Evidence map›Paper›PMID 39817194›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)

Cognitive and Alzheimer's disease biomarker effects of oral nicotinamide riboside (NR) supplementation in older adults with subjective cognitive decline and mild cognitive impairment.

Chao-Yi Wu, Ashley C Kupferschmid, Liu Chen, Alison J McManus, Pia Kivisäkk, Jake A Galler, Nadine A Schwab, Libby A DesRuisseaux, Victoria J Williams, Jessica Gerber and 7 more

Abstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Domain-specific effects of NADFrontiers in nutrition · 2026
    Pooled it
  2. Trial
  3. Review
  4. Review
  5. Restoring NADFrontiers in nutrition · 2026
    Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Chao-Yi WuNeurology Massachusetts General Hospital Harvard Medical School Boston USA.ORCID https://orcid.org/0000-0002-2187-6509
Ashley C KupferschmidNeurology Massachusetts General Hospital Harvard Medical School Boston USA.
Liu ChenNeurology Massachusetts General Hospital Harvard Medical School Boston USA.
Alison J McManusNeurology Massachusetts General Hospital Harvard Medical School Boston USA.
Pia KivisäkkNeurology Massachusetts General Hospital Harvard Medical School Boston USA.
Jake A GallerNeurology Massachusetts General Hospital Harvard Medical School Boston USA.
Nadine A SchwabNeurology Massachusetts General Hospital Harvard Medical School Boston USA.
Libby A DesRuisseauxNeurology Massachusetts General Hospital Harvard Medical School Boston USA.
Victoria J WilliamsNeurology Massachusetts General Hospital Harvard Medical School Boston USA.
Jessica GerberNeurology Massachusetts General Hospital Harvard Medical School Boston USA.
Misha RileyNeurology Massachusetts General Hospital Harvard Medical School Boston USA.
Cathrine YoungNeurology Massachusetts General Hospital Harvard Medical School Boston USA.
Edmarie Guzmán-VélezPsychiatry Massachusetts General Hospital Harvard Medical School Boston USA.
Hiroko H DodgeNeurology Massachusetts General Hospital Harvard Medical School Boston USA.
Rudolph E TanziNeurology Massachusetts General Hospital Harvard Medical School Boston USA.
Clifford M SingerCenter for Cognitive and Mental Health Northern Light Acadia Hospital Bangor USA.
Steven E ArnoldNeurology Massachusetts General Hospital Harvard Medical School Boston USA.ORCID https://orcid.org/0000-0002-9487-415X

Funding

Research Education ComponentP30AG062421 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI Christine S Ritchie · 2019 to 2026
$36.5M
Research Education ComponentP30AG066518 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KEVIN M DUFF, Lisa C Silbert · 2020 to 2026
$28.6M
NIA NIH HHS P30 AG062421NIA NIH HHS P30 AG066518
6 · The paper itself

Abstract

introductionAge-associated depletion in nicotinamide adenine dinucleotide (NAD+) concentrations has been implicated in metabolic, cardiovascular, and neurodegenerative disorders. Supplementation with NAD+ precursors, such as nicotinamide riboside (NR), offers a potential therapeutic avenue against neurodegenerative pathologies in aging, Alzheimer's disease, and related dementias. A crossover, double-blind, randomized placebo (PBO) controlled trial was conducted to test the safety and efficacy of 8 weeks' active treatment with NR (1 g/day) on cognition and plasma AD biomarkers in older adults with subjective cognitive decline and mild cognitive impairment.

methodsThe primary efficacy outcome was the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS). Secondary outcomes included plasma phosphorylated tau 217 (pTau

resultsForty-six participants aged over 55 were randomized to NR-PBO or PBO-NR groups; 41 completed baseline visits, and 37 completed the trial. NR supplementation was safe and well tolerated with no differences in adverse events reported between NR and PBO treatment phases. For the between-group comparison, there was a 7% reduction in pTau DISCUSSION: Eight weeks NR supplementation is safe and lowered pTau Highlights: The integrated study design combines a two-arm parallel trial with a crossover phase, offering the opportunity to enhance sample size for within-individual analysis and assess carryover effects.NR is safe but did not alter cognition as measured by multi-modal assessments in SCD/MCI.For between-group comparison, pTau

Indexed as

crossover designphosphorylated tau pathologiesrandomized controlled trialtreatment heterogeneity

Identifiers

PMID39817194
PMCPMC11733434

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.