FMT in Checkpoint Inhibitor-mediated Diarrhea and Colitis

NCT ID: NCT06206707

Last Updated: 2025-11-17

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

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-23

Study Completion Date

2026-10-31

Brief Summary

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The goal of this clinical trial is to determine the outcome of patients with immune checkpoint inhibitor-mediated diarrhea/colitis (IMC) treated with faecal microbiota transplantation (FMT) in a randomised, placebo-controlled trial.

The aim of the present study is to assess the feasibility, pilot efficacy, and safety of FMT for patients with IMC.

Participants will be treated two times with capsule FMT or placebo capsules in a 1:1 ratio. The intervention treatment will be an add-on to the patients' standard treatment for IMC.

Researchers will compare the FMT-treated group to the placebo-treated group to see if FMT promotes remission of IMC.

Detailed Description

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As above

Conditions

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Diarrhea Colitis Malignant Melanoma Kidney Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a double-blind, placebo controlled, randomised trial
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Faecal microbiota transplantation (FMT)

Patients receive two applications of capsule FMT with 3-7 days between applications.

Group Type EXPERIMENTAL

Faecal Microbiota Transplantation (FMT)

Intervention Type PROCEDURE

Capsule FMT

Placebo

Patients receive two applications of placebo capsules with 3-7 days between applications.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type PROCEDURE

Placebo capsules

Interventions

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Faecal Microbiota Transplantation (FMT)

Capsule FMT

Intervention Type PROCEDURE

Placebo

Placebo capsules

Intervention Type PROCEDURE

Other Intervention Names

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Fecal Microbiota Transplantation FMT

Eligibility Criteria

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Inclusion Criteria

1. Age 18 years or above.
2. Histologically proven diagnosis of malignant melanoma and/or kidney cancer.
3. Treatment with any immune checkpoint inhibitor (Nivolumab, Pembrolizumab, Cemiplimab, Atezolizumab, Durvalumab, Avelumab, Ipilimumab), alone or in combination, within the last 8 weeks.
4. Grade 2 or higher CTCAE diarrhea, of which at least 3 stools are Bristol chart score 6-7.
5. Negative PCR for enteric pathogens including C. difficile, after the onset of diarrhea.
6. Signed written informed consent.

Exclusion Criteria

1. Diagnosed bacterial infection requiring antibiotic treatment at inclusion.
2. Pregnancy or breastfeeding. Pregnancy ruled out by male sex, postmenopausal women or a negative choriogonadotropin (hCG) urine test.
3. Primary diarrheal disease pre-existing to the immune checkpoint inhibitor treatment, including inflammatory bowel disease.
4. Unable to ingest capsules.
5. Unable to understand written or oral patient information.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Aarhus

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christian L Hvas, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Aarhus

Locations

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Aarhus University Hospital

Aarhus N, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Trine L Laursen, BSc

Role: CONTACT

+4540408207

Christian L Hvas, PhD

Role: CONTACT

+4528351839

Facility Contacts

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Christian L Hvas, PhD

Role: primary

+45 28351839

Trine L Laursen, BSc

Role: backup

Related Links

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https://cefta.au.dk

Centre for faecal microbiota transplantation (CEFTA)

Other Identifiers

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1-10-72-105-23

Identifier Type: -

Identifier Source: org_study_id

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