Trial Outcomes & Findings for NAD+ and Exercise in FA (NCT NCT04192136)

NCT ID: NCT04192136

Last Updated: 2026-03-11

Results Overview

Peak V02 will be assessed by completion of an incremental symptom-limited cardio-pulmonary Exercise Stress Test (EST) on a recumbent leg cycle ergometer. The index is based on the change in peak V02 given in liters per minute (L/min), and a higher value indicates greater oxygen uptake.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

75 participants

Primary outcome timeframe

Baseline to 12 Weeks

Results posted on

2026-03-11

Participant Flow

Once consent was obtained, participants were reviewed for eligibility and inclusion in the trial. Individuals meeting criteria were randomized. In total, 75 participants signed informed consent. There was 1 withdrawal of consent prior to in-person screening (ankle injury). 74 completed in-person screening. 8 were considered ineligible after screening due to: not reaching cadence during CPET (7) and not able to complete blood draw (1)

Participant milestones

Participant milestones
Measure
Nicotinamide Riboside (NR)
Investigators will use Good Manufacturing Process (GMP)-grade 300 mg capsules of the dietary supplement nicotinamide riboside (ChromaDex, Irvine CA). Investigators dose based on body weight, and monitor for adverse effects (AEs). For individuals with weight \> 72 kg: 900 mg po qd x 12 wks. For individuals with weight \> 48 kg and ≤ 72 kg: 600 mg po qd x 12 wks. For individuals with weight 24 ≤ 48 kg: 300 mg po qd x 12 wks. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside (ChromaDex, Irvine CA). NR is distributed by ChromaDex, Inc., Irvine, CA. NR is available as 300 mg capsules. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules.
Placebo
Matched placebo will contain the same excipients without the active supplement and is generally recognized as safe. The placebo will be covered in an identical capsule (NR will be covered in the same capsule). Doses of placebo will match the body weight schema for dosing of NR. Investigators dose based on body weight, and monitor for adverse effects (AEs). For individuals with weight \> 72 kg: 900 mg po qd x 12 wks. For individuals with weight \> 48 kg and ≤ 72 kg: 600 mg po qd x 12 wks. For individuals with weight 24 ≤ 48 kg: 300 mg po qd x 12 wks. Placebo: The matched placebo will contain the same excipients without the active supplement and is generally recognized as safe. The placebo will be covered in an identical capsule (NR will be covered in the same capsule).
Exercise Intervention and NR
The exercise program consists of at-home training sessions: 3 aerobic sessions per week on the in-home bike trainer, and 2 resistance exercise sessions per week using resistance bands. All sessions will begin with stretching and brief aerobic warm-up exercise on the in-home bike trainer. On resistance days, subjects will be given instructions to complete circuits of resistance exercises. Participants in this arm will receive both the Exercise Intervention and the NR. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside, distributed by ChromaDex, Inc., Irvine, CA. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules. Exercise Intervention: On aerobic days, subjects will be given instruction on a recumbent Catrike trainer, titrated such that they spend 20 minutes at their target heart rate as determined by baseline Exercise Stress Test (EST) (60-80% of their heart rate at peak VO2) and as measured by their wearable device. On resistance days, subjects will be instructed to complete circuits of resistance exercises. Training intensity (as determined by graded resistance bands) will be maintained at 60% of pre-training maximal voluntary contraction for each muscle group.
Exercise Intervention and Placebo
The exercise program consists of at-home training sessions: 3 aerobic sessions per week on the in-home bike trainer, and 2 resistance exercise sessions per week using resistance bands. All sessions will begin with stretching and brief aerobic warm-up exercise on the in-home bike trainer. On resistance days, subjects will be given instructions to complete circuits of resistance exercises. Participants in this arm will receive both the Exercise Intervention and the NR. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside, distributed by ChromaDex, Inc., Irvine, CA. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules. Exercise Intervention: On aerobic days, subjects will be given instruction on a recumbent Catrike trainer, titrated such that they spend 20 minutes at their target heart rate as determined by baseline Exercise Stress Test (EST) (60-80% of their heart rate at peak VO2) and as measured by their wearable device. On resistance days, subjects will be instructed to complete circuits of resistance exercises. Training intensity (as determined by graded resistance bands) will be maintained at 60% of pre-training maximal voluntary contraction for each muscle group.
