Non-clinical safety evaluation of coenzyme I (NAD⁺): A GLP-compliant systematic study - 07/11/26
, Jie Xu c, 1, Shijun Yang a, 1, Yuyang Qiu d, Lili Yin a, Nannan Xu aAbstract |
Nicotinamide adenine dinucleotide (NAD⁺) is a core coenzyme in cellular energy metabolism and redox homeostasis, with pharmacological effects in cardiovascular and neurodegenerative diseases and in aging. Its non-clinical safety was evaluated through GLP-compliant studies that included safety pharmacology (single intramuscular injection, 3–30 mg/kg, Beagle dogs, telemetry), acute toxicity (single intramuscular injection, 45–180 mg/kg, SD rats), repeated-dose toxicity (10–100 mg/kg intramuscular, once daily for 4 weeks plus a 4-week recovery, SD rats), muscular irritation (intramuscular, 14 consecutive days, New Zealand rabbits), in vitro hemolysis (2% rabbit erythrocytes), and active systemic anaphylaxis (intramuscular sensitization, intravenous challenge, Hartley guinea pigs). In safety pharmacology, 3 mg/kg was the safe dose; 10 and 30 mg/kg caused increased heart rate, shortened PR and QT intervals, and decreased blood pressure (no significant difference in QTcF). The acute toxicity MTD was ≥ 180 mg/kg. The repeated-dose NOAEL was 100 mg/kg; local injection-site and sciatic-nerve lesions were reversible. Muscular irritation, in vitro hemolysis, and active systemic anaphylaxis tests were all negative. Overall, NAD⁺ showed a favorable non-clinical safety profile over the dose range tested, and the bioanalytical methods established here provide a basis for its further development and clinical application.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Highlights |
• | First GLP-compliant safety evaluation of NAD⁺, defining its safety boundary |
• | Established HPLC and LC-MS/MS methods to quantify NAD⁺ in solution and blood |
• | 3 mg/kg IM was safe in dogs; higher doses altered heart rate, PR/QT and BP |
• | NOAEL 100 mg/kg in rats; higher doses: reversible local/sciatic-nerve lesions |
• | Muscular irritation, hemolysis, and anaphylaxis tests were all negative |
Keywords : NAD⁺, Coenzyme I, Non-clinical safety evaluation, Safety pharmacology, Repeated dose toxicity, Method validation
Plan
Vol 204
Article 119934- novembre 2026 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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