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Chitosan is a natural polysaccharide of β-1,4-linked glucosamine residues deriving from chitin, a dietary fiber primarily obtained from fungal cell walls and the exoskeletons of various crustaceans (e.g. crab, lobster, and shrimp) and whose cholesterol-lowering properties are due to the hydrophobic bonds it forms with cholesterol and other sterols, interfering with the emulsification process in the intestine.
In addition to reducing low-density lipoprotein cholesterol (LDL-C) levels, several studies showed that chitosan administration may help reduce body weight. For this reason, its use might be particularly useful as a strategy to simultaneously control two different risk factors for the development of CVDs.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active treatment | Active Comparator | Medical Device (Kaptufat®) |
|
| Placebo | Placebo Comparator | Placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Medical Device (Kaptufat®) | Device | 140 mg chitosan, 460 mg cellulose and 35.384 mg ascorbic acid for 1 tablet Oral administration: 3 tablets twice a day before the main meals |
|
| Measure | Description | Time Frame |
|---|---|---|
| Absolute change in LDL-C from baseline and between groups | Absolute change in LDL-C after 12 weeks of treatment with MD compared to placebo | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Absolute change in LDL-C from baseline and between groups | Absolute change in LDL-C from baseline and between groups after 6 weeks of treatment with MD compared to placebo | 6 weeks |
| Absolute change in serum lipids other than LDL-C (TC, TG, HDL-C, non-HDL-C) and apolipoproteins from baseline and between groups |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Arrigo F.G. Cicero, MD, PhD | Contact | +39516362224 | arrigo.cicero@unibo.it |
| Name | Affiliation | Role |
|---|---|---|
| Arrigo F.G. Cicero, MD, PhD | AOU Policlinico S. Orsola-Malpighi | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| AOU Policlinico S.Orsola-Malpighi | Bologna | Italy |
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| ID | Term |
|---|---|
| D006937 | Hypercholesterolemia |
| D050177 | Overweight |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D006949 | Hyperlipidemias |
| D050171 | Dyslipidemias |
| D052439 | Lipid Metabolism Disorders |
| D008659 | Metabolic Diseases |
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| ID | Term |
|---|---|
| D004864 | Equipment and Supplies |
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| Placebo | Other | Oral administration: 3 tablets twice a day before the main meals |
|
Absolute change in serum lipids other than LDL-C (TC, TG, HDL-C, non-HDL-C) and apolipoproteins from baseline and between groups after 12 weeks of treatment with MD compared to placebo |
| 12 weeks |
| Absolute change in serum lipids other than LDL-C (TC, TG, HDL-C, non-HDL-C) and apolipoproteins from baseline and between groups | Absolute change in serum lipids other than LDL-C (TC, TG, HDL-C, non-HDL-C) and apolipoproteins from baseline and between groups after 6 weeks of treatment with MD compared to placebo | 6 weeks |
| Absolute change in lipids ratios from baseline and between groups | Absolute change in lipids ratios from baseline and between groups after 6 weeks of treatment with MD compared to placebo | 6 weeks |
| Absolute change in lipid accumulation product (LAP) from baseline and between groups | Absolute change in LAP from baseline and between groups after 6 weeks of treatment with MD compared to placebo | 6 weeks |
| Absolute change in lipids ratios from baseline and between groups | Absolute change in lipids ratios from baseline and between groups after 12 weeks of treatment with MD compared to placebo | 12 weeks |
| Absolute change in LAP from baseline and between groups | Absolute change in LAP from baseline and between groups after 12 weeks of treatment with MD compared to placebo | 12 weeks |
| Absolute change in fasting plasma glucose (FPG) from baseline and between groups | Absolute change in FPG from baseline and between groups after 12 weeks of treatment with MD compared to placebo | 12 weeks |
| Absolute change in fasting plasma insulin from baseline and between groups | Absolute change in fasting plasma insulin from baseline and between groups after 12 weeks of treatment with MD compared to placebo | 12 weeks |
| Absolute change in fasting plasma glucose (FPG) from baseline and between groups | Absolute change in FPG from baseline and between groups after 6 weeks of treatment with MD compared to placebo | 6 weeks |
| Absolute change in fasting insulin from baseline and between groups | Absolute change in fasting insulin from baseline and between groups after 6 weeks of treatment with MD compared to placebo | 6 weeks |
| Absolute change in homeostatic model assessment for insuline resistance (HOMA-IR) index from baseline and between groups | Absolute change in HOMA-IR index from baseline and between groups after 6 weeks of treatment with MD compared to placebo | 6 weeks |
| Absolute change in HOMA-IR index from baseline and between groups | Absolute change in HOMA-IR index from baseline and between groups after 12 weeks of treatment with MD compared to placebo | 12 weeks |
| Absolute change in weight from baseline and between groups | Absolute change in weight from baseline and between groups after 12 weeks of treatment with MD compared to placebo | 12 weeks |
| Absolute change in weight from baseline and between groups | Absolute change in weight from baseline and between groups after 6 weeks of treatment with MD compared to placebo | 6 weeks |
| Absolute change in waist circumference from baseline and between groups | Absolute change in waist circumference from baseline and between groups after 6 weeks of treatment with MD compared to placebo | 6 weeks |
| Absolute change in waist circumference from baseline and between groups | Absolute change in waist circumference from baseline and between groups after 12 weeks of treatment with MD compared to placebo | 12 weeks |
| Absolute change in body mass index (BMI) from baseline and between groups | Absolute change in BMI from baseline and between groups after 12 weeks of treatment with MD compared to placebo | 12 weeks |
| Absolute change in body mass index (BMI) from baseline and between groups | Absolute change in BMI from baseline and between groups after 6 weeks of treatment with MD compared to placebo | 6 weeks |
| Absolute change in index of visceral adiposity index (VAI) from baseline and between groups | Absolute change in VAI from baseline and between groups after 6 weeks of treatment with MD compared to placebo | 6 weeks |
| Absolute change in index of central obesity (ICO) from baseline and between groups | Absolute change in ICO from baseline and between groups after 6 weeks of treatment with MD compared to placebo | 6 weeks |
| Absolute change in index of central obesity (ICO) from baseline and between groups | Absolute change in ICO from baseline and between groups after 12 weeks of treatment with MD compared to placebo | 12 weeks |
| Absolute change in index of visceral adiposity index (VAI) from baseline and between groups | Absolute change in VAI from baseline and between groups after 12 weeks of treatment with MD compared to placebo | 12 weeks |
| D009750 |
| Nutritional and Metabolic Diseases |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |