Nutrae Science · Human evidence only · Reviewed 2026-07-18

Human evidence.
Without borrowed certainty.

Completed human studies and registered human trials, organised molecule by molecule. Every record shows the population, form, dose, duration, measured endpoint, result and the limitation that matters.

3molecules
29human records reviewed
6registered studies without results
0finished Nutrae product RCTs
How to read the page

Results, not rankings.

A randomized trial can report a negative result. A biomarker can move without a functional benefit. A registered protocol has no outcome yet. Each label describes the design—not marketing value.

A

Randomized human clinical outcomes

Controlled human research measuring a functional or clinical outcome. A Level A label does not mean that every endpoint was positive or that the finished Nutrae product was tested.

B

Human biomarkers, pharmacokinetics or safety

Human evidence showing exposure, biomarker change or short-term tolerability without establishing a meaningful health outcome.

C

Observational or uncontrolled human evidence

Human evidence that can identify an association or exploratory signal but cannot establish causation.

P

Registered or protocol-stage human study

A registered trial or published protocol without public results. It documents active research but supplies no evidence of benefit.

02
Ingredient monograph

Nicotinamide riboside

Human studies consistently support an increase in measured NAD+ biomarkers after NR chloride, while functional, metabolic and performance outcomes remain inconsistent. The evidence base includes healthy adults and several disease-specific populations; those contexts are kept separate, and NR chloride findings are not transferred to NRHM without a documented bridge.

Product page
Nutrae Nicotinamide Riboside Hydrogen Malate development visual
Planned product
Capsule
250 mg NRHM salt per capsule
Daily use
Use according to the final approved label
Active
Nicotinamide riboside hydrogen malate (NRHM)

Development values; the final approved label controls at release.

Current evidence position

Human studies largely concern NR chloride and measured biomarkers or study-specific outcomes. They do not test NRHM or the planned Nutrae capsule.

Finished-product boundary

Nutrae intends to use NRHM. The exact signed salt identity and verified nicotinamide-riboside equivalent must be reconciled to the final label; results from NR chloride cannot automatically be transferred to NRHM or the finished capsule.

Human research

What studies measured.

12 records in this review

B2016

Nicotinamide riboside is uniquely and orally bioavailable in mice and humans

Design
Human pharmacokinetic study (part of multi-species analysis)
Population
Healthy adults receiving single oral doses
Form studied
Nicotinamide riboside chloride
Dose · duration
100, 300 or 1,000 mg single dose · Single-dose pharmacokinetic sampling
Outcome
Oral bioavailability and NAD+ elevation
Reported result

Established oral bioavailability of NR in humans. Dose-dependent elevation of blood NAD+ was demonstrated after single oral doses.

What it supports

Foundational pharmacokinetic evidence confirming NR is orally bioavailable and raises blood NAD+ in humans.

Important limitation

Single-dose PK study only. Does not establish chronic efficacy, tissue distribution or functional outcomes.

Funding, DOI and source

Industry-associated and public funding; disclosures reported in the article.

DOI: 10.1038/ncomms12948 · Primary record ↗

B2023

NR-SAFE: a randomized, double-blind safety trial of high dose nicotinamide riboside in Parkinson's disease

Design
Randomized, double-blind, placebo-controlled safety trial
Population
Patients with early Parkinson's disease
Form studied
Nicotinamide riboside chloride
Dose · duration
3,000 mg/day · 4 weeks
Outcome
Safety, tolerability, NAD+ elevation and methyl-donor status
Reported result

The short trial reported marked NAD+ metabolome augmentation, general tolerability and no detected methyl-donor depletion signal.

What it supports

Provides short-term high-dose safety context in a Parkinson's population; it is not evidence for routine high-dose use or functional benefit.

Important limitation

Disease-specific short-term safety study in Parkinson's patients, not healthy adults. Does not establish functional benefit.

Funding, DOI and source

Consult the article for complete funding and conflict disclosures.

DOI: 10.1038/s41467-023-43514-6 · Primary record ↗

B2019

Safety and Metabolism of Long-term Administration of NIAGEN (Nicotinamide Riboside Chloride) in a Randomized, Double-Blind, Placebo-controlled Clinical Trial of Healthy Overweight Adults

Design
Randomized, double-blind, placebo-controlled, parallel-group trial
Population
140 healthy overweight adults aged 40 to 60 years
Form studied
Nicotinamide riboside chloride
Dose · duration
100, 300 or 1,000 mg/day · 8 weeks
Outcome
Whole-blood NAD+ and safety/tolerability
Reported result

Whole-blood NAD+ increased by approximately 22%, 51% and 142% in the 100, 300 and 1,000 mg/day groups within two weeks and remained elevated. Adverse-event incidence, type and severity were similar to placebo, with no serious safety signal reported.

