Niagen Bioscience secures FDA, EMA designations for NB4168
Niagen Bioscience secured FDA Rare Pediatric Disease Designation and EMA Orphan Medicinal Product Designation for NB4168 to treat Ataxia Telangiectasia. The oral therapy is designed to enhance NAD+ levels and bioavailability, addressing unmet needs in this rare genetic disease.

*this image is generated using AI for illustrative purposes only.
Niagen Bioscience, Inc. (NASDAQ: NAGE) announced that the U.S. Food and Drug Administration (FDA) granted Rare Pediatric Disease (RPD) Designation for its proprietary lead small molecule drug candidate NB4168 for the treatment of Ataxia Telangiectasia (A-T). Additionally, the European Medicines Agency (EMA) granted Orphan Medicinal Product Designation (OMPD) to NB4168 for the treatment of A-T. These regulatory designations recognize the significant unmet medical need in A-T and provide development incentives intended to support and accelerate the advancement of promising therapies for rare diseases.
The FDA granted RPD Designation based on its determination that A-T is a serious and life-threatening disease that primarily affects individuals from birth through adolescence and meets the statutory definition of a rare disease. The EMA's Committee for Orphan Medicinal Products similarly concluded that NB4168 met the criteria for orphan designation for the treatment of A-T. Together, these designations provide regulatory recognition in the European Union and further support the company's plans to advance the program globally.
NB4168 is an oral small molecule therapy engineered to deliver substantially greater nicotinamide riboside (NR) exposure than conventional NR while maintaining a differentiated pharmacokinetic and safety profile. It is designed to have significantly higher bioavailability and increase NAD+, a coenzyme essential for DNA repair, mitochondrial function, cellular energy production, and stress responses—biological pathways disrupted in A-T. As A-T is categorized as a rare genetic premature aging disease, NB4168 may translate to other age-related diseases.
Rob Fried, Chief Executive Officer of Niagen Bioscience, stated that receiving RPD Designation from the U.S. FDA and OMPD from the EMA represents meaningful regulatory validation of NB4168 and the company's strategy to develop therapies for patients with serious rare diseases. He noted that these milestones strengthen the path toward clinical development and reinforce the opportunity to extend the company's leadership in NAD+ science into regulated medicines.
About Ataxia Telangiectasia (A-T)
A-T is a rare genetic disease caused by mutations in the ATM gene. The disease typically presents in early childhood and is characterized by progressive loss of motor coordination, impaired immune function, increased susceptibility to infections, pulmonary complications, a substantially elevated risk of cancer, and premature aging. There are currently no FDA-approved therapies for A-T, and treatment is largely limited to supportive care. A-T impacts roughly 1 in 40,000 people in the U.S. and 1 in 150,000 people in Europe.
Regulatory Designations and Development
The FDA's RPD Designation is intended to encourage the development of therapies for serious and life-threatening diseases that primarily affect children. The EMA's OMPD is granted to therapies intended to diagnose, prevent, or treat life-threatening or chronically debilitating rare diseases affecting fewer than five in 10,000 people in the European Union. Niagen Bioscience is currently advancing preclinical development activities and plans to submit an Investigational New Drug (IND) application to the FDA in anticipation of initiating human clinical studies.
Key Details of the NB4168 Program
| Feature | Description |
|---|---|
| Candidate Name | NB4168 |
| Initial Indication | Ataxia Telangiectasia (A-T) |
| Mechanism | NAD+ precursor derivative of nicotinamide riboside (NR) |
| Administration | Oral |
| Patent Status | Protected by patent portfolio, including composition-of-matter patent |
| Regulatory Status | U.S. FDA Rare Pediatric Disease Designation; EMA Orphan Medicinal Product Designation |
What is the anticipated timeline for the submission of the Investigational New Drug (IND) application and the initiation of Phase 1 clinical trials?
How will Niagen Bioscience leverage the FDA's Rare Pediatric Disease Designation to potentially secure a Priority Review Voucher upon approval?
What are the specific plans for expanding the development of NB4168 into other age-related diseases given its mechanism as a NAD+ precursor?

























