Evaluation of Nicotinamide Riboside in Prevention of Small Fiber Axon Degeneration and Promotion of Nerve Regeneration
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|ClinicalTrials.gov Identifier: NCT03912220|
Recruitment Status : Not yet recruiting
First Posted : April 11, 2019
Last Update Posted : August 13, 2019
|Condition or disease||Intervention/treatment||Phase|
|Small Fiber Neuropathy||Drug: Nicotinamide riboside Drug: Placebo Oral Tablet||Phase 2|
Small fiber neuropathy (SFN) is a type of peripheral neuropathy that affects the small unmyelinated fibers, including both somatic innervation of the skin and autonomic nerves. Although diabetes and prediabetes are the two most common causes, up to 50% of all SFN remain idiopathic. Currently there is no effective treatment that prevents it or reverses it through regeneration of nerve fibers.
Recent advances in understanding the molecular machinery that mediates Wallerian degeneration (i.e. degeneration of nerve fibers after physical transection) showed that key molecular players in this pathway and nicotinamide (NAD+) metabolites play a similar role in degeneration of axons in a distal-to-proximal manner seen in many peripheral neuropathies including SFN. Pre-clinical studies have shown that rapid depletion of NAD initiates a cascade of molecular events that leads to axon degeneration and that supplementation of a NAD precursor, nicotinamide riboside (NR) can prevent this degeneration.
In this study investigators plan to evaluate the ability of NR to prevent degeneration of small somatic sensory axons innervating the epidermis as well as its ability to promote regeneration of these same fibers in a human experimental model of nerve degeneration and regeneration. This experimental human model has been used previously to evaluate the rate of nerve degeneration and regeneration in several peripheral neuropathies and in healthy subjects.
Since NR is available as a nutritional supplement, if successful, this research can lead to development of a therapy for a variety of peripheral neuropathies very rapidly.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||40 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Double (Participant, Outcomes Assessor)|
|Official Title:||Evaluation of Nicotinamide Riboside in Prevention of Small Fiber Axon Degeneration and Promotion of Nerve Regeneration|
|Estimated Study Start Date :||November 2019|
|Estimated Primary Completion Date :||October 2021|
|Estimated Study Completion Date :||October 2021|
Experimental: Nicotinamide Riboside
Experimental group of participants will receive Nicotinamide riboside at a dose of 900 mg twice a day orally.
Drug: Nicotinamide riboside
The experimental arm will investigate the effects of nicotinamide riboside on nerve degeneration and regeneration.
Placebo Comparator: Placebo
Study participants in the placebo arm will receive placebo pills that are similar in size and shape to the experimental group drug.
Drug: Placebo Oral Tablet
Placebo drug that looks like the experimental drug, nicotinamide riboside tablets.
- Denervation of skin [ Time Frame: 2 days ]Examination of degree of denervation of skin after experimental denervation by capsaicin. The skin biopsies will be stained for a pan-axonal marker and the number of intraepidermal nerve fibers per mm of skin will be counted and compared to baseline skin biopsy.
- Reinnervation of skin [ Time Frame: 3 months ]Examination of degree of re-innervation of skin after experimental denervation by capsaicin. The skin biopsies will be stained for a pan-axonal marker and the number of intraepidermal nerve fibers per mm of skin will be counted and compared to epidermal nerve fiber density after capsaicin application.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03912220
|United States, Maryland|
|Johns Hopkins Hospital||Not yet recruiting|
|Baltimore, Maryland, United States, 21205|
|Contact: Simone Thomas 410-614-4188 firstname.lastname@example.org|
|Principal Investigator: Ahmet Hoke, MD, PhD|