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This is a three-arm, double-blind, placebo-controlled study to investigate the safety of Lactobacillus salivarius AP-32 and Bifidobacterium animalis subsp. lactis CP-9 used individually in healthy infants.
Infants will be given the content of one capsule (mixed in infant formula or breast milk) twice daily (morning and evening) for 15 weeks.
This is a three-arm, double-blind, placebo-controlled study to investigate the safety of Lactobacillus salivarius AP-32 and Bifidobacterium animalis subsp. lactis CP-9 used individually in healthy infants.
Infants will be given the content of one capsule (mixed in infant formula or breast milk) twice daily (morning and evening) for 15 weeks. Follow-up visits will take place at study days 14±3, 42±3, 70±4 and 105±4.
Caregivers will keep a diary of the volume of formula intake/minutes of breastfeeding, stool frequency and consistency (hard, formed, soft/paste or loose/watery), symptoms of digestive tolerance (regurgitation and flatulence), sleeping time, crying/fussing time and episodes for 3 days before each visit. At each visit, the research team will review the diary and conduct physical examination, including anthropometric measurements (weight, recumbent length, and head circumference).
Fecal samples will be collected prior to the first administration of the assigned study product and at the end of study for microbiota analysis.
Adverse events (AEs) will be assessed based on inquires to the caregivers. AEs will be classified as related or unrelated based on a relationship to study product intake according to the investigator.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lactobacillus salivarius AP-32 | Experimental | A 0.5 g light-yellow capsule containing freeze-dried powder of 2.5 billion CFU of Lactobacillus salivarius AP-32 and maltodextrin. |
|
| Bifidobacterium animalis subsp. lactis CP-9 | Experimental | A 0.5 g light-yellow capsule containing freeze-dried powder of 2.5 billion CFU of Bifidobacterium animalis subsp. lactis CP-9 and maltodextrin. |
|
| Placebo | Placebo Comparator | The placebo composition and appearance are the same as probiotic capsules, but does not contain live bacteria. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lactobacillus salivarius AP-32 | Other | Infants will be given the content of one capsule (mixed in infant formula or breast milk) twice daily (morning and evening) for 15 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean weight gain. | The change value from baseline at the end of the treatment. | 15 weeks. |
| Measure | Description | Time Frame |
|---|---|---|
| Occurrence of adverse events (AEs). | The occurrence of adverse events (AEs) during the period of probiotic or placebo intervention. | 15 weeks. |
| Anthropometric measurements of recumbent length. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hsieh-Hsun Ho, Ph.D | Glac Biotech Co., Ltd | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Glac Biotech Co., Ltd | Tainan | 802 | Taiwan |
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Active:
Placebo:
The placebo capsules are identical to the Lactobacillus salivarius AP-32 and Bifidobacterium animalis subsp. lactis CP-9 capsules except for the probiotics.
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This is a double-blind study so neither investigator and site staff, nor the subject know which treatment has been assigned.
| Bifidobacterium animalis subsp. lactis CP-9 | Other | Infants will be given the content of one capsule (mixed in infant formula or breast milk) twice daily (morning and evening) for 15 weeks. |
|
| Placebo | Other | Infants will be given the content of one capsule (mixed in infant formula or breast milk) twice daily (morning and evening) for 15 weeks. |
|
The change value from baseline at the end of the treatment.
| 15 weeks. |
| Anthropometric measurements of head circumference. | The change value from baseline at the end of the treatment. | 15 weeks. |
| Incidence of regurgitation. | Caregivers will be instructed by the investigator or the designated study center personnel to record the regurgitation for three days within the week before each study visit. At each study visit, the investigator or the designated study center personnel will review the diary and record the times of regurgitation. | 15 weeks. |
| Incidence of flatulence. | Caregivers will be instructed by the investigator or the designated study center personnel to record the flatulence for three days within the week before each study visit. At each study visit, the investigator or the designated study center personnel will review the diary and record the times of flatulence. | 15 weeks. |
| Incidence of infectious diseases. | Observing the incidence of infectious diseases during the period of probiotic or placebo intervention. | 15 weeks. |
| Incidence of allergic diseases. | Observing the incidence of allergic diseases during the period of probiotic or placebo intervention. | 15 weeks. |
| Crying and/or fussing time (hours/day) and episodes. | Observing the crying and/or fussing time (hours/day) and episodes during the period of probiotic or placebo intervention. | 15 weeks. |