Evidence supporting the use of: Alpha-ketoisocaproic acid
For the health condition: Wasting
Synopsis
Source of validity: Scientific
Rating (out of 5): 3
Alpha-ketoisocaproic acid (KIC) is an intermediate in the metabolism of the essential amino acid leucine. Its use in the context of wasting (such as muscle wasting due to chronic illness, cancer cachexia, or other catabolic states) has some scientific support, though the evidence is moderate rather than robust. KIC is often provided as part of keto acid supplements, sometimes alongside other keto analogues of essential amino acids, to support protein metabolism in situations where muscle breakdown exceeds synthesis.
Several studies have investigated the use of KIC, alone or in combination with other keto acids, particularly in patients with chronic kidney disease or those with severe catabolic states. The rationale is that KIC can be transaminated to leucine, thus serving as a substrate for protein synthesis without contributing to nitrogen load—important for patients who need to limit nitrogen intake. Some clinical trials and animal studies have shown that supplementation with keto acids (including KIC) can help preserve muscle mass, improve nitrogen balance, and decrease muscle protein breakdown in wasting conditions. However, most studies are small, of variable quality, or use KIC as part of a mixture with other keto acids, making it difficult to isolate the effect of KIC alone.
In summary, there is moderate scientific evidence supporting the use of alpha-ketoisocaproic acid in the management of wasting, particularly as part of broader keto acid supplementation strategies. However, more rigorous, large-scale studies are needed to fully establish its efficacy and optimal use.
Other ingredients used for Wasting
Acetyl L-carnitinealpha-ketoglutarate (AKG)
apricot
astragalus
bovine liver
branched-chain amino acids
colostrum
cordyceps
creatine monohydrate
L-leucine
Lentinula edodes mycelia
magnesium
medium chain triglycerides (MCT)
vitamin B12
Whey protein
Zinc
2a 17a -dimethyl 17a hydroxy, 5a etiocholan 3-one
2a, 17a-dimethyl-17b-hydroxy-5a-androstan-3-one
animal Tissue
arginine creatine
Albumin
Alpha-ketoisocaproic acid
Algal protein
Arginine alpha-ketoisocaproate
animal protein
Beef Protein
beef
Beef liver
bone marrow
BCAA
Codonopsis
creatine
chicken
deer velvet
Eurycoma Longifolia
guanidinoacetic acid
glucose
hydroxymethylbutyrate
HMB hydroxymethylbutyrate
Isoleucine
Lentinan
Lysine alpha-ketoisocaproate
leucine alpha-ketoglutarate
lactalbumin
Marine protein
Phosphocreatine
Other health conditions supported by Alpha-ketoisocaproic acid
Athletic and Exercise AidsBody Building
Exercise
Muscle Tone (lack of)
Wasting