Clinical trial Recruiting at 1 site Phase2; Phase3 Interventional Ages 18 and up Women only

Increasing milk production in mothers of extremely preterm infants using a supplement

Official title: Nicotinamide Riboside and Milk Production in the NICU

Run by University of California, Davis · NCT04614714 · Data updated 2026-11-12

This study is testing if a supplement called nicotinamide riboside can help mothers of extremely preterm infants produce more breast milk.

More Preterm Birth trials

Quick facts

PhasePhase2; Phase3
Study typeInterventional
Ages18 Years and up
SexWomen only
Enrollment40 (estimated)
SponsorUniversity of California, Davis
Academic / other
Locations1 site (Sacramento, California)
StatusRecruiting
StartedAugust 19, 2026
Main results expectedAugust 30, 2027
Study endsAugust 30, 2027
Registry record updatedSeptember 14, 2026
Trial IDNCT04614714 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are mothers who have delivered infants at or before 28 weeks gestation and are willing to participate in milk volume measurement.

Probably not a fit

Patients who may not benefit include those with a history of breast surgery, those using certain medications, or those who do not reside within 50 miles of the UC Davis Medical Center.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the effects of nicotinamide riboside (NR) supplementation on milk production in mothers of extremely preterm infants. The researchers hypothesize that NR, a precursor to NAD+, can enhance metabolic processes that support lactation. Mothers will be randomly assigned to receive either NR or a placebo during the early postpartum period, and their milk volume will be measured. The study aims to provide insights into the potential benefits of NR for improving breastfeeding outcomes in this vulnerable population.

Why it matters

Potential benefit: If successful, this study could significantly improve milk production in mothers of preterm infants, enhancing the nutritional support for their babies.

How similar studies have gone: While no studies have specifically tested NR for increasing milk supply in lactating women, previous research in lactating rats has shown promising results.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion criteria are required to be met before or at enrollment:

Mothers who are 18 years or older.

Infants delivered at 24-32 weeks OR infants (any GA) that researchers anticipate will be hospitalized in the NICU for at least 4 weeks, including, but not limited to, infants with a diagnosis of gastroschisis, a cardiac defect, intestinal atresia, etc.

Infants born at the UC Davis Medical Center or transferred to the UC Davis Medical Center NICU within the first 7 days of life.

Mothers who attempted initial milk expression within 12 hours of delivery.

Mothers who attempted milk expression at least 6 times every 24 hours from 72 hours after delivery to the Enrollment Visit.

Mothers who have delivered at least 96 hours (4 days) prior to the Enrollment Visit.

Mothers who have experienced a level "3" on the OMPQ before starting the collection of their first 24-hour pooled milk sample (study days 0-3).

Mothers who plan to feed their infants breast milk for at least 3 months.

Mothers who were pregnant with one infant.

Mothers willing to refrain from tandem feeding (directly breastfeeding) another child during the study period.

Mothers willing to refrain from enrolling themselves in another intervention trial during the study period.

Mothers willing to express, weigh, record, and collect 24-hour pooled milk

Mothers willing to remove nipple piercings during the study period.

Mothers willing to refrain from using pseudoephedrine (often found in Sudafed, Theraflu, Claritin-D, etc.) during the study period.

Mothers willing to express milk 6 times or more every 24 hours, including at least once during the night, and with no more than 5 hours between milk expression sessions, during the study period.

Mothers willing to refrain from consuming non-study supplements that contain nicotinamide-riboside (or similar derivatives, including NMN) during the study period.

Mothers willing to refrain from consuming galactagogues during the study period.

Where it's running

  • University of California, Davis
    Sacramento, California, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.