Patients Not Randomized
Patients who signed consent but did not meet eligibility for the study, and did not proceed to randomization
Overall Study
STARTED
17
17
16
16
9
Overall Study
COMPLETED
17
17
16
16
0
Overall Study
NOT COMPLETED
0
0
0
0
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Nicotinamide Riboside (NR)
Investigators will use Good Manufacturing Process (GMP)-grade 300 mg capsules of the dietary supplement nicotinamide riboside (ChromaDex, Irvine CA). Investigators dose based on body weight, and monitor for adverse effects (AEs). For individuals with weight \> 72 kg: 900 mg po qd x 12 wks. For individuals with weight \> 48 kg and ≤ 72 kg: 600 mg po qd x 12 wks. For individuals with weight 24 ≤ 48 kg: 300 mg po qd x 12 wks. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside (ChromaDex, Irvine CA). NR is distributed by ChromaDex, Inc., Irvine, CA. NR is available as 300 mg capsules. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules.
Placebo
Matched placebo will contain the same excipients without the active supplement and is generally recognized as safe. The placebo will be covered in an identical capsule (NR will be covered in the same capsule). Doses of placebo will match the body weight schema for dosing of NR. Investigators dose based on body weight, and monitor for adverse effects (AEs). For individuals with weight \> 72 kg: 900 mg po qd x 12 wks. For individuals with weight \> 48 kg and ≤ 72 kg: 600 mg po qd x 12 wks. For individuals with weight 24 ≤ 48 kg: 300 mg po qd x 12 wks. Placebo: The matched placebo will contain the same excipients without the active supplement and is generally recognized as safe. The placebo will be covered in an identical capsule (NR will be covered in the same capsule).
Exercise Intervention and NR
The exercise program consists of at-home training sessions: 3 aerobic sessions per week on the in-home bike trainer, and 2 resistance exercise sessions per week using resistance bands. All sessions will begin with stretching and brief aerobic warm-up exercise on the in-home bike trainer. On resistance days, subjects will be given instructions to complete circuits of resistance exercises. Participants in this arm will receive both the Exercise Intervention and the NR. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside, distributed by ChromaDex, Inc., Irvine, CA. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules. Exercise Intervention: On aerobic days, subjects will be given instruction on a recumbent Catrike trainer, titrated such that they spend 20 minutes at their target heart rate as determined by baseline Exercise Stress Test (EST) (60-80% of their heart rate at peak VO2) and as measured by their wearable device. On resistance days, subjects will be instructed to complete circuits of resistance exercises. Training intensity (as determined by graded resistance bands) will be maintained at 60% of pre-training maximal voluntary contraction for each muscle group.
Exercise Intervention and Placebo
The exercise program consists of at-home training sessions: 3 aerobic sessions per week on the in-home bike trainer, and 2 resistance exercise sessions per week using resistance bands. All sessions will begin with stretching and brief aerobic warm-up exercise on the in-home bike trainer. On resistance days, subjects will be given instructions to complete circuits of resistance exercises. Participants in this arm will receive both the Exercise Intervention and the NR. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside, distributed by ChromaDex, Inc., Irvine, CA. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules. Exercise Intervention: On aerobic days, subjects will be given instruction on a recumbent Catrike trainer, titrated such that they spend 20 minutes at their target heart rate as determined by baseline Exercise Stress Test (EST) (60-80% of their heart rate at peak VO2) and as measured by their wearable device. On resistance days, subjects will be instructed to complete circuits of resistance exercises. Training intensity (as determined by graded resistance bands) will be maintained at 60% of pre-training maximal voluntary contraction for each muscle group.
Patients Not Randomized
Patients who signed consent but did not meet eligibility for the study, and did not proceed to randomization
Overall Study
Withdrawal by Subject
0
0
0
0
1
Overall Study
could not reach required cadence during CPET at Baseline Visit
0
0
0
0
7
Overall Study
not able to complete blood draw at Baseline visit
0
0
0
0
1

