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Secondary human analysis

Association between blood nicotinamide adenine dinucleotide levels and blood laboratory parameters at baseline and after nicotinamide mononucleotide supplementation in middle-aged healthy individuals: post hoc analysis of a randomized, double-blinded, placebo-controlled clinical trial

Ajla H Kuerec, Weilan Wang, Keona D M Fokke, Lin Yi, Zhigang Lin, Aditi Vaidya, Sohal Pendse, Sornaraja Thasma, Niranjan Andhalkar, Ganesh Avhad, Vidyadhar Kumbhar, Andrea B Maier

GeroScience · 2026 · 48(3):3305–3313

Study at a glance

Design
Post-hoc analysis of the randomized double-blind Yi et al. dose-ranging trial
Population or model
Healthy middle-aged adults from the parent 80-person trial
Sample size
80 participants
Intervention
Parent trial: placebo or NMN 300, 600, or 900 mg/day for 60 days
Publication type
Post-hoc clinical-trial analysis
Evidence class
human-study
Research area
NAD and laboratory associations
Trial registration
Parent trial: NCT04823260; CTRI/2021/03/032421

Study endpoints

  • Baseline blood NAD associations with hematology, inflammatory, lipid and liver measures
  • Associations between NMN-induced NAD change and blood laboratory parameters

Plain-language summary

This paper re-analyzed laboratory data from the same 80-person Yi NMN trial to ask whether baseline NAD levels and NMN-related NAD changes were statistically associated with common blood measurements.

Higher baseline NAD showed associations with several inflammatory, lipid and liver-related measures. Increases in NAD during the trial were associated with changes in red-blood-cell and hemoglobin-related parameters and uric acid.

These associations do not prove that NAD caused the laboratory differences and should not be interpreted as independent evidence of clinical benefit.

Key findings

  • Higher baseline NAD was associated with several inflammatory, lipid and liver laboratory measures.
  • NMN-induced NAD increases were associated with changes in hemoglobin, red blood cells and related indices.
  • Uric acid also showed an association with NAD change.
  • The paper analyzes the same participant cohort as Yi 2023 and is not an independent trial.

Limitations

  • Post-hoc observational association analysis within a randomized trial.
  • Associations do not establish causality.
  • Multiple laboratory relationships were examined.
  • Not an independent participant cohort.
  • Commercial affiliations from the parent trial remain relevant.

Funding and transparency

Funding

The parent clinical trial was fully funded by Aba Chemicals Co. (Shanghai, China) and Abinopharm, Inc. (Connecticut, USA). The post-hoc analysis itself was not funded.

Competing interests

Lin Yi is an employee of Abinopharm, Inc.; R.T. and Zhigang Lin are employees of Aba Chemicals Co. The other authors declare no conflict of interest.

HealthspanX observation

This paper should be linked to, not counted separately from, the Yi parent trial when discussing the number of independent NMN clinical trials.

Interpretive weight

Limited

Post-hoc association analysis from an existing trial; useful for hypothesis generation but cannot establish causality or independent treatment effects.

This record summarizes a publication; it is not medical advice or a claim that a HealthspanX product reproduces the study's results. Report a correction.

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