SOFTGEL CAPSULES

Abstract
A composition for use in softgel capsules comprises one or more esters of phytosterols and/or phytostanols which have been treated to enhance their flowability at ambient temperatures prior to or concurrent with softgel formation.
Description
EXAMPLES

The following examples are provided for the purpose of illustration of the invention and not limitation of the invention. A skilled person may use these for guidance in creating the desired softgel capsule formulation, in accordance with the present invention:


Example 1—Softgel Capsule Formation-Dosages of 0.06-2.00 g/Sterols/Day

A number of considerations need to be taken into account when manufacturing capsules. One is capsule size. The upper size limit which most consumers find acceptable is about 1.20 g, a size commonly used for fish oil supplements. The second consideration is the number of capsules needed to be taken per day. As a matter of practicality, the upper limit is 4 to 6 capsules per day. At the larger capsule size, an oblong shape (1000 mg or more) is preferred as this is easier to swallow. Of course, the present invention is not limited by these parameters.


Phytosterols: The number of portions per day of phytosterol containing products is regulated in the United States and in the European Union. The FDA health claim for phytosterols, requires two servings per day (FDA#1). The European Union requires that phytosterols be dosed in either one portion per day or three portions per day but not two portions (EU labelling regulation). Another consideration is the minimum dose needed for efficacy. The FDA has set this dose at 0.8 g/day. The European Union has not set a minimum dose, but has set a maximum allowable dose of 3.0 g/day. Studies done with the applicant's proprietary tall oil sterols show that a near maximal lowering of LDL occurs at a dose of 1.8 g/day when taken with meals three times a day. The preferred dosage for lowering LDL cholesterol is 1.8 g per day in divided doses.


Omega-3-fatty acids: The FDA recommends that supplement products be labelled to deliver less than 1 g/day (FDA #2). The FDA recommends an upper limit of 3 g/day for intake from supplement products and foods. The American Heart Association recommends a daily intake of 500-1800 mg/day of omega-3-fatty acids from supplements and fish sources.


Capsules Containing Sterol Esters Plus Other Components

In the following examples, the capsule fill volumes have been kept below 1200 mg by increasing the number of capsules required per day to provide the indicated dosage. The content of sterol esters have been kept above 20% of the fill weight and the content of free sterols/stanols has been kept below 40% to avoid the problem of re-crystallization of the sterols/stanols below the capsule shell. Exceptions are examples 34 and 35 where the sterol content is low enough to dissolve in the lipid fraction. In some of the examples, where there is a high proportion of the fill as omega-3-fatty acids it may be necessary to add a thickening agent to maintain the free sterols/stanols in suspension during the capsule filling operation. With higher proportions of sterol esters, this is unnecessary.









TABLE 2







High Dose PS Plus High Dose Omegas With Various Stanol Contents













Dosage
% Total PhytoSt.

Caps
100 kg of Capsule Filling


















Phyto
Omega-

As
Caps
Fill
Sterol
Free
Free
Omega


Form.
Sterols
3-FA
As
Sterol
per
Wt.
Esters
Sterols
Stanols
Fatty Ac.


No.
g/day
g/day
Stanols
Esters
Day
(g)
(kg)
(kg)
(kg)
(kg)




















1
2.00
2.00
11.6
100.0
6
1.111
50.0
0.00
0
50.00


2
2.00
2.00
13.0
98.4
6
1.108
49.3
0.00
0.51
50.15


3
2.00
2.00
15.0
96.1
6
1.103
48.4
0.00
1.26
50.37


4
2.00
2.00
20.0
90.2
6
1.091
45.9
0.00
3.14
50.92


5
2.00
2.00
25.0
84.4
6
1.079
43.4
0.00
5.07
51.48


6
2.00
2.00
30.0
78.6
6
1.067
40.9
0.00
7.04
52.05


7
2.00
2.00
35.0
72.8
6
1.055
38.3
0.00
9.04
52.64
















TABLE 3







High Dose PS Plus High Dose Omegas With Various Free Sterol Contents













Dosage
% Total PhytoSt.

Caps
100 kg of Capsule Filling


















Phyto
Omega-

As
Caps
Fill
Sterol
Free
Free
Omega


Form.
Sterols
3-FA
As
Sterol
per
Wt.
Esters
Sterols
Stanols
Fatty Ac.


No.
g/day
g/day
Stanols
Esters
Day
(g)
(kg)
(kg)
(kg)
(kg)




















8
2.00
2.00
20.0
70.2
6
1.050
37.2
6.68
3.26
52.90


9
2.00
2.00
20.0
50.2
6
1.009
27.6
13.91
3.40
55.05


10
2.00
2.00
20.0
30.2
6
0.968
17.3
21.74
3.54
57.37
















TABLE 4







High Dose PS Plus Medium Dose Omegas With Various Stanol Contents














% Total






Dosage
PhytoSt.

