Evidence map›Paper›PMID 29155807›Full record

Trial reportPediatric research2018

A synbiotic-containing amino-acid-based formula improves gut microbiota in non-IgE-mediated allergic infants.

David C A Candy, Marleen T J Van Ampting, Manon M Oude Nijhuis, Harm Wopereis, Assad M Butt, Diego G Peroni, Yvan Vandenplas, Adam T Fox, Neil Shah, Christina E West and 4 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Pediatric research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

60 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
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  11. Article
  12. Article
  13. The evolution of nutritional care in children with food allergies - With a focus on cow's milk allergy.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Review
  14. Article
  15. Duration of food protein-induced allergic proctocolitis (FPIAP) and the role of intestinal microbiota.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2024
    Observational
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
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

14 authors.

David C A CandyRoyal Alexandra Children's Hospital, Brighton, UK.
Marleen T J Van AmptingNutricia Research, Nutricia Advanced Medical Nutrition, Utrecht, The Netherlands.
Manon M Oude NijhuisNutricia Research, Nutricia Advanced Medical Nutrition, Utrecht, The Netherlands.
Harm WopereisLaboratory of Microbiology, Wageningen University, Wageningen, The Netherlands.
Assad M ButtRoyal Alexandra Children's Hospital, Brighton, UK.
Diego G PeroniUniversity Hospital Verona, Verona, Italy.
Yvan VandenplasUniversity Hospital Brussels, Brussels, Belgium.
Adam T FoxGuy's and St Thomas' Hospitals NHS Foundation Trust, London, UK.
Neil ShahGreat Ormond Street Hospital, London, UK.
Christina E WestUmeå University, Umeå, Sweden.
Johan GarssenUtrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, Utrecht, The Netherlands.
Lucien F HarthoornNutricia Research, Nutricia Advanced Medical Nutrition, Utrecht, The Netherlands.
Jan KnolNutricia Research, Nutricia Advanced Medical Nutrition, Utrecht, The Netherlands.
Louise J MichaelisGreat North Children's Hospital, Newcastle upon Tyne, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundPrebiotics and probiotics (synbiotics) can modify gut microbiota and have potential in allergy management when combined with amino-acid-based formula (AAF) for infants with cow's milk allergy (CMA).MethodsThis multicenter, double-blind, randomized controlled trial investigated the effects of an AAF-including synbiotic blend on percentages of bifidobacteria and Eubacterium rectale/Clostridium coccoides group (ER/CC) in feces from infants with suspected non-IgE-mediated CMA. Feces from age-matched healthy breastfed infants were used as reference (healthy breastfed reference (HBR)) for primary outcomes. The CMA subjects were randomized and received test or control formula for 8 weeks. Test formula was a hypoallergenic, nutritionally complete AAF including a prebiotic blend of fructo-oligosaccharides and the probiotic strain Bifidobacterium breve M-16V. Control formula was AAF without synbiotics.ResultsA total of 35 (test) and 36 (control) subjects were randomized; HBR included 51 infants. At week 8, the median percentage of bifidobacteria was higher in the test group than in the control group (35.4% vs. 9.7%, respectively; P<0.001), whereas ER/CC was lower (9.5% vs. 24.2%, respectively; P<0.001). HBR levels of bifidobacteria and ER/CC were 55% and 6.5%, respectively.ConclusionAAF including specific synbiotics, which results in levels of bifidobacteria and ER/CC approximating levels in the HBR group, improves the fecal microbiota of infants with suspected non-IgE-mediated CMA.

Indexed as

Gastrointestinal MicrobiomeInfant FormulaSynbioticsAmino AcidsAnimalsCattleClostridiumDouble-Blind MethodEubacteriumFemaleHumansImmunoglobulin EInfantMaleMilkMilk HypersensitivityAmino AcidsImmunoglobulin E

Identifiers

PMID29155807
PMCPMC6023699

What OpenQuestion holds

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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.