Benefit
Skin & Dermatology
Chemoprevention and topical applications.
Strong human evidence
Nicotinamide has the most robust dermatology track record — 3-phase trials for non-melanoma skin cancer chemoprevention showed a ~23% reduction in incidence at 500 mg BID. Topical niacinamide is widely used for barrier repair.
Key studies
New England Journal of Medicine · 2015 · PMID 26488693
A phase 3 randomized trial of nicotinamide for skin-cancer chemoprevention
Chen AC, et al.
Editorial note
NADFaq grades evidence on a 4-tier scale based on human trial quality, sample size, reproducibility, and mechanistic plausibility. This is a conservative framework — many published benefits of NAD+ precursors rest on preclinical (rodent or cell) work that has not yet translated to humans.
How we grade evidence