What it supports

Supports a dose-responsive blood NAD+ biomarker effect and short-term tolerability for NR chloride.

Important limitation

A biomarker increase does not demonstrate improved energy, performance, disease prevention, slower aging or longer life. The study applies to NR chloride rather than an unspecified NR salt.

Funding, DOI and source

Industry-sponsored by ChromaDex; employee and consultant relationships are disclosed in the article.

DOI: 10.1038/s41598-019-46120-z · Primary record ↗

A2018

Chronic nicotinamide riboside supplementation is well-tolerated and elevates NAD+ in healthy middle-aged and older adults

Design
Randomized, double-blind, placebo-controlled crossover trial
Population
24 healthy adults aged 55 to 79 years who completed the trial
Form studied
Nicotinamide riboside chloride
Dose · duration
500 mg twice daily, equal to 1,000 mg/day · 6 weeks per intervention period
Outcome
PBMC NAD+, blood pressure, arterial stiffness, metabolic measures, body composition and physical function
Reported result

PBMC NAD+ increased by approximately 60% compared with placebo. Blood-pressure and arterial-stiffness findings were exploratory and did not remain significant after multiplicity correction. Body composition, glycemic control, motor function and aerobic exercise capacity did not improve.

What it supports

Supports a human NAD+ biomarker effect but not a broad cardiovascular, metabolic or physical-performance claim.

Important limitation

Small, short crossover trial. Exploratory cardiovascular signals must not be promoted as established benefits.

Funding, DOI and source

The study reports public funding and ChromaDex-supplied study material, with relevant investigator relationships disclosed in the article.

DOI: 10.1038/s41467-018-03421-7 · Primary record ↗

B2019

Nicotinamide Riboside Augments the Aged Human Skeletal Muscle NAD+ Metabolome and Induces Transcriptomic and Anti-inflammatory Signatures

Design
Randomized, double-blind, placebo-controlled crossover trial
Population
12 older men, median age approximately 75 years
Form studied
Nicotinamide riboside chloride
Dose · duration
1,000 mg/day · 21 days
Outcome
Muscle NAD+ metabolome, inflammatory markers, mitochondrial bioenergetics and whole-body metabolic function
Reported result

Muscle NAD-related metabolites changed and selected inflammatory cytokines decreased, but mitochondrial bioenergetics and whole-body metabolic function did not improve.

What it supports

Shows short-term target engagement in older male muscle without demonstrating a functional metabolic benefit.

Important limitation

Very small, short, all-male study. Molecular and cytokine changes are not equivalent to a clinical outcome.

Funding, DOI and source

Public and industry-associated support or material supply is disclosed in the article; consult the full disclosure when presenting this study.

DOI: 10.1016/j.celrep.2019.07.043 · Primary record ↗

A2018

A randomized placebo-controlled clinical trial of nicotinamide riboside in obese men: safety, insulin-sensitivity, and lipid-mobilizing effects

Design
Randomized, double-blind, placebo-controlled trial
Population
40 obese, insulin-resistant men
Form studied
Nicotinamide riboside chloride
Dose · duration
2,000 mg/day · 12 weeks
Outcome
Insulin sensitivity, glucose metabolism, energy expenditure, body composition and safety
Reported result

NR appeared tolerable but did not improve insulin sensitivity, glucose metabolism, energy expenditure or body composition compared with placebo.

What it supports

Provides important negative human outcome evidence and does not support metabolic-improvement claims.

Important limitation

Restricted to obese, insulin-resistant men, used NR chloride at a high study dose and cannot determine the final directions for Nutrae's intended NRHM product.

Funding, DOI and source

NR study material was supplied by ChromaDex; consult the article for complete funding and conflict disclosures.

DOI: 10.1093/ajcn/nqy132 · Primary record ↗

B2026

The differential impact of three different NAD+ boosters on circulatory NAD and microbial metabolism in humans

Design
Randomized, open-label, placebo-controlled biomarker study
Population
65 healthy adults in the modified intention-to-treat analysis; 16 received NR
Form studied
Nicotinamide riboside
Dose · duration
1,000 mg/day · 14 days
Outcome
Whole-blood NAD+ and short-term tolerability
Reported result

Whole-blood NAD+ was approximately doubled. The NR-placebo difference was reported as 49.4 micromoles per litre with a 95% confidence interval of 39.5 to 59.3. One case of hypotension was judged probably related to NR.

