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Bacillus clausii is an orally administered spore-forming probiotic bacterium used as a therapeutic microbial product to help restore intestinal microbial balance, particularly during or after antibiotic exposure and in acute infectious diarrhea. Clinical-trial and publication evidence identifies it most prominently in Sanofi's Enterogermina program, including randomized studies in children with acute diarrhea, antibiotic-associated diarrhea prevention, and other gastrointestinal conditions. Its activity is not mediated through a single human receptor target; rather, proposed mechanisms include transient gut colonization, competitive effects on intestinal microbes, support of microbiota recovery, and immunomodulatory and antimicrobial effects of probiotic spores and metabolites. Commercial products exist both as pharmaceutical/consumer probiotic suspensions of spores and as region-specific marketed products from companies including Sanofi and LiveSpo Global.
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