Caps
100 kg of Capsule Filling


















Phyto
Omega-

As
Caps
Fill
Sterol
Free
Free
Omega


Form.
Sterols
3-FA
As
Sterol
per
Wt.
Esters
Sterols
Stanols
Fatty Ac.


No.
g/day
g/day
Stanols
Esters
Day
(g)
(kg)
(kg)
(kg)
(kg)




















11
2.00
1.00
11.6
100.0
6
0.833
66.7
0.00
0.00
33.33


12
2.00
1.00
13.0
98.4
6
0.830
65.9
0.00
0.68
33.46


13
2.00
1.00
15.0
96.1
6
0.825
64.7
0.00
1.68
33.66


14
2.00
1.00
20.0
90.2
6
0.813
61.6
0.00
4.21
34.15


15
2.00
1.00
25.0
84.4
6
0.801
58.5
0.00
6.83
34.66


16
2.00
1.00
30.0
78.6
6
0.790
55.3
0.00
9.51
35.18


17
2.00
1.00
35.0
72.8
6
0.778
52.0
0.00
12.27
35.72
















TABLE 5







High Dose PS Plus Medium Dose Omegas With Various Free Sterol Contents














% Total






Dosage
PhytoSt.

Caps
100 kg of Capsule Filling


















Phyto
Omega-

As
Caps
Fill
Sterol
Free
Free
Omega


Form.
Sterols
3-FA
As
Sterol
per
Wt.
Esters
Sterols
Stanols
Fatty Ac.


No.
g/day
g/day
Stanols
Esters
Day
(g)
(kg)
(kg)
(kg)
(kg)




















18
2.00
1.00
20.0
70.2
6
0.772
50.5
9.09
4.44
35.96


19
2.00
1.00
20.0
50.2
4
1.097
38.2
19.19
4.69
37.98


20
2.00
1.00
20.0
30.2
4
1.036
24.3
30.49
4.96
40.23
















TABLE 6







High Dose PS Plus Low Dose Omegas With Various Stanol Contents














% Total






Dosage
PhytoSt.

Caps
100 kg of Capsule Filling


















Phyto
Omega-

As
Caps
Fill
Sterol
Free
Free
Omega


Form.
Sterols
3-FA
As
Sterol
per
Wt.
Esters
Sterols
Stanols
Fatty Ac.


No.
g/day
g/day
Stanols
Esters
Day
(g)
(kg)
(kg)
(kg)
(kg)




















21
2.00
0.50
11.6
100.0
4
1.042
80.0
0.00
0.00
20.00


22
2.00
0.50
13.0
98.4
4
1.037
79.1
0.00
0.81
20.09


23
2.00
0.50
15.0
96.1
4
1.030
77.7
0.00
2.02
20.24


24
2.00
0.50
20.0
90.2
4
1.012
74.3
0.00
5.08
20.59


25
2.00
0.50
25.0
84.4
4
0.994
70.8
0.00
8.26
20.96


26
2.00
0.50
30.0
78.6
4
0.976
67.1
0.00
11.54
21.35


27
2.00
0.50
35.0
72.8
4
0.958
63.3
0.00
14.94
21.74
















TABLE 7







High Dose PS Plus Low Dose Omegas With Various Free Sterol Contents













Dosage
% Total PhytoSt.

Caps
100 kg of Capsule Filling



















Phyto
Omega-

As
Caps
Fill
Sterol
Free
Free
Omega
Edible


Form.
Sterols
3-FA
As
Sterol
per
Wt.
Esters
Sterols
Stanols
Fatty Ac.
Oil


No.
g/day
g/day
Stanols
Esters
Day
(g)
(kg)
(kg)
(kg)
(kg)
(kg)





28
2.00
0.50
20.0
70.2
4
0.950
61.6
11.08
5.41
21.92
0.000


29
2.00
0.50
20.0
50.2
4
0.889
47.1
23.68
5.79
23.44
0.000


30
2.00
0.50
20.0
40.2
4
0.858
39.1
30.67
5.99
24.28
0.000
















TABLE 8







Medium Dose PS Plus Medium Dose Omegas With Variable Stanol Content














% Total






Dosage
PhytoSt.

Caps
100 kg of Capsule Filling


















Phyto
Omega-

As
Caps
Fill
Sterol
Free
Free
Omega


Form.
Sterols
3-FA
As
Sterol
per
Wt.
Esters
Sterols
Stanols
Fatty Ac.