What it supports

Confirms short-term blood NAD+ target engagement but does not establish a functional benefit.

Important limitation

Short, open-label biomarker study with a small NR subgroup and no long-term outcome assessment.

Funding, DOI and source

Industry study conducted with Nestle Research involvement; relevant affiliations and disclosures appear in the article.

DOI: 10.1038/s42255-025-01421-8 · Primary record ↗

C2026

Human whole-blood NAD+ levels do not vary with age or lifestyle interventions

Design
Analysis across seven independent human cohorts
Population
Participants from seven cohorts spanning observational and intervention settings
Form studied
Not applicable to the age-association analysis; NR was used in intervention cohorts
Dose · duration
Varied by cohort · Varied by cohort
Outcome
Whole-blood NAD+ in relation to age, lifestyle and NR supplementation
Reported result

Whole-blood NAD+ was comparatively stable across age and lifestyle but changed after NR supplementation.

What it supports

Whole-blood NAD+ responds to NR, but current evidence does not establish it as a validated biological-age marker.

Important limitation

Cross-cohort analyses cannot establish that increasing whole-blood NAD+ produces a health or longevity benefit.

Funding, DOI and source

The author list includes institutional and industry affiliations; use the full article disclosure with any detailed presentation.

DOI: 10.1038/s42255-026-01537-5 · Primary record ↗

A2020

Nicotinamide riboside supplementation alters body composition and skeletal muscle acetylcarnitine concentrations in healthy obese humans

Design
Randomized, double-blind, placebo-controlled crossover trial
Population
13 healthy overweight or obese men and women
Form studied
Nicotinamide riboside chloride
Dose · duration
1,000 mg/day · 6 weeks
Outcome
Insulin sensitivity, mitochondrial function, body composition, sleeping metabolic rate and skeletal-muscle acetylcarnitine
Reported result

Insulin sensitivity and mitochondrial function did not improve compared with placebo. Small changes in fat-free mass, sleeping metabolic rate and skeletal-muscle acetylcarnitine were reported.

What it supports

Does not support broad metabolic or mitochondrial-function claims for NR chloride; the small secondary signals remain exploratory.

Important limitation

Only 13 participants, six weeks and several secondary measurements. The findings do not establish a general functional benefit.

Funding, DOI and source

Public and university funding with material supplied by ChromaDex; disclosures are reported in the article.

DOI: 10.1093/ajcn/nqaa072 · Primary record ↗

A2024

Nicotinamide riboside for peripheral artery disease: the NICE randomized clinical trial

Design
Randomized, double-blind, placebo-controlled, parallel-group trial
Population
90 adults with peripheral artery disease
Form studied
Nicotinamide riboside chloride
Dose · duration
1,000 mg/day · 6 months
Outcome
Six-minute walk distance, functional status and safety
Reported result

Six-minute walk distance improved by a between-group difference of 17.6 metres. Co-administration with resveratrol added no additional benefit.

What it supports

Provides a positive functional-outcome signal in a disease population, not evidence for general wellness or healthy aging.

Important limitation

Disease-specific population with established functional limitation, not generalisable to healthy adults seeking general wellness benefits.

Funding, DOI and source

Funded by the National Institutes of Health; study material supplied by ChromaDex. Disclosures are reported in the article.

DOI: 10.1038/s41467-024-49092-5 · Primary record ↗

B2022

The NADPARK study: a randomized phase I trial of nicotinamide riboside supplementation in Parkinson's disease

Design
Randomized, double-blind, placebo-controlled phase I trial
Population
30 patients with early Parkinson's disease
Form studied
Nicotinamide riboside chloride
Dose · duration
1,000 mg/day · 30 days
Outcome
Cerebral NAD+ levels measured by 31P-MRS and clinical rating scales
Reported result

Cerebral NAD+ increased in a subset of participants with variable baseline levels. Mild clinical improvement signals were observed on exploratory rating scales.

What it supports

Provides preliminary evidence of cerebral target engagement; does not demonstrate a disease-modifying effect.

Important limitation

Small, short, disease-specific and exploratory. Clinical signals require confirmation in larger, longer trials.

Funding, DOI and source

Study material supplied by ChromaDex; public and institutional funding disclosed.

