Evidence map›Paper›PMID 42603990›Full record

ArticleKidney international reports2026

Nicotinamide Adenine Dinucleotide Augmentation in Diabetic Kidney Disease: Randomized Trial Study Protocol.

Mohan Sonu Chandra, Thiago Gagliano-Jucá, Skand Shekhar, Karol M Pencina, Thomas G Travison, Rajesh Garg, Marie E McDonnell, Kieran F Reid, Nancy K Latham, Helen Lam and 11 more

Registry-linked trialAbstract read
In one paragraph

Article in Kidney international reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05759468 (NAD Augmentation to Treat Diabetes Kidney Disease), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

NCT05759468 phase2recruitingnot on this map

NAD Augmentation to Treat Diabetes Kidney Disease: A Randomized Controlled Trial

TypeinterventionalSponsorBrigham and Women's HospitalRan2023 to 2027Enrolled156ConditionsType2diabetes, Diabetic Kidney DiseaseArmsInvestigational Product - MIB 626, Placebo
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

21 authors.

Mohan Sonu ChandraResearch Program in Men's Health: Aging and Metabolism, Boston Claude D. Pepper Older Americans Independence Center for Function Promoting Therapies, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Thiago Gagliano-JucáResearch Program in Men's Health: Aging and Metabolism, Boston Claude D. Pepper Older Americans Independence Center for Function Promoting Therapies, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Skand ShekharResearch Program in Men's Health: Aging and Metabolism, Boston Claude D. Pepper Older Americans Independence Center for Function Promoting Therapies, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Karol M PencinaResearch Program in Men's Health: Aging and Metabolism, Boston Claude D. Pepper Older Americans Independence Center for Function Promoting Therapies, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Thomas G TravisonMarcus Institute for Aging Research, Hebrew SeniorLife, Roslindale, Massachusetts, USA.
Rajesh GargDivision of Endocrinology, The Lundquist Institute, Harbor-UCLA Medical Center, David Geffen School of Medicine at UCLA, Torrance and Los Angeles, California, USA.
Marie E McDonnellDivision of Endocrinology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Kieran F ReidResearch Program in Men's Health: Aging and Metabolism, Boston Claude D. Pepper Older Americans Independence Center for Function Promoting Therapies, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Nancy K LathamResearch Program in Men's Health: Aging and Metabolism, Boston Claude D. Pepper Older Americans Independence Center for Function Promoting Therapies, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Helen LamResearch Program in Men's Health: Aging and Metabolism, Boston Claude D. Pepper Older Americans Independence Center for Function Promoting Therapies, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Diego MeritusResearch Program in Men's Health: Aging and Metabolism, Boston Claude D. Pepper Older Americans Independence Center for Function Promoting Therapies, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Yufei YanMarcus Institute for Aging Research, Hebrew SeniorLife, Roslindale, Massachusetts, USA.
Ilean IsazaMarcus Institute for Aging Research, Hebrew SeniorLife, Roslindale, Massachusetts, USA.
Mary F WeissResearch Program in Men's Health: Aging and Metabolism, Boston Claude D. Pepper Older Americans Independence Center for Function Promoting Therapies, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Yusnie M BelevaResearch Program in Men's Health: Aging and Metabolism, Boston Claude D. Pepper Older Americans Independence Center for Function Promoting Therapies, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Eric M BrackenResearch Program in Men's Health: Aging and Metabolism, Boston Claude D. Pepper Older Americans Independence Center for Function Promoting Therapies, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Elizabeth RuizDivision of Endocrinology, The Lundquist Institute, Harbor-UCLA Medical Center, David Geffen School of Medicine at UCLA, Torrance and Los Angeles, California, USA.
Christina WangDivision of Endocrinology, The Lundquist Institute, Harbor-UCLA Medical Center, David Geffen School of Medicine at UCLA, Torrance and Los Angeles, California, USA.
John FormanSection of Nephrology, Boston Medical Center and Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA.
Sushrut S WaikarSection of Nephrology, Boston Medical Center and Boston University Chobanian and Avedisian School of Medicine, Boston, Massachusetts, USA.
Shalender BhasinResearch Program in Men's Health: Aging and Metabolism, Boston Claude D. Pepper Older Americans Independence Center for Function Promoting Therapies, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Funding

TUFTS--FIELDINGP30AG031679 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI LEWIS LIPSITZ · 2008 to 2026
$23.9M
NAD Augmentation to Treat Diabetic Kidney Disease: A Randomized Controlled TrialU01AG076789 · NIA · BRIGHAM AND WOMEN'S HOSPITAL · PI SHALENDER BHASIN, Sushrut S. Waikar · 2022 to 2026
$2.9M
NIA NIH HHS P30 AG031679NIA NIH HHS U01 AG076789
6 · The paper itself

Abstract

Introduction: Diabetic kidney disease (DKD) is the leading cause of chronic kidney disease (CKD) and kidney failure worldwide. Reduced nicotinamide adenine dinucleotide (NAD) levels are mechanistically linked to DKD pathogenesis; and NAD augmentation by administration of its precursor, nicotinamide mononucleotide (NMN), has attenuated albuminuria and kidney injury in preclinical models. Methods: The NAD Augmentation in Diabetic Kidney Disease (NAD in DKD) trial is a phase 2a, randomized, multicenter, double-blind, placebo-controlled, parallel-group study evaluating the efficacy and safety of oral pharmaceutical-grade microcrystalline β-NMN (MIB-626) in adults with DKD. One hundred fifty-six participants aged ≥ 30 years with diabetes, urinary albumin-to-creatinine ratio (UACR) ≥ 100 mg/g, and estimated glomerular filtration rate (eGFR) > 25 ml/min per 1.73 m Conclusion: This phase 2a trial was designed to evaluate the safety and efficacy of NAD augmentation in improving UACR in albuminuric DKD. The results will inform whether NAD augmentation warrants further evaluation in larger trials statistically powered for long-term kidney outcomes. The study is registered at ClinicalTrials.gov (NCT05759468).

Indexed as

albuminuriadiabetic kidney diseaseNAD augmentationnicotinamide mononucleotiderandomized controlled trialUACR

Identifiers

PMID42603990
PMCPMC13476503

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Registered trials

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.