nicotinamide
Approved
Jul 28, 1947
Niacinamide, known as nicotinamide, is an important compound functioning as a component of the coenzyme NAD. Its primary significance is in the prevention and/or cure of blacktongue and pellagra. Pellagra is a nutritional disease that occurs due to insufficient dietary amounts of vitamin B3 or the chemical it is made from (tryptophan). Symptoms of pellagra include skin disease, diarrhea, dementia, and depression. In addition, was experiments, revealed, that niacinamide hydroiodide might have role in ophthalmology and parenteral use of niacinamide hydroiodide can treat arteriosclerotic syndromes. — NCATS
Clinical trial activity
227 trials · 272 clinical orgs · 9 marketing orgs
Earliest trial started Apr 1, 1999 (NCT00018460)
Timeline
1940s
1950s
- Feb 20, 1953
Hospira — NDA Secondary Org
1980s
- Nov 6, 1981
Abraxis — NDA Secondary Org
- Jul 13, 1982
Watson Pharmaceuticals — NDA Secondary Org
2000s
2010s
- Jan 1, 2010
Earliest Phase 2 Sponsor(trial)
2020s
- Apr 9, 2026
Apotex — Marketing Organization
Indications
Studied for
- Accidental Falls · Phase 2
- Acidosis, Lactic · Phase 2/Phase 3
- Acne Vulgaris · Phase 4
- Acute Kidney Injury · Phase 3
- Aging · Phase 4
- Alcohol Withdrawal Delirium · Phase 2/Phase 3
- Alzheimer Disease · Phase 2
- Anemia, Aplastic · Phase 2
- Anemia, Sickle Cell · Phase 1/Phase 2
- Antineoplastic Combined Chemotherapy Protocols · Phase 2
- Arthritis, Rheumatoid · Phase 3
- Ataxia Telangiectasia · Phase 2
- Atherosclerosis · Phase 2
- Basal Cell Carcinoma · Phase 3
- Biological Availability · Phase 2
- Blood Pressure · Phase 2
- Breast Neoplasms · Phase 2
- Cancer Survivors · Phase 2
- Carcinoma · Phase 3
- Carcinoma, Non-Small-Cell Lung · Phase 2/Phase 3
- Carcinoma, Squamous Cell · Phase 3
- Cardiotoxicity · Phase 2
- Cardiovascular Diseases · Early Phase 1
- Cholestasis, Intrahepatic · Phase 2/Phase 3
- Cognition Disorders · Phase 2/Phase 3
- Cognitive Dysfunction · Phase 3
- Colitis, Ulcerative · Phase 2/Phase 3
- Coronary Artery Bypass · Phase 2
- Coronary Artery Disease · Phase 2
- Corticobasal Degeneration · Phase 2
- COVID-19 · Phase 4
- Deficiency Diseases · Phase 2/Phase 3
- Delayed Graft Function · Phase 3
- Dementia · Phase 1/Phase 2
- Depression · Early Phase 1
- Depressive Disorder, Treatment-Resistant · Phase 2
- Dermatology · Phase 1/Phase 2
- Diabetes Mellitus · Phase 2
- Diabetes Mellitus, Type 2 · Phase 2
- Diabetic Nephropathies · Phase 2
- Diabetic Neuropathies · Phase 3
- Disability Evaluation · Early Phase 1
- Drug-Related Side Effects and Adverse Reactions · Phase 2/Phase 3
- Dyslipidemias · Phase 2
- Endometrial Neoplasms · Phase 2
- Fatigue · Phase 1
- Fatigue Syndrome, Chronic · Phase 2/Phase 3
- Fatty Liver · Phase 2
- Frail Elderly · Phase 2
- Frailty · Phase 2
- Friedreich Ataxia · Phase 2
- Glaucoma · Phase 3
- Glaucoma, Open-Angle · Phase 3
- Graft vs Host Disease · Phase 3
- Graves Ophthalmopathy · Phase 2/Phase 3
- Growth Disorders · Phase 2/Phase 3
- Head Injuries, Closed · Phase 3
- Healthy Volunteers · Phase 4
- Heart Failure · Phase 2
- Heart Failure, Diastolic · Phase 2