DOI: 10.1016/j.cmet.2022.02.001 · Primary record ↗

A2023

Nicotinamide riboside and pterostilbene reduces markers of hepatic inflammation in NAFLD: a double-blind, placebo-controlled clinical trial

Design
Randomized, double-blind, placebo-controlled trial
Population
111 adults with non-alcoholic fatty liver disease
Form studied
Nicotinamide riboside chloride combined with pterostilbene (NRPT)
Dose · duration
NR/pterostilbene combinations of 250/50 mg or 500/100 mg daily · 6 months
Outcome
Hepatic fat fraction, liver enzymes and metabolic markers
Reported result

The primary hepatic-fat endpoint did not improve compared with placebo. Secondary ALT and GGT signals were reported only in the lower-dose group.

What it supports

Does not support a hepatic-fat-reduction claim for NR; secondary liver-enzyme signals require confirmation.

Important limitation

Combination product (NRPT), not NR alone; disease-specific population and secondary outcomes only.

Funding, DOI and source

Funded by the University of Michigan and other sources; ChromaDex supplied study material.

DOI: 10.1002/hep.32778 · Primary record ↗

Safety & limits

What the current record supports.

NR chloride was generally well tolerated in short human studies. Longer-term use, uncommon adverse effects and the safety bridge to NRHM are less certain.

  • Most trials were short and not designed to detect uncommon adverse effects.
  • Pregnancy, nursing, medicine use, medical conditions and planned surgery require qualified medical advice.
Reviews and regulatory context 3
critical human evidence review

What is really known about the effects of nicotinamide riboside supplementation in humans

Narrative critical review of 25 human articles; useful for context but not a substitute for the underlying trials.

Source ↗

regulatory safety opinion

EFSA safety opinion on nicotinamide riboside chloride as a novel food

EFSA assessed NR chloride as safe up to 300 mg/day for healthy adults, excluding pregnant and lactating women, under the uses evaluated. This is not an efficacy finding, does not evaluate NRHM and does not determine Nutrae's final directions.

DOI: 10.2903/j.efsa.2019.5775 · Source ↗

United States GRAS response

FDA agency response letter for GRAS Notice 635

The FDA had no questions regarding the notifier's GRAS conclusion for specified conventional-food uses as a source of vitamin B3. This is not FDA approval, supplement approval or proof of efficacy.

Source ↗

01
Ingredient monograph

Calcium alpha-ketoglutarate

Direct human healthy-aging evidence remains preliminary. Published human studies use substantially different doses, populations or uncontrolled designs, while registered randomized healthy-aging results are not yet public.

Product page
Nutrae Calcium Alpha-Ketoglutarate development visual
Planned product
Capsule
250 mg per capsule
Daily use
Use according to the final approved label
Active
Calcium alpha-ketoglutarate

Development values; the final approved label controls at release.

Current evidence position

Human studies of calcium alpha-ketoglutarate use differing formulations, doses, populations and designs. No completed study tests the planned Nutrae capsule.

Finished-product boundary

Ingredient research does not establish an outcome for the finished Nutrae capsule. The final product specification and label will control at release.

Human research

What studies measured.

5 records in this review

A2007

Alpha-ketoglutarate decreases serum levels of C-terminal cross-linking telopeptide of type I collagen in postmenopausal women with osteopenia: six-month study

Design
Randomized, double-blind, parallel-group trial
Population
76 postmenopausal women with osteopenia
Form studied
Calcium alpha-ketoglutarate compared with calcium alone
Dose · duration
Approximately 6 g/day alpha-ketoglutarate plus 1.68 g/day calcium · 6 months
Outcome
Bone-resorption marker CTX and bone mineral density
Reported result

CTX decreased, including a reported 37% reduction at 24 weeks. Bone mineral density increased from baseline, but the between-group difference was not statistically significant.

What it supports

Provides human evidence for a bone-turnover biomarker at a high dose in a specific osteopenic population, not evidence for healthy aging or Nutrae's eventual directions.

Important limitation

The alpha-ketoglutarate dose was substantially higher than Nutrae's planned per-capsule amount, and the population and outcome differ from the intended general-wellness use.

Funding, DOI and source

Funding and conflict information is not available in the PubMed abstract; verify the full article disclosure before a detailed public presentation.

DOI: 10.1024/0300-9831.77.2.89 · Primary record ↗

B1990

Action of ornithine alpha-ketoglutarate, ornithine hydrochloride, and calcium alpha-ketoglutarate on plasma amino acid and hormonal patterns in healthy subjects

Design
Small human oral-load and metabolic study
Population
6 fasting healthy men
Form studied
Calcium alpha-ketoglutarate
Dose · duration
Single 3.6 g oral dose · Single-dose sampling period
Outcome
Plasma alpha-ketoglutarate and related metabolic measurements
Reported result

The study documented systemic metabolic exposure after oral Ca-AKG administration.

