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The ENHANCE study. Can a daily supplement improve egg quality? The effects of NR (Nicotinamide riboside) supplementation on the egg quality of women of advanced age undergoing IVF: a randomised placebo-controlled double-blind proof of concept clinical trial

The ENHANCE study. Can a daily supplement improve egg quality? The effects of NR (Nicotinamide riboside) supplementation on the egg quality of women of advanced age undergoing IVF: a randomised placebo-controlled double-blind proof of concept clinical trial

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12621001699853
Enrollment
43
Registered
2021-12-10
Start date
2022-01-24
Completion date
2026-12-21
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

The Enhance study is a randomised placebo-controlled double-blind proof of concept clinical trial to analyse whether using a daily supplement can improve egg quality. Women between the age of 36 and 50years requiring IVF trying to conceive will be randomised for the use of NR at the dosage of 250mg, 1000mg, or placebo, once a day for six weeks before the trigger (36 hours before the egg collection) in an IVF cycle. A primary outcome will be analysing the number of day 5 blastocysts and secondary outcomes: number of oocytes retrieved, final estradiol level, fertilisation rates, number of embryos surviving to D3, pregnancy rates and outcomes, and NR safety. We will also be evaluating the bioavailability of NAD in blood and follicular fluid and oocyte quality.

Interventions

Patients who are eligible to join the study will be randomised into three groups. Women will be using NR - Nicotinamide Riboside (TRU NIAGEN - TGA listed ARTG number 328365), as oral capsules, at the dosage of 250mg, 1000mg or placebo once a day for six weeks before the trigger (36 hours before the egg collection) in an IVF treatment cycle. As a strategy to monitor adherence to the intervention, the research nurse will call each participant after 14 days of medication use to check for compliance

Patients who are eligible to join the study will be randomised into three groups. Women will be using NR - Nicotinamide Riboside (TRU NIAGEN - TGA listed ARTG number 328365), as oral capsules, at the dosage of 250mg, 1000mg or placebo once a day for six weeks before the trigger (36 hours before the egg collection) in an IVF treatment cycle. As a strategy to monitor adherence to the intervention, the research nurse will call each participant after 14 days of medication use to check for compliance. In addition, after the participant’s first clinic visit, (approximately 28 days since commencing the study medication), the participant will be seen by research staff to count their study medication to check for compliance.

Sponsors

University of New South Wales - UNSW
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
All
Age
36 Years to 42 Years
Healthy volunteers
No

Inclusion criteria

Female patients undergoing IVF aged greater than or equal to 36 years at the time of randomisation

Exclusion criteria

Consumption of herbal medicine or additional supplements except for preconception multivitamins

Outcome results

None listed

Source: ANZCTR · Data processed: Jul 3, 2026