Study

NICE-PAD II Trial: Nicotinamide Riboside for Peripheral Artery Disease (Phase 3)

Mary M. McDermott, Northwestern University

PHASE 3 RANDOMIZED CONTROLLED TRIAL, NOT YET RECRUITING (REGISTRY UPDATE) Tier 3 2026

Phase 3 trial of nicotinamide riboside for peripheral artery disease, registered August 2026, not yet recruiting.

DesignPHASE 3 RANDOMIZED CONTROLLED TRIAL, NOT YET RECRUITING (REGISTRY UPDATE)
TierTier 3, Mixed human evidence, mechanism plausible
Year2026
JournalClinicalTrials.gov registry
Published2026 Aug 24
Added to NO1GEVITYAug 25, 2026

NICE-PAD II (NCT07782671) is a Phase 3 randomized trial testing nicotinamide riboside (NR) in people with lower-extremity peripheral artery disease. The trial was registered on ClinicalTrials.gov with a last-update date of 2026-08-24 and a status of not yet recruiting. It is a follow-up to the original NICE trial (NCT03743636), published in Nature Communications in 2024 (PMID 38871717), which tested 6 months of NR with and without resveratrol in 90 people with PAD. The original trial measured 6-minute walk distance at 6-month follow-up. NICE-PAD II is sponsored by Mary M. McDermott, MD, at Northwestern University. No enrollment target, primary outcome data, or results have been posted yet. The trial registration confirms continued academic interest in NR for vascular function but provides no new efficacy or safety evidence at this stage.

Phase 3 trial, not yet recruiting. No results available. Registered 2026-08-24.
Critic notes

Registry entry only. No results, sample size, or primary outcome posted yet. Cannot support efficacy claims for NR. Follows the original NICE trial (PMID 38871717), which had mixed results on walking outcomes. NR is already well-studied in human RCTs; this new registration does not change the existing evidence grade.

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