No.
g/day
g/day
Stanols
Esters
Day
(g)
(kg)
(kg)
(kg)
(kg)




















31
1.00
1.00
15.0
36.1
4
0.735
20.4
21.48
1.41
56.68


32
1.00
1.00
20.0
30.2
4
0.726
17.3
21.74
3.54
57.37


33
1.00
1.00
25.0
24.4
4
0.717
14.2
22.01
5.72
58.09
















TABLE 9







Very Low Dose PS Combined With Moderate & High Dose Omegas














% Total






Dosage
PhytoSt.

Caps
100 kg of Capsule Filling


















Phyto
Omega-

As
Caps
Fill
Sterol
Free
Free
Omega


Form.
Sterols
3-FA
As
Sterol
per
Wt.
Esters
Sterols
Stanols
Fatty Ac.


No.
g/day
g/day
Stanols
Esters
Day
(g)
(kg)
(kg)
(kg)
(kg)





34
0.06
1.00
11.6
40.0
2
0.872
2.3
2.17
0.00
95.54


35
0.06
1.80
11.6
40.0
3
1.026
1.3
1.23
0.00
97.47
















TABLE 10







High Dose PS With Various Stanol Contents in Vegetable Oil













Dosage
% Total PhytoSt.

Caps
100 kg of Capsule Filling



















Phyto
Omega-

As
Caps
Fill
Sterol
Free
Free
Omega
Olive


Form.
Sterols
3-FA
As
Sterol
per
Wt.
Esters
Sterols
Stanols
Fatty Ac.
Oil


No.
g/day
g/day
Stanols
Esters
Day
(g)
(kg)
(kg)
(kg)
(kg)
(kg)





















36
2.00
0.00
11.6
100.0
4
0.948
87.9
0.00
0.00
0.00
12.09


37
2.00
0.00
13.0
98.4
4
0.943
87.0
0.00
0.89
0.00
12.15


38
2.00
0.00
15.0
96.1
4
0.936
85.5
0.00
2.22
0.00
12.24


39
2.00
0.00
20.0
90.2
4
0.918
81.9
0.00
5.60
0.00
12.48


40
2.00
0.00
25.0
84.4
4
0.900
78.1
0.00
9.12
0.00
12.73


41
2.00
0.00
30.0
78.6
4
0.882
74.2
0.00
12.77
0.00
12.99


42
2.00
0.00
35.0
72.8
4
0.864
70.2
0.00
16.56
0.00
13.26
















TABLE 11







High Dose PS With Various Sterol Contents in Vegetable Oil













Dosage
% Total PhytoSt.

Caps
100 kg of Capsule Filling



















Phyto
Omega-

As
Caps
Fill
Sterol
Free
Free
Omega
Olive


Form.
Sterols
3-FA
As
Sterol
per
Wt.
Esters
Sterols
Stanols
Fatty Ac.
Oil


No.
g/day
g/day
Stanols
Esters
Day
(g)
(kg)
(kg)
(kg)
(kg)
(kg)





















43
2.00
0.00
20.0
90.2
4
0.918
81.9
0.00
5.60
0.00
12.48


44
2.00
0.00
20.0
70.2
4
0.909
64.4
11.59
5.66
0.00
18.34


45
2.00
0.00
20.0
50.2
4
0.914
45.8
23.04
5.63
0.00
25.53


46
2.00
0.00
20.0
30.2
4
0.883
38.0
29.98
5.82
0.00
26.42
















TABLE 12







High Dose PS Plus 100 mg/day Tocotrienols In Rice Bran Oil Without or


With Omega-3-Fatty Acids













Dosage
% Total PhytoSt.

Caps
100 kg of Capsule Filling



















Phyto
Omega-

As
Caps
Fill
Sterol
Free
Free
Omega
Edible


Form.
Sterols
3-FA
As
Sterol
per
Wt.
Esters
Sterols
Stanols
Fatty Ac.
Oil*


No.
g/day
g/day
Stanols
Esters
Day
(g)
(kg)
(kg)
(kg)
(kg)
(kg)





















47
2.00
0.00
20.0
70.2
4
0.867
67.5
12.14
5.93
0.00
14.42


48
2.00
0.50
20.0
70.2
4
1.075
54.4
9.79
4.78
19.38
11.63





*15% tocotrienol (primarily gamma-tocotrienol) in rice bran oil; daily dose of tocotrienols, 100 mg.






The relative proportions of sterols and omegas depends on the market. If the consumer views the omega-3-fatty acid content as the more important parameter, formulations as shown in Tables 2, 3 and 9 might be preferred. The cholesterol reduction claim for sterols is much stronger in the United States; it is a full claim. The omega fatty acid health claim is only a qualified claim and must include the statement “Supportive but not conclusive research shows that consumption of EPA and DHA omega-3-fatty acids may reduce the risk of heart disease”. If the phytosterol component is to be emphasized, there are many formulations clearly showing this preference. If the objective is maximum efficacy of both components, other formulations clearly show this.


