This study reports the development of an amperometric biosensor for quantification of mevalonic acid (MA), which is the first intermediate of HMG-CoA reductase in the isoprenoids biosynthesis pathway and therefore a useful indicator of HMGR activity. This method offers important advantages over previous reports because no radiolabeled substrates or expensive techniques are required, and time of analysis is relatively short. Self-assembled NAD + onto multiwall-carbon nanotubes (MWCNTs) was synthesized for a biosensing system. Adsorption of NAD + on MCWNTs was characterized by X-ray photoelectron spectroscopy (XPS) technique. This biosensor was constructed by modifying a screen-printed carbon electrode (SPCE) with NAD + /MWCNTs nanocomposite. The electrochemical and electrocatalytic behaviors of the modified electrode were studied using amperometry and cyclic voltammetry (CV). The resulting biosensor demonstrated great electrocatalytic activity, good stability and fast response to MA. At the NAD + /MWCNTs-modified SPCE, the catalytic currents are linearly proportional to the concentrations of MA in the wide range from 10 nM to 140 nM with a limit of detection down to 5 nM (S/N = 3), and the biosensor exhibited a sensitivity of 18.3 μA/mM. We measured the interference effect on the MA analysis and the results demonstrated its imperviousness to the effects of haemoglobin, bilirubin and serum albumin. Measurement of mevalonic acid (MA) is of great interest in health monitoring as it is the first intermediate of 3-hydroxy-3-methylglutaryl-coenzyme A reductase (HMGR) and appears to be a good indicator of HMGR activity. HMGR plays a crucial role in regulating sterol biosynthesis. Its activity is shown as the rate-limiting step in the mevalonate pathway in the isoprenoid metabolism pathway 1,2 and thus is a prime target for the drug development. Biofluid levels of MA can be used as a biomarker for many diseases. For example, the reduction of plasma concentrations and urinary excretion of MA levels is an indirect measure of decreased cholesterol levels. For treatment of hypercholesterolemia, the statin class of drugs are used to block HMGR activity resulting in inhibition of MA synthesis.3,4 Moreover, cholesterol biosynthesis deficiencies cover a heterogeneous group of disorders. Mevalonate kinase is an enzyme located proximally in the pathway of cholesterol and nonsterol isoprene biosynthesis. Its allelic defects can cause hyperimmunoglobulinemia D syndrome (HIDS) and Mevalonic aciduria (MVA). The diagnosis of these diseases can be performed by determining MA concentration in urine followed by enzyme activity determination or mevalonate-5-phosphate (MVAP) detection by isotope dilution UPLC-MS/MS.5 Interestingly, monitoring MA levels in biofluids allows a better understanding of the drug pharmacodynamics, especially with respect to response to statin therapy due to any interindividual variations, and may allow for improvements in patient management and treatment regimes. 6 Furthermore, inhibition of HMGR may be useful for...