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NCT04483011

The Safety and Efficacy Study of RiaGev in Healthy Adults

Status unknown NA Results posted Last updated 25 November 2020
What this trial tests

NA trial testing RiaGev in Metabolic Syndrome in 18 participants. Status unknown.

Timeline
25 October 2019
Primary endpoint
30 July 2020
30 November 2020

Quick facts

Lead sponsorBioenergy Life Science, Inc.
PhaseNA
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designcrossover
Maskingquadruple
Primary purposeother
Enrollment18
Start date25 October 2019
Primary completion30 July 2020
Estimated completion30 November 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Bioenergy Life Science, Inc.

Who can join

Adults 36 to 65, any sex, with Metabolic Syndrome or Premature Aging. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Whole Blood NAD+ Level Change Over Baseline After Supplementation Primary · Day 1 to Day 8

Whole blood NAD+ concentration are measured at Day 1, Day 3, Day 5, and Day 8. A NAD+ Level change over baseline (Day 1) is calculated by subtracting the NAD+ level at Day 1 ( e.g Day 5 over Day 1 = Day 5 - Day 1). The significance of change (p value) is calculated comparing within RiaGev or Comparator group, and between RiaGev and Comparator groups.

Day 3 over Day 1
GroupValue95% CI
RiaGev1.23± 3.39
Comparator0.13± 4.83
Day 5 over Day 1
GroupValue95% CI
RiaGev2.12± 4.72
Comparator-0.20± 2.79
Day 8 over Day 1
GroupValue95% CI
RiaGev1.30± 3.20
Comparator-0.60± 2.53
Whole Blood NADP+ Level Change Over Baseline After Supplementation Primary · Day 1 to Day 8

Whole blood NADP+ concentration are measured at Day 1, Day 3, Day 5, and Day 8. NADP+ level changes over baseline (Day 1) are calculated by substracting NADP+ level at Day 1. The significance of change (p values) are calculated comparing changes within and between RiaGev and Comparator groups.

Day 3 over Day 1
GroupValue95% CI
RiaGev1.30± 1.72
Comparator0.85± 2.49
Day 5 over Day 1
GroupValue95% CI
RiaGev1.88± 2.55
Comparator0.51± 1.52
Day 8 over Day 1
GroupValue95% CI
RiaGev1.33± 1.88
Comparator0.34± 1.34
Whole Blood NAD+ Plus NADP+ Level Change Over Baseline Primary · Day 1 to 8

The change in whole blood NAD+ plus NADP+ levels from Day 1 baseline to Day 8 when supplemented with RiaGev™ or comparator. The parameter is measured at Day 1, Day 3, Day 5, and Day 8. A change over baseline is calculated by subtracting Day 1 value. The significance of changes (p value) are calculated by comparing within and between RiaGev and Comparator groups.

Day 3 over Day 1
GroupValue95% CI
RiaGev2.54± 4.60
Comparator0.97± 7.10
Day 5 over Day 1
GroupValue95% CI
RiaGev4.01± 6.57
Comparator0.40± 3.88
Day 8 over Day 1
GroupValue95% CI
RiaGev2.63± 4.30
Comparator-0.24± 3.39
Serum Glucose Change After RiaGev Supplementation Assessed by OGTT Secondary · 7 days

The serum glucose as assessed by a standard Oral Glucose Tolerance Test (OGTT) on Day 1 and on Day 8 after 7-day supplementation with either RiaGev™ or comparator. Incremental Area Under the Curve (iAUC) is used as overall blood glucose. Serum glucose change is calculated by subtracting iAUC on Day 1 from iAUC on Day 8. The significance of change (p value) is calculated by comparing values on Day 8 and Day 1.

Day 1
GroupValue95% CI
RiaGev17700.42± 2525.30
Comparator876.25± 1601.18
Day 8
GroupValue95% CI
RiaGev662.50± 2031.70
Comparator574.17± 1640.77
Change from Day 1 to Day 8
GroupValue95% CI
RiaGev-1037.92± 1590.74
Comparator-302.08± 1427.42
Serum Insulin Change After RiaGev Supplementation Assessed by OGTT Secondary · 7 days

Serum insulin is assessed by a standard Oral Glucose Tolerance Test (OGTT) on Day 1 and Day 8 after 7-day supplementation with either RiaGev™ or comparator. Serum insulin change is calculated by substracting its level on Day 1 from Day 8. The significance of change (p value) is calculated by comparing Day 1 and Day 8.

