17-a-estradiol late in life extends lifespan in aging UM-HET3 male mice; nicotinamide riboside and three other drugs do not affect lifespan in either sex
Animal-model evidence with limited direct clinical applicability.
Explore 98 publications on nicotinamide riboside (NR), spanning human trials, pharmacokinetics, evidence reviews, rare-disease reports, foundational biology and nonclinical safety. The library includes recent studies of Parkinson’s disease, cognition, peripheral artery disease, kidney disease, exercise and NAD+ biomarker interpretation. NR reliably changes several NAD-related biomarkers in human studies, while clinical outcomes vary by population, preparation and endpoint. Each research record distinguishes the tested intervention and model, summarizes findings and limitations, and links to the original publication.
Animal-model evidence with limited direct clinical applicability.
Animal-model evidence with limited direct clinical applicability.
Randomized, open-label, placebo-controlled human trial with a pre-registered primary endpoint (NCT05517122): 67 participants were randomized and 65 were included in the modified intention-to-treat analysis. Validated metabolomics plus complementary ex vivo microbiome and whole-blood experiments strengthen mechanistic interpretation, but the open-label design, healthy population and indirect nature of the proposed gut mechanism limit inference.
Sourcedoi:10.1038/s42255-025-01421-8PMID 41540253PMC12855009
Animal-model evidence with limited direct clinical applicability.
Randomized, double-blind, placebo-controlled three-period crossover trial with objective ergometry outcomes and extensive metabolomics/lipidomics. Internal validity is strong for the tested short-term physiology endpoints, but only 25 participants with CKD were studied and treatment lasted six weeks per period.
Sourcedoi:10.1172/jci.insight.167274PMID 37159264PMC10393227
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Sourcedoi:10.1016/j.eclinm.2025.103633PMID 41357333PMC12675013
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Sourcedoi:10.1007/s11357-023-00999-9PMID 37994989PMC10828186
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Sourcedoi:10.3389/fragi.2026.1773667PMID 42211736PMC13213337
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Sourcedoi:10.1038/s41467-024-51289-7PMID 39134546PMC11319328
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Evidence synthesis; strength depends on the included studies and whether NR-specific effects can be isolated.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Animal-model evidence with limited direct clinical applicability.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Sourcedoi:10.1038/s41514-023-00106-4PMID 37012386PMC10070358
Animal-model evidence with limited direct clinical applicability.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Sourcedoi:10.1016/j.jacbts.2022.06.012PMID 36644285PMC9831861
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Animal-model evidence with limited direct clinical applicability.
Sourcedoi:10.1161/circulationaha.116.026099PMID 29217642PMC6954688
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Sourcedoi:10.3389/fragi.2026.1652582PMID 41704678PMC12907335
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Animal-model evidence with limited direct clinical applicability.
Animal-model evidence with limited direct clinical applicability.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Sourcedoi:10.1093/braincomms/fcae478PMID 39816194PMC11733689
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Peer-reviewed systematic review and meta-analysis of randomized placebo-controlled nicotinamide-precursor trials in adults with mean ages above 60 years, with NMN-specific pooled analyses for key sarcopenia outcomes.
Mouse and primary-glial-cell study of CD38/NAD+ and neuroinflammation; no human clinical data.
Randomized phase I RCT. High-dose NR increased NAD-related metabolites and was tolerated in this short study. An initial homocysteine rise occurred without evidence of depletion of the measured methyl-donor pool. Direct human intervention or pharmacokinetic evidence. This is an individual study, not replicated highest-tier clinical proof; sample size, controls and the measured endpoint limit its interpretation.
Sourcedoi:10.1038/s41467-023-43514-6PMID 38016950PMC10684646
PRISMA-guided systematic review of 113 eligible intervention studies, including 33 human studies (28 randomized) and 80 rodent studies. Broad synthesis of NAD-related interventions; strong for evidence mapping, though it is primarily narrative rather than a pooled NMN-only meta-analysis.
Large multi-cohort human observational/metabolomics analysis using a rigorously validated whole-blood NAD+ assay across seven independent cohorts. High-quality evidence for the specific question of whole-blood NAD+ and aging, but it does not establish that NAD+ is age-stable in every tissue.
Phase I, open-label pharmacokinetic study with a randomized crossover stage directly comparing NR and NMN in six healthy adults, followed by longer NR exposure in healthy adults and people with Parkinson’s disease. Valuable direct comparative human PK evidence, but extremely small and not an efficacy trial.
Sourcedoi:10.1016/j.isci.2026.114764PMID 41858901PMC12996706
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Sourcedoi:10.1371/journal.pone.0186459PMID 29211728PMC5718430
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Animal-model evidence with limited direct clinical applicability.
Sourcedoi:10.1016/j.molmet.2019.09.013PMID 31767171PMC6807296
Animal-model evidence with limited direct clinical applicability.
Animal-model evidence with limited direct clinical applicability.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Animal-model evidence with limited direct clinical applicability.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Sourcedoi:10.1016/s1474-4422(26)00082-7PMID 42009009PMC13162205
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Sourcedoi:10.1016/j.mito.2024.101905PMID 38797357PMC11390326
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Sourcedoi:10.1016/j.ymgmr.2021.100709PMID 33532242PMC7823043
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Animal-model evidence with limited direct clinical applicability.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Sourcedoi:10.1038/s43587-024-00758-1PMID 39548320PMC11645284
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Sourcedoi:10.1172/jci.insight.203826PMID 42048163PMC13313537
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Animal-model evidence with limited direct clinical applicability.
Animal-model evidence with limited direct clinical applicability.
Animal-model evidence with limited direct clinical applicability.
Animal-model evidence with limited direct clinical applicability.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Sourcedoi:10.1016/j.isci.2023.106278PMID 36936793PMC10014306
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Sourcedoi:10.1016/j.celrep.2019.07.043PMID 31412242PMC6702140
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Animal-model evidence with limited direct clinical applicability.
Animal-model evidence with limited direct clinical applicability.
Sourcedoi:10.1126/scitranslmed.aaf5504PMID 27798264PMC5535761
Peer-reviewed mechanistic in-vitro study in human HaCaT keratinocytes. It provides current human-cell skin-inflammation biology but enrolled no human participants and cannot establish oral or topical clinical efficacy.
Sourcedoi:10.1007/s11033-026-11615-2PMID 41779073PMC12960338
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Sourcedoi:10.1007/s11357-025-01815-2PMID 40770531PMC12638573
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Sourcedoi:10.1038/s41467-024-49092-5PMID 38871717PMC11176364
Human intervention evidence; study design and endpoints do not establish benefit beyond the reported population and outcomes.
Mechanistic, uncontrolled, narrative or contextual evidence; not confirmatory clinical efficacy.
Sourcedoi:10.1016/j.jpet.2025.103607PMID 40479886PMC13095416