FBCx (Alpha-CD) Mechanism of Action Trial
FMAT
A Single Center, Randomized, Double-blind, Placebo Controlled, Two-way Crossover Study to Determine the Fat Losses in Stool Associated With Alpha-CD Use as Compared to Placebo Using a Radiotracer
1 other identifier
interventional
8
1 country
1
Brief Summary
To determine the fat losses in stool associated with alpha-CD use in healthy volunteers, as compared to placebo when consumed with a standardized radiolabeled fatty meal.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable healthy-volunteers
Started Jan 2017
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
December 19, 2016
CompletedFirst Posted
Study publicly available on registry
December 21, 2016
CompletedStudy Start
First participant enrolled
January 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2017
CompletedAugust 11, 2017
August 1, 2017
5 months
December 19, 2016
August 9, 2017
Conditions
Outcome Measures
Primary Outcomes (1)
Radiolabeled lipid content in stool
The primary endpoint for this investigation is to measure the total excretion of radiolabeled fat in feces over 72 hours.
72 hours
Secondary Outcomes (1)
Blood glucose levels
6 hours
Other Outcomes (1)
Blood Trigliceride Levels
6 hours
Study Arms (2)
Alpha-cycoldextrin
ACTIVE COMPARATORAll subjects randomized to receive Alpha-cycoldextrin will orally ingest two tablets containing Alpha-cyclodextrin, with their standardized liquid breakfast (100 micro Ci of \[3H\]triolein and 20 micro Ci of \[14C\]tripalmitin). The tablets will be consumed with 150 ml of still water immediately prior to consuming each meal. Subjects will be observed for a period of 48 hours as an in-patient, and then an additional 24 hours as an out-patient. During this time they will undergo a meal fatty acid metabolism study, through blood and fecal sampling, to assess meal fatty acid oxidation and storage.
Placebo
PLACEBO COMPARATORAll subjects randomized to receive placebo will orally ingest two placebo tablets with their standardized liquid breakfast (100 micro Ci of \[3H\]triolein and 20 micro Ci of \[14C\]tripalmitin). The tablets will be consumed with 150 ml of still water immediately prior to consuming each meal. Subjects will be observed for a period of 48 hours as an in-patient, and then an additional 24 hours as an out-patient. During this time they will undergo a meal fatty acid metabolism study, through blood and fecal sampling, to assess meal fatty acid oxidation and storage.
Interventions
Alpha-cyclodextrin (α-CD) is a soluble dietary fiber that has a history of use in foods and as a pharmaceutical excipient. Recently the ability of the fiber to bind to dietary fat has led to further investigation of the possible health benefits of dietary supplementation with this fiber.
Eligibility Criteria
You may qualify if:
- Healthy weight stable individuals (defined as a BMI of ≥18.5 and \<27, and stable for at least the preceding two months from Screening)
- Not pregnant, and if of childbearing potential, agrees to use adequate birth control (hormonal or barrier method of birth control or abstinence) prior to study entry and during the trial and agrees not to donate sperm or ova, for the duration of the study
- Subjects ≥ 18 - ≤60 years of age at screening
- Consistent regular bowel movement (defined as between 3 times a day to 1 time per day)
- Provide Informed Consent
- Willing and able to complete study procedures within the study timelines
- Adequate renal function: serum creatinine less than 1.5 x upper limit of normal (ULN)
- Adequate liver function: serum glutamic oxaloacetic transaminase/aspartate aminotransferase (SGOT/AST) and serum glutamic pyruvic transaminase/alanine aminotransferase (SGPT/ALT) ≤ 2 × ULN and serum bilirubin ≤ 1.5 × ULN unless Gilbert's syndrome has previously been confirmed for the subject
- Adequate bone marrow function: white blood cells (WBCs) ≥ 3,000/mm3, absolute neutrophil count (ANC) ≥ 1,500/mm3, hemoglobin ≥ 9 g/dL, and platelets ≥ 100,000/mm3
You may not qualify if:
- Evidence of chronic pancreatitis
- Evidence of irritable bowel syndrome (medical or self-diagnosed)
- Previous gallbladder surgery
- Use of enemas and/or suppositories within 30 days of Screening
- Consuming ≥ 375 mg of caffeine per day (equivalent to 5 serves of 1 oz. restaurant style espresso per day)
- History of febrile illness within 5 days prior to Screening
- Evidence or history of substance or alcohol abuse
- History of major depression (per DSM4 criteria), bipolar disorder, or schizophrenia
- Current use of prescription or non-prescription weight loss products (≥ 2 week washout period is required to become eligible)
- Smoking ≥ 30 cigarettes (one pack) per week
- Significant dietary restrictions (incl. vegan, vegetarian diets and any subject not prepared to consume any of the standardized food/s
- Evidence of an active eating disorder (incl. anorexia nervosa, bulimia, and/or obsessive compulsive disorders)
- Use of other investigational agent(s) at the time of enrollment, or within 30 days or five half-lives of enrollment, whichever is longer
- Pregnant or lactating
- Current use of any medication known to affect gut motility
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- SFI Researchlead
- Mayo Cliniccollaborator
Study Sites (1)
Mayo Clinic
Rochester, New South Wales, 55905, Australia
Related Publications (2)
Comerford KB, Artiss JD, Jen KL, Karakas SE. The beneficial effects of alpha-cyclodextrin on blood lipids and weight loss in healthy humans. Obesity (Silver Spring). 2011 Jun;19(6):1200-4. doi: 10.1038/oby.2010.280. Epub 2010 Dec 2.
PMID: 21127475RESULTJarosz PA, Fletcher E, Elserafy E, Artiss JD, Jen KL. The effect of alpha-cyclodextrin on postprandial lipid and glycemic responses to a fat-containing meal. Metabolism. 2013 Oct;62(10):1443-7. doi: 10.1016/j.metabol.2013.05.015. Epub 2013 Jun 24.
PMID: 23806736RESULT
MeSH Terms
Interventions
Study Officials
- PRINCIPAL INVESTIGATOR
Michael D Jensen, M.D.
Mayo Clinic
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- BASIC SCIENCE
- Intervention Model
- CROSSOVER
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
December 19, 2016
First Posted
December 21, 2016
Study Start
January 1, 2017
Primary Completion
June 1, 2017
Study Completion
July 1, 2017
Last Updated
August 11, 2017
Record last verified: 2017-08
Data Sharing
- IPD Sharing
- Will not share