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Published on: April 28, 2014
Lacticaseibacillus rhamnosus GG DSM 33156 effects on pathogen defence in the upper respiratory tract: a randomised,
A Damholt1, M K Keller1, K Baranowski2
1Chr. Hansen A/S, Kogle allé 6, Hørsholm 2970, Denmark.
Insights
Lacticaseibacillus rhamnosus GG DSM 33156 did not significantly reduce upper respiratory tract infections (URTIs) in children. However, the probiotic may alleviate URTI symptom severity in children, suggesting a potential benefit for symptom management.
Area of Science:
- Pediatric Health
- Microbiology
- Immunology
Background:
- Acute upper respiratory tract infections (URTIs) are common in children, leading to significant morbidity and healthcare utilization.
- Lacticaseibacillus rhamnosus GG DSM 33156 has demonstrated immune and gastrointestinal benefits in prior studies.
- Previous research suggests L. rhamnosus GG DSM 33156 may reduce URTI incidence and symptoms in children.
Purpose of the Study:
- To evaluate the efficacy of Lacticaseibacillus rhamnosus GG DSM 33156 in reducing the incidence of URTIs in children.
- To assess the impact of L. rhamnosus GG DSM 33156 on URTI symptom severity and quality of life in pediatric participants.
Main Methods:
- A randomized, double-blind, placebo-controlled trial involving 619 children aged 2-6 years over a 16-week period.
- Daily health status and URTI episodes were reported by parents/guardians and confirmed by general practitioners.
- Ward's hierarchical clustering was used to analyze quality of life endpoints and identify symptom patterns.
Main Results:
- The trial did not meet its primary endpoint of significantly reducing the incidence of URTIs diagnosed by a general practitioner.
- No secondary efficacy endpoints were met, indicating no statistically significant difference in overall URTI occurrence.
- Cluster analysis revealed that children consuming L. rhamnosus GG DSM 33156 experienced alleviated URTI symptoms, particularly in clusters with less severe URTI characteristics.
Conclusions:
- Lacticaseibacillus rhamnosus GG DSM 33156 did not significantly prevent upper respiratory tract infections in the studied pediatric population.
- The probiotic may offer a benefit in alleviating the severity of symptoms experienced by children during URTIs.
- Further research could explore the specific mechanisms and patient subgroups that benefit most from L. rhamnosus GG DSM 33156 for symptom management.
Abstract:
Acute upper respiratory tract infections (URTIs) are caused by numerous viruses and bacteria. URTIs can be a cause of morbidity and are among the most common reasons for visiting healthcare practitioners and prescribing antibiotics to children in addition to causing absenteeism from school and work. Oral intake of Lacticaseibacillus rhamnosus GG DSM 33156 has shown beneficial health effects in several clinical trials, primarily relating to immune function and gastrointestinal health in children and adults. It has also been suggested that oral intake of L. rhamnosus GG DSM 33156 can reduce the incidence rate and alleviate symptoms of URTIs in children. We here report the results of a randomised, double-blind, placebo-controlled trial of 619 children aged 2-6 years conducted at a single centre in Scotland. The children, who were in day care or primary school, were followed over a 16-week intervention period with 309 randomised in the active group and 310 in the placebo group. The parents or guardians reported a daily healthcare status and any presumed episodes of URTI, which were subsequently confirmed by a general practitioner. The investigational product was well tolerated in the trial. Although a general trend towards a beneficial effect was observed, this trial did not demonstrate that L. rhamnosus GG DSM 33156 significantly reduced the incidence of URTIs, diagnosed by a general practitioner according to prespecified criteria (primary endpoint). Moreover, none of the secondary efficacy endpoints were met. Applying a Ward's hierarchical clustering, two separate clusters, focussing on four quality of life-related endpoints, were identified. Cluster 1 was associated with more severe URTI characteristics than cluster 2. Cluster 2 was significantly enriched with children who consumed the product, indicating that the symptoms children experience during an URTI are alleviated by the intake of L. rhamnosus GG DSM 33156. The study is registered at ClinicalTrials.gov ID: NCT03636191.
Related Concept Videos
Acute Pharyngitis
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
Probiotics
Microbiota of the Respiratory Tract
Bacterial Gastroenteritis
Respiratory Syncytial Virus Disease
Clinical Significance of Antibiotic Resistance