Baseline Characteristics

NAD+ and Exercise in FA

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Nicotinamide Riboside (NR)
n=17 Participants
Investigators will use Good Manufacturing Process (GMP)-grade 300 mg capsules of the dietary supplement nicotinamide riboside (ChromaDex, Irvine CA). Investigators dose based on body weight, and monitor for adverse effects (AEs). For individuals with weight \> 72 kg: 900 mg po qd x 12 wks. For individuals with weight \> 48 kg and ≤ 72 kg: 600 mg po qd x 12 wks. For individuals with weight 24 ≤ 48 kg: 300 mg po qd x 12 wks. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside (ChromaDex, Irvine CA). NR is distributed by ChromaDex, Inc., Irvine, CA. NR is available as 300 mg capsules. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules.
Placebo
n=17 Participants
Matched placebo will contain the same excipients without the active supplement and is generally recognized as safe. The placebo will be covered in an identical capsule (NR will be covered in the same capsule). Doses of placebo will match the body weight schema for dosing of NR. Investigators dose based on body weight, and monitor for adverse effects (AEs). For individuals with weight \> 72 kg: 900 mg po qd x 12 wks. For individuals with weight \> 48 kg and ≤ 72 kg: 600 mg po qd x 12 wks. For individuals with weight 24 ≤ 48 kg: 300 mg po qd x 12 wks. Placebo: The matched placebo will contain the same excipients without the active supplement and is generally recognized as safe. The placebo will be covered in an identical capsule (NR will be covered in the same capsule).
Exercise Intervention and NR
n=16 Participants
The exercise program consists of at-home training sessions: 3 aerobic sessions per week on the in-home bike trainer, and 2 resistance exercise sessions per week using resistance bands. All sessions will begin with stretching and brief aerobic warm-up exercise on the in-home bike trainer. On resistance days, subjects will be given instructions to complete circuits of resistance exercises. Participants in this arm will receive both the Exercise Intervention and the NR. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside, distributed by ChromaDex, Inc., Irvine, CA. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules. Exercise Intervention: On aerobic days, subjects will be given instruction on a recumbent Catrike trainer, titrated such that they spend 20 minutes at their target heart rate as determined by baseline Exercise Stress Test (EST) (60-80% of their heart rate at peak VO2) and as measured by their wearable device. On resistance days, subjects will be instructed to complete circuits of resistance exercises. Training intensity (as determined by graded resistance bands) will be maintained at 60% of pre-training maximal voluntary contraction for each muscle group.
Exercise Intervention and Placebo
n=16 Participants
The exercise program consists of at-home training sessions: 3 aerobic sessions per week on the in-home bike trainer, and 2 resistance exercise sessions per week using resistance bands. All sessions will begin with stretching and brief aerobic warm-up exercise on the in-home bike trainer. On resistance days, subjects will be given instructions to complete circuits of resistance exercises. Participants in this arm will receive both the Exercise Intervention and the NR. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside, distributed by ChromaDex, Inc., Irvine, CA. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules. Exercise Intervention: On aerobic days, subjects will be given instruction on a recumbent Catrike trainer, titrated such that they spend 20 minutes at their target heart rate as determined by baseline Exercise Stress Test (EST) (60-80% of their heart rate at peak VO2) and as measured by their wearable device. On resistance days, subjects will be instructed to complete circuits of resistance exercises. Training intensity (as determined by graded resistance bands) will be maintained at 60% of pre-training maximal voluntary contraction for each muscle group.
Total
n=66 Participants
Total of all reporting groups
Age, Continuous
17.1 years
n=9 Participants
19.6 years
n=9 Participants
18.5 years
n=18 Participants
18.2 years
n=15 Participants
18.1 years
n=60 Participants
Sex: Female, Male
Female
5 Participants
n=9 Participants
6 Participants
n=9 Participants
9 Participants
n=18 Participants
9 Participants
n=15 Participants
29 Participants
n=60 Participants
Sex: Female, Male
Male
12 Participants
n=9 Participants
11 Participants
n=9 Participants
7 Participants
n=18 Participants
7 Participants
n=15 Participants
37 Participants
n=60 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=9 Participants
0 Participants
n=9 Participants
1 Participants
n=18 Participants
1 Participants
n=15 Participants
5 Participants
n=60 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
13 Participants
n=9 Participants
14 Participants
n=9 Participants
15 Participants
n=18 Participants
14 Participants
n=15 Participants
56 Participants
n=60 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=9 Participants
3 Participants
n=9 Participants
0 Participants
n=18 Participants
1 Participants
n=15 Participants
5 Participants
n=60 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=9 Participants
0 Participants
n=9 Participants
0 Participants
n=18 Participants
0 Participants
n=15 Participants
0 Participants
n=60 Participants
Race (NIH/OMB)
Asian
0 Participants
n=9 Participants
0 Participants
n=9 Participants
1 Participants
n=18 Participants
0 Participants
n=15 Participants
1 Participants
n=60 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=9 Participants
0 Participants
n=9 Participants
0 Participants
n=18 Participants
0 Participants
n=15 Participants
0 Participants
n=60 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=9 Participants
0 Participants
n=9 Participants
0 Participants
n=18 Participants
0 Participants
n=15 Participants
0 Participants
n=60 Participants
Race (NIH/OMB)
White
14 Participants
n=9 Participants
13 Participants
n=9 Participants
15 Participants
n=18 Participants
13 Participants
n=15 Participants
55 Participants
n=60 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=9 Participants
1 Participants
n=9 Participants
0 Participants
n=18 Participants
1 Participants
n=15 Participants
2 Participants
n=60 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=9 Participants
3 Participants
n=9 Participants
0 Participants
n=18 Participants
2 Participants
n=15 Participants
8 Participants
n=60 Participants
Region of Enrollment
United States
17 participants
n=9 Participants
17 participants
n=9 Participants
16 participants
n=18 Participants
16 participants
n=15 Participants
66 participants
n=60 Participants

