A MultiFlow assay, a high-throughput genotoxicity screening tool, and a micronucleus (MN) test that detects cytogenetic damage both indicated that sucralose-6-acetate is genotoxic. The mechanism of action was classified as clastogenic (produces DNA strand breaks).
A 2023 peer-reviewed in vitro study found sucralose-6-acetate (an impurity in, and digestive metabolite of, sucralose) to be genotoxic and clastogenic, with exposure from a single sweetened drink potentially exceeding the genotoxicity threshold of toxicological concern.