- Heart Failure, Systolic · Phase 1/Phase 2
- Hematologic Neoplasms · Phase 3
- Hematopoietic Stem Cell Transplantation · Early Phase 1
- Hodgkin Disease · Phase 1/Phase 2
- Hormones · Early Phase 1
- Huntington Disease · Phase 2
- Hyperlipidemias · Early Phase 1
- Hyperphagia · Early Phase 1
- Hyperphosphatemia · Phase 2
- Hyperpigmentation · Phase 4
- Hypertension · Phase 4
- Hypertension, Pregnancy-Induced · Phase 1
- Idiopathic Pulmonary Fibrosis · Phase 2
- Infections · Phase 4
- Inflammation · Phase 1/Phase 2
- Insulin Resistance · Early Phase 1
- Intestinal Diseases · Phase 2/Phase 3
- Jaundice, Obstructive · Phase 3
- Keratosis, Actinic · Phase 1
- Kidney Diseases · Phase 2
- Kidney Failure, Chronic · Phase 3
- Kidney Transplantation · Early Phase 1
- Lactation Disorders · Phase 2/Phase 3
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 2
- Leukemia, Myeloid · Phase 2
- Leukemia, Myeloid, Acute · Phase 3
- Leukemia, Myeloid, Chronic-Phase · Phase 3
- Liver Diseases · Phase 2
- Lupus Erythematosus, Cutaneous · Phase 2
- Lupus Erythematosus, Discoid · Early Phase 1
- Lupus Erythematosus, Systemic · Phase 2
- Lymphoma · Phase 3
- Lymphoma, B-Cell · Phase 1
- Lymphoma, Follicular · Phase 1
- Lymphoma, Large B-Cell, Diffuse · Phase 1
- Lymphoma, Mantle-Cell · Phase 1
- Lymphoma, Non-Hodgkin · Phase 1/Phase 2
- Magnesium Deficiency · Phase 2/Phase 3
- Malnutrition · Phase 2/Phase 3
- Melanoma · Phase 3
- Melanosis · Phase 2
- Metabolic Diseases · Phase 2
- Mitochondrial Diseases · Early Phase 1
- Mitochondrial Myopathies · Phase 2
- Mortality · Phase 3
- Multiple Myeloma · Phase 1
- Multiple Sclerosis · Phase 2
- Multiple System Atrophy · Phase 2
- Muscle Weakness · Phase 1/Phase 2
- Mycobacterium tuberculosis · Phase 3
- Myelodysplastic Syndromes · Phase 3
- Myocardium · Phase 2
- Neoplasm Metastasis · Phase 3
- Neoplasms · Phase 2
- Neurobehavioral Manifestations · Phase 4
- Neurodegenerative Diseases · Phase 2
- Niacinamide · Phase 3
- Non-alcoholic Fatty Liver Disease · Phase 2
- Obesity · Phase 2
- Osteoporosis · Phase 2
- Ovarian Neoplasms · Phase 2
- Oxidative Stress · Phase 2
- Peripheral Arterial Disease · Phase 3
- Pharmacokinetics · Phase 1
- Polycystic Kidney Diseases · Phase 2
- Precursor B-Cell Lymphoblastic Leukemia-Lymphoma · Phase 3
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 2
- Pre-Eclampsia · Phase 2
- Pregnancy Complications · Phase 2
- Premature Birth · Phase 2/Phase 3
- Psoriasis · Phase 2/Phase 3
- Purpura, Thrombocytopenic, Idiopathic · Phase 1/Phase 2
- Recovery of Function · Phase 1
- Renal Dialysis · Phase 3
- Renal Insufficiency, Chronic · Phase 3
- Reperfusion Injury · Phase 2
- Retinitis Pigmentosa · Early Phase 1
- Sarcopenia · Phase 2
- Schizophrenia · Phase 4
- Sedentary Behavior · Early Phase 1
- Shock, Septic · Phase 3
- Skin Neoplasms · Phase 2
- Sleep · Phase 2
- Small Fiber Neuropathy · Phase 2
- Squamous Cell Carcinoma of Head and Neck · Phase 2
- Stroke · Phase 3
- Supranuclear Palsy, Progressive · Phase 2
- Therapeutics · Phase 1/Phase 2
- Urinary Bladder Neoplasms · Phase 3
- Vascular Diseases · Phase 2
- Wernicke Encephalopathy · Phase 2/Phase 3
