CClinicalTrials.gg
CompletedNCT01652287Updated Mar 22, 2024Results posted

Safety of BB-12 Supplemented Strawberry Yogurt For Healthy Children

A Phase 1 interventional study of BB-12 supplemented strawberry yogurt and Strawberry flavored yogurt in Children, sponsored by Georgetown University. Completed at 1 site in United States. Open to participants aged 1 Year to 5 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-03-22.

Sponsored by Georgetown University · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
62
Allocation
Randomized
Ages
1 Year to 5 Years
Sex
All
01

Study summary

The investigators believe a readily available drink containing a high dose of probiotics has the potential to improve compliance through many of these mechanisms. This product also has the potential to positively impact the health of children and adults around the world, as yogurt will likely be more appealing to both children and their parents for long term consumption than pharmaceutical-like preparations. In addition to the benefits associated with the consumption of probiotics, there is an increased health benefit from consuming yogurt, a nutrient dense food.

More specifically, the rationale for this Phase I study is to determine safety of this yogurt drink and comply with FDA recommendations pertaining to an Investigational New Drug application. The investigators hypothesize that BB-12 is safe in generally healthy children ages 1-5 years.

Read the detailed description

Probiotics are live microorganisms that, when administered in sufficient amounts, may improve health. A common use for probiotics is in addressing gastrointestinal issues, such as antibiotic-associated diarrhea (AAD). As an alternative to supplements, probiotics are also included as ingredients in fermented dairy products to produce functional foods, which are foods providing health benefits beyond their nutritional value. Yogurt, for example, is a fermented milk product often considered a functional food. One of the most commonly used probiotics is Bifidobacterium animalis ssp. lactis (BB-12).

Our Primary Aim in Years 1-2 is to conduct a pediatric randomized controlled study to establish the safety of BB-12 fortified yogurt in children. Our Secondary Aims are to examine the fecal microbiota of children prior to, during and following consumption of probiotics. This study will evaluate whether a well-defined, probiotic-containing yogurt can safely be used as an effective delivery vehicle for probiotics. This study is important to help advance probiotic research forward in a systematic, well-accepted manner. Our long-term goal is to create yogurt with sufficient probiotic dosages to positively impact many different aspects of childhood and adult health.

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Conditions studied

  • Children
03

In context

Lead sponsor

Georgetown University is the lead sponsor of 286 studies on the registry; 42 are open to participants now.

Of its 28 completed or terminated interventional studies of FDA-regulated products, 20 (71%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
1 Year to 5 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion criteria for parents/caregivers are:

  1. Ability to read, speak and write English or Spanish
  2. Access to a refrigerator for proper storage of drink
  3. Telephone access

Inclusion criteria for children are:

  1. Are between the ages of 1 and 5 years

Exclusion Criteria:

  1. Developmental delays
  2. Any chronic condition, such as diabetes or asthma, that requires medication
  3. Prematurity, birth weight \< 2,500 grams
  4. Congenital anomalies
  5. Failure to thrive
  6. Allergy to strawberry
  7. Active diarrhea (defined as three or more loose stools for two consecutive days)
  8. Any other medicines used except anti-pyretic medicines (to reduce fever) [excluding as needed medications]
  9. Parental belief of lactose intolerance
  10. History of heart disease, including valvulopathies or cardiac surgery, any implantable device or prosthetic
  11. History of gastrointestinal surgery or disease
  12. Milk-protein allergy
  13. Allergy to any component of the product or the yogurt vehicle
  14. During the baseline physical exam, have an oxygen saturation rate \<96% and respiratory and pulse rate outside the normal range per their age.

Parents/caregivers will also be asked to refrain from giving their child any probiotic foods or supplements during the entire 2 weeks of the active intervention period, and 2 weeks before day 1 of starting the yogurt. Parents will be supplied with a list of products to avoid.

05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
62 participants (actual)

Study arms

  • Active comparator
    BB-12 supplemented yogurt

    Probiotic, Bifidobacterium animalis subsp. lactis (B. lactis) strain BB-12 (BB-12), supplemented strawberry yogurt, 4 ounces taken orally for 10 days

    Drug: BB-12 supplemented strawberry yogurt

  • Placebo comparator
    Strawberry flavored yogurt

    Placebo, strawberry yogurt, 4 ounces taken orally for 10 days

    Other: Strawberry flavored yogurt

Interventions

  • DrugBB-12 supplemented strawberry yogurt

    Bifidobacterium animalis subsp. lactis (B. lactis) strain BB-12 (BB-12) probiotic supplemented yogurt, 4 ounces taken orally for 10 days

  • OtherStrawberry flavored yogurt

    Placebo, strawberry yogurt, 4 ounces taken orally for 10 days

06

What researchers measure

Primary outcomes

  1. Number of Adverse Events

    The primary outcome is to assess the safety of BB-12® yogurt when consumed by generally healthy children. To achieve this aim, data on adverse events will be collected from diaries; calls to the 24-hour advice line; and research assistant phone calls on days 6, 11, 15 and 180, ±2 days. All adverse events will be tabulated by type and charted over time.