PRIMARY outcome

Timeframe: Baseline to 12 Weeks

Population: One individual in the Placebo group did not attempt a CPET at week 12 because of an intercurrent foot injury, and thus did not contribute to the analysis for the main outcome

Peak V02 will be assessed by completion of an incremental symptom-limited cardio-pulmonary Exercise Stress Test (EST) on a recumbent leg cycle ergometer. The index is based on the change in peak V02 given in liters per minute (L/min), and a higher value indicates greater oxygen uptake.

Outcome measures

Outcome measures
Measure
Nicotinamide Riboside (NR)
n=17 Participants
Investigators will use Good Manufacturing Process (GMP)-grade 300 mg capsules of the dietary supplement nicotinamide riboside (ChromaDex, Irvine CA). Investigators dose based on body weight, and monitor for adverse effects (AEs). For individuals with weight \> 72 kg: 900 mg po qd x 12 wks. For individuals with weight \> 48 kg and ≤ 72 kg: 600 mg po qd x 12 wks. For individuals with weight 24 ≤ 48 kg: 300 mg po qd x 12 wks. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside (ChromaDex, Irvine CA). NR is distributed by ChromaDex, Inc., Irvine, CA. NR is available as 300 mg capsules. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules.
Placebo
n=16 Participants
Matched placebo will contain the same excipients without the active supplement and is generally recognized as safe. The placebo will be covered in an identical capsule (NR will be covered in the same capsule). Doses of placebo will match the body weight schema for dosing of NR. Investigators dose based on body weight, and monitor for adverse effects (AEs). For individuals with weight \> 72 kg: 900 mg po qd x 12 wks. For individuals with weight \> 48 kg and ≤ 72 kg: 600 mg po qd x 12 wks. For individuals with weight 24 ≤ 48 kg: 300 mg po qd x 12 wks. Placebo: The matched placebo will contain the same excipients without the active supplement and is generally recognized as safe. The placebo will be covered in an identical capsule (NR will be covered in the same capsule).
Exercise Intervention and NR
n=16 Participants
The exercise program consists of at-home training sessions: 3 aerobic sessions per week on the in-home bike trainer, and 2 resistance exercise sessions per week using resistance bands. All sessions will begin with stretching and brief aerobic warm-up exercise on the in-home bike trainer. On resistance days, subjects will be given instructions to complete circuits of resistance exercises. Participants in this arm will receive both the Exercise Intervention and the NR. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside, distributed by ChromaDex, Inc., Irvine, CA. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules. Exercise Intervention: On aerobic days, subjects will be given instruction on a recumbent Catrike trainer, titrated such that they spend 20 minutes at their target heart rate as determined by baseline Exercise Stress Test (EST) (60-80% of their heart rate at peak VO2) and as measured by their wearable device. On resistance days, subjects will be instructed to complete circuits of resistance exercises. Training intensity (as determined by graded resistance bands) will be maintained at 60% of pre-training maximal voluntary contraction for each muscle group.
Exercise Intervention and Placebo
n=16 Participants
The exercise program consists of at-home training sessions: 3 aerobic sessions per week on the in-home bike trainer, and 2 resistance exercise sessions per week using resistance bands. All sessions will begin with stretching and brief aerobic warm-up exercise on the in-home bike trainer. On resistance days, subjects will be given instructions to complete circuits of resistance exercises. Participants in this arm will receive both the Exercise Intervention and the NR. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside, distributed by ChromaDex, Inc., Irvine, CA. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules. Exercise Intervention: On aerobic days, subjects will be given instruction on a recumbent Catrike trainer, titrated such that they spend 20 minutes at their target heart rate as determined by baseline Exercise Stress Test (EST) (60-80% of their heart rate at peak VO2) and as measured by their wearable device. On resistance days, subjects will be instructed to complete circuits of resistance exercises. Training intensity (as determined by graded resistance bands) will be maintained at 60% of pre-training maximal voluntary contraction for each muscle group.
Within-Participant Change in Peak V02 (Maximal Oxygen Uptake on Cardiopulmonary Exercise Testing)
0.06 L/min
Interval -0.06 to 0.14
-0.06 L/min
Interval -0.15 to 0.08
0.1 L/min
Interval 0.02 to 0.23
0.03 L/min
Interval -0.06 to 0.22