The fish source omega-fatty acids have two active components, DHA and EPA. These have different activities. For example, DHA is effective in preventing certain brain disorders. Fish oil omega fatty acids are available with different ratios of DHA and EPA, these generally have a purity of about 60%. The type of oil used can be varied depending on the purpose of the supplement. Such is within the purview of a skilled person in this field.


Example 2—Softgel Capsule Formation-Dosages of 0.06-1.8 g/Sterols/Day









TABLE 13







Formulations:













Omega
Percent
Percent

100 kg Batch


















Fatty
Sterols
Sterols
Capsules
Capsule

Omega




Sterols
Acids
as
as
per
Fill Wt.
Sterol
Fatty
Tall Oil


Example#
g/day
g/day
Stanols
Esters
Day
Gm
Esters
Acids
Stanols










Cardiovascular Disease, Cancer Risk Reduction, Neurodegenerative diseases
















1
1.800
0.500
11.6
100
4
0.958
78.26
21.74
0


2
1.800
0.500
11.6
100
6
0.639
78.26
21.74
0


3
1.800
0.900
11.6
100
4
1.125
66.67
33.33
0


4
1.800
0.900
11.6
100
6
0.750
66.67
33.33
0


5
1.800
1.800
11.6
100
6
1.000
50.00
50.00
0


6
0.900
1.800
11.6
100
4
1.125
33.33
66.67
0


7
0.900
1.800
11.6
100
6
0.750
33.33
66.67
0







Benign Prostate Hyperplasia Indication
















8
0.060
1.800
11.6
100
3
1.033
3.23
96.77
0


9
0.060
1.800
11.6
100
4
0.775
3.23
96.77
0







Examples where stanol content of sterol mixture has been increased.
















10
1.80
0.90
14.00
97.21
4
1.117
65.25
33.56
1.183


11
1.80
0.90
14.00
97.21
6
0.745
65.25
33.56
1.183


12
1.80
0.90
20.00
90.23
4
1.098
61.63
34.15
4.21


13
1.80
0.90
20.00
90.23
6
0.732
61.63
34.15
4.21


14
1.80
1.80
20.00
90.23
6
0.982
45.94
50.92
3.14


15
0.90
1.80
30.00
78.60
4
1.095
26.91
68.47
4.63


16
0.90
1.80
30.00
78.60
6
0.730
26.91
68.47
4.63









Formulations 1-7 would be useful to reduce the risk of cancer, Alzheimer's disease or other neurodegenerative diseases. The preferred mixture would be formulation 5.


Formulations 8 and 9 are intended for use in ameliorating the symptoms of benign prostate hypertrophy. The effective doses of sitosterol (tall oil sterols) are 20 to 60 mg per day.


Formulations 10-16 are essentially the same as formulations 3 and 4 except that the stanol content of the capsules has been increased from that typical of tall oil sterols (11.6%) to 16%, 18%, and 20%. Increasing the tall stanol content slightly reduces the volume of the fill because the amount of ester required to fill out the total dose of phytosterols is reduced.


Some of the preferred formulations shown relate primarily to the prevention of cardiovascular disease. A cholesterol reduction claim is allowed in the United States. The EU labelling regulation allows use of the statement “this product is intended only for persons who want to lower their blood cholesterol”. In the some of the examples provided, dosages of 4 and 6 capsules per day are used. The health claim allows instructions based on two servings per day. The EU labelling regulation requires that dosing instructions be based on either one serving per day or three servings per day but not two. The 4 per day examples can be used in the United States. For example, take two capsules twice a day. The 6 capsules per day examples can be used in either area. For example, in the U.S., take 3 capsules twice a day. In the EU the instruction would be take 2 capsules three times per day.


Formulation number 10 was tested on commercial scale encapsulation equipment with very good results. On a 50 kg batch, capsule recoveries were 95%.


Example 3—Formulation No. 10 (Table 13)

Capsule ingredients:

  • 1. EPAX6000EE (Pronova) fish source omega fatty acids with a purity of 60%.
  • 2. Tall oil sterol esters with a sterol content of 60% by weight and a stanol concentration in the sterols of 11.6%.
  • 3. Tall oil stanols with a purity of 97.6%.
  • 4. Gelatin: beef gelatin (BSE free), glycerin, water, titanium dioxide masking agent, and a light yellow colouring agent.


Procedure:

The fish oil was poured into a mixing vessel and stanols added. The stanols dissolved almost immediately in omega fatty acid oil. The indicated amount of sterol esters were warmed to point where the indicated amount of could be added to the mixing vessel. The mixture was then encapsuled with a beef gelatin (BSE free) containing glycerin, water, titanium dioxide masking agent and a light yellow colouring agent. The capsule shape used was oblong. The capsules were dried for two days at room temperature before packaging.


