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Nicotinamide as an Early Alzheimer's Disease Treatment (NEAT)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03061474
Recruitment Status : Completed
First Posted : February 23, 2017
Results First Posted : October 17, 2023
Last Update Posted : October 17, 2023
Sponsor:
Information provided by (Responsible Party):
Joshua Grill, University of California, Irvine

Study Type Interventional
Study Design Allocation: Randomized;   Intervention Model: Parallel Assignment;   Masking: Triple (Participant, Care Provider, Investigator);   Primary Purpose: Treatment
Conditions Alzheimer's Disease
Mild Cognitive Impairment
Interventions Drug: Nicotinamide
Drug: Placebo Comparator
Enrollment 46
Recruitment Details 46 participants received at least 1 dose of study drug.
Pre-assignment Details  
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Period Title: Overall Study
Started 24 22 [1]
Completed 22 18
Not Completed 2 4
Reason Not Completed
Adverse Event             2             0
Safety Risk             0             1
Participant unwilling or unable to participate             0             2
Lost to Follow-up             0             1
[1]
22 participants received treatment therapy.
Arm/Group Title Nicotinamide Placebo Total
Hide Arm/Group Description

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Total of all reporting groups
Overall Number of Baseline Participants 24 22 46
Hide Baseline Analysis Population Description
[Not Specified]
Age, Continuous  
Mean (Standard Deviation)
Unit of measure:  Years
Number Analyzed 24 participants 22 participants 46 participants
74.56  (8.97) 72.92  (744) 73.78  (8.23)
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 24 participants 22 participants 46 participants
Female
10
  41.7%
10
  45.5%
20
  43.5%
Male
14
  58.3%
12
  54.5%
26
  56.5%
Ethnicity (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 24 participants 22 participants 46 participants
Hispanic or Latino
1
   4.2%
1
   4.5%
2
   4.3%
Not Hispanic or Latino
23
  95.8%
21
  95.5%
44
  95.7%
Unknown or Not Reported
0
   0.0%
0
   0.0%
0
   0.0%
Race (NIH/OMB)  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 24 participants 22 participants 46 participants
American Indian or Alaska Native
0
   0.0%
0
   0.0%
0
   0.0%
Asian
2
   8.3%
1
   4.5%
3
   6.5%
Native Hawaiian or Other Pacific Islander
0
   0.0%
0
   0.0%
0
   0.0%
Black or African American
1
   4.2%
0
   0.0%
1
   2.2%
White
21
  87.5%
21
  95.5%
42
  91.3%
More than one race
0
   0.0%
0
   0.0%
0
   0.0%
Unknown or Not Reported
0
   0.0%
0
   0.0%
0
   0.0%
Region of Enrollment  
Measure Type: Number
Unit of measure:  Participants
United States Number Analyzed 24 participants 22 participants 46 participants
24 22 46
Mini-Mental State Examination   [1] 
Mean (Standard Deviation)
Unit of measure:  Units on a scale
Number Analyzed 24 participants 22 participants 46 participants
25.62  (2.87) 25.5  (3.22) 25.57  (3.01)
[1]
Measure Description: The Mini-Mental State Examination is a brief mental status exam and widely used dementia screening instrument. It evaluates orientation to time and place, memory, attention, language, and visuospatial ability. Range: 0-30; a lower score indicates greater impairment.
1.Primary Outcome
Title Change in P-tau 231
Hide Description Change in key peptide in cerebrospinal fluid (CSF) from baseline to 48 weeks. Higher phosphorylated tau (p-tau) is associated with a severity of Alzheimer's disease pathology.
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 19 19
Mean (Standard Deviation)
Unit of Measure: pg/ml
4.71  (14.46) 2.28  (10.55)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nicotinamide, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.6096
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
2.Primary Outcome
Title Vital Signs - Weight
Hide Description Weight in kg was recorded at every study visit (screening, baseline, week 12, week 24, and week 48)
Time Frame Screening through end of study (week 48)
Hide Outcome Measure Data
Hide Analysis Population Description
Numbers analyzed in some rows lower due to missing data (visit not completed, or participant refused measure).