Day 1
GroupValue95% CI
RiaGev4807.42± 2419.04
Comparator4545.67± 1915.67
Day 8
GroupValue95% CI
RiaGev4672.29± 2427.27
Comparator4410.88± 1929.12
Change from Day 1 to Day 8
GroupValue95% CI
RiaGev-135.13± 2153.66
Comparator-134.79± 1830.16
Serum Glutathione (GSH + GSSG) Change Over Baseline After RiaGev Supplementation Secondary · 7 days

Total serum Glutathione (GSH + GSSG) is measured on Day 1, Day 3, Day 5 and Day 8. after a 7-day supplementation with either RiaGev™ or comparator. A change over baseline is calculated by subtracting glutathione level on Day 1 baseline (e g Day 5 over Day 1 = Day 5 - Day 1). The significance of change (p value) is calculated within the RiaGev or Comparator group.

Day 3 over Day 1
GroupValue95% CI
RiaGev61.85± 124.73
Comparator32.43± 130.37
Day 5 over Day 1
GroupValue95% CI
RiaGev70.20± 123.89
Comparator15.55± 88.62
Day 8 over Day 1
GroupValue95% CI
RiaGev9.55± 66.82
Comparator-15.08± 76.05
Serum High Energy Phosphate (ATP + ADP) Concentration After RiaGev Supplementation Secondary · 7 days

Serum high energy phosphate (ATP + ADP) after a 7-day supplementation with either RiaGev™ or comparator. The measurement take place on Day 1, Day 3, Day 5, and Day 8. Comparison are made between the two groups. The significance (p value) is also calculated between the groups.

Day 1 (baseline)
GroupValue95% CI
RiaGev327.10± 42.87
Comparator324.94± 58.55
Day 3
GroupValue95% CI
RiaGev351.18± 75.71
Comparator345.98± 102.56
Day 5
GroupValue95% CI
RiaGev353.28± 82.03
Comparator329.27± 94.34
Day 8
GroupValue95% CI
RiaGev330.40± 41.89
Comparator326.20± 45.46
The Waking Salivary Cortisol Level After RiaGev Supplementation Secondary · 7 days

The salivary cortisol level after a 7-day supplementation with either RiaGev™ or comparator. The measurement take place on Day 1, 3, 5, and 8. The salivary cortisol level as well as change of salivary cortisol level over baseline (Day 1) are reported. Comparisons are make both between the RiaGev and Comparison groups as well as within RiaGev group against its Day 1 baseline. The corresponding significance (p value) will be calculated.

Day 1 (baseline)
GroupValue95% CI
RiaGev0.43± 0.15
Comparator0.51± 0.24
Day 3
GroupValue95% CI
RiaGev0.40± 0.19
Comparator0.47± 0.19
Day 5
GroupValue95% CI
RiaGev0.41± 0.32
Comparator0.57± 0.29
Day 8
GroupValue95% CI
RiaGev0.38± 0.18
Comparator0.51± 0.22
Day 3 over Day 1
GroupValue95% CI
RiaGev-0.03± 0.18
Comparator-0.04± 0.26
Day 5 over Day 1
GroupValue95% CI
RiaGev-0.02± 0.34
Comparator0.07± 0.36
Day 8 over Day 1
GroupValue95% CI
RiaGev-0.05± 0.19
Comparator0.00± 0.28
The Change in Checklist Individual Strength (CIS) Questionnaire Outcome After a 7-day Supplementation With Either RiaGev™ or Comparator. Secondary · 7 days

Checklist Individual Strength (CIS) Questionnaire was designed by the Dutch research team of Vercoulen et el, to measure fatigues. A standard CIS Questionnaire contains 20 questions, each scoring 1 to 7, total score 20 - 140, with higher score indicating more tiredness. Thus, a negative value in changing score (such as Day 5 - Day 1 baseline) means reduction of tiredness and verse versa.

Day 3 over Day 1
GroupValue95% CI
RiaGev-9.78± 13.45
Comparator-4.28± 5.93
Day 5 over Day 1
GroupValue95% CI
RiaGev-8.33± 12.99
Comparator-2.56± 5.66
Day 8 over Day 1
GroupValue95% CI
RiaGev-5.78± 16.27
Comparator-1.67± 7.54
The Number of Out-of-norm Clinical Chemistry Parameters When Supplemented With RiaGev or Comparator Secondary · 7 days

The number of out-of-norm incidence (as indicator of safety) will be reported. Clinical chemistry parameters including alanine aminotransferase (ALT), aspartate aminotransferase (AST), total bilirubin, creatinine, electrolytes (Na, K, Cl), fasting glucose. When a parameter is within normal limit, it will been reported as 0 out-of-norm.