Capsules can be either animal based gelatin (beef, pork, or fish) or vegetable based gelatin. Colour and shape are optional. An off-odour sometimes comes from the animal gelatins or the fish oil. Vanillin has been found to be a good odour masking agent when incorporated into the gelatin.


Example 4—(Dissolution of Stanols in Esters)

Softgel capsule Filler Composition of:


0.344% stanol


11.5% sterol esters


Stanols:
Code: FCP-3P2
BRI ID: FM-P2-83
Manuf.lot# 5QC27H-2
Description (dry form, room temp):





    • white powder composed of longitudinally shaped granules/crystals. White flour-like feel.





Sterol Esters:
Description:
Temp (−) 18C—solid
Temp 13-15C—sticky texture, viscosity less than that of ,for example, honey at room temperature, therefore has a semi-high viscosity . Able to be pumped?—no
Temp 35C-viscosity—slightly more viscous than regular canola oil at room temp—





    • appearance—resembles canola oil (clear, golden color)





Temp 60C viscosity—that of canola oil at room temp, however more sticky to touch than normal oil
Stanols with Sterol Esters Description





    • 1. 0.344 g stanol added to 11.5 g sterol esters. Sterol ester increased to temp 90° C.





Stanols dissolved fully





    • 2. Stanol/sterol esters, fully dissolved, cooled to 35C


      No apparent recrystallization of stanols into its original crystals. Sterol esters appear smooth , no appearance of crystals within

    • 3. Stanol/sterol esters, same sample as above, cooled to 25C





Stanols dissolved fully, Good appearance and handling.
End Composition: 97% esters and 3% stanols
REFERENCES



  • 1. Law M. R., Wald N. J., Wu., Hacksaw Z A., Bailey A.; Systemic underestimation of association between serum cholesterol concentration and ischemic heart disease in observational studies: Data from BUPA Study; Br. Med. J. 1994; 308:363-366

  • 2. Law M. R., Wald N. J., Thompson S. G.; By how much and how quickly does reduction in serum cholesterol concentration lower risk of ischemic heart disease? Br. Med. J. 1994; 308:367-373

  • 3. Kannel W B, Castelli W P, Gordon T et al. Lipoprotein cholesterol in the prediction of atherosclerotic disease: new perspectives based on the Framingham Heart Study. Ann Intern Med. 1995;90:85-91

  • 4. Singh B K, Mehta J L. Management of dyslipidemia in the primary prevention of coronary heart disease. Curr Opin Cardiol. 2002; 17:503-11

  • 5. La Rosa J. C., Hunninghake D. Bush D. et al.; The cholesterol facts: A summary of the evidence relating to dietary fats, serum cholesterol and coronary heart disease:A joint statement by the American Heart Association and the National Heart, Lung and Blood Institute. Circulation 1990; 81:1721-1733

  • 6. Havel R. J., Rapaport E. Drug Therapy: Management of Primary Hyperlipidemia. New England Journal of Medicine, 1995; 332:1491-1498

  • 7. Kuccodkar et al.; Effects of plant sterols on cholesterol metabolism. Atherosclerosis, 1976; 23:239-248

  • 8. Lees R. S., Lees A. M. Effects of sitosterol therapy on plasma lipid and lipoprotein concentrations. In: Greten H (Ed) Lipoprotein Metabolism. Springer-Verlag, Berlin, Heidelberg, New York, 1976:119-124

  • 9. Lees A. M., Mok H. Y. I., Lees R. S., McCluskey M. A., Grundy S. M. Plant sterols as cholesterol-lowering agents: clinical trials in patients with hypercholesterolemia and studies of sterol balance. Atherosclerosis 1977; 28: 325-338



ADDITIONAL REFERENCES



  • Assmann G, Cullen P, Erbey J, Ramey D R, Kannenberg F, Schulte H. Plasma sitosterol elevations are associated with an increased incidence of coronary events in men: results of a nested case-control analysis of the Prospective Cardiovascular Munster (PROCAM) study. Nutr Metab Cardiovasc Dis. 2006 January; 16(1):13-21.

  • Aviram M, Kassem E. 1993. Dietary olive oil reduces low-density lipoprotein uptake by macrophages and decreases the susceptibility of the lipoprotein to undergo lipid peroxidation. Ann Nutr Metab 37:75-84.

  • Augustsson K, Michaud D S, Rimm E B, Leitzmann M F, Stampfer M J, Willett W C, Giovannucci E. A prospective study of intake of fish and marine fatty acids and prostate cancer. Cancer Epidemiol Biomarkers Prev. 2003 January; 12(1):64-7.