    Time frame: Days 0-180

Secondary outcomes

  1. Overall Composition of the Gut Microbiota

    Relative abundance of operational taxonomic units (OTU) classified at the phylum level

    Time frame: 90 days

07

Results

Posted Mar 13, 2017

Participant flow

Participant flow — Overall Study
MilestoneBB-12Control
Started3131
Completed2931
Not completed20
Withdrew: Withdrawal by subject20

Outcome measures

PrimaryNumber of Adverse Events

The primary outcome is to assess the safety of BB-12® yogurt when consumed by generally healthy children. To achieve this aim, data on adverse events will be collected from diaries; calls to the 24-hour advice line; and research assistant phone calls on days 6, 11, 15 and 180, ±2 days. All adverse events will be tabulated by type and charted over time.

Time frame:
Days 0-180
Reported as:
Number · Number of AE reported
Number of Adverse Events
Number of AE reportedBB-12®Control
During intervention (day 0-10)6135
Post-intervention (day 11-180)5238
SecondaryOverall Composition of the Gut Microbiota

Relative abundance of operational taxonomic units (OTU) classified at the phylum level

Time frame:
90 days
Reported as:
Number · relative abundance (%)
Overall Composition of the Gut Microbiota
relative abundance (%)BB-12Control
Firmicutes71.774.1
Bacteroidetes14.711.6
Actinobacteria11.111.9
Proteobacteria1.61.4
Verrucomicrobia0.71.0

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
BB-12®—3/29 (10.3%)22/29 (75.9%)
Control—0/31 (0%)22/31 (71%)
Most frequent serious events
Most frequent serious events
EventBB-12®Control
FeverGeneral disorders1/290/31
bronchiolitisRespiratory, thoracic and mediastinal disorders1/290/31
pneumoniaRespiratory, thoracic and mediastinal disorders1/290/31
Most frequent other events
Most frequent other events
EventBB-12®Control
Runny noseGeneral disorders17/2910/31
OtherGeneral disorders5/2912/31

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)BB-12®ControlTotal
<=18 years293160
Between 18 and 65 years000
>=65 years000
Sex: Female, Male
Sex: Female, Male(Participants)BB-12®ControlTotal
Female131831
Male161329
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)BB-12®ControlTotal
Hispanic or Latino358
Not Hispanic or Latino262652
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)BB-12®ControlTotal
American Indian or Alaska Native101
Asian246
Native Hawaiian or Other Pacific Islander000
Black or African American448
White211738
More than one race167
Unknown or Not Reported000
Child Attends Daycare
Child Attends Daycare(Participants)BB-12®ControlTotal
Yes201737
No91423
Parent's Marital Status
Parent's Marital Status(Participants)BB-12®ControlTotal
Married/Living with partner262854
Single314
Divorced022
Total Household Income
Total Household Income(Participants)BB-12®ControlTotal
$15,000-$30,000213
$30,001-$75,00061016
$75,001-$100,0006612
$100,001-$150,0008816
>$150,0006612
No response101
Smoker in Household-Yes
Smoker in Household-Yes(Participants)BB-12®ControlTotal
Count of participants033
08

Study locations

1 site
  • Georgetown University Department of Family Medicine, Research Division
    Washington, District of Columbia 20007, United States
09

References and documents

Publications

  • Tan TP, Ba Z, Sanders ME, D'Amico FJ, Roberts RF, Smith KH, Merenstein DJ. Safety of Bifidobacterium animalis Subsp. Lactis (B. lactis) Strain BB-12-Supplemented Yogurt in Healthy Children. J Pediatr Gastroenterol Nutr. 2017 Feb;64(2):302-309. doi: 10.1097/MPG.0000000000001272. PubMed 28114246 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01652287
Lead sponsor
Georgetown University
Collaborators
Penn State University
Responsible party
Daniel Merenstein (Principal Investigator, Georgetown University) — Principal investigator
First posted
Jul 30, 2012
Start date
Feb 2013
Primary completion
Jul 2014
Completion
Jul 2014
Results posted
Mar 13, 2017
Last update
Mar 22, 2024

Study contacts

Daniel J Merenstein, MD
principal investigator · Georgetown University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2024. You cannot join it, but the record below documents what was studied.

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