What it supports

Supports oral exposure at a single high dose, not clinical efficacy.

Important limitation

Only six men, one dose and no wellness, functional or long-term outcome.

Funding, DOI and source

Funding and conflict information is not available in the PubMed abstract.

DOI: 10.1080/07315724.1990.10720343 · Primary record ↗

C2021

Rejuvant, a potential life-extending compound formulation with alpha-ketoglutarate and vitamins, conferred an average 8 year reduction in biological aging, after an average of 7 months of use, in the TruAge DNA methylation test

Design
Retrospective uncontrolled before-and-after analysis
Population
42 self-selected users of a proprietary multi-ingredient product
Form studied
Calcium alpha-ketoglutarate combined with sex-specific vitamins A or D
Dose · duration
Proprietary product regimen · Mean approximately 7 months
Outcome
A commercial DNA-methylation age estimate
Reported result

The analysis reported an average reduction of approximately eight years in the selected DNA-methylation age estimate. This result comes from an uncontrolled retrospective analysis of a proprietary multi-ingredient product (Rejuvant) and cannot be attributed to Ca-AKG alone.

What it supports

An exploratory uncontrolled association that cannot establish causation, cannot separate Ca-AKG from the other ingredients, and should not be described as proven age reversal.

Important limitation

No randomized control, self-selected participants, multi-ingredient product, commercial clock endpoint and substantial commercial conflicts. It is not proof of age reversal. The headline '8-year' figure is frequently cited out of context — it applies only to this specific uncontrolled study and not to Ca-AKG generally.

Funding, DOI and source

Authors disclosed commercial roles or interests related to the Rejuvant product and Ponce de Leon Health.

DOI: 10.18632/aging.203736 · Primary record ↗

P2023

Alpha-ketoglutarate supplementation and BiologicaL agE in middle-aged adults: protocol for the ABLE randomized controlled trial

Design
Randomized, placebo-controlled trial protocol; results not posted
Population
Planned 120 adults aged 40 to 60 years
Form studied
Sustained-release calcium alpha-ketoglutarate
Dose · duration
1,000 mg/day · 6 months plus 3 months of follow-up
Outcome
Primary DNA-methylation age measures with additional clinical and functional outcomes
Reported result

The registry lists the trial as active, not recruiting, with estimated completion in January 2027. No results were publicly posted as of 2026-07-18.

What it supports

Demonstrates active clinical investigation, not evidence of benefit.

Important limitation

A protocol cannot support an efficacy claim. Recruitment status and completion dates can change, and the sustained-release study product does not automatically match Nutrae's planned capsule.

Funding, DOI and source

Funding and sponsor information is listed in the protocol and registry; no commercial result may be inferred before publication.

DOI: 10.1007/s11357-023-00813-6 · Primary record ↗

P2025

Evaluation of the Efficacy of Calcium alpha-Ketoglutarate (AKG-Ca) in Improving Human Aging

Design
Randomized, quadruple-masked, placebo-controlled registered trial; results not posted
Population
Adults enrolled in a registered clinical study
Form studied
Calcium alpha-ketoglutarate
Dose · duration
2,000 mg/day · 12 weeks
Outcome
Primary PhenoAge measure with additional aging-related outcomes
Reported result

No results were publicly posted in the trial registry as of 2026-07-18.

What it supports

Shows ongoing research only and cannot support a public benefit claim.

Important limitation

Registry information is not an efficacy result, and its dose and release profile cannot determine Nutrae's final directions.

Funding, DOI and source

Use the registry's current sponsor and funder fields when results become available.

Primary record ↗

Safety & limits

What the current record supports.

Long-term supplemental safety data in healthy adults remain limited. Ca-AKG also contributes calcium, so total calcium intake and individual medical context matter.

  • Human studies use different doses and populations and do not establish long-term safety.
  • People with kidney or calcium-balance conditions, medicine use or planned surgery should seek qualified medical advice.
Reviews and regulatory context 1
human evidence review

Alpha-ketoglutarate dietary supplementation to improve health in humans

Contextual review that emphasizes the limited direct human evidence base; it does not validate a specific Nutrae dose or formulation.

Source ↗

03
Ingredient monograph

Urolithin A

Urolithin A has several randomized human trials, with selected muscle-strength, endurance and exposure signals. Several primary functional outcomes were not significant, the latest pooled evidence remains low certainty, and principal trials used proprietary formulations.

