Safety and Efficacy of Fecal Microbiota Transplantation

NCT ID: NCT04014413

Last Updated: 2024-08-22

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

RECRUITING

Clinical Phase

NA

Total Enrollment

450 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-07-15

Study Completion Date

2030-10-31

Brief Summary

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The gut microbiota is critical to health and functions with a level of complexity comparable to that of an organ system. Dysbiosis, or alterations of this gut microbiota ecology, have been implicated in a number of disease states. Fecal microbiota transplantation (FMT), defined as infusion of feces from healthy donors to affected subjects, is a method to restore a balanced gut microbiota and has attracted great interest in recent years due to its efficacy and ease of use. FMT is now recommended as the most effective therapy for CDI not responding to standard therapies.

Recent studies have suggested that dysbiosis is associated with a variety of disorders, and that FMT could be a useful treatment. Randomized controlled trial has been conducted in a number of disorders and shown positive results, including alcoholic hepatitis, Crohn's disease (CD), ulcerative colitis (UC), pouchitis, irritable bowel syndrome (IBS), hepatic encephalopathy and metabolic syndrome. Case series/reports and pilot studies has shown positive results in other disorders including Celiac disease, functional dyspepsia, constipation, metabolic syndrome such as diabetes mellitus, multidrug-resistant, hepatic encephalopathy, multiple sclerosis, pseudo-obstruction, carbapenem-resistant Enterobacteriaceae (CRE) or Vancomycin-resistant Enterococci (VRE) infection, radiation-induced toxicity, multiple organ dysfunction, dysbiotic bowel syndrome, MRSA enteritis, Pseudomembranous enteritis, idiopathic thrombocytopenic purpura (ITP), and atopy.

Despite FMT appears to be relatively safe and efficacious in treating a wide range of disease, its safety and efficacy in a usual clinical setting is unknown. More data is required to confirm safety and efficacy of FMT. Therefore, the investigators aim to conduct a pilot study to investigate the efficacy and safety of FMT in a variety of dysbiosis-associated disorder.

Detailed Description

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Conditions

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Crohn Disease Ulcerative Colitis Celiac Disease Irritable Bowel Syndrome Functional Dysphonia Constipation Clostridium Difficile Infection Diabetes Mellitus Obesity Multidrug -Resistant Infection Hepatic Encephalopathy Multiple Sclerosis Pseudo-Obstruction Carbapenem-Resistant Enterobacteriaceae Infection Vancomycin Resistant Enterococci Infection Multiple Organ Dysfunction Syndrome Dysbiotic Bowel Syndrome MRSA Enteritis Pseudomembranous Enterocolitis Alopecia Autism Graft-versus-host Disease Idiopathic Thrombocytopenic Purpura Atopy or Allergy Liver Disease Alcohol Dependence Psoriatic Arthropathy

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Crohn's disease

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Ulcerative colitis

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Celiac disease

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Irritable bowel syndrome

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Functional dyspepsia

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Constipation

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Metabolic disease (diabetes mellitus or obesity)

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Multidrug-resistant infection

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Hepatic encephalopathy

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Multiple sclerosis

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Pseudo-obstruction

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

CRE infection

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

VRE infection

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Multiple organ dysfunction

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Dysbiotic bowel syndrome

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

MRSA enteritis

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Pseudomembranous enteritis

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Alopecia

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Autism

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Graft-versus-host disease

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Idiopathic thrombocytopenic purpura

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Atopy or allergy

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Liver disease

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Alcohol dependence

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Antibiotic-associated diarrhea

Fecal Microbiota Transplant will be performed.

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation

Intervention Type PROCEDURE

Fecal microbiota transplantation

Interventions

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Fecal Microbiota Transplantation

Fecal microbiota transplantation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

Confirmed diagnosis of any of the following diseases:

* Crohn's disease
* Ulcerative colitis
* Celiac disease
* Irritable bowel syndrome
* Functional dyspepsia
* Constipation
* Antibiotic-associated diarrhea or any antibiotic- associated complications/symptoms
* Metabolic syndrome such as diabetes mellitus and obesity
* Multidrug-resistant infection
* Hepatic encephalopathy
* Multiple sclerosis
* Pseudo-obstruction
* Carbapenem-resistant Enterobacteriaceae (CRE) or Vancomycin-resistant Enterococci (VRE) infection
* Multiple organ dysfunction
* Dysbiotic bowel syndrome
* MRSA enteritis
* Pseudomembranous enteritis
* Alopecia, autism
* Graft-versus-host disease
* Idiopathic thrombocytopenic purpura (ITP)
* Atopy or allergy
* Liver disease such as Nonalcoholic fatty liver disease (NAFLD) and Nonalcoholic steatohepatitis (NASH)
* Alcohol dependence
* Psoriatic arthropathy that has suboptimal control of disease despite standard treatment.

Exclusion Criteria

* Known contraindication to all FMT infusion method such as nasoduodenal tube insertion, oesophago-gastro-duodenoscopy (OGD), enteroscopy, colonoscopy and enema
* Any conditions that may render the efficacy of FMT or at the discretion of the investigators
* Current pregnancy
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese University of Hong Kong

OTHER

Sponsor Role lead

Responsible Party

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Siew Chien NG

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Siew Ng

Role: PRINCIPAL_INVESTIGATOR

Chinese University of Hong Kong

Locations

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The Chinese University of Hong Kong

Hong Kong, Shatin, Hong Kong

Site Status RECRUITING

Countries

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Hong Kong

Central Contacts

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Matthew Fung

Role: CONTACT

+852 35053855

References

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Brandt LJ. American Journal of Gastroenterology Lecture: Intestinal microbiota and the role of fecal microbiota transplant (FMT) in treatment of C. difficile infection. Am J Gastroenterol. 2013 Feb;108(2):177-85. doi: 10.1038/ajg.2012.450. Epub 2013 Jan 15.

