Randomized controlled safety trial

Placebo-controlled randomized double-blind parallel-group trial of the safety of overdose intake of nicotinamide mononucleotide

Ryota Nakajima et al. · Fundamental Toxicological Sciences · 2025

Evidence type: Human randomized trial Interpretive weight: LimitedResearch area: High-dose safety and tolerability
DesignPlacebo-controlled, randomized, double-blind, parallel-group overdose safety trial; 4 weeks
PopulationHealthy adults
Sample30 participants
InterventionPlacebo, NMN 750 mg/day, or NMN 1,500 mg/day for 4 weeks
EndpointsAdverse events; Clinical laboratory safety; Physical and physiological measures; Blood NAD-related measures

What the publication reported

This randomized double-blind safety study tested 750 or 1,500 mg/day NMN against placebo for four weeks in 30 healthy adults.

The study was designed as an overdose-intake safety assessment rather than an efficacy trial. Its main contribution is short-term tolerability information at doses higher than those used in many earlier NMN studies.

The small sample and four-week duration mean it cannot establish uncommon adverse-event risks or long-term safety.

Key findings

  • The trial directly evaluated 750 and 1,500 mg/day oral NMN for four weeks.
  • The publication reported short-term safety and laboratory monitoring across the high-dose groups.
  • The study was designed for safety, not clinical efficacy.
  • Commercial Teijin/NOMON affiliations were present among four of five authors.

What it cannot establish

  • Only 30 participants.
  • Only four weeks of exposure.
  • Not powered to detect rare adverse events.
  • Healthy-adult findings may not generalize to people with significant chronic disease.
  • Strong commercial affiliations require transparent interpretation.
HealthspanX claim boundary: This study informs short-term tolerability of high-dose NMN in healthy adults. It does not establish long-term safety, clinical benefit, anti-aging efficacy or product equivalence.

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