NCT05500170

Brief Summary

Poor sleep quality and short sleep duration may be a mechanistic component of cognitive impairment in older adults, associated with a decline in brain-derived neurotrophic factor. Increasing the availability of nicotinamide adenine dinucleotide (NAD+) with supplementation of its precursor, nicotinamide riboside (NR), a form of vitamin B3 may increase the expression of brain-derived neurotrophic factor. This study proposes to examine the benefits of NR supplementation on sleep and cognitive function in older adults with comprehensive subjective and objective measures and to explore its impacts on serum brain-derived neurotrophic factor.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
50

participants targeted

Target at P25-P50 for not_applicable

Timeline
16mo left

Started Apr 2023

Longer than P75 for not_applicable

Geographic Reach
1 country

3 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress70%
Apr 2023Aug 2027

First Submitted

Initial submission to the registry

August 9, 2022

Completed
6 days until next milestone

First Posted

Study publicly available on registry

August 15, 2022

Completed
8 months until next milestone

Study Start

First participant enrolled

April 4, 2023

Completed
4.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 30, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 30, 2027

Last Updated

August 22, 2025

Status Verified

August 1, 2025

Enrollment Period

4.4 years

First QC Date

August 9, 2022

Last Update Submit

August 18, 2025

Conditions

Outcome Measures

Primary Outcomes (1)

  • Sleep Quality Assessment

    Sleep quality will be assessed with the Pittsburgh Sleep Quality Index , where global score \>5 indicates poor sleep quality and global score \<5 indicates good sleep quality.

    Change from baseline to endpoint at 12 weeks

Secondary Outcomes (1)

  • Cognitive function

    Change from baseline to endpoint at 12 weeks

Other Outcomes (1)

  • Biomarkers

    Change from baseline to endpoint at 12 weeks

Study Arms (2)

Intervention

EXPERIMENTAL

Participants in the intervention group will receive 500mg of NR twice daily

Dietary Supplement: Nicotinamide riboside

Placebo

PLACEBO COMPARATOR

Participants in the intervention group will receive 500mg of sham placebo twice daily

Dietary Supplement: Placebo

Interventions

Nicotinamide ribosideDIETARY_SUPPLEMENT

Nicotinamide riboside (NR) is a form of vitamin B3, which is found in fruits, vegetables, meat, and milk. NR is converted into nicotinamide adenosine dinucleotide NAD+. Low NAD+ levels have been linked to Alzheimer's disease and sleep disturbances.

Also known as: NR, vitamin B3
Intervention
PlaceboDIETARY_SUPPLEMENT

The placebo pill will contain micro cellulose powder.

Also known as: Placebo pill
Placebo

Eligibility Criteria

Age65 Years - 85 Years
Sexall
Healthy VolunteersYes
Age GroupsOlder Adult (65+)

You may qualify if:

  • Sleep Quality. Pittsburgh Sleep Quality Index (PSQI) global score \>5

You may not qualify if:

  • Dementia. Veteran Affairs - St. Louis University Mental Status questionnaire (VA-SLUMS) score \<20

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

State University of New York at Buffalo

Buffalo, New York, 14203, United States

NOT YET RECRUITING

University at Buffalo State University of New York

Buffalo, New York, 14203, United States

NOT YET RECRUITING

Buffalo Veteran Affairs Medical Center

Buffalo, New York, 14215, United States

RECRUITING

MeSH Terms

Conditions

Cognitive DysfunctionSleep Initiation and Maintenance Disorders

Interventions

nicotinamide-beta-ribosideNiacinamide

Condition Hierarchy (Ancestors)

Cognition DisordersNeurocognitive DisordersMental DisordersSleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System Diseases

Intervention Hierarchy (Ancestors)

Nicotinic AcidsAcids, HeterocyclicHeterocyclic CompoundsPyridinesHeterocyclic Compounds, 1-Ring

Central Study Contacts

Carleara Weiss, PhD, MS, RN

CONTACT

Rebecca A Lorenz, PhD, RN

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
Study participants and investigators will be blinded to group assignment. A statistician will assign participants into groups and a pharmacist will distribute treatment.
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: A clinical trial, randomized controlled trial, double-blinded. Participants will be assigned to intervention (NR supplementation) or placebo groups.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

August 9, 2022

First Posted

August 15, 2022

Study Start

April 4, 2023

Primary Completion (Estimated)

August 30, 2027

Study Completion (Estimated)

August 30, 2027

Last Updated

August 22, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will share

All clinical information obtained from the participants will be contained in a password-protected secure database that has been designed specifically for the current research proposal. Published or reported results from this trial will not contain any personal information that could be linked to individuals. The data will be monitored routinely to maintain safety and productivity, as well as to assist with research dissemination annually.

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
Published or reported results from this trial will not contain any personal information that could be linked to individuals. De-identified data will be utilized for the publication of research findings in conferences, and scientific journals and will become available at the anticipated study completion (January 2025)
Access Criteria
All information from data collection forms and clinical databases will be linked with the study identification number, and only deidentified data will be released and analyzed. All research files and consent forms will be stored in locked cabinets and rooms and will only be accessible to research personnel. All data files related to this project are located on a secure server with password-protected access.

Locations