  • Awad A B, Fink C S. Phytosterols as anticancer dietary components: evidence and mechanism of action. J. Nutr. 2000 September; 130(9):2127-30.

  • Awad A B, Fink C S, Williams H, Kim U. In vitro and in vivo (SCID mice) effects of phytosterols on the growth and dissemination of human prostate cancer PC-3 cells. Eur J Cancer Prev. 2001 December; 10(6):507-13.

  • Bartsch H, Nair J, Owen R W. Dietary polyunsaturated fatty acids and cancers of the breast and colorectum: emerging evidence for their role as risk modifiers. Carcinogenesis. 1999 December; 20(12):2209-18.

  • Berges R R, Kassen A, Senge T. Treatment of symptomatic benign prostatic hyperplasia with beta-sitosterol: an 18-month follow-up. BJU Int. 2000 May; 85(7):842-6.

  • Black T M, Wang P, Maeda N, Coleman R A. Palm tocotrienols protect ApoE +/−mice from diet-induced atheroma formation. J. Nutr. 2000 October; 130(10):2420-6.

  • Bourque C, St-Onge M P, Papamandjaris A A, Cohn J S, Jones P J. Consumption of an oil composed of medium chain triacyglycerols, phytosterols, and N-3 fatty acids improves cardiovascular risk profile in overweight women. Metabolism. 2003 June; 52(6):771-7.

  • Caygill C P, Charlett A, Hill M J. Fat, fish, fish oil and cancer. Br J Cancer. 1996 July; 74(1):159-64.

  • Coleman C I, Hebert J H, Reddy P. The effect of phytosterols on quality of life in the treatment of benign prostatic hyperplasia. Pharmacotherapy. 2002 November; 22(11):1426-32.

  • Erkkila A T, Lichtenstein A H, Mozaffarian D, Herrington D M. Fish intake is associated with a reduced progression of coronary artery atherosclerosis in postmenopausal women with coronary artery disease. Am J Clin Nutr. 2004 September; 80(3):626-32.

  • FDA Letter to Emord & Associates, P. C., 1050 17th Street, N.W. Suite 600, Washington, D.C. 20036 from U.S. Food and Drug Administration, Center for Food Safety and Applied Nutrition, Office of Nutritional Products, Labeling, and Dietary Supplements, Oct. 31, 2000.

  • Frenoux J M, Prost E D, Belleville J L, Prost J L(2001) A polyunsaturated fatty acid diet lowers blood pressure and improves antioxidant status in spontaneously hypertensive rats. J Nutr 131(11):39-45.

  • Glueck C J, Speirs J, Tracy T, Streicher P, Illig E, Vandegrift J. Relationships of serum plant sterols (phytosterols) and cholesterol in 595 hypercholesterolemic subjects, and familial aggregation of phytosterols, cholesterol, and premature coronary heart disease in hyperphytosterolemic probands and their first-degree relatives. Metabolism. 1991 August; 40(8):842-8.

  • Grundy S M. 1990. Cholesterol and atherosclerosis: diagnosis and treatment. ISBN 0-397-44674-8.

  • Gupta M B, Nath R, Srivastava N, Shanker K, Kishor K, Bhargava K P. 1980. Anti-inflammatory and antipyretic activities of beta-sitosterol. Planat Medica 39:157-163.

  • Hagiwara H, Shimonaka M, Morisaki M, Ikekawa N, Inada Y. 1984. Sitosterol-stimulative production of plasminogen activator in cultured endothelial cells from bovine carotid artery. Thromb Research 33:363-70.

  • Harris, W S (1996) n-3 Fatty acids and lipoproteins: Comparison of results from human and animal studies. Lipids 31:243-252.

  • Hoffmann A, Klocking H P. 1988. Influence of beta-sitosterol on the fibrinolytic potential in rabbits. Folia Haematol Leipzig 1-2:189-96.

  • Jones P J, Ntanios F Y, Raeini-Sarjaz M, Vanstone C A. Cholesterol-lowering efficacy of a sitostanol-containing phytosterol mixture with a prudent diet in hyperlipidemic men. Am J Clin Nutr 1999 June; 69(6):1144-50

  • Katan, M B, Grundy S M, Jones P, Law M, Miettinen T, Paoletti R. Efficacy and safety of plant stanols and sterols in the management of blood cholesterol levels. Mayo Clin Proc 78:965-978, 2003.

  • Krauss R M. Hold the antioxidants and improve plasma lipids? J Clin Invest. 2004 May; 1 3(9):1253-5.

  • Kris-Etherton P M, Harris W S, Appel L J. AHA Statement. Fish consumption. Fish Oil. Omega-3 fatty acids, and cardiovascular disease. Circulation 2002 106:2747-2757.

