Benefits
Daily crying time in babies (open-label trial)
In an open-label randomized trial in 150 babies with colic, crying time fell in every group, including the group given simethicone, an anti-gas medicine. The drop was larger with 200 million CFU a day of B. breve CECT7263 from the first week. There was no placebo group and parents knew which product they gave, so the result cannot show how the strain compares with no treatment, and parent-recorded crying may be biased.
Long crying spells in healthy formula-fed babies
In a double-blind trial, babies fed formula with the strain from 1 to 12 months had lower odds of long crying spells than babies on standard formula; at 6 weeks, 12% versus 29% cried more than 3 hours a day. This was a secondary measure in a growth trial run with the maker, and sleep hours did not differ.
Night sleep and parent mood ratings during the crying trial
In the open-label crying trial, parents of babies given the strain reported better night sleep and a more positive mood at the end of 4 weeks. These were parent-reported secondary measures without a placebo group, and the 11-month formula trial found no difference in sleep hours versus standard formula.
Infections and fever in formula-fed babies
Over 11 months on formula with the strain, rates of diarrhea, upper and lower respiratory infections, ear infections and fever did not differ from standard formula. A lower rate of upper respiratory infections appeared only in the small subgroup of babies whose mothers smoked, a subgroup finding.
Blood pressure and gut acetate in rats (animal research)
In two rat studies from one Spanish laboratory, several weeks of the strain prevented a rise in blood pressure, raised short-chain fatty acid producing gut bacteria and improved blood vessel relaxation. These results come from animals bred or treated to develop high blood pressure and have not been tested in people.
Mechanism of action
A strain from human milk with little change in gut bifidobacteria
CECT7263 was isolated from human milk. In formula-fed babies given about 1 billion CFU a day, total gut Bifidobacterium counts did not differ from standard formula, which the authors attribute to the already high natural levels, while Clostridium counts were higher and brown stools more common. These are gut bacteria measures, not health outcomes.
Short-chain fatty acids and gut barrier markers in rats
In rat studies, the strain raised acetate and butyrate producing gut bacteria, lowered blood endotoxin and restored a balance of immune T cells, and acetate given alone mimicked its effects on blood pressure. This proposed route rests on animal work only.
Effects are strain specific
Results for CECT7263 do not carry over to other B. breve strains, and results for products pairing it with L. fermentum CECT5716 apply to the pair. In the crying trial, the pair at a lower dose of each strain began to cut crying a week later than CECT7263 alone.
Clinical trials
Multicenter open-label randomized trial comparing B. breve CECT7263 (200 million CFU a day), B. breve plus L. fermentum CECT5716 (100 million CFU a day of each) and simethicone (80 mg a day) for 28 days, with no placebo arm; main outcomes were daily crying minutes and their percentage drop, analyzed by intention to treat. Registered NCT03467334 about 8 months after the start, with no results posted; the registry lists masked investigators and assessors and gives the CECT7263 dose as 100 million CFU. Seven of the 15 named authors (Maldonado-Lobón JA, Blanco-Rojo R, Sañudo A, Rodríguez C, Bañuelos O, Fonollá J, Olivares M) were from Biosearch Life, a company in Granada (Maldonado-Lobón et al. 2021, Benef Microbes)
150 infants diagnosed with colic by Rome III criteria.
Crying time fell in all three groups. In the B. breve group it fell from the first week, and the percentage drop was larger than in the simethicone group each week (68.5% vs 59.5% at 4 weeks), with better night sleep reported. With no placebo group and parents aware of the product, the trial cannot show how much of the drop is due to the strain rather than natural improvement over time or parents knowing which product they gave.
Randomized double-blind controlled trial with three groups: standard formula, or the same formula with L. fermentum CECT5716 Lc40 or with B. breve CECT7263 at 10 million CFU per gram, from 1 to 12 months of age; main outcome was weight gain as a safety marker (1 to 4 months in the paper's methods; the registry lists 12 months). Funded by Biosearch Life with an Andalusian grant co-financed by the European Regional Development Fund; three authors (Maldonado-Lobón JA, Valero AD, Olivares M) worked for Biosearch Life, owner of the strain patent; retrospectively registered NCT03204630 (Maldonado et al. 2019, BMC Pediatr)
236 healthy formula-fed babies enrolled at 1 month of age in Spain; 189 completed (63 in the CECT7263 group).
Weight gain did not differ (5.58 kg on CECT7263 vs 5.77 kg on control from 1 to 12 months, p = 0.527; 1 to 4 months also similar), and no adverse effects were related to any formula. Odds of long crying spells were lower than on control (OR 0.569, p = 0.001; more than 3 hours a day at 6 weeks in 12% vs 29%). Diarrhea, respiratory infections, fever, sleep and gut Bifidobacterium counts did not differ.