SECONDARY outcome

Timeframe: Baseline to 12 Weeks

Population: Two individuals each had one result missing due to not completing the full OGTT testing, and thus did not contribute to the analysis for the secondary outcome

Whole Body Insulin Sensitivity (Si) will be assessed by completion of a stable isotope tracer-enhanced Oral Glucose Tolerance Test (OGTT). Samples will be collected at 10 time points for analysis. The unit of measure is based on the change insulin values given in microunits per milliliter (μU/mL) and those of glucose, in milligrams per deciliter, and a higher value indicates greater insulin sensitivity. The whole body insulin sensitivity index (WBISI), also known as the Matsuda index or composite ISI, is dimensionless (unitless).

Outcome measures

Outcome measures
Measure
Nicotinamide Riboside (NR)
n=17 Participants
Investigators will use Good Manufacturing Process (GMP)-grade 300 mg capsules of the dietary supplement nicotinamide riboside (ChromaDex, Irvine CA). Investigators dose based on body weight, and monitor for adverse effects (AEs). For individuals with weight \> 72 kg: 900 mg po qd x 12 wks. For individuals with weight \> 48 kg and ≤ 72 kg: 600 mg po qd x 12 wks. For individuals with weight 24 ≤ 48 kg: 300 mg po qd x 12 wks. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside (ChromaDex, Irvine CA). NR is distributed by ChromaDex, Inc., Irvine, CA. NR is available as 300 mg capsules. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules.
Placebo
n=17 Participants
Matched placebo will contain the same excipients without the active supplement and is generally recognized as safe. The placebo will be covered in an identical capsule (NR will be covered in the same capsule). Doses of placebo will match the body weight schema for dosing of NR. Investigators dose based on body weight, and monitor for adverse effects (AEs). For individuals with weight \> 72 kg: 900 mg po qd x 12 wks. For individuals with weight \> 48 kg and ≤ 72 kg: 600 mg po qd x 12 wks. For individuals with weight 24 ≤ 48 kg: 300 mg po qd x 12 wks. Placebo: The matched placebo will contain the same excipients without the active supplement and is generally recognized as safe. The placebo will be covered in an identical capsule (NR will be covered in the same capsule).
Exercise Intervention and NR
n=14 Participants
The exercise program consists of at-home training sessions: 3 aerobic sessions per week on the in-home bike trainer, and 2 resistance exercise sessions per week using resistance bands. All sessions will begin with stretching and brief aerobic warm-up exercise on the in-home bike trainer. On resistance days, subjects will be given instructions to complete circuits of resistance exercises. Participants in this arm will receive both the Exercise Intervention and the NR. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside, distributed by ChromaDex, Inc., Irvine, CA. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules. Exercise Intervention: On aerobic days, subjects will be given instruction on a recumbent Catrike trainer, titrated such that they spend 20 minutes at their target heart rate as determined by baseline Exercise Stress Test (EST) (60-80% of their heart rate at peak VO2) and as measured by their wearable device. On resistance days, subjects will be instructed to complete circuits of resistance exercises. Training intensity (as determined by graded resistance bands) will be maintained at 60% of pre-training maximal voluntary contraction for each muscle group.
Exercise Intervention and Placebo
n=16 Participants
The exercise program consists of at-home training sessions: 3 aerobic sessions per week on the in-home bike trainer, and 2 resistance exercise sessions per week using resistance bands. All sessions will begin with stretching and brief aerobic warm-up exercise on the in-home bike trainer. On resistance days, subjects will be given instructions to complete circuits of resistance exercises. Participants in this arm will receive both the Exercise Intervention and the NR. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside, distributed by ChromaDex, Inc., Irvine, CA. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules. Exercise Intervention: On aerobic days, subjects will be given instruction on a recumbent Catrike trainer, titrated such that they spend 20 minutes at their target heart rate as determined by baseline Exercise Stress Test (EST) (60-80% of their heart rate at peak VO2) and as measured by their wearable device. On resistance days, subjects will be instructed to complete circuits of resistance exercises. Training intensity (as determined by graded resistance bands) will be maintained at 60% of pre-training maximal voluntary contraction for each muscle group.
Within-Participant Change in Whole Body Insulin Sensitivity (Si)
-0.23 Unitless Index Value
Interval -0.48 to 0.38
-0.11 Unitless Index Value
Interval -1.08 to 0.35
-0.31 Unitless Index Value
Interval -0.92 to 0.41
-0.51 Unitless Index Value
Interval -1.07 to 0.07

