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Effect of "Nicotinamide Mononucleotide" (NMN) on Cardiometabolic Function (NMN)

Primary Purpose

Glucose Metabolism Disorders

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
NMN supplement
Placebo
Sponsored by
Washington University School of Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional basic science trial for Glucose Metabolism Disorders

Eligibility Criteria

55 Years - 75 Years (Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Postmenopausal women 55-75 years old
  • BMI 25.0-44.9 kg/m²
  • Fasting plasma glucose concentration ≥100 mg/dl, OGTT 2 hour glucose ≥ 140 mg/dl, HbA1C ≥5.7%, or HOMA-IR ≥2.5

Exclusion Criteria:

  • Diabetes
  • Premenopausal or menopause <1 year
  • Persons who have received hormone replacement therapy within the past 6 months
  • Persons who take vitamin B supplementation and are not willing to discontinue supplementation for 3 weeks before and during the entire study period.
  • Structured exercise: ≥75 min/wk of vigorous exercise (e.g., jogging, activity that causes heavy breathing and sweating) or ≥150 min/wk of low intensity physical activity (e.g., brisk walking).
  • Unstable weight (>3% change during the last 2 months before entering the study)
  • Significant organ system dysfunction or disease
  • Present cancer or history of cancer that has been in remission for <5 years
  • Polycystic ovary syndrome
  • Major psychiatric illness
  • Use of medications known to affect study outcome measures (e.g., steroid) or increase the risk of study procedures (e.g., anticoagulants) that cannot be temporarily discontinued for the study
  • Metal implants
  • Smokes cigarettes
  • Persons who consume >14 units of alcohol per week
  • Unable or unwilling to follow the study protocol or who, for any reason, is considered an inappropriate candidate for the study by the research team.

Sites / Locations

  • Washington University School of Medicine

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Placebo

NMN supplementation

Arm Description

Outcomes

Primary Outcome Measures

Change in muscle insulin sensitivity
The outcome will be assessed by hyperinsulinemic-euglycemic clamp procedure in conjunction with stable isotopic tracer infusion before and after intervention period.

Secondary Outcome Measures

Changes in liver insulin sensitivity
The outcome will be assessed during hyperinsulinemic-euglycemic clamp procedure in conjunction with stable isotopic tracer infusion before and after intervention period.
Change in adipose tissue insulin sensitivity
The outcome will be assessed during hyperinsulinemic-euglycemic clamp procedure in conjunction with stable isotopic tracer infusion before and after intervention period.
Change in body fat mass
The outcome will be measured by using dual-energy X-ray absorptiometry before and after intervention period.
Change in fat free mass
The outcome will be measured by using dual-energy X-ray absorptiometry before and after intervention period.
Changes in intra-abdominal adipose tissue volume
The outcome will be measured by using magnetic resonance imaging before and after intervention period.
Changes in intrahepatic triglyceride content
The outcome will be measured by using magnetic resonance imaging before and after intervention period.
Changes in blood pressure
The outcome will be assessed by measuring blood pressure at rest before and after intervention period.
Changes in plasma glucose concentration
The outcome will be determined by plasma glucose concentration after overnight fasting, before and after intervention period.
Changes in fasting insulin
The outcome will be determined by plasma insulin concentration after overnight fasting, before and after intervention period.
Changes in fasting free fatty acid
The outcome will be determined by plasma free fatty acid concentration after overnight fasting, before and after intervention period.
Changes in tissue NAD content
The outcome will be assessed by measuring NAD content before and after intervention period
Changes in protein levels in skeletal muscle insulin signaling
The outcome will be determined by Western blot by using samples collected before and after intervention period

Full Information

First Posted
May 8, 2017
Last Updated
July 13, 2021
Sponsor
Washington University School of Medicine
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1. Study Identification

Unique Protocol Identification Number
NCT03151239
Brief Title
Effect of "Nicotinamide Mononucleotide" (NMN) on Cardiometabolic Function
Acronym
NMN
Official Title
Effect of NMN (Nicotinomide Mononucleotide) Supplementation on Cardiometabolic Function
Study Type
Interventional

2. Study Status

Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
July 1, 2017 (Actual)
Primary Completion Date
May 30, 2019 (Actual)
Study Completion Date
June 30, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Washington University School of Medicine

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of the study is to understand the effect of the dietary supplement "Nicotinamide mononucleotide" on metabolic health in people.
Detailed Description
This study is is looking at the effect of the dietary supplement "Nicotinamide mononucleotide" (NMN) on key cardiovascular and metabolic functions, specifically those that are important risk factors for diabetes and cardiovascular disease. Accordingly, the investigators will evaluate the effect of NMN on how well the hormone insulin works to control blood sugar. The investigators will also look at the effects of NMN on blood lipids; body fat and liver fat; and other blood, fat tissue and muscle tissue markers of cardiovascular (heart) and metabolic health. Data from studies conducted in rodents have shown that NMN supplementation has beneficial effects on cardiovascular and metabolic health, but this has not yet been studied in people.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Glucose Metabolism Disorders

