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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02999620
Registration number
NCT02999620
Ethics application status
Date submitted
19/12/2016
Date registered
21/12/2016
Titles & IDs
Public title
FBCx (Alpha-CD) Mechanism of Action Trial
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Scientific title
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
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Secondary ID [1]
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SFIR-FMAT-US01
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Universal Trial Number (UTN)
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Trial acronym
FMAT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Healthy Volunteers
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Condition category
Condition code
Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - Alpha-cyclodextrin
Treatment: Other - Placebo
Active comparator: Alpha-cycoldextrin - All 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 comparator: Placebo - All 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.
Treatment: Other: Alpha-cyclodextrin
Alpha-cyclodextrin (a-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.
Treatment: Other: Placebo
Identical looking placebo tablet to active (Alpha-cyclodextrin)
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Radiolabeled lipid content in stool
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Assessment method [1]
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The primary endpoint for this investigation is to measure the total excretion of radiolabeled fat in feces over 72 hours.
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Timepoint [1]
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72 hours
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Secondary outcome [1]
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Blood glucose levels
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Assessment method [1]
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Blood Glucose will be measured hourly from fasting to 6 hours post radiotraced meal on the first day of each treatment period.
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Timepoint [1]
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6 hours
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Eligibility
Key inclusion criteria
* 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
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* 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
* History of malignancy, treated or untreated, within the past five years, with the exception of non-melanoma skin cancer and cervical carcinoma in situ
* A known history of hypersensitivity to any of the a-CD components
* Any other health condition that would preclude participation in the study in the judgment of the principal investigator
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Study design
Purpose of the study
Other
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/01/2017
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/07/2017
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Sample size
Target
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Accrual to date
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Final
8
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Mayo Clinic - Rochester
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Recruitment postcode(s) [1]
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55905 - Rochester
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
SFI Research
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Mayo Clinic
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
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Summary
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.
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Trial website
https://clinicaltrials.gov/study/NCT02999620
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Trial related presentations / publications
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. Jarosz 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.
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Public notes
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Contacts
Principal investigator
Name
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Michael D Jensen, M.D.
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Address
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Mayo Clinic
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Comerford KB, Artiss JD, Jen KL, Karakas SE. The b...
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More Details
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Journal
Jarosz PA, Fletcher E, Elserafy E, Artiss JD, Jen ...
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Results not provided in
https://clinicaltrials.gov/study/NCT02999620