Creatine Clearance
GroupValue95% CI
RiaGev0
Comparator0
Creatinine
GroupValue95% CI
RiaGev0
Comparator0
Fasting Blood Glucose
GroupValue95% CI
RiaGev0
Comparator0
Aspartate Transaminase (AST)
GroupValue95% CI
RiaGev0
Comparator0
Alanine Transaminase (ALT)
GroupValue95% CI
RiaGev0
Comparator0
Chloride
GroupValue95% CI
RiaGev0
Comparator0
Potassium
GroupValue95% CI
RiaGev0
Comparator0
Sodium
GroupValue95% CI
RiaGev0
Comparator0
The Number of Out-of-norm Hematology Parameters When Supplemented With RiaGev or Comparator. Secondary · 7 days

The number of out-of-norm hematology parameter incidence (as indicator of safety) will be reported. Hematology parameters include white blood cell (WBC) count with differential (neutrophils, lymphocytes, monocytes, eosinophils, basophils), red blood cell (RBC) count, hemoglobin, hematocrit, platelet count, RBC indices (mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), mean corpuscular hemoglobin concentration (MCHC), red cell distribution width (RDW). When a parameter is within normal limits, it is reported as 0 out-of-norm.

White Blood Cell Counts
GroupValue95% CI
RiaGev0
Comparator0
Red Blood Cell Counts
GroupValue95% CI
RiaGev0
Comparator0
Hemoglobin
GroupValue95% CI
RiaGev0
Comparator0
Hemotocrit
GroupValue95% CI
RiaGev0
Comparator0
Mean Corpuscular Volume
GroupValue95% CI
RiaGev0
Comparator0
Mean Corpuscular Hemoglobin
GroupValue95% CI
RiaGev0
Comparator0
Mean Corpuscular Hemoglobin Concentration
GroupValue95% CI
RiaGev0
Comparator0
Red Blood Cell Distribution Width
GroupValue95% CI
RiaGev0
Comparator0
The Number of Out-of-norm Vital Signs When Supplemented With RiaGev or Comparator Secondary · 7 days

Vital signs include blood pressure (BP) and heart rate (HR). The number of out-of-norm incidence will be reported. When a parameter is within normal limits, it is reported as 0 out-of-norm.

Systolic Pressure
GroupValue95% CI
RiaGev0
Comparator0
Diastolic Pressure
GroupValue95% CI
RiaGev0
Comparator0
Heart Rate
GroupValue95% CI
RiaGev0
Comparator0

Adverse events — posted to ClinicalTrials.gov

Time frame: 22 days. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

RiaGev
Serious: 0/18 (0%)
Deaths: 0/18
Comparator
Serious: 0/17 (0%)
Deaths: 0/17
Other adverse events (3 terms — click to expand)

ReactionSystemRiaGevComparator
AstheniaGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
ArthralgiaMusculoskeletal and connective tissue disorders

Data from ClinicalTrials.gov NCT04483011 adverse events section.

Sponsor's own description

This current randomized, double-blind, comparator-controlled, cross over study investigates the efficacy and safety of RiaGev™ via evaluation of NAD+, ATP, glucose, insulin, glutathione, and cortisol levels in healthy adults of ages 36-65.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Nicotinamide phosphoribosyltransferase in NAD<sup>+</sup> metabolism: physiological and pathophysiological implications.
    Zhang W, Ren H, Chen W, Hu B, et al · · 2025 · cited 12× · PMID 40775221 · DOI 10.1038/s41420-025-02672-w
  2. A Combination of Nicotinamide and D-Ribose (RiaGev) Is Safe and Effective to Increase NAD<sup>+</sup> Metabolome in Healthy Middle-Aged Adults: A Randomized, Triple-Blind, Placebo-Controlled, Cross-Over Pilot Clinical Trial.
    Xue Y, Shamp T, Nagana Gowda GA, Crabtree M, et al · · 2022 · cited 12× · PMID 35684021 · DOI 10.3390/nu14112219

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04483011.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing