Evidence map›Paper›PMID 33348621›Full record

Trial reportNutrients2020

Milk Containing A2 β-Casein ONLY, as a Single Meal, Causes Fewer Symptoms of Lactose Intolerance than Milk Containing A1 and A2 β-Caseins in Subjects with Lactose Maldigestion and Intolerance: A Randomized, Double-Blind, Crossover Trial.

Monica Ramakrishnan, Tracy K Eaton, Omer M Sermet, Dennis A Savaiano

3 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
5.4field-weighted citation impact, top 4% 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.

NCT05658861 nacompletednot on this mapstarted 2021, after this paper: background citation

Comparing the Gastric Transit of Commercial Milk Containing A1 Beta-casein and A2 Milk Containing Only A2 Beta-casein Using Magnetic Resonance Imaging (MRI)

TypeinterventionalSponsorPurdue UniversityRan2021 to 2022Enrolled10ConditionsLactose Intolerance, Adult TypeArmsMilk containing A1 and A2 beta-casein, Milk containing only A2 beta-casein
NCT05660278 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Comparing the Acute Effects of A1 Containing Commercial Milk and A2 Milk on Inflammation, Lactose Intolerance and Lactose Maldigestion in Lactose Maldigesters

TypeinterventionalSponsorPurdue UniversityRan2022 to 2025Enrolled35ConditionsLactose IntoleranceArmsMilk containing A1 and A2 beta-casein, Milk containing only A2 beta-casein
NCT05669274 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Comparing Inflammation, Lactose Intolerance and Lactose Maldigestion in Lactose Maldigesters on Consumption of Commercial Milk Containing A1 and A2 Beta-Casein and A2 Milk Containing Only A2 Beta-Casein for Two Weeks

TypeinterventionalSponsorPurdue UniversityRan2021 to 2025Enrolled35ConditionsLactose IntoleranceArmsMilk containing A1 and A2 beta-casein, Milk containing only A2 beta-casein
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 59 citations in OpenAlex.

  1. Trial
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  10. Cow milk protein allergy mimics in infancy.World journal of clinical pediatrics · 2025
    Review
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  13. Review
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  15. Review
  16. Article
  17. Review
  18. Article
  19. A2 milk consumption and its health benefits: an update.Food science and biotechnology · 2024
    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

4 authors at 1 institution in 1 country.

Monica RamakrishnanDepartment of Nutrition Science, College of Health and Human Sciences, Purdue University, West Lafayette, IN 47907, USA.
Tracy K EatonDepartment of Nutrition Science, College of Health and Human Sciences, Purdue University, West Lafayette, IN 47907, USA.
Omer M SermetDepartment of Nutrition Science, College of Health and Human Sciences, Purdue University, West Lafayette, IN 47907, USA.
Dennis A SavaianoDepartment of Nutrition Science, College of Health and Human Sciences, Purdue University, West Lafayette, IN 47907, USA.ORCID 0000-0001-8872-6276
Purdue University West Lafayette · US

Funding

This study was co-funded by The a2 Milk Company Ltd and National All-Jersey Inc. na
6 · The paper itself

Abstract

Acute-feeding and multiple-day studies have demonstrated that milk containing A2 β-casein only causes fewer symptoms of lactose intolerance (LI) than milk containing both A1 and A2 β-caseins. We conducted a single-meal study to evaluate the gastrointestinal (GI) tolerance of milk containing different concentrations of A1 and A2 β-casein proteins. This was a randomized, double-blind, crossover trial in 25 LI subjects with maldigestion and an additional eight lactose maldigesters who did not meet the QLCSS criteria. Subjects received each of four types of milk (milk containing A2 β-casein protein only, Jersey milk, conventional milk, and lactose-free milk) after overnight fasting. Symptoms of GI intolerance and breath hydrogen concentrations were analyzed for 6 h after ingestion of each type of milk. In an analysis of the 25 LI subjects, total symptom score for abdominal pain was lower following consumption of milk containing A2 β-casein only, compared with conventional milk (

Indexed as

Abdominal PainAdultAnimalsCaseinsCross-Over StudiesDiarrheaDouble-Blind MethodFeeding BehaviorFemaleFlatulenceHumansLactose IntoleranceMaleMealsMiddle AgedMilkCaseinsA1 beta-caseinA2 beta-caseinbeta-casomorphingastrointestinal intolerancehydrogen breath testlactose challengelactose intolerance symptomsmilk intoleranceQualifying Lactose Challenge Symptom Score

Identifiers

PMID33348621
PMCPMC7766938
OpenAlexW3111725478

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.