Product page
Nutrae Urolithin A development visual
Planned product
Capsule
250 mg per capsule
Daily use
Use according to the final approved label
Active
Urolithin A

Development values; the final approved label controls at release.

Current evidence position

Human studies used specific Urolithin A formulations and reported mixed study-specific outcomes. They do not test the planned Nutrae capsule.

Finished-product boundary

Principal trials used proprietary formulations. Equal nominal milligrams do not establish equal exposure or clinical equivalence for a finished Nutrae capsule.

Human research

What studies measured.

12 records in this review

B2022

Direct supplementation with Urolithin A overcomes limitations of dietary exposure and gut microbiome variability in healthy adults to achieve consistent levels across the population

Design
Single-center, randomized, open-label, two-period crossover exposure study
Population
100 healthy adults aged 18 to 80 years
Form studied
Proprietary food product containing Urolithin A
Dose · duration
500 mg direct Urolithin A versus approximately 240 mL pomegranate juice · Single-dose exposure with 24-hour sampling after each crossover period
Outcome
Circulating Urolithin A and conjugate exposure; dietary producer status
Reported result

Twelve percent had detectable circulating UA glucuronide at baseline. About 40% were high converters 24 hours after pomegranate juice, while direct 500 mg UA produced more than six-fold higher 24-hour exposure than juice.

What it supports

Direct dosing produced more consistent measured exposure than relying on conversion of dietary precursors in this study.

Important limitation

Exposure is not a clinical health outcome. The study used a proprietary formulation and does not establish equivalence to Nutrae's planned capsule.

Funding, DOI and source

The study product was Mitopure and multiple authors were affiliated with its developer; consult the article disclosures.

DOI: 10.1038/s41430-021-00950-1 · Primary record ↗

B2019

The mitophagy activator urolithin A is safe and induces a molecular signature of improved mitochondrial and cellular health in humans

Design
Randomized, double-blind, placebo-controlled phase 1 study
Population
60 healthy sedentary older adults
Form studied
Proprietary urolithin A formulation
Dose · duration
Single doses of 250 to 2,000 mg and repeated doses of 250, 500 or 1,000 mg/day · Single-dose phase and 28-day repeated-dose phase
Outcome
Safety, pharmacokinetics, acylcarnitines and muscle molecular biomarkers
Reported result

No serious or product-related non-serious adverse events and no clinically relevant laboratory changes were reported. The studied proprietary formulation was bioavailable; 500 and 1,000 mg/day changed selected acylcarnitine and muscle molecular measures.

What it supports

Supports short-term bioavailability, tolerability and biomarker activity for the studied proprietary formulation.

Important limitation

Phase 1 biomarker study, not a functional efficacy or longevity trial. It does not establish bioequivalence for a finished Nutrae capsule.

Funding, DOI and source

Funded by Amazentis, with company employee or shareholder relationships disclosed in the article.

DOI: 10.1038/s42255-019-0073-4 · Primary record ↗

A2022

Effect of Urolithin A Supplementation on Muscle Endurance and Mitochondrial Health in Older Adults: A Randomized Clinical Trial

Design
Randomized, double-blind, placebo-controlled trial
Population
66 adults aged 65 to 90 years
Form studied
Proprietary urolithin A formulation
Dose · duration
1,000 mg/day · 4 months
Outcome
Six-minute walk distance, maximal ATP production, muscle endurance and biomarkers
Reported result

The primary six-minute-walk and maximal ATP-production outcomes were not significantly better than placebo. Selected muscle-endurance measures improved versus placebo at two months, but not consistently at four months because of placebo-group improvement. Some biomarkers improved.

What it supports

Provides preliminary selected endurance and biomarker signals without demonstrating the primary functional outcomes.

Important limitation

Small trial, all participants were White, COVID-related disruption occurred and selected positive secondary findings require confirmation.

Funding, DOI and source

Funded by Amazentis, with company-related author conflicts disclosed.

DOI: 10.1001/jamanetworkopen.2021.44279 · Primary record ↗

A2022

Urolithin A improves muscle strength, exercise performance, and biomarkers of mitochondrial health in a randomized trial in middle-aged adults

Design
Randomized, double-blind, placebo-controlled trial
Population
88 healthy overweight middle-aged adults randomized; 79 completed
Form studied
Proprietary urolithin A formulation
Dose · duration
500 or 1,000 mg/day · 4 months
Outcome
Peak power, muscle strength, walking, aerobic capacity and mitochondrial biomarkers
Reported result

The primary peak-power outcome did not improve significantly. Hamstring average torque improved by approximately 12% with 500 mg and 9.8% with 1,000 mg versus placebo, and maximum flexion torque improved by approximately 10.6% and 10.5%. Broader quadriceps, handgrip, walking and aerobic outcomes were mostly not significant between groups.

