Evidence map›Paper›PMID 25569274›Full record

Trial reportGut microbes2015

Safety of Bifidobacterium animalis subsp. lactis (B. lactis) strain BB-12-supplemented yogurt in healthy adults on antibiotics: a phase I safety study.

Daniel J Merenstein, Tina P Tan, Aleksey Molokin, Keisha Herbin Smith, Robert F Roberts, Nawar M Shara, Mihriye Mete, Mary Ellen Sanders, Gloria Solano-Aguilar

Open access · bronzeAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Gut microbes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Nutrients · 2021
    Trial
  4. Trial
  5. Trial
  6. Cancer biology & medicine · 2026
    Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Understanding the probiotic health benefits ofFrontiers in microbiology · 2025
    Review
  12. Article
  13. Heat-KilledNutrients · 2023
    Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Journal of immunology research · 2019
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 8 institutions in 4 countries.

Daniel J Merensteina Department of Family Medicine ; Georgetown University Medical Center ; Washington , DC USA.
Tina P Tan
Aleksey Molokin
Keisha Herbin Smith
Robert F Roberts
Nawar M Shara
Mihriye Mete
Mary Ellen Sanders
Gloria Solano-Aguilar
Georgetown University · USCentennial Medical Center · USGenomics (United Kingdom) · GBGeorgetown University Medical Center · USHyattsville Community Development Corporation · USMedStar Health · USPark University · USUnited States Department of Agriculture · US

Funding

Yogurt beverages as a vehicle to deliver high dose probioticsU01AT003600 · NCCIH · GEORGETOWN UNIVERSITY · PI MERENSTEIN, DANIEL J · 2009 to 2013
$1.3M
NCCIH NIH HHS U01AT003600
6 · The paper itself

Abstract

Probiotics are live microorganisms that, when administered in sufficient doses, provide health benefits on the host. The United States Food and Drug Administration (FDA) requires phase I safety studies for probiotics when the intended use of the product is as a drug. The purpose of the study was to determine the safety of Bifidobacterium animalis subsp lactis (B. lactis) strain BB-12 (BB-12)-supplemented yogurt when consumed by a generally healthy group of adults who were prescribed a 10-day course of antibiotics for a respiratory infection. Secondary aims were to assess the ability of BB-12 to affect the expression of whole blood immune markers associated with cell activation and inflammatory response. A phase I, double-blinded, randomized controlled study was conducted in compliance with FDA guidelines for an Investigational New Drug (IND). Forty participants were randomly assigned to consume 4 ounces of either BB-12 -supplemented yogurt or non-supplemented control yogurt daily for 10 d. The primary outcome was to assess safety and tolerability, assessed by the number of reported adverse events. A total of 165 non-serious adverse events were reported, with no differences between the control and BB-12 groups. When compared to the control group, B lactis fecal levels were modestly higher in the BB-12-supplemented group. In a small subset of patients, changes in whole blood expression of genes associated with regulation and activation of immune cells were detected in the BB-12-supplemented group. BB-12-supplemented yogurt is safe and well tolerated when consumed by healthy adults concurrently taking antibiotics. This study will form the basis for future randomized clinical trials investigating the potential immunomodulatory effects of BB-12-supplemented yogurt in a variety of disease states.

Indexed as

AdolescentAdultAgedAnti-Bacterial AgentsBacterial LoadBifidobacteriumBiomarkersDouble-Blind MethodDrug-Related Side Effects and Adverse ReactionsDrugs, InvestigationalFecesFemaleHealthy VolunteersHumansLeukocytesMaleAnti-Bacterial AgentsBiomarkersDrugs, InvestigationalantibioticsBB-12, Bifidobacterium animalis subsp lactis strain BB-12CBER, Center for Biologics Evaluation and Researchclinical trialFDA, Food and Drug Administrationgut microbiotaIND, investigational new drugNCCAM, National Center for Complementary and Alternative MedicineNIH, National Institutes of Healthprobioticssafety

Identifiers

PMID25569274
PMCPMC4615198
OpenAlexW1772674499

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.