Fecal Microbiota Transplantation for Relapsing Clostridium Difficile Infection

NCT ID: NCT02743234

Last Updated: 2019-10-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-04-30

Study Completion Date

2019-08-31

Brief Summary

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Randomized open label clinical trial to compare the clinical and microbiological efficacy of fecal microbiota transplantation, fidaxomicin, and vancomycin for relapsing Clostridium difficile infection

Detailed Description

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Conditions

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Clostridium Difficile Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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FMT

Fecal microbiota transplantation (FMT) following 4-10 days of vancomycin 125 mg x 4, using cryopreserved feces from a healthy anonymous donor

Group Type EXPERIMENTAL

Fecal microbiota transplantation

Intervention Type OTHER

FMT follows 4-10 days of vancomycin 125 mg x 4 daily

Fidaxomicin

10 days fidaxomicin 200 mg x 2 daily

Group Type ACTIVE_COMPARATOR

Fidaxomicin

Intervention Type DRUG

Fidaxomicin 200 mg x 2 daily for 10 days

Vancomycin

10 days vancomycin 125 x 4 daily

Group Type ACTIVE_COMPARATOR

Vancomycin

Intervention Type DRUG

Vancomycin 125 mg x 4 daily for 10 days

Interventions

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Fecal microbiota transplantation

FMT follows 4-10 days of vancomycin 125 mg x 4 daily

Intervention Type OTHER

Fidaxomicin

Fidaxomicin 200 mg x 2 daily for 10 days

Intervention Type DRUG

Vancomycin

Vancomycin 125 mg x 4 daily for 10 days

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1\. Relapse of Clostridium difficile infection with previous trial of vancomycin or fidaxomicin

Exclusion Criteria

1. Pregnancy or breastfeeding
2. Does not speak or understand the Danish language
3. Current antibiotic treatment other than metronidazole, vancomycin, fidaxomicin
4. fulminant colitis which contraindicates medical treatment
5. physician's evaluation that the patient cannot tolerate project inclusion
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jens F Dahlerup, MD DrMSc

Role: PRINCIPAL_INVESTIGATOR

Associate professor

Locations

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Aarhus University Hospital

Aarhus C, , Denmark

Site Status

Countries

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Denmark

References

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Hammeken LH, Baunwall SMD, Dahlerup JF, Hvas CL, Ehlers LH. Health-related quality of life in patients with recurrent Clostridioides difficile infections. Therap Adv Gastroenterol. 2022 Apr 18;15:17562848221078441. doi: 10.1177/17562848221078441. eCollection 2022.

Reference Type DERIVED
PMID: 35463939 (View on PubMed)

Hvas CL, Dahl Jorgensen SM, Jorgensen SP, Storgaard M, Lemming L, Hansen MM, Erikstrup C, Dahlerup JF. Fecal Microbiota Transplantation Is Superior to Fidaxomicin for Treatment of Recurrent Clostridium difficile Infection. Gastroenterology. 2019 Apr;156(5):1324-1332.e3. doi: 10.1053/j.gastro.2018.12.019. Epub 2019 Jan 2.

Reference Type DERIVED
PMID: 30610862 (View on PubMed)

Other Identifiers

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FACIT

Identifier Type: -

Identifier Source: org_study_id

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