NCT04014413

Brief Summary

The gut microbiota is critical to health and functions with a level of complexity comparable to that of an organ system. Dysbiosis, or alterations of this gut microbiota ecology, have been implicated in a number of disease states. Fecal microbiota transplantation (FMT), defined as infusion of feces from healthy donors to affected subjects, is a method to restore a balanced gut microbiota and has attracted great interest in recent years due to its efficacy and ease of use. FMT is now recommended as the most effective therapy for CDI not responding to standard therapies. 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.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
450

participants targeted

Target at P75+ for not_applicable

Timeline
55mo left

Started Jul 2019

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress60%
Jul 2019Oct 2030

First Submitted

Initial submission to the registry

June 21, 2019

Completed
19 days until next milestone

First Posted

Study publicly available on registry

July 10, 2019

Completed
5 days until next milestone

Study Start

First participant enrolled

July 15, 2019

Completed
11.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 31, 2030

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 31, 2030

Last Updated

August 22, 2024

Status Verified

August 1, 2024

Enrollment Period

11.3 years

First QC Date

June 21, 2019

Last Update Submit

August 21, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • The efficacy of FMT in treating dysbiosis-associated disorder will be assessed by number of patients who have improvement in clinical symptoms (depends on each disease as stated in outcome)

    1 year

Secondary Outcomes (1)

  • Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v4.0

    1 year

Other Outcomes (1)

  • Any improvement or deterioration or recurrence of the underlying condition by clinical judgement of doctors

    1 year

Study Arms (25)

Crohn's disease

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Ulcerative colitis

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Celiac disease

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Irritable bowel syndrome

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Functional dyspepsia

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Constipation

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Metabolic disease (diabetes mellitus or obesity)

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Multidrug-resistant infection

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Hepatic encephalopathy

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Multiple sclerosis

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Pseudo-obstruction

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

CRE infection

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

VRE infection

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Multiple organ dysfunction

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Dysbiotic bowel syndrome

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

MRSA enteritis

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Pseudomembranous enteritis

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Alopecia

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Autism

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Graft-versus-host disease

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Idiopathic thrombocytopenic purpura

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Atopy or allergy

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Liver disease

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Alcohol dependence

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Antibiotic-associated diarrhea

EXPERIMENTAL

Fecal Microbiota Transplant will be performed.

Procedure: Fecal Microbiota Transplantation

Interventions

Fecal microbiota transplantation

Alcohol dependenceAlopeciaAntibiotic-associated diarrheaAtopy or allergyAutismCRE infectionCeliac diseaseConstipationCrohn's diseaseDysbiotic bowel syndromeFunctional dyspepsiaGraft-versus-host diseaseHepatic encephalopathyIdiopathic thrombocytopenic purpuraIrritable bowel syndromeLiver diseaseMRSA enteritisMetabolic disease (diabetes mellitus or obesity)Multidrug-resistant infectionMultiple organ dysfunctionMultiple sclerosisPseudo-obstructionPseudomembranous enteritisUlcerative colitisVRE infection

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Confirmed diagnosis of any of the following diseases:
  • 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
  • +10 more criteria

You may not qualify if:

  • Known contraindication to all FMT infusion method such as nasoduodenal tube insertion, oesophago-gastro-duodenoscopy (OGD), enteroscopy, colonoscopy and enema
  • Any conditions that may render the efficacy of FMT or at the discretion of the investigators
  • Current pregnancy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The Chinese University of Hong Kong

Hong Kong, Shatin, 000000, Hong Kong

RECRUITING

Related Publications (14)

  • 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.

    PMID: 23318479BACKGROUND
  • 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.

    PMID: 27816755BACKGROUND
  • 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

    BACKGROUND
  • 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.

    PMID: 28214091BACKGROUND
  • 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.

    PMID: 25836986BACKGROUND
  • 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.

    PMID: 25857665BACKGROUND
  • 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

    BACKGROUND
  • 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

    BACKGROUND
  • 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.

    BACKGROUND
  • 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.

    BACKGROUND
  • 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.

    BACKGROUND
  • 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.

    BACKGROUND
  • 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.

    BACKGROUND
  • 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.

    PMID: 28714089BACKGROUND

MeSH Terms

Conditions

Crohn DiseaseColitis, UlcerativeCeliac DiseaseIrritable Bowel SyndromeConstipationClostridium InfectionsDiabetes MellitusObesityHepatic EncephalopathyMultiple SclerosisMultiple Organ FailureEnterocolitis, PseudomembranousAlopeciaAutistic DisorderGraft vs Host DiseasePurpura, Thrombocytopenic, IdiopathicHypersensitivityLiver DiseasesAlcoholismArthritis, Psoriatic

Interventions

Fecal Microbiota Transplantation

Condition Hierarchy (Ancestors)

Inflammatory Bowel DiseasesGastroenteritisGastrointestinal DiseasesDigestive System DiseasesIntestinal DiseasesColitisColonic DiseasesMalabsorption SyndromesMetabolic DiseasesNutritional and Metabolic DiseasesColonic Diseases, FunctionalSigns and Symptoms, DigestiveSigns and SymptomsPathological Conditions, Signs and SymptomsGram-Positive Bacterial InfectionsBacterial InfectionsBacterial Infections and MycosesInfectionsGlucose Metabolism DisordersEndocrine System DiseasesOverweightOvernutritionNutrition DisordersBody WeightLiver FailureHepatic InsufficiencyBrain Diseases, MetabolicBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesDemyelinating Autoimmune Diseases, CNSAutoimmune Diseases of the Nervous SystemDemyelinating DiseasesAutoimmune DiseasesImmune System DiseasesShockPathologic ProcessesEnterocolitisHypotrichosisHair DiseasesSkin DiseasesSkin and Connective Tissue DiseasesPathological Conditions, AnatomicalAutism Spectrum DisorderChild Development Disorders, PervasiveNeurodevelopmental DisordersMental DisordersPurpura, ThrombocytopenicPurpuraBlood Coagulation DisordersHematologic DiseasesHemic and Lymphatic DiseasesThrombotic MicroangiopathiesThrombocytopeniaBlood Platelet DisordersCytopeniaHemorrhagic DisordersHemorrhageSkin ManifestationsAlcohol-Related DisordersSubstance-Related DisordersChemically-Induced DisordersSpondylarthropathiesSpondylarthritisSpondylitisSpinal DiseasesBone DiseasesMusculoskeletal DiseasesArthritisJoint DiseasesPsoriasisSkin Diseases, Papulosquamous

Intervention Hierarchy (Ancestors)

Biological TherapyTherapeutics

Study Officials

  • Siew Ng

    Chinese University of Hong Kong

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

June 21, 2019

First Posted

July 10, 2019

Study Start

July 15, 2019

Primary Completion (Estimated)

October 31, 2030

Study Completion (Estimated)

October 31, 2030

Last Updated

August 22, 2024

Record last verified: 2024-08

Data Sharing

IPD Sharing
Will not share

Locations