Mechanism of action
Combination products
berocca pn
with vitamin e, folic acid, cyanocobalamin, vitamin c, thiamine, biotin, panthenol, pyridoxine, riboflavin, vitamin a, ergocalciferol
Also known as m.v.c, mvc plus
infuvite
with vitamin d3, vitamin e, folic acid, cyanocobalamin, vitamin c, thiamine, vitamin k, biotin, panthenol, pyridoxine, riboflavin, vitamin a
Also known as infuvite pediatric, infuvite pediatric (pharmacy bulk package)
m.v.i. adult (pharmacy bulk package)
with vitamin e, folic acid, cyanocobalamin, vitamin c, thiamine, vitamin k, biotin, panthenol, pyridoxine, riboflavin, vitamin a, ergocalciferol
m.v.i. pediatric
with vitamin e, folic acid, cyanocobalamin, vitamin c, thiamine, biotin, panthenol, pyridoxine, riboflavin, vitamin a, phytonadione, ergocalciferol
tpn
with tyrosine, pyridoxine
vitape
with vitamin e, folic acid, cyanocobalamin, vitamin c, thiamine, pantothenic acid, biotin, pyridoxine, riboflavin, vitamin a, phytonadione, ergocalciferol
Approval history
- approvedJul 28, 1947
Chemistry & pharmacology
SMILES
NC(=O)C1=CC=CN=C1- Mol. weight
- 122.1246 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- Yes
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral
- Availability
- Prescription Only
Oral
Yes
Parenteral
Yes
Topical
No
Sources
- WikipediaNicotinamide ↗
- NCATS25X51I8RD4 ↗
- ChEMBLCHEMBL438497 ↗
- ChEMBLCHEMBL1234613 ↗
- ChEMBLCHEMBL1140 ↗
Also known as
- 1,4-dihydronicotinamide adenine dinucleotide
- 1,4-dihydronicotinamide adenine dinucleotide
- 3-pyridinecarboxamide
- coenzyme i
- dpnh
- dpnh
- freederm
- nad
- nadh
- nadh
- nadh
- nadide
- nadide
- nad reduced form
- nad reduced form
- niacinamide
- niacinamide
- niacinamide
- niacinamide
- niacinamide
- niacinamide
- niacinamide
- niatin
- nicam
- nicobion
- nicobion
- nicord
- nicotinamide
- nicotinamide
- nicotinamide
- nicotinamide
- nicotinamide
- nicotinamide
- nicotinamide
- nicotinamide
- nicotinamide adenine
- nicotinamide adenine
- nicotinamide adenine
- nicotinamide adenine
- nicotinamide adenine
- nicotinamide adenine dinucleotide
- nicotinamide adenine dinucleotide (reduced)
- nicotinamide adenine dinucleotide (reduced)
- nicotinamide-adenine dinucleotide, reduced
- nicotinamide-adenine dinucleotide, reduced
- nicotinamide riboside
- nicotinic acid amide
- nicotinic acid amide
- nicotinic amide
- nicotinic amide
- nicotylamide
- nicotylamide
- papulex
- papulex
- reduced nicotinamide-adenine dinucleotide
- reduced nicotinamide-adenine dinucleotide
- reduced nicotinamide adenine diphosphate
- reduced nicotinamide adenine diphosphate
- vitamin b
- vitamin b
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07258667 | Phase 1 | Apr 30, 2026 | University of Angers |
| NCT07278492 | Phase 1 | Apr 1, 2026 | Harvard University, National Institutes of Health (NIH) |
| NCT07286318 | Early Phase 1 (Phase 1) | Jan 1, 2026 | University of Pittsburgh |
| NCT07284225 | N/A | Dec 20, 2025 | Fudan University |
| NCT07013591 | Phase 2 | Dec 15, 2025 | Harvard University, National Institute on Aging (NIA) |
| NCT06971224 | Phase 2 | Oct 13, 2025 | University of Bergen |