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 24 22
Mean (Standard Deviation)
Unit of Measure: kg
Screening Visit Number Analyzed 24 participants 22 participants
76.39  (12.99) 68.11  (14.3)
Baseline Visit Number Analyzed 24 participants 22 participants
76.29  (12.57) 70.05  (11.86)
Week 12 Visit Number Analyzed 22 participants 20 participants
77.27  (10.86) 69.36  (12.67)
Week 24 Visit Number Analyzed 20 participants 19 participants
76.88  (11.49) 72.22  (11.35)
Week 48 Visit Number Analyzed 21 participants 19 participants
76.43  (11.96) 70.27  (12.2)
3.Primary Outcome
Title Vital Signs - BMI
Hide Description Body Mass Index (BMI) was recorded at every study visit (screening, baseline, week 12, week 24, and week 48)
Time Frame Screening through end of study (week 48)
Hide Outcome Measure Data
Hide Analysis Population Description
Numbers analyzed in some rows lower due to missing data (visit not completed, or participant refused measure).
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 24 22
Mean (Standard Deviation)
Unit of Measure: kg/m^2
Screening Visit Number Analyzed 24 participants 22 participants
26.35  (4.75) 24.09  (4.17)
Baseline Visit Number Analyzed 24 participants 22 participants
26.33  (4.69) 24.85  (3.43)
Week 12 Visit Number Analyzed 22 participants 20 participants
26.42  (4.51) 24.72  (3.79)
Week 24 Visit Number Analyzed 20 participants 19 participants
26.52  (4.56) 25.08  (3.68)
Week 48 Visit Number Analyzed 21 participants 19 participants
26.24  (4.75) 24.68  (3.68)
4.Primary Outcome
Title Vital Signs - Systolic Blood Pressure
Hide Description Systolic blood pressure was recorded at every study visit (screening, baseline, week 12, week 24, and week 48)
Time Frame Screening through end of study (week 48)
Hide Outcome Measure Data
Hide Analysis Population Description
Numbers analyzed in some rows lower due to missing data (visit not completed, or participant refused measure).
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 24 22
Mean (Standard Deviation)
Unit of Measure: mm Hg
Screening Visit Number Analyzed 24 participants 22 participants
134.67  (19.17) 126.09  (14.32)
Baseline Visit Number Analyzed 24 participants 22 participants
137.42  (15.99) 125.41  (17.66)
Week 12 Visit Number Analyzed 22 participants 20 participants
133.36  (14.91) 128.05  (18.61)
Week 24 Visit Number Analyzed 20 participants 19 participants
130.4  (14.04) 130.16  (13.12)
Week 48 Visit Number Analyzed 21 participants 19 participants
129.43  (17.76) 129.37  (17.16)
5.Primary Outcome
Title Vital Signs - Diastolic Blood Pressure
Hide Description Diastolic blood pressure was recorded at every study visit (screening, baseline, week 12, week 24, and week 48)
Time Frame Screening through end of study (week 48)
Hide Outcome Measure Data
Hide Analysis Population Description
Numbers analyzed in some rows lower due to missing data (visit not completed, or participant refused measure).
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 24 22
Mean (Standard Deviation)
Unit of Measure: mm Hg
Screening Visit Number Analyzed 24 participants 22 participants
75.42  (9.31) 71.32  (8.97)
Baseline Visit Number Analyzed 24 participants 22 participants
74.21  (11.87) 70.45  (8.78)
Week 12 Visit Number Analyzed 22 participants 20 participants
72.45  (7.61) 71.4  (10.23)
Week 24 Visit Number Analyzed 20 participants 19 participants
75.2  (7.35) 71.4  (10.23)
Week 48 Visit Number Analyzed 21 participants 19 participants
71.9  (10.4) 69.74  (8.53)
6.Primary Outcome
Title Vital Signs - Pulse
Hide Description Pulse rate was recorded at every study visit (screening, baseline, week 12, week 24, and week 48)
Time Frame Screening through end of study (week 48)
Hide Outcome Measure Data
Hide Analysis Population Description
Numbers analyzed in some rows lower due to missing data (visit not completed, or participant refused measure).
