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Infant Formula & FSMP
Global Compliance Perspective on HMOs: Approvals and Applications in India

Human milk oligosaccharides (HMOs) are the third most abundant solid nutrient in breast milk, following only lactose and lipids. HMOs form a variety of complex structures through different combinations of five basic components—glucose, galactose, N-acetylglucosamine, L-fucose, and N-acetylneuraminic acid—and possess multiple functions, including regulating the gut microbiota, establishing the intestinal barrier, boosting immunity, and enhancing cognitive development.

Global Compliance Perspective on HMOs: Approvals and Applications in the EU

CIRS Group has compiled and summarized the intended uses and use levels of HMOs approved in the EU for industry reference. Among them, chemically synthesized and microbially produced 2’-FL have identical scope of use and use levels; similarly, chemically synthesized and microbially produced LNnT share the same conditions of use. The remaining HMOs are produced via microbial sources, and their intended uses may vary depending on the production organism.

Global Compliance Perspective on HMOs: Approvals and Applications in the US

There are more than 200 types of HMOs, each with specific structures and functions, enabling applications across different fields. As a result, regulatory submissions for HMOs are rapidly increasing worldwide, with commercialization first initiated in Europe and the United States. In 2015, the U.S. Food and Drug Administration (FDA) recognized the first HMO—chemically synthesized 2’-fucosyllactose (2’-FL) submitted by Glycom A/S—as Generally Recognized as Safe (GRAS). Since then, multiple HMOs have successively obtained GRAS status in the United States.

Q&A on Registration of FSMP Under the New National Standard

On March 18, the State Administration for Market Regulation (SAMR) released the Q&A on the Registration of Foods for Special Medical Purposes under the New National Standards. The document aims to guide enterprises in conducting compliant applications and efficient registration in accordance with two national food safety standards: General Principles for Foods for Special Medical Purposes (GB 29922—2025) and Foods for Special Medical Purposes for Tumor Complete Nutrition (GB 31662—2025), thereby ensuring a smooth and orderly market supply transition.