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CTRI Number  CTRI/2021/03/032421 [Registered on: 30/03/2021] Trial Registered Prospectively
Last Modified On: 20/01/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Other 
Public Title of Study   TO EVALUATE THE EFFICACY AND SAFETY OF NMN AS AN ANTI-AGEING SUPPLEMENT IN MIDDLE AGED AND OLDER (40-65 YEARS) ADULTS. 
Scientific Title of Study   A MULTICENTER TWO PART STUDY TO EVALUATE THE EFFICACY AND SAFETY OF NMN AS AN ANTI-AGEING SUPPLEMENT IN MIDDLE AGED AND OLDER (40-65 YEARS) ADULTS 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ganesh Avhad 
Designation  Lead Physician 
Affiliation  Chief Consultant 
Address  SWASTHYA CLINIC & RESEARCH CENTRE 5, BRAMHA CHAMBERS, OPP.BANK OF MAHARASHTRA TILAK ROAD, 2010 SADASHIV PETH, PUNE

Pune
MAHARASHTRA
411030
India 
Phone  8830446524  
Fax    
Email  avhadganesh@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sornaraja Thasma 
Designation  Director 
Affiliation  ProRelix Research (ProRelix Services LLP) 
Address  ProRelix Services LLP, 102 A/B, 1st Floor, Park Plaza, Near State Bank Colony, Karve Nagar, Pune

Pune
MAHARASHTRA
411052
India 
Phone  8847769291  
Fax    
Email  sthasma@prorelixresearch.com  
 
Details of Contact Person
Public Query
 
Name  Sohal Pendse 
Designation  Head of Business Operations 
Affiliation  ProRelix Research (ProRelix Services LLP) 
Address  ProRelix Services LLP, 102 A/B, 1st Floor, Park Plaza, Near State Bank Colony, Karve Nagar, Pune

Pune
MAHARASHTRA
411052
India 
Phone  9890096725  
Fax    
Email  s.pendse@prorelixresearch.com  
 
Source of Monetary or Material Support  
Abinopharm, Inc (Sponsor) 
 
Primary Sponsor  
Name  Abinopharm Inc 
Address  Abinopharm, Inc. 157 Church Street, 19th Floor, New Haven, CT, 06510 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Vidyadhar Kumbhar  Sunad Ayurved Clinic  Siddhivinayak Apartment, Jeevan nagar, Dhoka Colony, Chinchwad, Pimpri-Chinchwad, Maharashtra 411033, India
Pune
MAHARASHTRA 
9960075536

dr.vidyadhar24@gmail.com 
Dr Ganesh Avhad  SWASTHYA CLINIC & RESEARCH CENTRE  5, BRAMHA CHAMBERS, OPP.BANK OF MAHARASHTRA TILAK ROAD, 2010 SADASHIV PETH, PUNE
Pune
MAHARASHTRA 
8830446524

avhadganesh@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Royal Pune Independent Ethics Committee  Approved 
Royal Pune Independent Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Ageing 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NMN Supplement, 300 mg NMN Supplement, 600 mg NMN Supplement, 900 mg  Those who are assigned to 300 mg arm (NMN) will be instructed to take 2 capsules. Those who are assigned to 600 mg arm (NMN) will be instructed to take 4 capsules. Those who are assigned to 900 mg arm (NMN) will be instructed to take 6 capsules after breakfast once a day with ambient temperature water for 60 days 
Comparator Agent  starch Powder  Those who are assigned to 300 mg arm (placebo) will be instructed to take 2 capsules. Those who are assigned to 600 mg arm (placebo) will be instructed to take 4 capsules. Those who are assigned to 900 mg arm (placebo) will be instructed to take 6 capsules after breakfast once a day with ambient temperature water for 60 days 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Male/females of 40 to 65 years of age
2. Body Mass Index (BMI) between 18.5 and 35 kg/m2
3. Able to provide written Informed Consent
4. Able to follow verbal and written study directions
5. Must not be taking or be willing to take any supplements containing any form of niacin for seven days prior to baseline and for the duration of the study.
6. Able to maintain consistent diet and lifestyle habits throughout the study
7. Male and female subjects must be willing to agree to use effective contraceptive methods while on treatment and for 3 months after the completion of study
8. Willing to consume assigned dietary supplements for 2 months 
 