Adverse Events

Nicotinamide Riboside (NR)

Serious events: 0 serious events
Other events: 17 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 17 other events
Deaths: 0 deaths

Exercise Intervention and NR

Serious events: 0 serious events
Other events: 16 other events
Deaths: 0 deaths

Exercise Intervention and Placebo

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Nicotinamide Riboside (NR)
n=17 participants at risk
Investigators will use Good Manufacturing Process (GMP)-grade 300 mg capsules of the dietary supplement nicotinamide riboside (ChromaDex, Irvine CA). Investigators dose based on body weight, and monitor for adverse effects (AEs). For individuals with weight \> 72 kg: 900 mg po qd x 12 wks. For individuals with weight \> 48 kg and ≤ 72 kg: 600 mg po qd x 12 wks. For individuals with weight 24 ≤ 48 kg: 300 mg po qd x 12 wks. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside (ChromaDex, Irvine CA). NR is distributed by ChromaDex, Inc., Irvine, CA. NR is available as 300 mg capsules. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules.
Placebo
n=17 participants at risk
Matched placebo will contain the same excipients without the active supplement and is generally recognized as safe. The placebo will be covered in an identical capsule (NR will be covered in the same capsule). Doses of placebo will match the body weight schema for dosing of NR. Investigators dose based on body weight, and monitor for adverse effects (AEs). For individuals with weight \> 72 kg: 900 mg po qd x 12 wks. For individuals with weight \> 48 kg and ≤ 72 kg: 600 mg po qd x 12 wks. For individuals with weight 24 ≤ 48 kg: 300 mg po qd x 12 wks. Placebo: The matched placebo will contain the same excipients without the active supplement and is generally recognized as safe. The placebo will be covered in an identical capsule (NR will be covered in the same capsule).
Exercise Intervention and NR
n=16 participants at risk
The exercise program consists of at-home training sessions: 3 aerobic sessions per week on the in-home bike trainer, and 2 resistance exercise sessions per week using resistance bands. All sessions will begin with stretching and brief aerobic warm-up exercise on the in-home bike trainer. On resistance days, subjects will be given instructions to complete circuits of resistance exercises. Participants in this arm will receive both the Exercise Intervention and the NR. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside, distributed by ChromaDex, Inc., Irvine, CA. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules. Exercise Intervention: On aerobic days, subjects will be given instruction on a recumbent Catrike trainer, titrated such that they spend 20 minutes at their target heart rate as determined by baseline Exercise Stress Test (EST) (60-80% of their heart rate at peak VO2) and as measured by their wearable device. On resistance days, subjects will be instructed to complete circuits of resistance exercises. Training intensity (as determined by graded resistance bands) will be maintained at 60% of pre-training maximal voluntary contraction for each muscle group.
Exercise Intervention and Placebo
n=16 participants at risk
The exercise program consists of at-home training sessions: 3 aerobic sessions per week on the in-home bike trainer, and 2 resistance exercise sessions per week using resistance bands. All sessions will begin with stretching and brief aerobic warm-up exercise on the in-home bike trainer. On resistance days, subjects will be given instructions to complete circuits of resistance exercises. Participants in this arm will receive both the Exercise Intervention and the NR. Nicotinamide Riboside: Investigators will use (Good Manufacturing Process) GMP-grade 300 mg capsules of the dietary supplement nicotinamide riboside, distributed by ChromaDex, Inc., Irvine, CA. The dietary supplement will be re-labeled by the Hospital of the University of Pennsylvania (HUP) Investigational Drug Service according to FDA regulations, including subject and physician name and NR or Placebo 300 mg capsules. Exercise Intervention: On aerobic days, subjects will be given instruction on a recumbent Catrike trainer, titrated such that they spend 20 minutes at their target heart rate as determined by baseline Exercise Stress Test (EST) (60-80% of their heart rate at peak VO2) and as measured by their wearable device. On resistance days, subjects will be instructed to complete circuits of resistance exercises. Training intensity (as determined by graded resistance bands) will be maintained at 60% of pre-training maximal voluntary contraction for each muscle group.
Infections and infestations
Upper Respiratory Infection
35.3%
6/17 • Number of events 7 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
41.2%
7/17 • Number of events 7 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
31.2%
5/16 • Number of events 5 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
31.2%
5/16 • Number of events 5 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
Injury, poisoning and procedural complications
Injury and Procedural Complications
41.2%
7/17 • Number of events 9 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
52.9%
9/17 • Number of events 15 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
