AzTrials
AzTrials

OverweightNCT06044935

Effect of Nicotinamide Riboside on Ketosis, Fat Oxidation & Metabolic Rate

A study testing Standard Diet, Ketogenic Diet and Nicotinamide Riboside in people with Overweight and Obesity, run by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Background: At least 30% of Americans have fatty liver disease. This means that they store too much fat in the liver. At the moment lifestyle changes are the only way to treat this problem. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Overweight, Obesity
What is being tested?
Standard Diet, Ketogenic Diet and Nicotinamide Riboside
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
100 participants
Where
1 siteUnited States
Study dates
8 Jan 2024to 31 Jan 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • In order to be eligible to participate in this study, an individual must meet all of the following criteria:
  • Meet one of the following:
  • Adult males aged 18-65 years
  • Pre-menopausal adult females aged 18-50 years
  • Adult males aged 18-65 years with diagnosed maturity-onset diabetes of the young type 2 (MODY2) or pre-menopausal adult females aged 18-50 years with diagnosed MODY2
  • Weight stable (< +/- 5 % body weight change over past 6 months) as determined by volunteer report
  • Body mass index (BMI) >= 25 kg/m^2 (of >=18.5 kg/m^2 for patients with MODY2)
  • Able to cycle at a moderate rate and intensity with a HR equal to or greater than 0.3x(220-age-HRrest)+HRrest but not exceeding 0.4x(220-age-HRrest)+HRrest with no signs of arrhythmia

Who cannot join

  • An individual who meets any of the following criteria will be excluded from participation in this study:
  • Taking prescription medications or other drugs or supplements that may influence energy metabolism or nutrient digestion or absorption (including, but not limited to, diet/weight-loss medication or other medications at the discretion of the PI and/or study team)
  • Indicators of liver disease; combination of both albumin < 2.8 mg/mL and bilirubin > 3 mg/mL
  • Individuals with significant medical comorbidities (e.g., non-MODY2 diabetes, NYHA Class >II heart failure, or CKD Stage II or worse, or American Society of Anesthesiologists Physical Status Class 3 or above)
  • Individuals taking prescription medications to treat hypertension in participants without MODY2
  • Participating in a regular exercise program (> 2h/week of vigorous activity) as determined by volunteer report
Show all 18Show fewer
  • Positive pregnancy test (only for people who can get pregnant)
  • Hematocrit < 40% (men only)
  • Hematocrit <37% (women only)
  • Caffeine consumption > 300 mg/day as determined by volunteer report
  • Alcohol consumption > 3 drinks per day for men or > 2 drinks per day for women as determined by volunteer report
  • Regular use of tobacco (smoking or chewing), e-cigarettes (a.k.a. vapes), nicotine patches, or illicit drugs over past 6 months as determined by volunteer report. Subjects may also be excluded based on a urine drug test.
  • Psychological conditions as determined by volunteer report such as (but not limited to) eating disorders, depression, bipolar disorders, that would be incompatible with safe and successful participation in this study, as determined by investigators
  • Volunteers with strict dietary concerns (e.g. vegetarian or kosher diet, food allergies) or a reported dislike of a significant fraction of the study foods
  • Unwilling or unable to comply with or perform all study procedures (e.g. cycling or activities of daily living), or unavailability for the duration of the study, as determined by participant or investigator discretion
  • Unwilling or unable to adhere to Lifestyle Considerations throughout study duration, as determined by participant or investigator discretion
  • Volunteers unwilling or unable to give informed consent
  • Participants with a measured Resting Energy Expenditure (REE) more than 30% above or below the predicted REE based on Mifflin St Jeor equation

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Nan Zhai, C.R.N.P. contact

(301) 827-3324

nan.zhai@nih.gov

Stephanie T Chung, M.D. contact

(240) 479-8137

stephanie.chung@nih.gov

United States1 site, 1 recruiting
  • National Institutes of Health Clinical Center

    Bethesda, Maryland, 20892

    NIH Clinical Center Office of Patient Recruitment (OPR), 800-411-1222 ext. TTY dial 711, ccopr@nih.gov

    Recruiting

Other trials in United States

About this study

Official title: Effect of Nicotinamide Riboside on Ketosis, Fat Oxidation &Amp;Amp;Amp;Amp; Metabolic Rate

Background:

At least 30% of Americans have fatty liver disease. This means that they store too much fat in the liver. At the moment lifestyle changes are the only way to treat this problem.

