The Effect of Oral Alpha-Cyclodextrin on Fecal Fat Excretion



Status:Terminated
Conditions:Obesity Weight Loss, Peripheral Vascular Disease
Therapuetic Areas:Cardiology / Vascular Diseases, Endocrinology
Healthy:No
Age Range:18 - 60
Updated:4/21/2016
Start Date:October 2013
End Date:December 2015

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Saturated fat leading to elevated low density lipoprotein (LDL) cholesterol is considered a
cardiovascular risk factor. The properties associated with α- cyclodextrin, allow it to
selectively reduce saturated fat and calories which will have a medically beneficial effect
on LDL cholesterol and obesity. The purpose of the research is to evaluate this effect of α-
cyclodextrin. It is hypothesized that alpha cyclodextrin supplementation will increase fecal
fat on a high saturated fat diet compared to the same diet supplemented with a digestible
carbohydrate control

Alpha-cyclodextrin which functions as a soluble dietary fiber, has been shown to a form a
stable emulsion with dietary fat in the ratio of 1:9, with a higher affinity for saturated
fat compared to unsaturated fat. In humans, supplementation with α-cyclodextrin has been
shown to lead to a significant weight loss regardless of whether energy intake was
maintained or increased.The aim of this study is to evaluate the results of a 72 hour fecal
fat test using stool markers on the last three days of each of three six-day feeding
periods. Subjects will be served a weight maintaining diet containing 40% fat (of which 40%
will be saturated), 30% protein and 30% carbohydrate for 18 days. Subjects will also consume
1 gram alpha cyclodextrin with 1 gram of starch, 2 grams of alpha cyclodextrin, or 2 grams
of starch in capsule form before breakfast, lunch, and dinner every day in each of the three
six-day feeding periods. At this dose, alpha-cyclodextrin is recognized as safe by the FDA.
All stools will be collected over a 72 hour period at the end of each feeding period and
analyzed for fecal fat excretion.

Inclusion Criteria:

- BMI between 20 and 30 kg/m2 inclusive

- Weight ≥ 65 kg for females, and ≥ 55 kg for males

Exclusion Criteria:

- Pregnant or nursing.

- Diabetes Mellitus

- Any medication to reduce lipids

- History of gastrointestinal surgery, except for cholecystectomy or appendectomy

- History of malabsorption
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6400 Perkins Rd
Baton Rouge, Louisiana 70808
(225) 763-2500
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