7. Study Design

Primary Purpose
Basic Science
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
25 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Title
NMN supplementation
Arm Type
Experimental
Intervention Type
Dietary Supplement
Intervention Name(s)
NMN supplement
Other Intervention Name(s)
nicotinamide mononucleotide
Intervention Description
Intervention will last at least 8 weeks in the form of two capsules (250 mg total).
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Intervention will last at least 8 weeks in the form of two capsules.
Primary Outcome Measure Information:
Title
Change in muscle insulin sensitivity
Description
The outcome will be assessed by hyperinsulinemic-euglycemic clamp procedure in conjunction with stable isotopic tracer infusion before and after intervention period.
Time Frame
before and after at least 8 weeks of treatment
Secondary Outcome Measure Information:
Title
Changes in liver insulin sensitivity
Description
The outcome will be assessed during hyperinsulinemic-euglycemic clamp procedure in conjunction with stable isotopic tracer infusion before and after intervention period.
Time Frame
before and after at least 8 weeks of treatment
Title
Change in adipose tissue insulin sensitivity
Description
The outcome will be assessed during hyperinsulinemic-euglycemic clamp procedure in conjunction with stable isotopic tracer infusion before and after intervention period.
Time Frame
before and after at least 8 weeks of treatment
Title
Change in body fat mass
Description
The outcome will be measured by using dual-energy X-ray absorptiometry before and after intervention period.
Time Frame
before and after at least 8 weeks of treatment
Title
Change in fat free mass
Description
The outcome will be measured by using dual-energy X-ray absorptiometry before and after intervention period.
Time Frame
before and after at least 8 weeks of treatment
Title
Changes in intra-abdominal adipose tissue volume
Description
The outcome will be measured by using magnetic resonance imaging before and after intervention period.
Time Frame
before and after at least 8 weeks of treatment
Title
Changes in intrahepatic triglyceride content
Description
The outcome will be measured by using magnetic resonance imaging before and after intervention period.
Time Frame
before and after at least 8 weeks of treatment
Title
Changes in blood pressure
Description
The outcome will be assessed by measuring blood pressure at rest before and after intervention period.
Time Frame
before and after at least 8 weeks of treatment
Title
Changes in plasma glucose concentration
Description
The outcome will be determined by plasma glucose concentration after overnight fasting, before and after intervention period.
Time Frame
before and after at least 8 weeks of treatment
Title
Changes in fasting insulin
Description
The outcome will be determined by plasma insulin concentration after overnight fasting, before and after intervention period.
Time Frame
before and after at least 8 weeks of treatment
Title
Changes in fasting free fatty acid
Description
The outcome will be determined by plasma free fatty acid concentration after overnight fasting, before and after intervention period.
Time Frame
before and after at least 8 weeks of treatment
Title
Changes in tissue NAD content
Description
The outcome will be assessed by measuring NAD content before and after intervention period
Time Frame
before and after at least 8 weeks of treatment
Title
Changes in protein levels in skeletal muscle insulin signaling
Description
The outcome will be determined by Western blot by using samples collected before and after intervention period
Time Frame
before and after at least 8 weeks of treatment

10. Eligibility

Sex
Female
Gender Based
Yes
Minimum Age & Unit of Time
55 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Postmenopausal women 55-75 years old BMI 25.0-44.9 kg/m² Fasting plasma glucose concentration ≥100 mg/dl, OGTT 2 hour glucose ≥ 140 mg/dl, HbA1C ≥5.7%, or HOMA-IR ≥2.5 Exclusion Criteria: Diabetes Premenopausal or menopause <1 year Persons who have received hormone replacement therapy within the past 6 months Persons who take vitamin B supplementation and are not willing to discontinue supplementation for 3 weeks before and during the entire study period. Structured exercise: ≥75 min/wk of vigorous exercise (e.g., jogging, activity that causes heavy breathing and sweating) or ≥150 min/wk of low intensity physical activity (e.g., brisk walking). Unstable weight (>3% change during the last 2 months before entering the study) Significant organ system dysfunction or disease Present cancer or history of cancer that has been in remission for <5 years Polycystic ovary syndrome Major psychiatric illness Use of medications known to affect study outcome measures (e.g., steroid) or increase the risk of study procedures (e.g., anticoagulants) that cannot be temporarily discontinued for the study Metal implants Smokes cigarettes Persons who consume >14 units of alcohol per week Unable or unwilling to follow the study protocol or who, for any reason, is considered an inappropriate candidate for the study by the research team.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Samuel Klein, MD
Organizational Affiliation
Washington University School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Washington University School of Medicine
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
33888596
Citation
Yoshino M, Yoshino J, Kayser BD, Patti GJ, Franczyk MP, Mills KF, Sindelar M, Pietka T, Patterson BW, Imai SI, Klein S. Nicotinamide mononucleotide increases muscle insulin sensitivity in prediabetic women. Science. 2021 Jun 11;372(6547):1224-1229. doi: 10.1126/science.abe9985. Epub 2021 Apr 22.
Results Reference
derived

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Effect of "Nicotinamide Mononucleotide" (NMN) on Cardiometabolic Function

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