Benefits
LDL and total cholesterol, blood markers, over 6 weeks
In a double-blind pilot trial of 16 adults with total cholesterol of 6 mmol/L or more, one capsule of 4 billion CFU a day lowered LDL cholesterol from 4.55 to 4.00 mmol/L, while it rose from 4.10 to 4.60 on placebo, and total cholesterol followed the same pattern. Levels returned toward baseline 3 weeks after stopping. OptiBiotix Health funded it.
ApoB and non-HDL cholesterol over 6 weeks
In the same 16 adult trial, ApoB fell from 0.98 to 0.90 g/L on the probiotic and rose from 0.91 to 1.07 g/L on placebo, and non-HDL cholesterol also differed from placebo. HDL cholesterol was lower than on placebo at 6 weeks, and triglycerides did not differ. These are blood markers, not heart outcomes.
Blood lipids over 12 weeks in adults with normal to mildly raised cholesterol
In a double-blind trial of 46 adults taking 2 billion CFU twice daily, total and LDL cholesterol, among the main outcomes, did not differ from placebo in the whole group after 12 weeks, while HDL was slightly higher. LDL was lower than placebo only in a subgroup of 23 adults with total cholesterol under 5 mmol/L.
Systolic blood pressure in adults with normal blood pressure
In the 12 week trial, systolic pressure, a secondary outcome, did not differ from placebo from start to finish. Between weeks 6 and 12 it fell 1.8 mmHg on the probiotic and rose 6.1 mmHg on placebo, a significant difference in that interval only. Starting pressure averaged about 119 mmHg, and diastolic pressure did not differ.
Combined with plant sterols: a separate combination product
In a 9 week pilot trial in adults with celiac disease and raised cholesterol, tablets combined the strain with 800 mg a day of plant sterols. Only 24 of 50 enrolled were analyzed, results were mostly changes from baseline, and the authors call them exploratory. Effects cannot be credited to the probiotic alone.
Mechanism of action
Bile salt hydrolase activity
The strain was picked from 353 lactobacilli for high bile salt hydrolase activity and removed 77.9 percent of cholesterol from culture in a lab test. This enzyme deconjugates bile salts so more are lost in the stool, and the liver uses cholesterol to replace them. Bile acid results from the human trials have not been reported.
Survival of stomach and bile conditions in the lab
In the screening work the strain resisted simulated gastric and pancreatic juices and bile acids and survived freeze drying. Whether enough live bacteria reach the gut in people was not measured; in the 12 week trial, stool Lactobacillus levels did not differ from placebo.
Clinical trials
Randomized, double-blind, placebo-controlled parallel pilot trial at the University of Roehampton: one capsule of 4 billion CFU (50 mg) of ECGC 13110402 or a corn starch placebo after lunch for 6 weeks, then a 3 week washout; registered NCT03540108; planned as 12 weeks in 50 adults but cut to 6 weeks and 16 adults by COVID-19 restrictions; funded by OptiBiotix Health, which supplied both capsules and was consulted on the design; author Sofia Kolida is affiliated with OptiBiotix; not PubMed-indexed (Keleszade et al. 2022, J Funct Foods)
16 adults aged 35 to 70 with total cholesterol of 6 mmol/L or more and no lipid-lowering medication (8 per group).
Compared with placebo, total cholesterol (5.00 versus 6.61 mmol/L at week 6, p = 0.001), LDL cholesterol (4.00 versus 4.60, p = 0.001 in the results table, p = 0.03 in the abstract), non-HDL cholesterol (p = 0.001) and ApoB (p = 0.008) were lower at 6 weeks, and the differences were gone 3 weeks after stopping. HDL cholesterol was also lower than on placebo (p = 0.03); triglycerides, liver tests and vitamin D did not differ. The registry also lists gut microbiota and bile acid outcomes that the paper does not report.
Randomized, double-blind, placebo-controlled parallel trial at the University of Reading: 2 billion CFU twice daily or a maltodextrin placebo for 12 weeks, then a 4 week washout; primary outcomes blood lipids, inflammatory markers and digestive symptoms, with blood pressure secondary; registered NCT03263104; supported by OptiBiotix Health, which supplied the probiotic and paid the salary of author Sofia Kolida (Costabile et al. 2017, PLoS One)
49 adults aged 30 to 65 with total cholesterol of 5.16 to 7.64 mmol/L; 46 completed (23 per group).
In the whole group, total cholesterol (p = 0.51), LDL cholesterol (p = 0.15) and triglycerides did not differ from placebo at 12 weeks, and HDL was 0.06 mmol/L higher (p = 0.023). LDL was lower than placebo in the 23 adults with total cholesterol under 5 mmol/L (p = 0.03). Systolic pressure did not differ over 12 weeks (p = 0.15) but was 6.0 mmHg lower than placebo for weeks 6 to 12 (p = 0.003). Inflammatory markers, gut microbiota and digestive symptoms did not differ.
Randomized, double-blind, placebo-controlled pilot feasibility trial in Salerno, Italy: a bilayer tablet with 2 billion CFU of ECGC 13110402 and 400 mg plant sterols and stanols, or a placebo tablet, twice daily for 9 weeks, then a 3 week washout; the paper calls all analyses exploratory; registered NCT06178107, where the entry describes the probiotic alone once daily with total cholesterol and BMI as primary outcomes; no external funding, tablets from ProBiotix Health, and author Sofia Kolida (OptiBiotix) has been a consultant to ProBiotix (Costabile et al. 2026, Molecules)
50 adults with celiac disease on a gluten-free diet and total cholesterol above 6 mmol/L enrolled; 24 analyzed (12 per group).
Within the active group, total cholesterol fell from 236.1 to 198.6 mg/dL at week 9; the placebo group started lower, at 207.5 mg/dL. The change from baseline to the end of the 3 week washout (week 12) was larger on the combination (minus 31.58 versus minus 5.92 mg/dL), a between-group difference. The LDL fall within the active group was not significant at week 9 (p = 0.16), and HDL fell in both groups. Vitamin D changes did not differ between groups (p = 0.081). Results reflect the combination, not the probiotic alone.