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Updated: Mar 1, 2026

Probiotic Studies in Neonatal Mice Using Gavage
Published on: January 27, 2019
Safety and tolerance of three probiotic strains in healthy infants: a multi-centre randomized, double-blind,
S Manzano1,2, J De Andrés1, I Castro1
11 Dpto. Nutrición, Bromatología y Tecnología de los Alimentos, Universidad Complutense de Madrid, Av. Puerta de hierro s/n, 28040 Madrid, Spain.
Insights
Probiotic strains Bifidobacterium longum subsp. infantis R0033, Bifidobacterium bifidum R0071, and Lactobacillus helveticus R0052 are safe and well-tolerated in healthy infants aged 3-12 months. The study found no significant differences in growth or adverse events compared to placebo.
Area of Science:
- Microbiology
- Pediatrics
- Gastroenterology
Background:
- Probiotics, including Bifidobacterium and Lactobacillus species, are widely used for health maintenance.
- Assessing the safety and tolerance of probiotics in vulnerable populations like infants is crucial.
Purpose of the Study:
- To evaluate the safety and tolerance of three specific probiotic strains: Bifidobacterium longum subsp. infantis R0033, Bifidobacterium bifidum R0071, and Lactobacillus helveticus R0052.
- To assess these probiotics in healthy infants aged 3 to 12 months.
Main Methods:
- A multi-center, randomized, double-blind, placebo-controlled study.
- 221 healthy full-term infants received daily placebo or one of the three probiotic strains (3×10^9 cfu) for 8 weeks.
- Safety was assessed through growth monitoring, adverse events (AEs)/serious adverse events (SAEs), urine D-lactic acid, stool characteristics, and medication use.
Main Results:
- Growth parameters (weight, height, head circumference) showed equivalent changes across all groups.
- No serious adverse events (SAEs) were reported during the study.
- The total number of recorded adverse events (AEs) was comparable among the placebo and probiotic groups.
Conclusions:
- Bifidobacterium longum subsp. infantis R0033, Lactobacillus helveticus R0052, and Bifidobacterium bifidum R0071 are safe for use in infants.
- These probiotic strains are well-tolerated by healthy infants aged 3 to 12 months.
Abstract:
Some strains of species belonging to the genera Bifidobacterium and Lactobacillus are used in order to maintain health. Although these organisms have a long record of safe use, it is important to assess their safety and tolerance in potentially vulnerable populations, such as infants. The objective of this study was to evaluate the safety and tolerance of three probiotic strains (Bifidobacterium longum subsp. infantis R0033, Bifidobacterium bifidum R0071 and Lactobacillus helveticus R0052) in healthy infants aged 3 to 12 months. A multi-centre randomized, double-blind, placebo-controlled intervention study with 221 healthy full-term infants was conducted. Infants received either a placebo or one of the 3 probiotic strains (3×109 cfu) daily during an 8 week intervention period. Growth (weight, height and head circumference), adverse events (AEs)/serious adverse events (SAEs), concentrations of D-lactic acid in urine samples, characteristics of the stools and use of medication were collected for safety evaluation. All 4 groups were homogeneous with respect to age, gender, feeding type, ethnicity, height, weight and head circumference at the start of the study. The results showed that changes in growth (weight, height and head circumference) were equivalent in all 4 groups. No SAEs were reported. Total number of AEs recorded was equivalent in all groups. Thus, the use of B. infantis R0033, L. helveticus R0052 and B. bifidum R0071 in infancy is safe, and well tolerated.
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