Randomised controlled trial

The NADPARK study: A randomized phase I trial of nicotinamide riboside supplementation in Parkinson's disease

Brakedal B, Dölle C, Riemer F, et al. Cell Metabolism 2022;34:396-407.e6.

What it found

Precursor study (NR). Well tolerated; brain NAD levels rose in some but not all patients, and those with a rise showed changes in brain metabolism and mild clinical improvement. Inflammatory markers in blood and spinal fluid fell.

Limitations

Phase 1 safety trial, small and short. Clinical findings were exploratory and need larger trials.

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