Read more

Objective:

To test how (1) a low-carbohydrate diet and (2) a supplement called nicotinamide riboside (NR) affect how a person s body uses dietary fat.

Eligibility:

Men aged 18 to 65 and women aged 18 to 50 who are healthy volunteers with a body mass index (height to weight ratio) of 25 or more. Adults with maturity-onset diabetes of the young type 2 (MODY2) are also needed.

Design:

Participants with diabetes will have 1 screening visit and a 9-day clinic stay. Healthy volunteers will have 1 screening visit and 2 clinic stays of 1 to 2 weeks each.

During screening, all participants will have a physical exam with blood and urine tests. They will have their heart rhythm measured while riding a gym bike.

NR is a pill taken by mouth. Only healthy volunteers will take the NR, for 14 days at a time, during 1 clinic stay. During their other stay, they will take placebos; these are pills that look like the study supplement but contain no NR.

During each clinic stay, all participants will eat a normal American diet. Then they will eat a ketogenic "low-carb" diet for 5 days.

Participants will have many tests, including:

Sleeping every night and having two 24-hour stays in a special room that measures the gases their body uses and produces.

Drinking a high-fat shake, then remaining seated for 5 hours while their blood and breath are monitored.

Having a substance injected into the arm and remaining seated for 3 hours while their blood is measured.

Wearing monitors to measure their activity levels. Another monitor will measure their blood glucose levels.

Having imaging scans.

...

Read the detailed description

Study Description:

This is a randomized, double-blind, placebo-controlled crossover study of adults with overweight or obesity to determine whether nicotinamide riboside supplementation increases sleeping energy expenditure and fat oxidation rate during a ketogenic diet.

Objectives:

Primary Aim 1: Determine whether sleeping energy expenditure increases after transitioning to a low carbohydrate ketogenic diet as compared to a baseline high carbohydrate run-in diet in men

Primary Aim 2: Determine whether sleeping energy expenditure is affected by NR supplementation during a ketogenic diet in men

Secondary Aim 1: Determine whether fat oxidation during sleep increases after transitioning to a low carbohydrate ketogenic diet as compared to a baseline high carbohydrate run-in diet in men

Secondary Aim 2: Determine whether fat oxidation during sleep is affected by NR supplementation during a ketogenic diet from the baseline run-in diet in men

Exploratory Aims: Exploratory comparison of the above endpoints between men and women without MODY2.

Exploratory comparison of the above diet-related endpoints between patients with MODY2 and those obtained during the Placebo period in other participants.

Several exploratory measurements are planned to help comprehensively phenotype the effects of the diets and nicotinamide riboside supplementation and are intended to be hypothesis-generating. We will assess the following:

  • Liver TG
  • Daily ketosis, insulin secretion, and protein utilization
  • Rates of ketogenesis and lipolysis
  • Physical activity and sleep assessment
  • Body composition assessment
  • Fasting and postprandial blood measurements of various metabolites, hormones, cytokines, markers of inflammation , and other circulating signaling factors.
  • Microbiome composition
  • Hunger and satiety before and after meals
  • Eating rate
  • Chronotype and sleep quality
  • Usual food intake
  • 24-h and exercise energy expenditure

Endpoints:

Primary:

Mean change in sleeping energy expenditure between the ketogenic diet and the baseline run-in diet

Mean difference in sleeping energy expenditure between NR and placebo during the ketogenic diet

Secondary:

Mean change in sleeping fat oxidation rate between the ketogenic diet and the baseline run-in diet Mean difference in fat oxidation rate between NR and placebo during the ketogenic diet

Exploratory:

  • H magnetic resonance spectroscopy
  • 24hr urine ketones, C-peptide, nitrogen
  • Stable isotope infusions of 13C beta-hydroxybutyrate and 2H glycerol
  • Daily accelerometry and wireless EEG headband
  • DXA scans
  • Fasting and postprandial blood concentrations of various metabolites, hormones, cytokines, inflammatory markers and other circulating signaling factors
  • Blood glucose variability and mean concentration as measured by Continuous Glucose Monitoring
  • Daily fasting glucose and beta-hydroxybutyrate concentrations by finger-prick
  • Microbiome composition
  • Hunger and satiety visual analogue scores
  • Meal duration
  • Pittsburg sleep quality index, morningness-eveningness questionnaire, and subjective sleep visual analogue scores
  • Usual food intake as measured by Food frequency questionnaire
  • 24-h and exercise energy expenditure from respiratory chamber
Conditions
Overweight, Obesity
Being tested
Standard Diet, Ketogenic Diet, Placebo, Nicotinamide Riboside
Keywords
Ketogenic Diet, Sleep, Energy Expenditure, Supplement, Calories
Medical subject headings
Overweight, Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Standard DietOther