Reference Type BACKGROUND
PMID: 23318479 (View on PubMed)

Philips CA, Pande A, Shasthry SM, Jamwal KD, Khillan V, Chandel SS, Kumar G, Sharma MK, Maiwall R, Jindal A, Choudhary A, Hussain MS, Sharma S, Sarin SK. Healthy Donor Fecal Microbiota Transplantation in Steroid-Ineligible Severe Alcoholic Hepatitis: A Pilot Study. Clin Gastroenterol Hepatol. 2017 Apr;15(4):600-602. doi: 10.1016/j.cgh.2016.10.029. Epub 2016 Nov 2. No abstract available.

Reference Type BACKGROUND
PMID: 27816755 (View on PubMed)

Yang Z, Wang X, Bu C. Fecal microbiota transplant for Crohn's disease: a prospective, randomized study in chinese population. United european gastroenterology journal. Conference: 25th united european gastroenterology week, UEG 2017. Spain. Volume 5, 2017:A112-a113

Reference Type BACKGROUND

Paramsothy S, Kamm MA, Kaakoush NO, Walsh AJ, van den Bogaerde J, Samuel D, Leong RWL, Connor S, Ng W, Paramsothy R, Xuan W, Lin E, Mitchell HM, Borody TJ. Multidonor intensive faecal microbiota transplantation for active ulcerative colitis: a randomised placebo-controlled trial. Lancet. 2017 Mar 25;389(10075):1218-1228. doi: 10.1016/S0140-6736(17)30182-4. Epub 2017 Feb 15.

Reference Type BACKGROUND
PMID: 28214091 (View on PubMed)

Rossen NG, Fuentes S, van der Spek MJ, Tijssen JG, Hartman JH, Duflou A, Lowenberg M, van den Brink GR, Mathus-Vliegen EM, de Vos WM, Zoetendal EG, D'Haens GR, Ponsioen CY. Findings From a Randomized Controlled Trial of Fecal Transplantation for Patients With Ulcerative Colitis. Gastroenterology. 2015 Jul;149(1):110-118.e4. doi: 10.1053/j.gastro.2015.03.045. Epub 2015 Mar 30.

Reference Type BACKGROUND
PMID: 25836986 (View on PubMed)

Moayyedi P, Surette MG, Kim PT, Libertucci J, Wolfe M, Onischi C, Armstrong D, Marshall JK, Kassam Z, Reinisch W, Lee CH. Fecal Microbiota Transplantation Induces Remission in Patients With Active Ulcerative Colitis in a Randomized Controlled Trial. Gastroenterology. 2015 Jul;149(1):102-109.e6. doi: 10.1053/j.gastro.2015.04.001. Epub 2015 Apr 7.

Reference Type BACKGROUND
PMID: 25857665 (View on PubMed)

Costello SP, Waters O, Bryant RV, et al. Short duration, low intensity, pooled fecal microbiota transplantation induces remission in patients with mildmoderately active ulcerative colitis: A randomised controlled trial. Gastroenterology 2017;152 (5 Supplement 1):S198-S199

Reference Type BACKGROUND

Kirk KF, Kousgaard SJ, Nielsen HL, et al. Faecal transplant for the treatment of chronic pouchitis-A randomised, placebo-controlled, clinical trial. Colorectal Disease 2017;19 (Supplement 2):143

Reference Type BACKGROUND

Johnsen PH, Hilpusch F, Cavanagh JP, et al. Fecal transplantation in Irritable Bowel Syndrome (IBS): An RCT. Neurogastroenterology and Motility 2017;29 (Supplement 2):135.

Reference Type BACKGROUND

Holster S, Repsilber D, Brummer RJ, et al. Faecal microbiota transfer in irritable bowel syndrome-clinical outcomes of a randomised placebo-controlled trial. United European Gastroenterology Journal 2017;5 (5 Supplement 1):A155-A156.

Reference Type BACKGROUND

Holster S, Brummer RJ, Repsilber D, et al. Fecal microbiota transplantation in irritable bowel syndrome and a randomized placebo-controlled trial. Gastroenterology 2017;152 (5 Supplement 1):S101-S102.

Reference Type BACKGROUND

Holger Johnsen P, Mazzawi T, El-Salhy M, et al. Effect of faecal microbiota transplantation on the enteroendocrine cells of the colon in patients with Irritable Bowel Syndrome (IBS): Double blinded-placebo controlled study. Neurogastroenterology and Motility 2017;29 (Supplement 2):71.

Reference Type BACKGROUND

Bajaj JS, Kassam Z, Fagan A, et al. Fecal microbiota transplant using a precision medicine approach is safe, Associated with lower hospitalization risk and improved cognitive function in recurrent hepatic encephalopathy. Journal of Hepatology 2017;66:S49-S49.

Reference Type BACKGROUND

Mullish BH, McDonald JAK, Thursz MR, Marchesi JR. Fecal microbiota transplant from a rational stool donor improves hepatic encephalopathy: A randomized clinical trial. Hepatology. 2017 Oct;66(4):1354-1355. doi: 10.1002/hep.29369. Epub 2017 Aug 26. No abstract available.

Reference Type BACKGROUND
PMID: 28714089 (View on PubMed)

Other Identifiers

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FMT-Pilot

Identifier Type: -

Identifier Source: org_study_id

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