Status:

COMPLETED

Pilot Study to Evaluate the Effect of Nicotinamide Riboside on Immune Activation in Psoriasis

Lead Sponsor:

National Heart, Lung, and Blood Institute (NHLBI)

Conditions:

Psoriasis

Atherosclerotic Cardiovascular Disease

Eligibility:

All Genders

18-80 years

Phase:

NA

Brief Summary

Background: Psoriasis causes chronic inflammation in the body. Researchers want to see if a kind of vitamin B3 dietary supplement can help. This might lead to more treatment options. Objective: To ...

Detailed Description

Study Description: Psoriasis is a Th17 linked inflammatory disease and we find that the vitamin B3 analogue nicotinamide riboside (NR) blunts Th1 and Th17 activation in ex-vivo na(SqrRoot) ve and dif...

Eligibility Criteria

Inclusion

  • INCLUSION CRITERIA:
  • Individuals must meet all inclusion criteria listed below in order to be eligible to participate in the study.
  • Males and females between the ages of 18 and 80 with mild to moderate active psoriasis.
  • Female subjects of child-bearing ability willing to commit to reliable contraception while participating in the study.
  • Ability to provide informed consent
  • Willingness and ability to participate in required study procedures
  • EXCLUSION CRITERIA:
  • Severe psoriasis by PASI (Psoriasis Area and Severity Index) score \> 12
  • Currently being treated with biologic immune modifying agents.
  • Currently on treatment for allergies or other inflammatory diseases.
  • Currently taking a multivitamin, Vitamin B or tryptophan supplementation and unwilling to stop within 2 weeks of baseline visit.
  • Unwillingness/inability to provide informed consent
  • ALT \> x3 upper limit of normal, hepatic insufficiency or active liver disease
  • Recent history of acute gout
  • Chronic renal insufficiency with creatinine \> 2.5mg/dl
  • Pregnant (or attempting to become pregnant) women
  • Current participation in another drug study
  • History of intolerance to NR precursor compounds, including niacin or nicotinamide
  • Study adherence concerns
  • Individuals with diabetes type 1 and 2 who use insulin
  • Women of child-bearing potential unwilling to use contraception or unwilling to practice abstinence
  • Breastfeeding women unwilling to stop breastfeeding
  • Immunization administered within 30 days of participation and no plans for immunization while participating in the study

Exclusion

    Key Trial Info

    Start Date :

    August 26 2020

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    December 19 2022

    Estimated Enrollment :

    29 Patients enrolled

    Trial Details

    Trial ID

    NCT04271735

    Start Date

    August 26 2020

    End Date

    December 19 2022

    Last Update

    December 27 2023

    Active Locations (1)

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    National Institutes of Health Clinical Center

    Bethesda, Maryland, United States, 20892