Not compound-specific — frameworks, biomarkers, product-quality analyses and finished-product trials that apply across every supplement in the Data Center.

General & Cross-Cutting Evidence

The papers on this page are not about one molecule. They are the reference works the rest of the Data Center is measured against: the hallmarks-of-ageing framework that supplement marketing quotes, the DNA-methylation clocks behind biological-age claims, the expert consensus on which biomarkers may legitimately serve as endpoints, the analytical work showing how far a label can sit from what is in the capsule, and the small number of trials run on complete finished products rather than isolated ingredients.

Evidence at a glance

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Tier 1
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Tier 4

Aging biology

Tier 4

The Hallmarks of Aging

López-Otín C et al. · Cell · 2013 · Volume 153, issue 6, pages 1194–1217

Narrative conceptual review, not a study. It is the canonical framework paper the entire consumer longevity category quotes, so it belongs in the corpus as the reference definition of what a hallmark is — but a framework is not evidence that any product improves a hallmark in a human being.

Sourcedoi:10.1016/j.cell.2013.05.039PMID 23746838PMC3836174

Biological age

Tier 2

DunedinPACE, a DNA methylation biomarker of the pace of aging

Belsky DW et al. · eLife · 2022 · Volume 11, article e73420

Methods paper developing and externally validating a biomarker across six datasets, anchored on a one-of-a-kind 1,037-person birth cohort with four assessment waves over two decades. Strong for what it claims — a reliable measure of pace of ageing — and explicitly not an intervention study.

Sourcedoi:10.7554/eLife.73420

Tier 3

An Expert Consensus Statement on Biomarkers of Aging for Use in Intervention Studies

Perri G et al. · The Journals of Gerontology, Series A: Biological Sciences and Medical Sciences · 2025 · Volume 80, issue 5, article glae297

Formal expert consensus statement from a large multinational academic panel, published in a leading gerontology journal. Consensus is a legitimate and useful evidence class for the question it answers — which biomarkers are appropriate to use as endpoints — but it is expert opinion, not primary data, and does not validate any specific biomarker against a clinical outcome.

Sourcedoi:10.1093/gerona/glae297PMID 39708300

Finished-product clinical trials

Tier 2

Investigation of short and intermediate term effects of a supplement mix designed to target ageing mechanisms on vascular function in healthy middle-aged participants (STAMINA Study)

Heiss C et al. · ClinicalTrials.gov trial registry record and University of Surrey study protocol V5.0 · 2024 · Protocol version 5.0, 23 February 2024; internal reference STAMINA_Protocol_V4.0

Registered, randomised, quadruple-masked, placebo-controlled six-month trial of a clearly identified finished product, run by a university cardiovascular medicine group with a prespecified primary endpoint. That is the strongest completed finished-product design in the eight-brand longevity powder set. It is held at tier 2 rather than tier 1 because results were a preprint rather than a peer-reviewed paper at the research cutoff, attrition reached 29.5 percent, the endpoints are vascular surrogates rather than clinical events, the retail and trial formulations differ, and the product manufacturer funded the work.

Sourcedoi:10.2139/ssrn.6241278 Trial registry

Tier 3

Effects of a Multi-Ingredient Longevity Formulation (DoNotAge®) on Subjective Well-Being, Fatigue, and Gastrointestinal Tolerability: A 60-Day Randomised, Double-Blind, Placebo-Controlled Trial

DoNotAge.org Research Team et al. · DoNotAge.org, Health Research Organisation — sponsor-published original research article · 2026 · Clinical Trial 1, published on the DoNotAge Routine science hub

A randomised, double-blind, placebo-controlled trial of the exact finished product with prespecified validated instruments, a prespecified MCID-based responder analysis and a published null safety endpoint. That design is materially better than the ingredient-level evidence most of this category offers, and it is unusual for a consumer supplement to run one at all. It is held at tier 3 rather than tier 2 because the sample is small, the analysis is per-protocol rather than intention-to-treat, all primary outcomes are patient-reported, the study product doses are withheld as proprietary, the report is sponsor-published rather than peer-reviewed, and the ethics-approval reference was still a placeholder in the version reviewed.

Tier 3

Effects of a Multi-Ingredient Longevity Formulation (DoNotAge®) on Whole Blood NAD+ Levels: A 28-Day Randomised, Double-Blind, Placebo-Controlled Pilot Study

Bailey P et al. · DoNotAge.org, Health Research Organisation — sponsor-published exploratory pilot report · 2026 · Clinical Trial 2, published on the DoNotAge Routine science hub

Randomised, double-blind, placebo-controlled pilot of the exact finished product with a blinded independent laboratory measuring an objective biomarker — a stronger measurement design than patient-reported outcomes. Held at tier 3 because n=19 completers is very small, the primary complete-dataset comparison did not reach conventional significance (p = 0.09), the statistically significant result depends on a sensitivity analysis excluding one outlier, capillary self-sampling introduces pre-analytical variability, and the report is sponsor-published rather than peer-reviewed. The report itself describes the findings as hypothesis-generating.

Supplement quality and label accuracy

Tier 2

Testing the amount of nicotinamide mononucleotide and urolithin A as compared to the label claim

Sandalova E et al. · GeroScience · 2024 · Volume 46, pages 5075–5083

Blinded analytical study using a purpose-developed and validated HPLC coupled to triple-quadrupole mass spectrometry method, with recovery, precision, accuracy and matrix-effect validation reported, and independent academic authorship with a declared absence of competing interests. Strong within its scope — label accuracy for a snapshot of products — and silent on efficacy.

Sourcedoi:10.1007/s11357-024-01257-2