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 24 22
Mean (Standard Deviation)
Unit of Measure: bpm
Screening Visit Number Analyzed 24 participants 22 participants
56.42  (6.98) 62.5  (10.92)
Baseline Visit Number Analyzed 24 participants 22 participants
59.33  (12.85) 64.91  (8.78)
Week 12 Visit Number Analyzed 22 participants 20 participants
58.86  (6.14) 63.45  (11.65)
Week 24 Visit Number Analyzed 20 participants 19 participants
58.6  (7.42) 62.26  (8.75)
Week 48 Visit Number Analyzed 21 participants 19 participants
59.57  (8.33) 64.84  (12.65)
7.Primary Outcome
Title Count of Treatment Emergent Adverse Events
Hide Description Count of treatment emergent adverse events (TEAEs) over the duration of the study period (baseline to 48 weeks).
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 24 22
Measure Type: Number
Unit of Measure: events
79 71
8.Primary Outcome
Title Count of Adverse Events by Severity
Hide Description Count of treatment emergent adverse events (TEAEs) over the duration of the study period (baseline to 48 weeks).
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 24 22
Measure Type: Number
Unit of Measure: events
Mild 49 38
Moderate 27 31
Severe 3 2
Total 79 71
9.Primary Outcome
Title Columbia-Suicide Severity Rating Scale
Hide Description The Columbia-Suicide Severity Rating Scale (C-SSRS) captures the occurrence, severity, and frequency of suicide-related thoughts and behaviors during the corresponding assessment period. The scale includes suggested questions to elicit the type of information needed to determine if a suicide-related thought or behavior occurred. The number and proportion of subjects with treatment emergent Suicidal ideation or behavior during the study period of (baseline to week 48) will be reported overall and by study arm. Treatment emergent suicidal ideation or behavior is defined as a "yes" answer at any time during treatment to any one of the questions in the ten suicidal ideation and behavior categories (Categories 1- 10) on the C-SSRS. Self-injurious behavior without suicidal intent, while assessed on the C-SSRS, does not form part of this outcome.
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 24 22
Measure Type: Number
Unit of Measure: events
Baseline Number of abnormal C-SSRS events 0 3
Post-baseline number of abnormal C-SSRS events 1 3
10.Primary Outcome
Title ECG Abnormalities
Hide Description Count of participants experiencing at least one electrocardiogram (ECG) abnormality.
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 24 22
Measure Type: Count of Participants
Unit of Measure: Participants
24
 100.0%
20
  90.9%
11.Primary Outcome
Title QTC Abnormalities
Hide Description Count of participants experiencing at least one electrocardiogram (ECG) QT interval abnormality. Abnormal defined as above 460 for men and above 470 for women.
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 24 22
Measure Type: Count of Participants
Unit of Measure: Participants
2
   8.3%
1
   4.5%
12.Primary Outcome
Title Change in QTC
Hide Description Average within-subject change in electrocardiogram QT interval.
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 22 21
Mean (Standard Deviation)
Unit of Measure: ms
6.41  (16.02) 2.1  (11.85)
13.Secondary Outcome
Title Change in ab40
Hide Description Change in key peptide in cerebrospinal fluid (CSF) from baseline to 48 weeks. Lower ab40 is associated with a greater probability of fibrillar amyloid burden in the brain.