What it supports

Supports selected lower-limb strength signals, not a broad performance or physical-function claim.

Important limitation

Some positive findings were secondary endpoints, the sample was modest, and the studied proprietary formulation is not automatically equivalent to Nutrae's capsule.

Funding, DOI and source

Funded by Amazentis, with company-related author conflicts disclosed.

DOI: 10.1016/j.xcrm.2022.100633 · Primary record ↗

A2024

Assessment of Urolithin A effects on muscle endurance, strength, inflammation, oxidative stress, and protein metabolism in male athletes with resistance training: an 8-week randomized, double-blind, placebo-controlled study

Design
Randomized controlled supplementation study
Population
20 resistance-trained men
Form studied
Capsules containing Timeline Mitopure-sourced urolithin A powder
Dose · duration
1,000 mg/day · 8 weeks
Outcome
Selected strength and muscular-endurance measures
Reported result

The study reported improvements in selected strength and endurance endpoints.

What it supports

A small athlete-specific signal that requires replication and should not be generalized to all adults.

Important limitation

Very small, all-male, resistance-trained population and multiple performance endpoints.

Funding, DOI and source

Use the full article's funding and conflict disclosures. The methods state that the capsules used Timeline Mitopure-sourced urolithin A powder.

DOI: 10.1080/15502783.2024.2419388 · Primary record ↗

A2025

Evaluating the Impact of Urolithin A Supplementation on Running Performance, Recovery, and Mitochondrial Biomarkers in Highly Trained Male Distance Runners

Design
Randomized, placebo-controlled trial
Population
42 highly trained male runners
Form studied
Proprietary urolithin A formulation
Dose · duration
1,000 mg/day · 4 weeks
Outcome
VO2max, 3,000-metre performance, perceived exertion and creatine kinase response
Reported result

There was no significant treatment interaction for VO2max and no significant improvement in 3,000-metre performance. Perceived exertion and creatine kinase response after the time trial were lower in the urolithin A group.

What it supports

Does not support faster race performance or higher VO2max; selected recovery-related signals are exploratory and setting-specific.

Important limitation

Short, highly specific all-male elite-athlete setting with limited generalizability.

Funding, DOI and source

Amazentis-related funding and disclosures are reported in the article.

DOI: 10.1007/s40279-025-02292-5 · Primary record ↗

B2025

Effect of the mitophagy inducer urolithin A on age-related immune decline: a randomized, placebo-controlled trial

Design
Randomized, double-blind, placebo-controlled proof-of-concept trial
Population
50 healthy adults aged 45 to 70 years
Form studied
Proprietary urolithin A formulation
Dose · duration
1,000 mg/day · 28 days
Outcome
Immune-cell composition, function and molecular biomarkers
Reported result

Selected immune-cell and functional biomarkers changed after supplementation.

What it supports

Short-term immune biomarker evidence only; it does not show prevention or treatment of infection or disease.

Important limitation

Short proof-of-concept study without clinical infection or disease outcomes; some analyses were exploratory.

Funding, DOI and source

Amazentis-funded with company affiliations and conflicts disclosed.

DOI: 10.1038/s43587-025-00996-x · Primary record ↗

A2026

Effects of Urolithin A Supplementation on Muscle Health Outcomes in Humans from Randomized Controlled Trials

Design
Systematic review and meta-analysis of randomized controlled trials
Population
5 randomized trials with 236 participants
Form studied
Urolithin A formulations used across the included trials, predominantly proprietary formulations
Dose · duration
Varied across included studies, generally within 250 to 1,000 mg/day · Short-term trials up to approximately 4 months
Outcome
Physical performance, strength, endurance and mitochondrial-related outcomes
Reported result

Only the six-minute-walk outcome could be pooled: mean difference 17.03 metres, 95% confidence interval -5.33 to 39.40, p=0.135, I-squared 0%. Other strength, endurance and biomarker signals were heterogeneous and exploratory.

What it supports

The current human evidence base is small, short and low certainty; it does not establish a broad physical-performance benefit.

Important limitation

Only five heterogeneous trials, small samples, short durations and substantial reliance on company-sponsored proprietary formulations.

Funding, DOI and source

The component trials were predominantly company-sponsored; consult the review and individual-trial disclosures.

