Dose Ranging Study of the Safety and Efficacy of Orally Administered Lyophilized Fecal Microbiota Product (PRIM-DJ2727) for the Treatment of Recurrent Clostridium Difficile Infection (CDI)

NCT ID: NCT03298048

Last Updated: 2020-03-06

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

17 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-12-21

Study Completion Date

2019-06-30

Brief Summary

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To establish optimal dosing of lyophilized Fecal microbiota transplantation (FMT) product in the treatment of recurrent C. difficile infection

Detailed Description

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This is a single center, randomized, parallel assignment, double-blinded, safety and efficacy study to be conducted in subjects with recurrent CDI. Approximately 300 subjects will be enrolled in the study and randomized at 1:1:1 ratio to receive lyophilized donor intestinal bacteria with various doses in capsules. All subjects will be followed for approximately 180 days following FMT for safety.

Conditions

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Recurrent C. Difficile Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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Low fecal microbiota dose

receiving healthy microbiota (PRIM-DJ2727) collected from 50g stool for 2 consecutive days

Group Type ACTIVE_COMPARATOR

Low fecal microbiota dose

Intervention Type BIOLOGICAL

receiving healthy microbiota (PRIM-DJ2727) collected from 50g stool for 2 consecutive days

Mid fecal microbiota dose

receiving healthy microbiota (PRIM-DJ2727) collected from 100g stool on the 1st day of treatment and from 50g stool on the 2nd day of the treatment

Group Type ACTIVE_COMPARATOR

Mid fecal microbiota dose

Intervention Type BIOLOGICAL

receiving healthy microbiota (PRIM-DJ2727) collected from 100g stool on the 1st day of treatment and from 50g stool on the 2nd day of the treatment

High fecal microbiota dose

receiving healthy microbiota (PRIM-DJ2727) collected from 100g stool for 2 consecutive days

Group Type ACTIVE_COMPARATOR

High fecal microbiota dose

Intervention Type BIOLOGICAL

receiving healthy microbiota (PRIM-DJ2727) collected from 100g stool for 2 consecutive days

Interventions

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Low fecal microbiota dose

receiving healthy microbiota (PRIM-DJ2727) collected from 50g stool for 2 consecutive days

Intervention Type BIOLOGICAL

Mid fecal microbiota dose

receiving healthy microbiota (PRIM-DJ2727) collected from 100g stool on the 1st day of treatment and from 50g stool on the 2nd day of the treatment

Intervention Type BIOLOGICAL

High fecal microbiota dose

receiving healthy microbiota (PRIM-DJ2727) collected from 100g stool for 2 consecutive days

Intervention Type BIOLOGICAL

Other Intervention Names

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Fecal microbiota transplantation (FMT) Fecal microbiota transplantation (FMT) Fecal microbiota transplantation (FMT)

Eligibility Criteria

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Inclusion Criteria

* Sexually active female subjects of child-bearing potential must agree to use an effective method of birth control during the treatment and follow-up period
* Female subjects of child-bearing potential must have a negative pregnancy test on the day of the procedure.
* Subject willing to sign an informed consent form
* Subject deemed likely to survive for ≥ 1 year after enrollment
* Able to follow study procedure and follow-ups
* Subjects' attending physician will provide non-transplant care for the subject
* Diagnosed by medical history of ≥ 3 bouts of CDI in outpatients or ≥ 2 bouts of recurrent CDI in an inpatient with ≥ 2 positive fecal tests for C. difficile toxin
* Received at least one course of adequate antibiotic therapy for CDI (≥ 10 days of vancomycin or metronidazole or fidaxomicin) since last bout of CDI
* Have a 4 degrees Celsius refrigerator at home to keep the second dose FMT for overnight

Exclusion Criteria

* Unable to take capsules orally
* Requiring systemic non-C. difficile antibiotic therapy within 14 days prior to FMT
* Actively taking Saccharomyces boulardii or other probiotic at the time of FMT other than that found in fortified foods
* Need for continuing use of drugs with CDI activity: oral vancomycin, oral or IV metronidazole, fidaxomicin, rifaximin or nitazoxanide at the time of FMT and after FMT
* Severe underlying disease such that the patient is not expected to survive for one or more years or unstable medical condition requiring daily change in treatments
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The University of Texas Health Science Center, Houston

OTHER

Sponsor Role lead

Responsible Party

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Herbert DuPont

Professor of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Herbert L DuPont, MD

Role: PRINCIPAL_INVESTIGATOR

UTHealth School of Public Health

Locations

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The University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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HSC-SPH-17-0614

Identifier Type: -

Identifier Source: org_study_id

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