A Study of FMT in Patients With AML Allo HSCT in Recipients

NCT ID: NCT03678493

Last Updated: 2024-05-16

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-09

Study Completion Date

2023-12-04

Brief Summary

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This is a randomized, double-blind, placebo-controlled clinical trial of Fecal Microbiota Transplant (FMT) in 2 independent cohorts (60 acute myeloid leukemia patients undergoing intensive chemotherapy and 60 Allo-HCT patients). Participants in each cohort will be randomized in a 2:1 ratio to receive up to 3 treatments of FMT vs. placebo after each exposure to antibacterial antibiotics until 3 months after randomization.

Detailed Description

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Conditions

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Acute Myeloid Leukemia Allogeneic Hematopoietic Cell Transplantation

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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AML Patients undergoing Intensive Chemotherapy

Group Type EXPERIMENTAL

Fecal Microbiota Transplant (FMT)

Intervention Type BIOLOGICAL

Oral Capsule

AML Patients undergoing Intensive Chemotherapy Control

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Oral Capsule

Patients undergoing Allo-HCT Patients

Group Type EXPERIMENTAL

Fecal Microbiota Transplant (FMT)

Intervention Type BIOLOGICAL

Oral Capsule

Patients undergoing Allo-HCT Patients Control

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Oral Capsule

Interventions

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Fecal Microbiota Transplant (FMT)

Oral Capsule

Intervention Type BIOLOGICAL

Placebo

Oral Capsule

Intervention Type OTHER

Other Intervention Names

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FMT

Eligibility Criteria

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Inclusion Criteria

* Age≄ 18 years
* Cohort A: Patients undergoing intensive induction chemotherapy for acute myeloid leukemia (AML; newly diagnosed or relapsed/refractory).

\* Any intensive regimen with planned \~4 weeks of inpatient stay
* Cohort B: Allo-HCT patients

\* Any allogeneic transplant regimen with planned GVHD prophylaxis containing generic IV Mycophenolate Mofetil (MMF) and tacrolimus (Tac)
* Sexually active females of childbearing potential and males with partners of child-bearing potential must agree to use adequate birth control until at least six months post-FMT/placebo
* Voluntary written consent signed before performance of any study-related procedure not part of normal medical care

Exclusion Criteria

* Planned continuation of antibacterial antibiotics after the first neutrophil recovery (ANC \> 1,000)
* Patients who are currently receiving or recently received (within 28 days) other investigational agents.
* Pregnant or breast feeding. The FDA has not classified this agent into a specified pregnancy category. Females of childbearing potential must have a blood test or urine study within 14 days prior to registration to rule out pregnancy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Masonic Cancer Center, University of Minnesota

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Armin Rashidi, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Minnesota, Division of Hematology, Oncology and Transplantation

Locations

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Masonic Cancer Center at University of Minnesota

Minneapolis, Minnesota, United States

Site Status

Countries

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United States

References

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Rashidi A, Ebadi M, Rehman TU, Elhusseini H, Kazadi D, Halaweish H, Khan MH, Hoeschen A, Cao Q, Luo X, Kabage AJ, Lopez S, Holtan SG, Weisdorf DJ, Khoruts A, Staley C. Randomized Double-Blind Phase II Trial of Fecal Microbiota Transplantation Versus Placebo in Allogeneic Hematopoietic Cell Transplantation and AML. J Clin Oncol. 2023 Dec 1;41(34):5306-5319. doi: 10.1200/JCO.22.02366. Epub 2023 May 26.

Reference Type DERIVED
PMID: 37235836 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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MT2018-01

Identifier Type: OTHER

Identifier Source: secondary_id

2017LS170

Identifier Type: -

Identifier Source: org_study_id

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