18.8%
3/16 • Number of events 4 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
25.0%
4/16 • Number of events 4 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
Infections and infestations
Investigations
23.5%
4/17 • Number of events 6 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
23.5%
4/17 • Number of events 6 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
25.0%
4/16 • Number of events 6 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
12.5%
2/16 • Number of events 4 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
Metabolism and nutrition disorders
Metabolism and Nutrition Disorders
41.2%
7/17 • Number of events 9 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
47.1%
8/17 • Number of events 12 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
43.8%
7/16 • Number of events 8 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
50.0%
8/16 • Number of events 10 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
Vascular disorders
Flushing
5.9%
1/17 • Number of events 1 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
5.9%
1/17 • Number of events 1 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
12.5%
2/16 • Number of events 2 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
6.2%
1/16 • Number of events 1 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
Musculoskeletal and connective tissue disorders
Musculoskeletal and Connective Tissue Disorders
58.8%
10/17 • Number of events 12 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
35.3%
6/17 • Number of events 6 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
31.2%
5/16 • Number of events 6 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
43.8%
7/16 • Number of events 8 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
Nervous system disorders
Nervous System Disorders
52.9%
9/17 • Number of events 14 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
29.4%
5/17 • Number of events 6 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
12.5%
2/16 • Number of events 3 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
25.0%
4/16 • Number of events 4 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
Psychiatric disorders
Psychiatric Disorders
35.3%
6/17 • Number of events 6 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
11.8%
2/17 • Number of events 2 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
12.5%
2/16 • Number of events 2 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
12.5%
2/16 • Number of events 2 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic, and mediastinal disorders
17.6%
3/17 • Number of events 4 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
23.5%
4/17 • Number of events 4 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
6.2%
1/16 • Number of events 1 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
12.5%
2/16 • Number of events 2 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
Skin and subcutaneous tissue disorders
Skin and Subcutaneous Tissue Disorders
52.9%
9/17 • Number of events 16 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
52.9%
9/17 • Number of events 14 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
56.2%
9/16 • Number of events 13 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
43.8%
7/16 • Number of events 10 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
Gastrointestinal disorders
GI Disorders
58.8%
10/17 • Number of events 12 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
41.2%
7/17 • Number of events 11 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
43.8%
7/16 • Number of events 9 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
31.2%
5/16 • Number of events 6 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
Cardiac disorders
Cardiac Disorders
5.9%
1/17 • Number of events 1 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
11.8%
2/17 • Number of events 2 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
6.2%
1/16 • Number of events 1 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
18.8%
3/16 • Number of events 3 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
Eye disorders
Eye Disorders
23.5%
4/17 • Number of events 4 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
11.8%
2/17 • Number of events 2 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
0.00%
0/16 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
12.5%
2/16 • Number of events 2 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
General disorders
General Disorders
52.9%
9/17 • Number of events 14 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
41.2%
7/17 • Number of events 7 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
25.0%
4/16 • Number of events 5 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events
25.0%
4/16 • Number of events 5 • Adverse Event data were collected from the time of informed consent through the duration of participation (Up to 24 Weeks).
Adverse events (AEs) were tracked systematically. Only Grade 1 and Grade 2 AEs occurred. Non-randomized participants were not assessed for deaths or adverse events

Additional Information

Shana McCormack, MD

Children's Hospital of Philadelphia

Phone: 617-596-9067

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place