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 19 19
Mean (Standard Deviation)
Unit of Measure: pg/ml
2307  (2516.4) 1961.1  (4252.97)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nicotinamide, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.648
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
14.Secondary Outcome
Title Change in ab42
Hide Description Change in key peptide in cerebrospinal fluid (CSF) from baseline to 48 weeks. Lower ab42 is associated with a greater probability of fibrillar amyloid burden in the brain.
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 19 19
Mean (Standard Deviation)
Unit of Measure: pg/ml
127.74  (161.54) 113.79  (321.92)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nicotinamide, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.6833
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
15.Secondary Outcome
Title Change in P-tau 181
Hide Description Change in key peptide in cerebrospinal fluid (CSF) from baseline to 48 weeks. Higher total value is associated with greater severity of Alzheimer's disease pathology.
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 19 19
Mean (Standard Deviation)
Unit of Measure: pg/ml
-0.41  (29.83) -10.43  (41.79)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nicotinamide, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.4438
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
16.Secondary Outcome
Title Change in Total Tau
Hide Description Change in CSF total tau in individuals with mild Alzheimer's disease (AD) dementia or Mild Cognitive Impairment due to AD.
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 19 19
Mean (Standard Deviation)
Unit of Measure: pg/ml
-8.42  (228.59) -60.47  (237.54)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nicotinamide, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.7158
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
17.Secondary Outcome
Title Change in Ratio of Total Tau/ab40
Hide Description Change in ratio of key peptides in cerebrospinal fluid (CSF) from baseline to 48 weeks. A lower ab40/tau ratio is associated with a higher risk of dementia.
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 19 19
Mean (Standard Deviation)
Unit of Measure: ratio
-0.02  (0.02) -0.02  (0.02)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nicotinamide, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.93428359
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
18.Secondary Outcome
Title Change in Ratio of Total Tau/ab42
Hide Description Change in ratio of key peptides in cerebrospinal fluid (CSF) from baseline to 48 weeks. A lower ab42/tau ratio is associated with a higher risk of dementia.
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 19 19
Mean (Standard Deviation)
Unit of Measure: ratio
-0.46  (0.56) -0.5  (0.55)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nicotinamide, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.9931
Comments [Not Specified]
Method ANCOVA
Comments [Not Specified]
19.Secondary Outcome
Title ADASCog-13
Hide Description ADAS-Cog13 is a structured scale that evaluates memory (immediate and delayed word recall; immediate word recognition), receptive and expressive language, orientation, ideational praxis (preparing a letter for mailing), constructional praxis (copying figures), and attention (number cancellation). Ratings of spoken language, language comprehension, word finding difficulty, and ability to remember test instructions also are obtained. Range: 0-85; higher scores indicate greater impairment.
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 20 20
Mean (Standard Deviation)
Unit of Measure: score on a scale
3.2  (5.72) 5.16  (7.46)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nicotinamide, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.3233
Comments [Not Specified]
Method Mixed Models Analysis
Comments [Not Specified]
20.Secondary Outcome
Title Activities of Daily Living - Mild Cognitive Impairment
Hide Description The ADCS-ADL-MCI is a measure of patient functional performance in Alzheimer's Disease and Mild Cognitive Impairment trials. The informant-based questionnaire assesses conduct of basic and instrumental Activities of Daily Living (ADLs). A total of 24 ADLs are evaluated. Scores range from 0 to 53, with higher scores representing more maintained function.
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 20 20
Mean (Standard Deviation)
Unit of Measure: score on a scale
-4.05  (4.88) -1.39  (6.06)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nicotinamide, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.1008
Comments [Not Specified]
Method Mixed Models Analysis
Comments [Not Specified]
21.Secondary Outcome
Title CDR Sum of Boxes
Hide Description CDR-SB is a composite rating of cognition and everyday function which incorporates both informant input and direct assessment of performance. It assesses through semi-structured interview three cognitive domains (memory, orientation, and judgement/problem solving) and three everyday functional domains (community affairs, home and hobbies, personal care). Level of impairment in each of the six domains is rated from none (score=0) to severe (score=3). The six domain scores are then summed to create the CDR-SB. Range 0-18; higher scores indicate greater impairment.
