Real-World Study on Fecal Microbiota Transplantation: Long-Term Effectiveness and Safety Statistics

NCT ID: NCT07261826

Last Updated: 2025-12-03

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

Total Enrollment

4000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-09-01

Study Completion Date

2028-06-30

Brief Summary

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This is a large-scale observational study aiming to evaluate the long-term effectiveness and safety of Fecal Microbiota Transplantation (FMT). FMT is a procedure that transfers gut bacteria from healthy donors to patients to restore a balanced gut microbiome.

The study will follow approximately 4,000 patients who have received or will receive FMT for conditions like recurrent C. difficile infection, inflammatory bowel disease, functional gastrointestinal disorders, and certain neurological conditions.

The main goals are to:

* Assess the disease remission rates at 3 months, 1 year, and 5 years after FMT.
* Monitor the long-term safety and any potential side effects.
* Identify factors that may influence how well a patient responds to the treatment.

This research will use both existing patient data (retrospective cohort) and newly collected data from future patients (prospective cohort). The findings are expected to help improve and standardize FMT treatment for better patient care.

Detailed Description

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This is a single-center, real-world observational study combining retrospective and prospective cohorts to systematically evaluate the long-term effectiveness and safety of Fecal Microbiota Transplantation (FMT).

The study plans to enroll approximately 4,000 patients who have undergone FMT for a range of diseases, including recurrent Clostridium difficile infection, inflammatory bowel disease, functional gastrointestinal diseases, and certain extra-intestinal disorders.

The primary objective is to assess the real-world clinical remission rates at 3 months, 1 year, and 5 years post-FMT. Secondary objectives include evaluating long-term safety and adverse events, measuring improvements in quality of life, and exploring factors (such as delivery route, donor selection, and patient characteristics) that predict treatment success. Data will be collected from medical records and through planned follow-up visits. Advanced statistical and machine learning models will be used to analyze the data and build predictive models.

The results of this large-scale study will provide high-quality evidence to support the standardized and precise clinical application of FMT.

Conditions

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Clostridium Difficile Infection Recurrence Ulcerative Colitis (UC) Crohn Disease (CD) Irritable Bowel Syndrome (IBS) Chronic Functional Constipation Chemotherapy-Induced Colitis PD-1 Associated Enteritis Autism Spectrum Disorder Incomplete Intestinal Obstruction

Study Design

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Observational Model Type

COHORT

Study Time Perspective

OTHER

Study Groups

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Clostridium Difficile Infection Recurrence

No interventions assigned to this group

Ulcerative Colitis (UC)

No interventions assigned to this group

Crohn Disease (CD)

No interventions assigned to this group

Irritable Bowel Syndrome (IBS)

No interventions assigned to this group

chronic functional constipation

No interventions assigned to this group

Chemotherapy-Induced Colitis

No interventions assigned to this group

PD-1 associated enteritis

No interventions assigned to this group

Autism Spectrum Disorder

No interventions assigned to this group

incomplete intestinal obstruction

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Diagnosed with one of the target diseases.
* Age ≥ 3 years.
* Have received at least one Fecal Microbiota Transplantation (FMT) treatment.
* Availability of complete baseline and follow-up data for analysis.
* Provide signed informed consent (for the prospective cohort) OR consent for the use of clinical data (for the retrospective cohort).

Exclusion Criteria

* Clinical data is severely missing, making efficacy assessment impossible.
* Presence of severe complications that may jeopardize safety or confound the study results.
Minimum Eligible Age

3 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chen QiYi

OTHER

Sponsor Role lead

Responsible Party

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Chen QiYi

Chief of Functional Gastrointestinal Surgery

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Shanghai Tenth People's Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Chief, Functional Gastrointestinal Surgery

Role: CONTACT

86+15896453859

Facility Contacts

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Chief, Functional Gastrointestinal Surgery

Role: primary

86+15896453859

References

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Rupnik M, Wilcox MH, Gerding DN. Clostridium difficile infection: new developments in epidemiology and pathogenesis. Nat Rev Microbiol. 2009 Jul;7(7):526-36. doi: 10.1038/nrmicro2164.

Reference Type RESULT
PMID: 19528959 (View on PubMed)

Khoruts A, Sadowsky MJ. Understanding the mechanisms of faecal microbiota transplantation. Nat Rev Gastroenterol Hepatol. 2016 Sep;13(9):508-16. doi: 10.1038/nrgastro.2016.98. Epub 2016 Jun 22.

Reference Type RESULT
PMID: 27329806 (View on PubMed)

EISEMAN B, SILEN W, BASCOM GS, KAUVAR AJ. Fecal enema as an adjunct in the treatment of pseudomembranous enterocolitis. Surgery. 1958 Nov;44(5):854-9. No abstract available.

Reference Type RESULT
PMID: 13592638 (View on PubMed)

Zhang F, Luo W, Shi Y, Fan Z, Ji G. Should we standardize the 1,700-year-old fecal microbiota transplantation? Am J Gastroenterol. 2012 Nov;107(11):1755; author reply p.1755-6. doi: 10.1038/ajg.2012.251. No abstract available.

Reference Type RESULT
PMID: 23160295 (View on PubMed)

Petersen C, Round JL. Defining dysbiosis and its influence on host immunity and disease. Cell Microbiol. 2014 Jul;16(7):1024-33. doi: 10.1111/cmi.12308. Epub 2014 Jun 2.

Reference Type RESULT
PMID: 24798552 (View on PubMed)

Baumler AJ, Sperandio V. Interactions between the microbiota and pathogenic bacteria in the gut. Nature. 2016 Jul 7;535(7610):85-93. doi: 10.1038/nature18849.

Reference Type RESULT
PMID: 27383983 (View on PubMed)

Zheng D, Liwinski T, Elinav E. Interaction between microbiota and immunity in health and disease. Cell Res. 2020 Jun;30(6):492-506. doi: 10.1038/s41422-020-0332-7. Epub 2020 May 20.

Reference Type RESULT
PMID: 32433595 (View on PubMed)

Rowland I, Gibson G, Heinken A, Scott K, Swann J, Thiele I, Tuohy K. Gut microbiota functions: metabolism of nutrients and other food components. Eur J Nutr. 2018 Feb;57(1):1-24. doi: 10.1007/s00394-017-1445-8. Epub 2017 Apr 9.

Reference Type RESULT
PMID: 28393285 (View on PubMed)

Qin J, Li R, Raes J, Arumugam M, Burgdorf KS, Manichanh C, Nielsen T, Pons N, Levenez F, Yamada T, Mende DR, Li J, Xu J, Li S, Li D, Cao J, Wang B, Liang H, Zheng H, Xie Y, Tap J, Lepage P, Bertalan M, Batto JM, Hansen T, Le Paslier D, Linneberg A, Nielsen HB, Pelletier E, Renault P, Sicheritz-Ponten T, Turner K, Zhu H, Yu C, Li S, Jian M, Zhou Y, Li Y, Zhang X, Li S, Qin N, Yang H, Wang J, Brunak S, Dore J, Guarner F, Kristiansen K, Pedersen O, Parkhill J, Weissenbach J; MetaHIT Consortium; Bork P, Ehrlich SD, Wang J. A human gut microbial gene catalogue established by metagenomic sequencing. Nature. 2010 Mar 4;464(7285):59-65. doi: 10.1038/nature08821.

Reference Type RESULT
PMID: 20203603 (View on PubMed)

Other Identifiers

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SHSY-IEC-6.0/25K221/P01

Identifier Type: -

Identifier Source: org_study_id

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