ExclusionCriteria 
Details  1. Participants on current use of prescription or over-the-counter nicotinic acid
2. Use of statin drugs
3. Having used any tobacco product or used a recreational drug in the past 6 months
4. Having abnormal screening laboratory test values or other lab test result(s) that would preclude study participation in the judgment of the investigator
5. Documented presence of atherosclerotic disease and/or cardiopulmonary disease
6. History of drug or alcohol abuse
7. History of unstable depression or mental illness within the last 6 months for which the investigator believes could impact the participant’s ability to comply with study requirements
8. Unwilling to discontinue use of conventional multivitamin/mineral or other supplements at least two weeks prior to the study start
9. Participating in or planning to begin a weight loss diet during the study period
10. Lifestyle or schedule incompatible with the study protocol
11. Known hypersensitivity to the drug components used during the study
12. Women with positive result for urinary beta human chorionic gonadotropin or gestation period or breastfeeding
13. Other diseases or medications, according to the investigator, that would interfere directly in the results of the study or jeopardize the health of the participant.
14. Currently, or within the past 30 days, enrolled in a different clinical investigation
15. Inability to provide a venous blood sample
16. Unable or unwilling to provide written informed consent for participation in study 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Part I
To compare the efficacy of NMN as anti-ageing supplementation versus placebo [Time Frame: 2 Months].
To compare the results of telomere test with NMN [Time Frame: 2 Months]. ï‚· To compare the efficacy of NMN as anti-ageing supplementation [Time Frame: 2 Months]. 
To compare the results of telomere test with NMN [Time Frame: 2 Months]. ï‚· To compare the efficacy of NMN as anti-ageing supplementation [Time Frame: 2 Months]. 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the safety and tolerability of the NMN supplementation versus placebo [ Time Frame: 2 Months] (Incidence and type of adverse events)
To assess the safety and tolerability of the NMN supplementation 
2 months 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/04/2021 
Date of Study Completion (India) 09/09/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
Total 80 healthy male or female middle aged or older subjects were assigned in 1:1 ratio to treatment with the test product, AbinoNutra™️ NMN supplement or Placebo in this Part 1 of double-blind, randomized, placebo-controlled study. 10 Healthy male or female middle aged or older subjects were assigned to the treatment with the test product AbinoNutra™️ NMN supplement with maximum dose (900 mg) in Part II. All 90 enrolled subjects were instructed to take two to six capsules (dependent on the arms that the subject fall into) of either AbinoNutra™️ NMN or Placebo once a day after breakfast for 60 days daily. Subjects were required to use diaries to document the date and time of study treatments including any missed doses and the occurrence of any adverse events.

The efficacy in terms of anti-aging effect in part I of the study was assessed primarily with the NAD+NADH concentration in blood, SF-36 questionnaire scoring, 6 Minute Walking Endurance test. HOMA and Biological age by aging.ai 3.0 calculator were explored too to assess AbinoNutra™️ NMN’s anti-aging effect.
NAD+/NADH concentration in serum was found to be much higher both in Visit 3 (43.14 pmol/ml) and Visit 4 (48.52 pmol/ml) in the 300 mg NMN supplement arm as compared to the Placebo (11.77 pmol/ml).  The mean treatment difference for NAD+/NADH concentration in serum was found to be statistically significant at 5% level of significance in Visit 3 as well as in Visit 4 (p-values 0.0004 and 0.0001 respectively).
Similar results were obtained for the 600 mg NMN supplement arm as compared to the Placebo and 900 mg NMN supplement arm as compared to the Placebo. The mean treatment difference for NAD+/NADH concentration in serum was found to be statistically significant at 5% level of significance in Visit 3 as well as in Visit 4 (all p-values were less than 0.0001).
 This illustrates the potential of AbinoNutra™️ NMN to raise the levels of NAD+ in the cells. 

From the data it was observed that the walking endurance (distance walked) of the subjects on the active i.e. AbinoNutra™️ NMN group had a significant rise at the end of the study.
There was a rise of 12.80 m., 18.71 m., 18.40 m. respectively in 300 mg, 600 mg and 900 mg AbinoNutra™️ NMN as compared to a rise of 6.67 m. in placebo group in 2 months in distance (meters) walked in 6 minutes.

There was a noteworthy rise in the SF 36 score seen in the AbinoNutra™️ NMN group which meant that the well-being of the subjects was increased by consuming AbinoNutra™️ NMN for 60 days.
There was a statistically significant difference between the 300 mg AbinoNutra™️ NMN supplement arm as compared to Placebo in Visit 4 for biological age values. Similar results were observed for the 600 mg and the 900 mg arms.
The analysis showed that there was no noteworthy change in HOMA score in the AbinoNutra™️ NMN group although there was a noteworthy rise in the placebo group by the end of study from the baseline. We can correlate these results with anti-aging effect of AbinoNutra™️ NMN as in the absence of AbinoNutra™️ NMN the parameter (HOMA IR Index) worsened. Also, the study population consisted of healthy volunteers and not diabetics or pre-diabetic population, where HOMA IR Index results could have been different.

In Part II, Telomere length was quantified for each subject and comparison from baseline to end of study was done for each subject individually.

The telomere length was seen to be increased for 3 subjects at 900 mg dose. In other 4 subjects the reduction in telomere length was not much from the baseline value at the start of the trial. Considering the short duration of treatment of 60 days, the results seem promising for the potential of AbinoNutra™️ NMN in its anti-ageing effect assessed by telomere length quantification.


For safety analysis, after the unblinding, during analysis, it was revealed that there were only 4 cases of AEs reported in AbinoNutra™️ NMN 300 mg arm, which were determined to be not related to 300 mg AbinoNutra™️ NMN by investigators. There were no AEs reported in 600 mg and 900 mg AbinoNutra™️ NMN arms in Part I, as well as in subjects included part II of the study, on 900 mg AbinoNutra™️ NMN dose.

 
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