NAD+用藥指南相比於NAD+補充劑，直接補充NAD+更為直接（注射形式）。 NAD+早已作臨床藥用，國內主要有註射用輔酶I和復合輔酶（輔酶A+輔酶I）,有意思是，複合輔酶的用法中有一條是“腫瘤病人要酌情加量”，這直接反駁了孤立地研究NAD+促癌的言論。

數據來源：CFDA網站

NAD+補充劑重要臨床任何臨床都需要有相應的適應症，目前世界上沒有一國家的藥品監管部門承認衰老是一種疾病，因此不會有關於NAD+治療衰老的臨床。最大的進步是2018年世界衛生組織在《國際疾病法典》中宣布，衰老是一種可以治療的疾病。所幸的是我們可以從其他相關研究中窺伺一二，1965年~1985年美國進行了一項名為“Coronary Drug Project”長達20年的臨床試驗，本來這個實驗是為了分析心肌梗死患者服用降脂藥是否會降低5年內死亡率，但採用了菸酸這種NAD+補充劑的雙盲試驗，可謂摟草打兔子。

在15年的臨床試驗中，1119人服用菸酸，2789人服用安慰劑，最後統計發現：實驗組比安慰劑組的全因死亡率低11%，換個說法是菸酸延長了11%的壽命；更細的結果是：實驗組比安慰劑組，心髒病和癌症的死亡率均降低，可以說是NAD+降低了癌症發生率。

數據來源：Fifteen Year Mortality in Coronary Drug Project Patients: Long-Term Benefit With Niacin

實驗組和安慰劑組的全因死亡率

NMN臨床披露的NMN臨床有4例，日本有3例NMN臨床試驗美國有1例。廣島大學最近公佈長期口服的NMN中期臨床試驗：NMN提升了Sirtuin1水平，有助於輔助癌症治療；慶應大學在結束了I期臨床的基礎上，於2017年開啟了II期臨床；美國華盛頓大學則於2017年開啟了針對的是對糖代謝的I期臨床。除了披露的臨床試驗據報導，Sinclair Metrobio study的NMN臨床已經結束了一期，在進行二期臨床。

數據來源：日本大學醫院信息網UMIN-CTR Clinical Trial和美國ClinicalTrials.go

NMN是在近幾年才廣受關注，動物實驗相對更多，將各個研究的動物實驗羅列如下。

數據來源：各個研究文獻，請查閱後文

NAD+補充劑臨床NAD+前體有長達60多年的安全用藥史，有數十項臨床到達III期、Ⅳ期，有的臨床實驗更是長達十幾年，安全性無需顧慮。煙酰胺、煙酰胺核糖、菸酸、色氨酸是四類較差的NAD+補充劑，以下表格了檢索了全球這四類NAD+補充劑的臨床試驗。其中煙酰胺和煙酰胺核糖有52項臨床（考慮到語言問題，可能有遺漏；考慮到關鍵詞，可能有重複），菸酸有52項臨床（考慮到語言問題，可能有遺漏），色氨酸有20項臨床（考慮到語言問題，可能有遺漏）。

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