Time Frame Baseline to 48 weeks
Hide Outcome Measure Data
Hide Analysis Population Description
[Not Specified]
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description:

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

Overall Number of Participants Analyzed 21 20
Mean (Standard Deviation)
Unit of Measure: score on a scale
0.76  (2.03) 2.18  (2.82)
Hide Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Nicotinamide, Placebo
Comments [Not Specified]
Type of Statistical Test Superiority
Comments [Not Specified]
Statistical Test of Hypothesis P-Value 0.0323
Comments [Not Specified]
Method Mixed Models Analysis
Comments [Not Specified]
Time Frame Adverse event data were collected from signed consent through the participant duration in the study. The specific time period is from consent through the end of the 48 week double-blind trial. Adverse event information will be collected at every planned and unplanned in-person and telephone visit until 7 (for non-serious AEs) or 30 days (for SAEs) after the last day of study participation.
Adverse Event Reporting Description [Not Specified]
 
Arm/Group Title Nicotinamide Placebo
Hide Arm/Group Description

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Nicotinamide: Niacinamide (nicotinamide; 99%) is produced in a 750 mg sustained release tablet.

1500mg twice daily: 2, 750mg tablets taken orally twice daily

Placebo Comparator: Oral Tablet

All-Cause Mortality
Nicotinamide Placebo
Affected / at Risk (%) Affected / at Risk (%)
Total   0/24 (0.00%)      0/22 (0.00%)    
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Nicotinamide Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   2/24 (8.33%)      6/22 (27.27%)    
Blood and lymphatic system disorders     
Leukocytosis  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Injury, poisoning and procedural complications     
Injury  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Investigations     
Transaminases increased  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Metabolism and nutrition disorders     
Dehydration  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)     
Colorectal cancer  2  1/24 (4.17%)  1 0/22 (0.00%)  0
Nervous system disorders     
Seizure  2  0/24 (0.00%)  0 1/22 (4.55%)  1
Respiratory, thoracic and mediastinal disorders     
Dyspnea  2  0/24 (0.00%)  0 1/22 (4.55%)  1
Vascular disorders     
Orthostatic hypotension  2  0/24 (0.00%)  0 1/22 (4.55%)  1
1
Term from vocabulary, MedDRA
2
Term from vocabulary, MedDRA 20.0
Indicates events were collected by systematic assessment
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0%
Nicotinamide Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total   23/24 (95.83%)      20/22 (90.91%)    
Blood and lymphatic system disorders     
Thrombocytopenia  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Eye disorders     
Retinal detachment  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Gastrointestinal disorders     
Abdominal discomfort  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Colitis ulcerative  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Constipation  1  2/24 (8.33%)  2 0/22 (0.00%)  0
Diarrhoea  1  6/24 (25.00%)  8 2/22 (9.09%)  2
Dyspepsia  1  1/24 (4.17%)  1 1/22 (4.55%)  1
Eructation  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Hiatus hernia  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Neusea  1  0/24 (0.00%)  0 2/22 (9.09%)  2
Rectal haemorrhage  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Vomiting  1  2/24 (8.33%)  2 1/22 (4.55%)  1
General disorders     
Fatigue  1  0/24 (0.00%)  0 3/22 (13.64%)  3
Infections and infestations     
Corona virus infection  1  0/24 (0.00%)  0 2/22 (9.09%)  2
Diverticulitis  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Fungal infection  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Gastritis viral  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Hordeolum  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Infection  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Pneumonia  1  1/24 (4.17%)  1 1/22 (4.55%)  1
Pyuria  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Tooth abscess  1  1/24 (4.17%)  1 1/22 (4.55%)  1
Upper respiratory tract infection  1  1/24 (4.17%)  1 2/22 (9.09%)  2
Urinary tract infection  1  4/24 (16.67%)  5 4/22 (18.18%)  5
Viral upper respiratory tract infection  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Injury, poisoning and procedural complications     
Fall  1  4/24 (16.67%)  5 5/22 (22.73%)  5
Fibula fracture  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Foot fracture  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Hand fracture  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Head Injury  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Laceration  1  1/24 (4.17%)  2 0/22 (0.00%)  0
Limb injury  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Post lumbar puncture syndrome  1  1/24 (4.17%)  1 1/22 (4.55%)  1