  • Luchsinger J A, Mayeux R. Dietary factors and Alzheimer's disease. Lancet Neurol. 2004 October; 3(10):579-87.

  • Marchioli R, et al. Early protection against sudden death by n-3 polyunsaturated fatty acids after myocardial infarction: time-course analysis of the results of the Gruppo Italiano per lo Studio della Sopravvivenza nell'lnfarto Miocarico (GISSI-Prevenzione. Circulation 2002 105:1897-1903.

  • Maroon J C, Bost J W. Omega-3 fatty acids (fish oil) as an anti-inflammatory: an alternative to nonsteroidal anti-inflammatory drugs for discogenic pain. Surg Neurol. 2006 April; 65(4):326-31.

  • Moghadasian M H, McManus B M, Pritchard P H, Frohlich J J. 1996. “Tall oil”—Derived phytosterols reduce atherosclerosis in apoE-deficient mice. Arter Thromb Vasc Biol 17:119-26.

  • Mori Y, Nobukata H, Harada T, Kasahara T, Tajima N. Long-term administration of highly purified eicosapentaenoic acid ethyl ester improves blood coagulation abnormalities and dysfunction of vascular endothelial cells in Otsuka Long-Evans Tokushima fatty rats. Endocr J. 2003 October; 50(5):603-11.

  • Mozaffarian D, Psaty B M, Rimm E B, Lemaitre R N, Burke G L, Lyles M F, Lefkowitz D, Siscovick D S. Fish intake and risk of incident atrial fibrillation. Circulation. 2004 Jul. 27; 110(4):368-73.

  • Mozaffarian D, Longstreth W T Jr, Lemaitre R N, Manolio T A, Kuller L H, Burke G L, Siscovick D S. Fish consumption and stroke risk in elderly individuals: the cardiovascular health study. Arch Intern Med. 2005 January 24; 165(2):200-6.

  • Nordoy A, Marchioli R, Arnesen H, Videbaek J. n-3 polyunsaturated fatty acids and cardiovascular diseases. Lipids 2001; 36 Suppl:S127-9

  • Nordoy A, Bonaa K H, Sandset P M, Hansen J B, Nilsen H. Effect of omega-3 fatty acids and simvastatin on hemostatic risk factors and postprandial hyperlipemia in patients with combined hyperlipemia. Arterioscler Thromb Vasc Biol. 2000 January; 20(1):259-65.

  • O'Neill F H, Sanders T A, Thompson G R. Comparison of efficacy of plant stanol ester and sterol ester: short-term and longer-term studies. Am J Cardiol. 2005 Jul. 4; 96(1A):29D-36D.

  • Prisco D, Paniccia R, Bandinelli B, Filippini M, Francalanci I, Giusti B, Giurlani L, Gensini G F, Abbate R, Neri Serneri G G. Effect of medium-term supplementation with a moderate dose of n-3 polyunsaturated fatty acids on blood pressure in mild hypertensive patients. Thromb Res 1998 Aug 1 ; 91 (3):105-12

  • Qureshi A A, Sami S A, Salser W A, Khan F A. Dose-dependent suppression of serum cholesterol by tocotrienol-rich fraction (TRF25) of rice bran in hypercholesterolemic humans. Atherosclerosis. 2002 March; 161(1):199-207.

  • Renier, G, Skamene, E, DeSanctis, J, Radzioch, D. Dietary n-3 polyunsaturated fatty acids prevent the development of atherosclerotic lesions in mice. Arterioscler. Thrombo. 1993 13:1515-1524,

  • Roche H M, Gibney M J. Postprandial triacylglycerolaemia: the effect of low-fat dietary treatment with and without fish oil supplementation. Eur J Clin Nutr. 1996 September; 50(9):617-24

  • Sayeed S A, Farnaz S, Simjee R U, Malik A. 1993. Triterpenes and beta-sitostenol from piper betle: isolation, antiplatelet and anti-inflammatory effects. Bioschem Soc Trans 1993, 21:462S

  • Schmidt E B, Christensen J H, Aardestrup I, Madsen T, Riahi S, Hansen V E, Skou H A. Marine n-3 fatty acids: basic features and background. Lipids. 2001 ; 36 Suppl:S65-8.

  • Song B L, DeBose-Boyd R A. Insig-dependent ubiquitination and degradation of 3-hydroxy-3-methylglutaryl coenzyme a reductase stimulated by delta- and gamma-tocotrienols. J Biol. Chem. 2006 Sep 1 ; 281 (35):25054-61. Epub 2006 Jul 10.

