Safety and Efficacy of Fecal Microbiota Transplantation
NCT ID: NCT04014413
Last Updated: 2024-08-22
Study Results
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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RECRUITING
NA
450 participants
INTERVENTIONAL
2019-07-15
2030-10-31
Brief Summary
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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.
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Detailed Description
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Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Crohn's disease
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Ulcerative colitis
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Celiac disease
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Irritable bowel syndrome
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Functional dyspepsia
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Constipation
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Metabolic disease (diabetes mellitus or obesity)
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Multidrug-resistant infection
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Hepatic encephalopathy
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Multiple sclerosis
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Pseudo-obstruction
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
CRE infection
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
VRE infection
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Multiple organ dysfunction
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Dysbiotic bowel syndrome
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
MRSA enteritis
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Pseudomembranous enteritis
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Alopecia
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Autism
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Graft-versus-host disease
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Idiopathic thrombocytopenic purpura
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Atopy or allergy
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Liver disease
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Alcohol dependence
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Antibiotic-associated diarrhea
Fecal Microbiota Transplant will be performed.
Fecal Microbiota Transplantation
Fecal microbiota transplantation
Interventions
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Fecal Microbiota Transplantation
Fecal microbiota transplantation
Eligibility Criteria
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Inclusion Criteria
* 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
* Any conditions that may render the efficacy of FMT or at the discretion of the investigators
* Current pregnancy
ALL
No
Sponsors
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Chinese University of Hong Kong
OTHER
Responsible Party
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Siew Chien NG
Professor
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
Countries
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Central Contacts
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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.
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.
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
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.
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.
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.
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
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
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.
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.
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.
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.
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.
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.
Other Identifiers
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FMT-Pilot
Identifier Type: -
Identifier Source: org_study_id
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