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CompletedNCT03816020NAD-PARKUpdated Feb 12, 2020

NAD-supplementation in Drug naïve Parkinson's Disease

An interventional study of Nicotinamide Riboside and Placebo in Parkinson Disease and Neurodegenerative Diseases, sponsored by Haukeland University Hospital. Completed at 1 site in Norway. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-02-12.

Sponsored by Haukeland University Hospital · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

  1. Primary objective: Determine if NR has an impact on the neurometabolic profile of patients with PD as measured by [18F]Fluorodeoxyglucose (FDG)-positron emission tomography (FDG-PET).
  2. Secondary objective: Determine whether high dose oral NR improves motor symptoms associated with PD.
  3. Tertiary objectives: determine whether high dose oral NR rectifies NAD metabolism and increases NAD levels in body fluids and muscle tissue.
Read the detailed description

Individuals with PD (n=30) will be recruited starting 14/02/2019 from the department of Neurology, Haukeland University Hospital. Only newly diagnosed and drug naïve PD patients are eligible for inclusion. After initial assessment at baseline, the participants will be randomly assigned (1:1) to one of two study groups (n = 15 per group): Nicotamide Riboside (NR) 500 mg x 2/day, or placebo. Participants and investigators will be masked to treatment group. Participants and investigators will be blinded (double blinded). The study will have a 4 week exposure period, during which patients will self-administer NR 500 mg x 2/day, or placebo per os. Patients will not be using any dopaminergic treatment during the study period. During baseline and 4 week follow-up, MDS-UPDRS will be performed as clinical measure. We will also collect blood, cerebral spinal fluid and muscle biopsy from all subjects at baseline and 4 week follow-up. Imaging will be performed using MRI, DAT Scan and FDG-PET at baseline and 4 week follow-up.

02

Conditions studied

  • Parkinson Disease
  • Neurodegenerative Diseases

Keywords

  • clinical pilot, Nicotamide Riboside, Parkinson's Disease
03

In context

Parkinson Disease

4,487 studies on the registry are indexed under Parkinson Disease; 1,082 are open to participants now.

This study's enrollment of 30 is below the median of 40 across 3,294 interventional studies indexed under Parkinson Disease.

Browse Parkinson Disease studies →

Lead sponsor

Haukeland University Hospital is the lead sponsor of 276 studies on the registry; 61 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Newly diagnosed with PD
  2. Drug naïve with respect to dopaminergic treatment
  3. Have a clinical diagnosis of idiopathic PD according to the MDS clinical diagnostic criteria for PD

Exclusion criteria

Exclusion Criteria:

  1. [¹²³I]FP-CIT single photon emission CT (DaTscan) does not show nigrostriatal degeneration.
  2. Magnetic resonance imaging (MRI) suggestive of atypical parkinsonsism.
  3. Dementia or other neurological disorder at baseline visit
  4. Metabolic, neoplastic, or other physically or mentally debilitating disorder at baseline visit
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
30 participants (actual)

Study arms

  • Active comparator
    NR Group

    Participants receiving Nicotinamide Riboside capsules, 500mg BI'D for 30 days

    Dietary Supplement: Nicotinamide Riboside

  • Placebo comparator
    Placebo Group

    Participant receiving Placebo BIDfor 30 days

    Other: Placebo

Interventions

  • Dietary supplementNicotinamide Riboside

    Nicotinamide Riboside capsules 250mg x 2 BID

  • OtherPlacebo

    Placebo capsules BID

06

What researchers measure

Primary outcomes

  1. PDRP changes from NR use

    The primary outcome will be the between-group difference in Parkinson's disease related pattern (PDRP) measured by FDG-PET comparing baseline and 3-4 week follow-up measurement.

    Time frame: 4 weeks

Secondary outcomes

  1. Motoric change of symptoms from NR use

    Clinical changes measured by MDS-UPDRS from using NR

    Time frame: 4 weeks

Other outcomes

  1. Determine whether high dose oral NR rectifies NAD metabolism in body fluids and muscle tissue.

    To measure NAD a liquid chromatography/tandem mass spectrometry will be use (abrv platform for method is LC-MS/MS.) We are interested in change of value of NAD. There is to our knowledge no measured NAD levels of PD patients. See PMID: 29184669 for the same method that we will use.

    Time frame: 4 weeks

07

Study locations

1 site
  • Haukeland University Hospital
    Bergen, Hordaland 5021, Norway
08

References and documents

Publications

  • Brakedal B, Dolle C, Riemer F, Ma Y, Nido GS, Skeie GO, Craven AR, Schwarzlmuller T, Brekke N, Diab J, Sverkeli L, Skjeie V, Varhaug K, Tysnes OB, Peng S, Haugarvoll K, Ziegler M, Gruner R, Eidelberg D, Tzoulis C. The NADPARK study: A randomized phase I trial of nicotinamide riboside supplementation in Parkinson's disease. Cell Metab. 2022 Mar 1;34(3):396-407.e6. doi: 10.1016/j.cmet.2022.02.001. PubMed 35235774 ↗

Individual participant data

Plan to share: No — Data will only be shared if there is scientific collaboration. Will not be publicaly shared.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 12, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03816020
Lead sponsor
Haukeland University Hospital
Responsible party
Sponsor
First posted
Jan 25, 2019
Start date
Mar 9, 2019
Primary completion
Feb 10, 2020
Completion
Feb 10, 2020
Last update
Feb 12, 2020

Study contacts

Charalampos Tzoulis, PhD
principal investigator · Nevro-Sysmed

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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