Primary record ↗

P2024

URO-PRO: Urolithin A supplementation before prostatectomy — a randomized, placebo-controlled trial

Design
Randomized, placebo-controlled registered trial; results not posted
Population
Men scheduled for prostatectomy
Form studied
Urolithin A
Dose · duration
Specified per protocol · Pre-surgical intervention period
Outcome
Prostate tissue UA levels and tissue biomarkers
Reported result

Recruiting; no results publicly posted as of 2026-07-18.

What it supports

Documents active clinical investigation, not evidence of benefit.

Important limitation

Registry information is not an efficacy result. Disease-specific surgical setting, not general wellness.

Funding, DOI and source

Consult the trial registry for current sponsor and funder information.

Primary record ↗

P2026

Urolithin A supplementation in people receiving first-line immune-checkpoint inhibitor therapy

Design
Randomized, placebo-controlled trial; results not posted
Population
Planned 45 adults receiving first-line immune-checkpoint inhibitor therapy
Form studied
Urolithin A
Dose · duration
1,000 mg/day · Approximately 60 days
Outcome
Immune and tumor biomarkers
Reported result

Recruiting; no results publicly posted as of 2026-07-18.

What it supports

Documents active clinical investigation, not evidence of benefit.

Important limitation

Disease-specific oncology setting. No results available. Does not support general wellness claims.

Funding, DOI and source

Consult the trial registry for current sponsor and funder information.

Primary record ↗

P2026

Effects of Urolithin A on glucose metabolism in healthy adults aged 55 and older

Design
Randomized, controlled trial; results not posted
Population
Healthy adults aged 55 and older
Form studied
Urolithin A
Dose · duration
1,000 mg/day · 8 weeks
Outcome
Glucose metabolism and metabolic biomarkers
Reported result

Recruiting; no results publicly posted as of 2026-07-18.

What it supports

Documents active clinical investigation, not evidence of benefit.

Important limitation

Registry information is not an efficacy result. No published data available.

Funding, DOI and source

Consult the trial registry for current sponsor and funder information.

Primary record ↗

P2025

Urolithin A and fisetin, separately and in combination, for sleep and aging-related outcomes

Design
Randomized, controlled trial; results not posted
Population
Adults enrolled in a registered aging study
Form studied
Four arms: Urolithin A, fisetin, Urolithin A plus fisetin, or placebo
Dose · duration
UA 500 mg; fisetin 500 mg; UA 300 mg plus fisetin 200 mg; or placebo · 12 weeks
Outcome
Sleep quality and aging-related measures
Reported result

Recruiting; no results publicly posted as of 2026-07-18.

What it supports

Documents active clinical investigation, not evidence of benefit.

Important limitation

Multiple active arms, no results available and no basis for an efficacy claim.

Funding, DOI and source

Consult the trial registry for current sponsor and funder information.

Primary record ↗

Safety & limits

What the current record supports.

Urolithin A was generally well tolerated in relatively small, short human studies. Longer-term safety, uncommon adverse effects and medicine interactions remain less certain.

  • Most human safety data come from small, short studies using proprietary formulations.
  • Pregnancy, nursing, medicine use, medical conditions and planned surgery require qualified medical advice.
Reviews and regulatory context 3
systematic review

Targeting aging with urolithin A in humans: A systematic review

A 2024 review of five studies and 250 healthy participants found selected strength and endurance signals but no consistent anthropometric, cardiovascular or broad physical-function benefit; longer studies were recommended.

DOI: 10.1016/j.arr.2024.102406 · Source ↗

United States GRAS response

FDA GRAS Notice 791 for urolithin A

The FDA had no questions regarding the notifier's GRAS conclusion for specified conventional-food uses. This is not FDA approval, dietary-supplement approval, proof of efficacy or UAE authorization.

Source ↗

Swiss novel-food classification

Swiss FSVO classification of pure urolithin A as a novel food

The Swiss authority classified pure urolithin A as a novel food requiring authorization. Do not describe urolithin A as broadly EU-approved or globally authorized.

Source ↗

The honest boundary

Ingredient evidence is not finished-product evidence.

Ingredient studies are not automatically trials of a finished Nutrae product. Results depend on the exact form, formulation, dose, population and duration studied.

Food supplement for adults. Not a substitute for a varied diet or healthy lifestyle. Do not exceed the stated daily dose. Seek qualified medical advice before use if pregnant or nursing, using medicines, managing a medical condition, or preparing for surgery. Stop use and seek advice if an adverse reaction is suspected. Individual responses vary.

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