Investigations     
Antimitochondrial antibody positive  1  0/24 (0.00%)  0 1/22 (4.55%)  2
Aspartate aminotransferase increased  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Blood alkaline phosphatase increased  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Blood testosterone decreased  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Glomerular Ffiltration rate decreased  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Laboratory test abnormal  2  2/24 (8.33%)  2 0/22 (0.00%)  0
Urine ketone body present  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Weight decreased  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Metabolism and nutrition disorders     
Dehydration  1  1/24 (4.17%)  1 1/22 (4.55%)  1
Diabetes mellitus  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Hyperlipidaemia  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Hypokalaemia  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Vitamin D deficiency  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Musculoskeletal and connective tissue disorders     
Arthralgia  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Arthritis  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Back pain  1  2/24 (8.33%)  2 0/22 (0.00%)  0
Coccydynia  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Foot deformity  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Myalgia  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Osteoporosis  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Pain in extremity  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Neoplasms benign, malignant and unspecified (incl cysts and polyps)     
Basal cell carcinoma  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Squamous cell carcinoma  1  0/24 (0.00%)  0 2/22 (9.09%)  2
Nervous system disorders     
Cognitive disorder  1  1/24 (4.17%)  1 1/22 (4.55%)  1
Dizziness  1  1/24 (4.17%)  1 1/22 (4.55%)  2
Dysgeusia  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Headache  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Memory impairment  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Neuropathy peripheral  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Parkinson's disease  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Pleocytosis  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Postural tremor  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Presyncope  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Syncoper  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Tremor  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Psychiatric disorders     
Agitation  1  1/24 (4.17%)  1 1/22 (4.55%)  1
Anxiety  1  2/24 (8.33%)  2 1/22 (4.55%)  1
Depression  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Parasomnia  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Renal and urinary disorders     
Haematuria  1  0/24 (0.00%)  0 2/22 (9.09%)  2
Micturition urgency  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Renal cyst  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Urinary incontinence  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Urinary retention  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Respiratory, thoracic and mediastinal disorders     
Dyspnoea exertional  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Penile ulceration  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Skin and subcutaneous tissue disorders     
Actinic keratosis  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Miliaria  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Psoriasis  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Rash  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Urticaria  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Surgical and medical procedures     
Cancer surgery  1  1/24 (4.17%)  1 0/22 (0.00%)  0
Cataract operation  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Skin neoplasm excision  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Vascular disorders     
Haemorrhage  1  0/24 (0.00%)  0 1/22 (4.55%)  1
Labile blood pressure  1  0/24 (0.00%)  0 1/22 (4.55%)  1
1
Term from vocabulary, MedDRA 20.0
2
Term from vocabulary, MedDRA
Indicates events were collected by systematic assessment
Certain Agreements
All Principal Investigators ARE employed by the organization sponsoring the study.
Results Point of Contact
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Name/Title: Dr. Joshua Grill
Organization: University of California, Irvine
Phone: (949) 824-5905
EMail: jgrill@uci.edu
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Responsible Party: Joshua Grill, University of California, Irvine
ClinicalTrials.gov Identifier: NCT03061474    
Other Study ID Numbers: 20163246
First Submitted: February 13, 2017
First Posted: February 23, 2017
Results First Submitted: August 22, 2023
Results First Posted: October 17, 2023
Last Update Posted: October 17, 2023