Benefits
LDL cholesterol in adults with borderline high levels
In 40 adults with borderline high cholesterol, 500 mg a day of Ankascin 568 plus for 8 weeks lowered LDL cholesterol within the product group by about 20 percent, against about 4 percent on placebo. The paper reports a significant difference between groups only for the LDL to HDL and total to HDL cholesterol ratios, and LDL rose back toward baseline 4 weeks after stopping.
Fasting blood sugar in adults with raised levels
In 39 adults with fasting glucose of 100 to 125 mg/dL, two 500 mg capsules a day for 12 weeks lowered fasting glucose within the product group by 8.5 percent at week 6, with no change on placebo. After-meal glucose was unchanged, and HbA1c and insulin resistance did not differ from placebo. Blood sugar results were not the trial's designated endpoint.
Blood pressure readings in adults with raised blood pressure
In a placebo-controlled trial in adults with mild to moderate high blood pressure, two 500 mg capsules of Ankascin 568 for 8 weeks were followed by a fall in systolic pressure from about 142 to 134 mmHg and diastolic from about 92 to 85 mmHg. The abstract reports these as before and after values and gives no placebo result or between-group test.
Liver, kidney and muscle markers during the trials
In the cholesterol and blood sugar trials, liver enzymes, kidney markers, electrolytes, thyroid hormones and creatine phosphokinase, a muscle damage marker, did not differ from placebo over 8 to 12 weeks. The blood pressure trial abstract reports no rise in muscle breakdown and no impairment of liver or kidney function. The trials were small and short.
Monascin and ankaflavin in lab and animal studies
In rats on a high fat, high cholesterol diet, monascin and ankaflavin lowered LDL cholesterol and raised apolipoprotein A1 in the liver. In human immune cells in a dish, monascin reduced inflammatory signals through the PPAR gamma pathway. These are lab and animal findings from the university group that developed the strain, with a SunWay author on the rat study, and do not show effects in people.
Mechanism of action
Pigments rather than monacolin K
Most red yeast rice research rests on monacolin K, which blocks a key enzyme in cholesterol production. Ankascin 568 is sold as containing no monacolin K, and the cholesterol trial authors describe it as relying on monascin and ankaflavin instead. The same NTU 568 strain made monacolin K and the mycotoxin citrinin in liquid culture on yam and on rice media in an earlier lab study, so their absence depends on how the product is made and tested.
LDL assembly and HDL protein in animal work
In an 8 week rat study, monascin and ankaflavin reduced liver enzymes and proteins used to build LDL particles (including apolipoprotein B-100), raised LDL receptor expression and increased apolipoprotein A1, the main protein of HDL. These are animal findings and have not been measured in people taking the product.
PPAR gamma and inflammatory signaling
In human THP-1 immune cells, monascin at 1 to 25 micromolar lowered nitric oxide and prostaglandin E2, and at 5 and 25 micromolar lowered TNF-alpha and IL-6; a PPAR gamma blocker showed its effect on JNK signaling ran through that receptor. The trial authors cite this pathway for the product, but no human study has measured it.
Clinical trials
Randomized, double-blind, placebo-controlled parallel trial; one 500 mg capsule of Ankascin 568 plus a day (3 mg monascin, 1.5 mg ankaflavin) for 8 weeks, then a 4 week washout, maltodextrin placebo; the designated endpoint was the incidence of adverse events; product supplied by SunWay Biotech, one author from SunWay's research division and a co-author from National Taiwan University who lists SunWay as an affiliation in other papers on the product; no funding source stated; no registry number reported; the methods describe randomization at the end of an unnamed parent study (Liu et al. 2018, J Food Drug Anal)
40 adults aged 22 to 65 (10 men, 30 women) with total cholesterol of 180 mg/dL or more and LDL cholesterol of 130 to 190 mg/dL; 20 per group, all completed.
Within the product group, LDL cholesterol fell from 153.7 to 124.5 mg/dL at week 4 (19.0 percent) and 122.3 mg/dL at week 8, while placebo went from 155.5 to 149.0 mg/dL; total cholesterol fell 11.9 percent at week 4. The paper reports significant between-group differences for the LDL to HDL and total to HDL ratios; triglycerides and HDL did not differ. After the washout, LDL was 148.2 mg/dL. Liver, kidney, thyroid and creatine phosphokinase values did not differ.
Randomized, double-blind, placebo-controlled parallel trial; two 500 mg capsules of Ankascin 568 plus a day (6 mg monascin, 3 mg ankaflavin) for 12 weeks, then 4 weeks of follow-up, maltodextrin placebo; the designated endpoint was the incidence of adverse events; run alongside the cholesterol trial by the same team, with the same SunWay and university author ties; no funding source stated and the authors declared no conflicts; no registry number reported (Wang et al. 2017, J Food Drug Anal)
39 adults who completed the trial (19 product, 20 placebo) out of 67 enrolled; the methods list fasting glucose of 100 to 125 mg/dL and HbA1c of 5.7 to 6.4 percent, while the abstract gives wider ranges.
Fasting glucose fell within the product group from 115.3 to 105.5 mg/dL at week 6 (8.5 percent) and 104.6 mg/dL at week 12, with no change on placebo. After-meal glucose was unchanged, and HbA1c, insulin and insulin resistance did not differ between groups. LDL cholesterol fell 10.3 percent within the product group at week 6; triglycerides, HDL, blood pressure and body weight did not differ from placebo.
Randomized, double-blind, placebo-controlled trial; two 500 mg capsules of Ankascin 568 for 8 weeks; two of the four authors list SunWay Biotech's research division, one of them also National Taiwan University; the authors declared no conflicts; funding, group sizes and registry are not given in the abstract, and the full text could not be accessed (Chen et al. 2017, Chin J Physiol)
Adults with mild to moderate high blood pressure; the number enrolled is not stated in the abstract.
Systolic pressure went from 141.6 to 133.9 mmHg and diastolic from 91.7 to 84.8 mmHg (both p < 0.05), reported as before and after values with no placebo result or between-group comparison in the abstract. The abstract also reports lower total and LDL cholesterol and triglycerides, higher HDL, and no rise in muscle breakdown or liver or kidney impairment.
Animal and lab safety study following OECD guideline 408; rats given the extract by mouth for 13 weeks plus Ames, chromosome and micronucleus tests; research grant and test material provided by SunWay Biotech, with three of the six authors listing SunWay Biotech, one of them also National Taiwan University (Lin et al. 2022, Toxicol Rep)
96 Sprague-Dawley rats (12 per sex per group) at 0, 100, 300 or 1,000 mg/kg a day, and 25 male mice for the micronucleus test.
No adverse effects were linked to the extract; one high-dose rat died from a dosing accident. Dose checks found concentrations below target, so the no observed adverse effect level was set at 796.2 mg/kg a day. The extract was not genotoxic in the three tests.