  • Stone N J. The Gruppo Italiano per lo Studio della Sopravvivenza nell'lnfarto Miocardio (GISSI)-Prevenzione Trial on fish oil and vitamin E supplementation in myocardial infarction survivors. Curr Cardiol Rep 2000 September; 2(5):445-51

  • Sudhop T, Gottwald B M, von Bergmann K. Serum plant sterols as a potential risk factor for coronary heart disease. Metabolism. 2002 December; 51 (12):1519-21.

  • Theobald H E, Chowienczyk P J, Whittall R, Humphries S E, Sanders T A. LDL cholesterol-raising effect of low-dose docosahexaenoic acid in middle-aged men and women. Am J Clin Nutr. 2004 April; 79(4):558-63.

  • Vanschoonbeek K, de Maat M P, Heemskerk J W. Fish oil consumption and reduction of arterial disease. J Nutr. 2003 March; 133(3):657-60.

  • von Schacky C, Baumann K, Angerer P. The effect of n-3 fatty acids on coronary atherosclerosis: results from SCIMO, an angiographic study, background and implications. Lipids. 2001 ;36 Suppl:S99-102.


Claims
  • 1. A composition for use in softgel capsules comprising one or more esters of phytosterols and/or phytostanols which have been treated to enhance their flowability at ambient temperatures prior to or concurrent with softgel formation.
  • 2. A composition for use in softgel capsules comprising one or more esters of phytosterols and/or phytostanols which have been treated to reduce their viscosity at ambient temperatures.
  • 3. A composition for use in softgel capsules comprising one or more esters of phytosterols and/or phytostanols which have been pre-mixed with an edible oil prior to softgel capsule formation in order to enhance the flowability of the esters at ambient temperatures.
  • 4. A composition for use in softgel capsules comprising one or more esters of phytosterols and/or phytostanols which have been pre-mixed with an edible oil comprising omega polyunsaturated fatty acids prior to softgel capsule formation in order to reduce the viscosity of the esters at ambient temperatures.
  • 5. A method of stabilizing from oxidation a composition of one or more esterified phytosterols and phytostanols such composition being useful for softgel capsule filler, which comprises solubilizing in the esters one or more free (unesterified) phytosterols or phytostanols.
  • 6. The composition of claim 3 wherein the edible oil is selected from the group consisting of olive, rapeseed, canola, sunflower, safflower, sesame, soyabean, corn, coconut, peanut, cottonseed, hemp, flaxseed, and pumpkinseed.
  • 7. The composition of claim 3 wherein the edible oil is high in one or more of omega 3 polyunsaturated fatty acids, omega 6 polyunsaturated fatty acids and omega 9 polyunsaturated fatty acids.
  • 8. The composition of claim 3 wherein the edible oil is of marine or fish origin.
  • 9. The composition of claim 3 supplemented with omega fatty acids derived from microalgae.
  • 10. The composition of claim 1 wherein the phytosterol is selected from the group consisting of sitosterol, campesterol, stigmasterol, brassicasterol (including dihydrobrassicasterol), desmosterol, chalinosterol, poriferasterol, clionasterol, ergosterol, coprosterol, codisterol, isofucosterol, fucosterol, clerosterol, nervisterol, lathosterol, stellasterol, spinasterol, chondrillasterol, peposterol, avenasterol, isoavenasterol, fecosterol, pollinastasterol and all natural or synthesized forms and derivatives thereof, including isomers.
  • 11. The composition of claim 1 wherein the phytostanol is selected from the group consisting of all saturated or hydrogenated phytosterols and all natural or synthesized forms and derivatives thereof, including isomers.
  • 12. The composition claim 1 wherein the esters of phytosterols and/or phytostanols are in form selected from the group consisting of: aliphatic acid esters, aromatic acid esters, phenolic acid esters, cinnamate esters, ferulate esters, phytosterol/phytostanol glycosides, and phytosterol/phytostanol acylglycosides .
  • 13. A softgel capsule comprising one or more esters of phytosterols and/or phytostanols and component to enhance the flowability of the esters.
  • 14. A softgel capsule comprising one or more esters of phytosterols and/or phytostanols and component to reduce the viscosity of the esters at ambient temperatures.
  • 15. A softgel capsule comprising one or more esters of phytosterols and/or phytostanols and a measurable amount of one or more free phytosterols and/or phytostanols.
  • 16. A softgel capsule comprising one or more esters of phytosterols and/or phytostanols and an edible oil.
  • 17. A softgel capsule comprising one or more esters of phytosterols and/or phytostanols a measurable amount of one or more free phytosterols and/or phytostanols and an edible oil.
  • 18. The softgel capsule of claim 16 comprising omega-3 polyunsaturated fatty acids.
  • 19. The softgel capsule of claim 17 comprising omega-3 polyunsaturated fatty acids.
Provisional Applications (1)
Number Date Country
60796990 May 2006 US