Emerging evidence identifies vascular aging independently predicting cardiovascular events, yet effective clinical interventions remain lacking. Nicotinamide adenine dinucleotide (NAD+) is an essential cofactor whose levels decline with age, and preclinical studies suggest that boosting NAD+ can improve vascular function and structure. Preliminary clinical studies in healthy older adults indicate that supplementation with NAD+ precursors, such as nicotinamide riboside(NR) or nicotinamide mononucleotide (NMN), can reduce arterial stiffness as measured by pulse wave velocity (PWV). However, whether NAD+ supplementation can improve vascular endothelial function and exert anti-stiffening effects in patients who have already developed measurable arterial stiffness remains unknown. Based on this evidence, the investigator hypothesize that the Coenzyme I for Injection will reverse vascular aging in older adults with established arterial stiffening.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
60
Subjects receive 7 consecutive days of intravenous infusion of Coenzyme I for injection.
Subjects receive 7 consecutive days of intravenous infusion of NaCl(0.9%).
Shanghai Tenth People's Hospital
Shanghai, Shanghai Municipality, China
The change in flow-mediated vasodilation(FMD)
Changes in FMD from baseline to day 8/28.
Time frame: Day 8/28
Changes in cf-PWV.
Changes in cf-PWV from baseline to day 8/28.
Time frame: day 8/28
Changes in retinal arteriovenous ratio (AVR) and wall/lumen ratio (WLR)
Changes in retinal arteriovenous ratio (AVR) and wall/lumen ratio (WLR) from baseline to day 8/28.
Time frame: day 8/28
Changes in the level of NAD+
Changes in the level of NAD+ from baseline to day 8/28.
Time frame: day 8/28
Changes in the metabolomics.
Changes in the metabolomics from baseline to day 8/28.
Time frame: day 8/28
Changes in office blood pressure and 24-hour ambulatory blood pressure
Changes in office blood pressure and 24-hour ambulatory blood pressure from baseline to day 8/28.
Time frame: day 8/28
The change in the urine albumin-to-creatinine ratio
The change in the urine albumin-to-creatinine ratio from baseline to day 8/28.
Time frame: day 8/28
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