Tolerance and safety evaluation in a large cohort of healthy infants fed an innovative prebiotic formula: a

Pasqua Piemontese1, Maria L Giannì, Christian P Braegger

  • 1Department of Maternal and Pediatric Sciences, Fondazione IRCCS ''Ca'Granda'' Ospedale Maggiore Policlinico, University of Milan, Milano, Italy.

Plos One
|December 6, 2011
PubMed

Insights

This study found that infant formula with a new oligosaccharide mixture is safe and well-tolerated. It showed similar growth and fewer adverse events compared to standard formula, with softer stools resembling breast milk.

Area of Science:

  • Pediatrics
  • Nutritional Science
  • Gastroenterology

Background:

  • Oligosaccharides in infant formula aim to replicate human milk's benefits.
  • Assessing tolerance and safety of novel oligosaccharide mixtures is crucial for infant nutrition.
  • Human milk oligosaccharides (HMOs) play a vital role in infant gut health and immune development.

Purpose of the Study:

  • To evaluate the tolerance and safety of an infant formula containing a unique oligosaccharide blend.
  • To compare growth parameters, tolerance, and adverse events in infants fed with prebiotic versus control formula.
  • To assess the impact of the novel oligosaccharide mixture on stool consistency and its similarity to breastfed infants.

Main Methods:

  • Multi-center, randomized, double-blind, placebo-controlled trial.
  • Inclusion of healthy term infants (<8 weeks old), both formula-fed and breastfed.
  • Randomization to prebiotic formula (neutral and acidic oligosaccharides) or control formula; assessments at 8, 16, 24, and 52 weeks.

Main Results:

  • Similar growth (weight, length, head circumference) and stool frequency between prebiotic and control formula groups.
  • Prebiotic group showed softer stools, closer to the breastfeeding group, at 8, 16, and 24 weeks.
  • No significant difference in adverse event incidence between the two formula groups.

Conclusions:

  • The infant formula with the innovative oligosaccharide mixture is well-tolerated and safe for healthy infants.
  • The prebiotic formula supports softer stools, indicating potential benefits for gut comfort.
  • Long-term safety demonstrated in a large cohort of infants, supporting its use in infant nutrition.
Abstract

Related Concept Videos

Bioavailability Study Design: Healthy Subjects Versus Patients01:15

Bioavailability Study Design: Healthy Subjects Versus Patients

Bioavailability studies are essential for evaluating a drug's therapeutic efficacy and understanding its absorption patterns under various physiological conditions. Conducting such studies on target patient populations provides more relevant data by simulating real-world disease states. However, practical challenges often necessitate the use of young, healthy adult volunteers as study subjects.Patients may exhibit altered drug absorption patterns due to the effects of the disease itself,...
Probiotics01:22

Probiotics

Probiotics are live, non-pathogenic microorganisms that confer health benefits by modulating the gut microbiota. The human gastrointestinal tract harbors a complex microbial ecosystem, and the balance of this microbiota is crucial for digestive and systemic health. Among the most extensively studied and utilized probiotics are species formerly classified within the genera Lactobacillus and Bifidobacterium. These organisms not only naturally colonize the human gut but are also consumed through...
Development of Human Microbiota01:30

Development of Human Microbiota

The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
Bioavailability Study Design: Single Versus Multiple Dose Studies01:11

Bioavailability Study Design: Single Versus Multiple Dose Studies

Bioavailability studies are essential for understanding how a drug is absorbed, distributed, metabolized, and excreted in the body. These studies assess the extent and rate at which the active pharmaceutical agent becomes available at the site of action. The design of bioavailability studies can involve single-dose or multiple-dose regimens, each with distinct advantages and limitations.Single-dose studies are the preferred approach due to their simplicity and reduced drug exposure for...
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
Drugs for Treatment of Diarrhea-Predominant IBS01:17

Drugs for Treatment of Diarrhea-Predominant IBS

Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...