Component
New keratinocyte skin cancer incidence
New keratinocyte skin cancer incidence. The model and exposure of each linked claim define its scope.
2 recorded relationships. Experimental role, claim status and evidence remain attached to each record.
How nutrients influence it
Every nutrient with a recorded effect on this component, credited to the nutrient that acted rather than the chapter that recorded it. Open a nutrient to see the findings and the conditions they were measured under.
Other things that act on it
Enzymes, hormones, genes, and other components with a recorded effect. These are not nutrients, so they do not count toward the arrows above. Each finding names the chapter that recorded it.
How nutrients reach it in more than one step
Chains of two or more recorded steps that end here, grouped by the nutrient they start from. Each step is a separate finding, so a chain is a route a mechanism could take, not proof that it does.
Tracing routes…
What it does
Every recorded relationship this component is part of, grouped by its role. Plain wording comes first; the technical statement follows.
What acts on it
During ONTRAC treatment, new nonmelanoma skin cancers were 23% lower with nicotinamide than placebo (95% CI 4–38%); there was no evidence of benefit after discontinuation.
Experimental context and source evidence
- cross_nutrient
- Niacin precursor form and the measured endpoint are separate graph entities.
- evidence_span
- {"source_cache": "artifacts/niacin-clinical-sources/chen2015.abstract.txt", "locator": "Indexed primary abstract", "file_sha256": "7a305aa1d363f375f8cb640b5ddc5f77517f0229a6041558e392d7a07e198aa8", "start_char": 0, "end_char": 2368, "text_sha256": "7a305aa1d363f375f8cb640b5ddc5f77517f0229a6041558e392d7a07e198aa8"}
- experimental_model
- ONTRAC double-blind randomized trial; 386 high-risk participants with at least two recent nonmelanoma skin cancers
- exposure
- Nicotinamide 500 mg twice daily for 12 months; observation for a further six months
- limitations
- Selected high-risk population; this is pharmacological prevention, not proof of deficiency. Combined endpoint differs from subtype effects. Results do not establish efficacy in every population or after treatment stops.
- nutrient_topic
- Niacin research collection; topical membership is not evidence of a direct dietary effect. · Niacin (vitamin B3)
- organism
- Homo sapiens
- plain_language
- Nicotinamide reduced new skin cancers during treatment in this selected high-risk group; protection was not shown to persist after stopping.
- primary_references
- [nia-clin-chen2015] A Phase 3 Randomized Trial of Nicotinamide for Skin-Cancer Chemoprevention. (2015). https://pubmed.ncbi.nlm.nih.gov/26488693/ DOI: 10.1056/nejmoa1506197
- tissue_or_cell_type
- Skin cancer counts
Niacin: NAD metabolism, deficiency and nutrient interactions (2026-09-17) · lines 1431–1443
AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · ONTRAC double-blind randomized trial; 386 high-risk participants with at least two recent nonmelanoma skin cancers · source_derived_draft · unverified_draft
### nia-clin-ontrac-skin During ONTRAC treatment, new nonmelanoma skin cancers were 23% lower with nicotinamide than placebo (95% CI 4–38%); there was no evidence of benefit after discontinuation. Condition category: normal nutrient_topic: Niacin research collection; topical membership is not evidence of a direct dietary effect. plain_language: Nicotinamide reduced new skin cancers during treatment in this selected high-risk group; protection was not shown to persist after stopping. organism: Homo sapiens tissue_or_cell_type: Skin cancer counts experimental_model: ONTRAC double-blind randomized trial; 386 high-risk participants with at least two recent nonmelanoma skin cancers limitations: Selected high-risk population; this is pharmacological prevention, not proof of deficiency. Combined endpoint differs from subtype effects. Results do not establish efficacy in every population or after treatment stops. exposure: Nicotinamide 500 mg twice daily for 12 months; observation for a further six months cross_nutrient: Niacin precursor form and the measured endpoint are separate graph entities. evidence_span: {"source_cache": "artifacts/niacin-clinical-sources/chen2015.abstract.txt", "locator": "Indexed primary abstract", "file_sha256": "7a305aa1d363f375f8cb640b5ddc5f77517f0229a6041558e392d7a07e198aa8", "start_char": 0, "end_char": 2368, "text_sha256": "7a305aa1d363f375f8cb640b5ddc5f77517f0229a6041558e392d7a07e198aa8"} [nia-clin-chen2015] A Phase 3 Randomized Trial of Nicotinamide for Skin-Cancer Chemoprevention. (2015). https://pubmed.ncbi.nlm.nih.gov/26488693/ DOI: 10.1056/nejmoa1506197
Complete structured claim and evidenceONTRANS recorded 207 versus 210 new keratinocyte cancers with nicotinamide and placebo: rate ratio 1.0, 95% CI 0.8–1.3.