| NCT07132801 | N/A | Oct 13, 2025 | Qualia Life Sciences |
| NCT07006194 | N/A | Oct 1, 2025 | D'Annunzio University of Chieti–Pescara, University of Pisa, University of Sassari |
| NCT07251608 | Phase 1 | Oct 1, 2025 | ChromaDex |
| NCT07121439 | N/A | Sep 15, 2025 | University of Indonesia |
| NCT07144527 | N/A | Sep 15, 2025 | Concordia University |
| NCT07024966 | N/A | Aug 1, 2025 | Circe, S.L., Eurecat |
| NCT06991712 | Phase 2 | May 19, 2025 | The University of Hong Kong |
| NCT06889142 | N/A | Apr 30, 2025 | DoNotAge.org, TriHealth |
| NCT06882096 | Phase 1 | Apr 28, 2025 | Harvard University, Metro International Biotech, LLC |
| NCT06805656 | N/A | Apr 1, 2025 | Conselho Nacional de Desenvolvimento Científico e Tecnológico, Federal University of Sao Paulo |
| NCT06853743 | Phase 2 | Mar 31, 2025 | Elysium Health, South-Eastern Norway Regional Health Authority, The Dam Foundation, University of Bergen, University of Oslo |
| NCT07073352 | N/A | Mar 27, 2025 | University of Iowa |
| NCT06815991 | Phase 1 | Feb 11, 2025 | Harvard University, Metro International Biotech, LLC |
| NCT06567717 | Phase 2 | Jan 31, 2025 | Cedars-Sinai Medical Center |
Organizations
Research & Development (272)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| University of Bergen | Academic/Hospital | 15 | 13 | 2 | 2018 |
| Harvard University | Academic/Hospital | 12 | 7 | 4 | 2016 |
| Elysium Health | For profit | 11 | 2 | 4 | 2018 |
| ChromaDex | For profit | 10 | 2 | 3 | 2014 |
| National Heart, Lung, and Blood Institute (NHLBI) | Government | 9 | 5 | 2 | 2015 |
| Polysan, Ltd. | For profit | 7 | 7 | 1 | 2017 |
| Department of Veteran Affairs | Government | 6 | 3 | 2 | 1999 |
| National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) | Government | 6 | 1 | 3 | 2015 |
| National Institutes of Health (NIH) | Government | 6 | 0 | 4 | 2015 |
| University of Copenhagen | Academic/Hospital | 6 | 3 | 3 | 2014 |
| University of Pennsylvania | Academic/Hospital | 6 | 4 | 4 | 2018 |
| Metro International Biotech, LLC | For profit | 5 | 5 | 2 | 2021 |
| University of Oslo | Academic/Hospital | 5 | 2 | 1 | 2019 |
| University of Washington | Academic/Hospital | 5 | 5 | 2 | 2015 |
| Duke University | Academic/Hospital | 4 | 0 | 2 | 2010 |
| Gamida Cell | For profit | 4 | 4 | 2 | 2010 |
| Mayo Clinic | Academic/Hospital | 4 | 4 | 2 | 2016 |
| National Institute on Aging (NIA) | Government | 4 | 0 | 2 | 2018 |
| Oslo Metropolitan University | Academic/Hospital | 4 | 3 | 1 | 2019 |
| University of Iowa | Academic/Hospital | 4 | 3 | 2 | 2016 |
Marketing (10)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Abraxis | For profit | NDA2 | Nov 6, 1981 |
| Apotex | For profit | MKTG | Apr 9, 2026 |
| Hospira | For profit | NDA2 | Feb 20, 1953 |
| International Minerals and Chemical Corporation | For profit | NDA2 | — |
| Novartis | For profit | NDA2 | May 18, 2000 |
| Roche | For profit | NDA2 | Jul 28, 1947 |
| Roche | For profit | NDA | Jul 28, 1947 |
| Sandoz | For profit | NDA2 | May 18, 2000 |
| Teligent Pharmaceuticals | For profit | NDA2 | — |
| Watson Pharmaceuticals | For profit | NDA2 | Jul 13, 1982 |