Efficacy and Safety of Coenzyme I for Injection on Vascular Aging.

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age40-70
SponsorShanghai 10th People's Hospital

About this trial

Emerging evidence identifies vascular aging independently predicting cardiovascular events, yet effective clinical interventions remain lacking. Nicotinamide adenine dinucleotide (NAD+) is an essential cofactor whose levels decline with age, and preclinical studies suggest that boosting NAD+ can improve vascular function and structure. Preliminary clinical studies in healthy older adults indicate that supplementation with NAD+ precursors, such as nicotinamide riboside(NR) or nicotinamide mononucleotide (NMN), can reduce arterial stiffness as measured by pulse wave velocity (PWV). However, whether NAD+ supplementation can improve vascular endothelial function and exert anti-stiffening effects in patients who have already developed measurable arterial stiffness remains unknown. Based on this evidence, the investigator hypothesize that the Coenzyme I for Injection will reverse vascular aging in older adults with established arterial stiffening.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Ages 40-70 years;

cf-PWV was abnormally elevated and above the upper limit of its age-and blood-pressure matched reference range;

Systolic Blood Pressure < 160 mmHg and ≥ 140 mmHg or Diastolic BP < 100 mmHg ≥ 90mmHg;

Signed informed consent.

Disqualifiers

Consumption of foods or medications containing high levels of NAD+, NR, NAM, NMN, or niacin-related components (including Vitamin B3 and natural health products) within 3 months prior to screening;

History of major cardiovascular or cerebrovascular events, including myocardial infarction, angina, stroke, or hospitalization for arterial revascularization;

Systolic blood pressure ≥ 160 mmHg and/or diastolic blood pressure ≥ 100 mmHg;

Diagnosis of malignant tumor;

Trial design

Design model

Parallel

Treatments tested in this trial

  • Coenzyme I for Injection

    Drug

    Subjects receive 7 consecutive days of intravenous infusion of Coenzyme I for injection.

  • NaCl (placebo)

    Drug

    Subjects receive 7 consecutive days of intravenous infusion of NaCl(0.9%).

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Intervention GroupExperimental treatment 1 intervention
Group B: Control GroupPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

The change in flow-mediated vasodilation(FMD)

Changes in FMD from baseline to day 8/28.

Time frame
Day 8/28

Secondary outcomes

1

Changes in cf-PWV.

Changes in cf-PWV from baseline to day 8/28.

Time frame
day 8/28
2

Changes in retinal arteriovenous ratio (AVR) and wall/lumen ratio (WLR)

Changes in retinal arteriovenous ratio (AVR) and wall/lumen ratio (WLR) from baseline to day 8/28.

Time frame
day 8/28
3

Changes in the level of NAD+

Changes in the level of NAD+ from baseline to day 8/28.

Time frame
day 8/28
4

Changes in the metabolomics.

Changes in the metabolomics from baseline to day 8/28.

Time frame
day 8/28

Other outcomes

Sponsors and contacts

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