood pressure in older adults with amnestic MCI.

Key findings

NR approximately doubled blood NAD+ but did not improve cognition, total cerebral blood flow or blood pressure in older adults with amnestic MCI.

What this study can and cannot tell us

Pilot trial with incomplete follow-up and uncorrected exploratory comparisons. Possible regional blood-flow signals require a larger trial.

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