Trial Outcomes & Findings for Fecal Microbial Transplantation for the Treatment of Fecal Incontinence in Women (NCT NCT04201821)

NCT ID: NCT04201821

Last Updated: 2024-06-12

Results Overview

The St Marsk's Viazy score is a validated patient-reported instrument used to measure fecal incontinence severity. Score ranges from 0-24 with a decrease in the score representing an improvement. A subject has clinical improvement if they have demonstrated a sustained decrease of 4-5 points between the 4-week and 12-week measurements.

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

10 participants

Primary outcome timeframe

84 days

Results posted on

2024-06-12

Participant Flow

10 Subjects were enrolled. 2 subjects dropped out prior to administration of the investigational product. 8 subjects were treated with the investigational product.

Participant milestones

Participant milestones
Measure
FMT Administration
This is a single arm study in which all eligible participants will receive FMT. Fecal microbial transplantation (FMT) is the infusion of intestinal microbiota from healthy donors.
Overall Study
STARTED
10
Overall Study
COMPLETED
8
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Reasons for withdrawal
Measure
FMT Administration
This is a single arm study in which all eligible participants will receive FMT. Fecal microbial transplantation (FMT) is the infusion of intestinal microbiota from healthy donors.
Overall Study
Withdrawal by Subject
2

Baseline Characteristics

Fecal Microbial Transplantation for the Treatment of Fecal Incontinence in Women

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
FMT Administration
n=8 Participants
This is a single arm study in which all eligible participants will receive FMT. fecal microbial transplantation (FMT): Fecal microbial transplantation (FMT) is the infusion of intestinal microbiota from healthy donors.
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=93 Participants
Age, Categorical
>=65 years
5 Participants
n=93 Participants
Age, Continuous
71 years
STANDARD_DEVIATION 11.3 • n=93 Participants
Sex: Female, Male
Female
8 Participants
n=93 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
1 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=93 Participants
Race (NIH/OMB)
White
5 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Region of Enrollment
United States
8 participants
n=93 Participants

PRIMARY outcome

Timeframe: 84 days

The St Marsk's Viazy score is a validated patient-reported instrument used to measure fecal incontinence severity. Score ranges from 0-24 with a decrease in the score representing an improvement. A subject has clinical improvement if they have demonstrated a sustained decrease of 4-5 points between the 4-week and 12-week measurements.

Outcome measures

Outcome measures
Measure
FMT Administration
n=8 Participants
This is a single arm study in which all eligible participants will receive FMT. Fecal microbial transplantation (FMT) is the infusion of intestinal microbiota from healthy donors.
Number of Subjects That Show Significant Improvement at 4 Weeks After FMT, and Will be Maintained at 12 Weeks, Relative to Baseline Using the St. Mark's Vaizey Score, a Measure of Fecal Incontinence Severity.
0 Participants

PRIMARY outcome

Timeframe: 6 months

Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reaction and gastrointestinal symptoms).

Outcome measures

Outcome measures
Measure
FMT Administration
n=8 Participants
This is a single arm study in which all eligible participants will receive FMT. Fecal microbial transplantation (FMT) is the infusion of intestinal microbiota from healthy donors.
Count of Participants With Adverse Events.
6 Participants

SECONDARY outcome

Timeframe: 84 days

The FIQL is a valid and reliable 29-item questionnaire designed to evaluate the impact of FI on four aspects (domains) of patients' quality of life: lifestyle; coping behavior; depression or self-perception; and level of embarrassment. Domain scores range from 1-4 (higher scores indicating better quality of life). An improvement in the score of 1 (one) within each domain would indicate an improvement in the quality of life.

Outcome measures

Outcome measures
Measure
FMT Administration
n=8 Participants
This is a single arm study in which all eligible participants will receive FMT. Fecal microbial transplantation (FMT) is the infusion of intestinal microbiota from healthy donors.
Number of Subjects That Have an Improved Quality of Life at 4 and 12 Weeks, Measured by the FIQL Scale.
0 Participants

SECONDARY outcome

Timeframe: 28 days

Concentration of Microbiota present at baseline vs at week 4 in subjects that demonstrate a significant improvement at 4 weeks after FMT, relative to baseline using the St. Mark's Vaizey score.

Outcome measures

Outcome measures
Measure
FMT Administration
n=8 Participants
This is a single arm study in which all eligible participants will receive FMT. Fecal microbial transplantation (FMT) is the infusion of intestinal microbiota from healthy donors.
Count of Participants That Demonstrate Microbial Engraftment Following Fecal Microbial Transplantation and Demonstrate Clinical Improvement.
0 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: 28 days

Concentration of microbiota at baseline vs concentration of microbiota at 4 weeks.

Outcome measures

Outcome measures
Measure
FMT Administration
n=8 Participants
This is a single arm study in which all eligible participants will receive FMT. Fecal microbial transplantation (FMT) is the infusion of intestinal microbiota from healthy donors.
Count of Participants That Demonstrate Engraftment Following Fecal Microbial Transplantation.
0 Participants

Adverse Events

FMT Administration

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
FMT Administration
n=8 participants at risk
This is a single arm study in which all eligible participants will receive FMT. Fecal microbial transplantation (FMT) is the infusion of intestinal microbiota from healthy donors.
Gastrointestinal disorders
Abdominal Bloating
12.5%
1/8 • Number of events 3 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
Gastrointestinal disorders
Abdominal Pain
25.0%
2/8 • Number of events 3 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
Gastrointestinal disorders
Belching
12.5%
1/8 • Number of events 4 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
Gastrointestinal disorders
Constipation
25.0%
2/8 • Number of events 6 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
Gastrointestinal disorders
Diarrhea
50.0%
4/8 • Number of events 10 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
Gastrointestinal disorders
Flatulence
12.5%
1/8 • Number of events 1 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
Gastrointestinal disorders
Nausea
25.0%
2/8 • Number of events 4 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
Gastrointestinal disorders
Rectal Hemorrhage
37.5%
3/8 • Number of events 3 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
General disorders
Fatigue
12.5%
1/8 • Number of events 1 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
General disorders
General Disorder and administrative site conditions - Other - nasal irritation
12.5%
1/8 • Number of events 1 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
General disorders
General disorders and administration site conditions - Other - nostril pain
12.5%
1/8 • Number of events 1 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
Nervous system disorders
Dizziness
12.5%
1/8 • Number of events 2 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
Respiratory, thoracic and mediastinal disorders
Laryngeal Inflammation
50.0%
4/8 • Number of events 4 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
Respiratory, thoracic and mediastinal disorders
Rhinorrhea
12.5%
1/8 • Number of events 1 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
Respiratory, thoracic and mediastinal disorders
Sore Throat
37.5%
3/8 • Number of events 3 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)
Vascular disorders
Epistaxis
12.5%
1/8 • Number of events 1 • 6 months
Frequency of adverse events, serious adverse events, and adverse events of special interest (including allergic reactions and gastrointestinal symptoms)

Additional Information

Regulatory Lead

University of Pennsylvania

Phone: 215-662-4484

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place