Experimental context and source evidence
- cross_nutrient
- Niacin precursor form and the measured endpoint are separate graph entities.
- evidence_span
- {"source_cache": "artifacts/niacin-clinical-sources/allen2023.abstract.txt", "locator": "Indexed primary abstract", "file_sha256": "0331a413552524d52730cd68ea35a70b589a37aa0a29d25bbc7b6f4777dbdcbd", "start_char": 0, "end_char": 2229, "text_sha256": "0331a413552524d52730cd68ea35a70b589a37aa0a29d25bbc7b6f4777dbdcbd"}
- experimental_model
- ONTRANS double-blind randomized trial; 158 solid-organ transplant recipients with recurrent keratinocyte cancers
- exposure
- Nicotinamide 500 mg twice daily versus placebo for 12 months
- limitations
- Trial stopped early because of poor recruitment. Population differs materially from immunocompetent ONTRAC participants; neither the population difference nor different statistical results alone constitutes a research contradiction.
- nutrient_topic
- Niacin research collection; topical membership is not evidence of a direct dietary effect. · Niacin (vitamin B3)
- organism
- Homo sapiens
- plain_language
- The same daily amount did not show a skin-cancer reduction in this smaller transplant-recipient trial.
- primary_references
- [nia-clin-allen2023] Nicotinamide for Skin-Cancer Chemoprevention in Transplant Recipients. (2023). https://pubmed.ncbi.nlm.nih.gov/36856616/ DOI: 10.1056/nejmoa2203086
- tissue_or_cell_type
- Skin cancer counts
Niacin: NAD metabolism, deficiency and nutrient interactions (2026-09-17) · lines 1445–1457
AI-assisted literature curation; primary study URLs and scope retained in the document and extraction. Not publisher full text. · supports · ONTRANS double-blind randomized trial; 158 solid-organ transplant recipients with recurrent keratinocyte cancers · source_derived_draft · unverified_draft
### nia-clin-ontrans-skin ONTRANS recorded 207 versus 210 new keratinocyte cancers with nicotinamide and placebo: rate ratio 1.0, 95% CI 0.8–1.3. Condition category: normal nutrient_topic: Niacin research collection; topical membership is not evidence of a direct dietary effect. plain_language: The same daily amount did not show a skin-cancer reduction in this smaller transplant-recipient trial. organism: Homo sapiens tissue_or_cell_type: Skin cancer counts experimental_model: ONTRANS double-blind randomized trial; 158 solid-organ transplant recipients with recurrent keratinocyte cancers limitations: Trial stopped early because of poor recruitment. Population differs materially from immunocompetent ONTRAC participants; neither the population difference nor different statistical results alone constitutes a research contradiction. exposure: Nicotinamide 500 mg twice daily versus placebo for 12 months cross_nutrient: Niacin precursor form and the measured endpoint are separate graph entities. evidence_span: {"source_cache": "artifacts/niacin-clinical-sources/allen2023.abstract.txt", "locator": "Indexed primary abstract", "file_sha256": "0331a413552524d52730cd68ea35a70b589a37aa0a29d25bbc7b6f4777dbdcbd", "start_char": 0, "end_char": 2229, "text_sha256": "0331a413552524d52730cd68ea35a70b589a37aa0a29d25bbc7b6f4777dbdcbd"} [nia-clin-allen2023] Nicotinamide for Skin-Cancer Chemoprevention in Transplant Recipients. (2023). https://pubmed.ncbi.nlm.nih.gov/36856616/ DOI: 10.1056/nejmoa2203086
Complete structured claim and evidence
The events it takes part in
A mechanism often involves more than two components. These are the full events, with every participant and its role.
Situations it appears in
Low-supply and faulty-machinery situations recorded in the chapters where this component plays a part.
In the sources
Preserved passages that mention this component, quoted exactly. Open one to read it in context.
Open hypotheses
Proposed ideas that involve this component. They are labeled as hypotheses and do not change any recorded statement.
This is a research prototype built from draft material. It is not medical advice, and its statements still await verification against the original studies.