    Consisting of 15% protein, 35% fat, and 50% carbohydrate, matching the macronutrient composition of a typical American diet

  • Ketogenic DietOther

    Consisting of a macronutrient composition of 15% protein, 80% fat, and 5% carbohydrate

  • PlaceboDietary supplement

    Subjects without MODY2 will take either placebo or NR (1 g BID, 2 g per day total) supplements for 7 days during this Run-in phase

  • Nicotinamide RibosideDietary supplement

    Subjects without MODY2 will take either placebo or NR (1 g BID, 2 g per day total) supplements for 7 days during this Run-in phase

Study groups in NCT06044935
Study groupRoleWhat they receive
Men with overweight or obesityExperimentalTo investigate whether NR supplementation augments the sleeping energy expenditure and fat oxidation rate during the ketogenic diet in men and women with overweight and obesity
Receives: Other: Standard Diet; Other: Ketogenic Diet; Dietary Supplement: Placebo; Dietary Supplement: Nicotinamide Riboside
MODY2 PatientsExperimentalTo measure changes in sleeping energy expenditure and fat oxidation rate after transitioning from a baseline diet to an isocaloric ketogenic diet similar to our previous study in men
Receives: Other: Standard Diet; Other: Ketogenic Diet; Dietary Supplement: Placebo
Women with overweight or obesityExperimentalTo investigate whether NR supplementation augments the sleeping energy expenditure and fat oxidation rate during the ketogenic diet in men and women with overweight and obesity
Receives: Other: Standard Diet; Other: Ketogenic Diet; Dietary Supplement: Placebo; Dietary Supplement: Nicotinamide Riboside

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Mean change in sleeping energy expenditure between the ketogenic diet and the baseline run-in diet

    Mean change in sleeping energy expenditure measured by room calorimetry from 2 days of standard run-in diet to 5 days of ketogenic diet

    Measured: 7 days

  2. Mean difference in sleeping energy expenditure between NR and placebo during the ketogenic diet

    Mean difference in sleeping energy expenditure measured by room calorimetry during 5 days of ketogenic diet with NR supplementation or placebo

    Measured: 5 days

Secondary outcomes (2)
  1. Mean change in sleeping fat oxidation rate between the ketogenic diet and the baseline run-in diet

    Mean change in sleeping fat oxidation measured by room calorimetry from 2 days of standard run-in diet to 5 days of ketogenic diet

    Measured: 7 days

  2. Mean difference in fat oxidation rate between NR and placebo during the ketogenic diet

    Mean difference in sleeping fat oxidation measured by room calorimetry during 5 days of ketogenic diet with NR supplementation or placebo

    Measured: 5 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Sep 2023
  2. Study start8 Jan 2024
  3. Primary completion31 Jan 2027 (estimated)
  4. Study completion31 Jan 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Crossover
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06044935
Sponsor's protocol ID
10001690
Other IDs
001690-DK
Status last verified
16 Sep 2026
First submitted
19 Sep 2023
Last updated
18 Sep 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: demographics, anthropometrics, indirect calorimetry data, circulating metabolites and hormones

Publications

  • Hall KD, Chen KY, Guo J, Lam YY, Leibel RL, Mayer LE, Reitman ML, Rosenbaum M, Smith SR, Walsh BT, Ravussin E. Energy expenditure and body composition changes after an isocaloric ketogenic diet in overweight and obese men. Am J Clin Nutr. 2016 Aug;104(2):324-33. doi: 10.3945/ajcn.116.133561. Epub 2016 Jul 6.

    PubMed 27385608

Questions about this trial

What is this clinical trial studying?

A study testing Standard Diet, Ketogenic Diet and Nicotinamide Riboside in people with Overweight and Obesity, run by National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 18 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Nan Zhai, C.R.N.P. ((301) 827-3324, nan.zhai@nih.gov), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Mean change in sleeping energy expenditure between the ketogenic diet and the baseline run-in diet (time frame: 7 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06044935, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Sep 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in