Fecal Transplant for MDRO Decolonization

NCT ID: NCT04181112

Last Updated: 2021-10-06

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-11-04

Study Completion Date

2023-11-30

Brief Summary

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This is a trial designed to determine whether fecal microbiota transplantation (FMT) can eliminate highly drug-resistant bacteria from the intestinal tract of renal transplant patients. The primary goal of this study is to test whether oral gut decontamination followed by FMT using enema delivery will result in decolonization of the intestinal tract of renal transplant patients shortly after solid organ transplantation, thereby preventing difficult to treat post-transplant infections.

Detailed Description

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Conditions

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Multi-antibiotic Resistance

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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Fecal microbiota transplantation

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation (FMT)

Intervention Type BIOLOGICAL

FMT using retention enema

Fecal microbiota transplantation with antibiotic pre-treatment

Group Type EXPERIMENTAL

Fecal Microbiota Transplantation (FMT)

Intervention Type BIOLOGICAL

FMT using retention enema

No intervention follow-up

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Fecal Microbiota Transplantation (FMT)

FMT using retention enema

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* 18 years or older
* Able to provide informed consent
* Positive for one of the target MDRO by rectal or stool culture tests


* Able to provide informed consent
* Able to complete donor screening
* Able to adhere to FMT stool collection and testing procedures

Exclusion Criteria

* Still in hospital at week 7 following organ transplantation
* Pregnant or planning to become pregnant
* Breastfeeding
* Participating in another interventional or investigational study
* Neutropenic (ANC \< 0.5)
* Presence of colostomy or ileostomy
* Has an active intestinal infection
* Fever \> 38.0 or white blood count (WBC) count \> 15,000
* Are taking a non-dietary probiotic supplement
* Require or are expected to require systemic antimicrobial therapy other than Pneumocystis prophylaxis or cytomegalovirus (CMV) therapy during the study period
* Has a severe underlying disease with anticipated survival less than 6 months
* Are unable to tolerate FMT or enema for any reason, or where their physician believes for any reason that FMT might pose a health risk to the subject
* Subjects who report a history of anaphylactoid food allergy will not be excluded but these allergies will be noted and donors will be required to avoid ingestion of these foods for at least three days prior to donation


* Presence of any of the following by stool examination: vancomycin-resistant Enterococci (VRE), Salmonella, Shigella, shiga toxin-producing E. coli, Yersinia, Campylobacter, extended spectrum beta-lactamase (ESBL) producing organisms or carbapenemase-producing Enterobacteriaceae (CRE), pathogenic ova or parasites, C. difficile toxin B (by PCR), or rotavirus, adenovirus and norovirus
* History of any type of active cancer aside from melanoma
* Risk factors for acquisition of HIV, syphilis, Hepatitis B, Hepatitis C, prion or any neurological disease as determined by the donor questionnaire
* History of gastrointestinal comorbidities, e.g., inflammatory bowel disease, irritable bowel syndrome, chronic constipation or diarrhea, or colostomy or ileostomy
* Receipt of blood transfusion from a country other than Canada in the preceding 6 months
* Antibiotic use or any systemic immunosuppressive agents in the 3 months prior to stool donation
* Receipt of any live vaccine within 3 months prior to stool donation
* Any current or previous medical or psychosocial condition or behaviors which in the opinion of the investigator may pose risk to the recipients or the donor
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of British Columbia

OTHER

Sponsor Role lead

Responsible Party

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Amee Manges

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Providence Health Care - St. Paul's Hospital

Vancouver, British Columbia, Canada

Site Status ACTIVE_NOT_RECRUITING

Vancouver Coastal Health - Vancouver General Hospital

Vancouver, British Columbia, Canada

Site Status RECRUITING

Countries

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Canada

Central Contacts

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Amee Manges, MPH, PhD

Role: CONTACT

604 707 2743

Facility Contacts

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Theodore Steiner, MD

Role: primary

Other Identifiers

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H19-00782 FMT.MDRO.RCT.1

Identifier Type: -

Identifier Source: org_study_id

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