The purpose of the study is to understand the effect of nicotinamide mononucleotide (NMN) on patients with diminished ovarian reserve (including premature ovarian insufficiency).
This study aims to evaluate the effects of NMN on reproductive endocrine, immune homeostasis, and reproductive outcomes in women with DOR (including POI), and to explore its underlying mechanisms to provide the intervention strategies for DOR (including POI).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
200
NMN capsules (total of 600mg/day) for 3 months
NMN-free placebo capsules for 3 months
Peking University Third Hospital
Beijing, Beijing Municipality, China
RECRUITINGThe comparison of the gut microbiota composition
Determination the gut microbiota composition change of stool samples between placebo group and intervention group by 16S metagenomic.
Time frame: before and after 2, 8, 12 weeks of intervention
The alterations of gut metabolites
Determination the alterations of gut metabolites before and after NMN intervention by metabolomics.
Time frame: before and after 2, 8, 12 weeks of intervention
Blood sugar level
Changes in plasma glucose concentration after the intervention.
Time frame: before and after 2, 8, 12 weeks of intervention
Fasting insulin
Changes in plasma insulin concentration after the intervention.
Time frame: before and after 2, 8, 12 weeks of intervention
Endocrine hormones including AMH
Changes in endocrine hormones including AMH levels in serum after the intervention.
Time frame: before and after 3 months of intervention
Ovarian volume
The size of each ovary will be determined using transvaginal ultrasonography for each participant in early follicular phase.
Time frame: before and after 3 months of intervention
Follicle number
The number of all antral follicles in each ovary will be determined using transvaginal ultrasonography for each participant.
Time frame: before and after 3 months of intervention
Blood NAD+ level
Changes in whole blood NAD+ level after the intervention.
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Time frame: before and after 2, 8, 12 weeks of intervention
Changes in NAD-related metabolites in urine
Determination the changes of NAD-related metabolites in urine before and after NMN intervention by metabolomics.
Time frame: before and after 2, 8, 12 weeks of intervention