About this trial
In this multi-site trial, we will use a randomized, double-blind, placebo-controlled study design to test whether 300 mg of Nicotinamide Riboside (NR) can achieve the primary objective of increasing plasma NAD+ levels in participants with Gulf War Illness (GWI).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Both sexes, all ethnic groups, and ages 47 to 70 years.
Subject willing and able to give informed consent.
Medically stable as per the investigator's discretion.
Negative urine pregnancy test for females of childbearing potential. A woman is considered of childbearing potential unless she is surgically sterile (hysterectomy or tubal ligation) or is postmenopausal (no menstrual cycle for 2 years or more).
Disqualifiers
Diagnosed by a physician with medical or psychiatric conditions that would account for their symptoms or interfere with their ability to report their symptoms, as per investigator discretion.
Female subject is either pregnant or nursing; or if female subject is of childbearing age is not currently on or is unwilling and/or unable to use birth control.
Have contraindications, allergy, or sensitivity to NR, vitamin B3, or excipients (microcrystalline cellulose, silicon dioxide, magnesium stearate, hypromellose, and/or titanium dioxide).
Any significant medical condition that could interfere with study conduct, as per investigator discretion. These may include but are not limited to the following: untreated chronic hypertension (defined as systolic > 180 mmHg; diastolic >110 mmHg), myocardial infarction within 6 months of screening, renal failure, hepatic failure, and/or receiving chemotherapy.
Trial design
Parallel
Treatments tested in this trial
Nicotinamide Riboside
Dietary supplementThe product under investigation, Nicotinamide riboside (NR), is a naturally occurring NAD+ precursor and a member of the vitamin B3 family.
Placebo
Dietary supplementVisually matching placebo capsules will contain the same inactive ingredients present in the manufactured NR capsules, with the exception of any NR compound.
Treatment groups
Trial outcomes
Primary outcomes
Changes in plasma NAD+ levels
The primary objective is to determine if NR can increase plasma NAD+ levels in GWI veterans.
Secondary outcomes
Changes in lipid profiles
The secondary objective is to determine if NR can help maintain healthy blood lipid in the blood of veterans with GWI.
Changes in immune biomarker profiles
The secondary objective is to determine if NR can help maintain normal cytokine levels in the blood of veterans with GWI.
Other outcomes
Changes in fatigue
The study will use the Multidimensional Fatigue Inventory (MFI-20) to assess fatigue.
Changes in memory (neurocognitive)
The study will use the CNS Vital Signs computerized neurocognitive assessment software to assess memory. The computerized test uses individual tests to comprise a neurocognitive index score that can be used to evaluate neurocognitive status.
Changes in memory (neuropsychological)
The study will use the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS) cognitive test to assess memory. The test incorporates immediate memory, visuospatial/constructional, language, attention, and delayed memory components to determine a total scaled score for neuropsychological status. This total score ranges from 200 to 800, with higher scores increasing the associated percentile.
Changes in general well-being
The study will use the Quality of Life Scale (SF36) to assess quality of life.
Sponsors and contacts
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Roskamp Institute Inc.
Lead sponsor
United States Department of Defense
Collaborator
Nova Southeastern University
Collaborator