Safety and Efficacy of Fecal Microbiota Transplantation
1 other identifier
interventional
450
1 country
1
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2019
Longer than P75 for not_applicable
1 active site
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
First Submitted
Initial submission to the registry
June 21, 2019
CompletedFirst Posted
Study publicly available on registry
July 10, 2019
CompletedStudy Start
First participant enrolled
July 15, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 31, 2030
ExpectedStudy Completion
Last participant's last visit for all outcomes
October 31, 2030
August 22, 2024
August 1, 2024
11.3 years
June 21, 2019
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
EXPERIMENTALFecal Microbiota Transplant will be performed.
Ulcerative colitis
EXPERIMENTALFecal Microbiota Transplant will be performed.
Celiac disease
EXPERIMENTALFecal Microbiota Transplant will be performed.
Irritable bowel syndrome
EXPERIMENTALFecal Microbiota Transplant will be performed.
Functional dyspepsia
EXPERIMENTALFecal Microbiota Transplant will be performed.
Constipation
EXPERIMENTALFecal Microbiota Transplant will be performed.
Metabolic disease (diabetes mellitus or obesity)
EXPERIMENTALFecal Microbiota Transplant will be performed.
Multidrug-resistant infection
EXPERIMENTALFecal Microbiota Transplant will be performed.
Hepatic encephalopathy
EXPERIMENTALFecal Microbiota Transplant will be performed.
Multiple sclerosis
EXPERIMENTALFecal Microbiota Transplant will be performed.
Pseudo-obstruction
EXPERIMENTALFecal Microbiota Transplant will be performed.
CRE infection
EXPERIMENTALFecal Microbiota Transplant will be performed.
VRE infection
EXPERIMENTALFecal Microbiota Transplant will be performed.
Multiple organ dysfunction
EXPERIMENTALFecal Microbiota Transplant will be performed.
Dysbiotic bowel syndrome
EXPERIMENTALFecal Microbiota Transplant will be performed.
MRSA enteritis
EXPERIMENTALFecal Microbiota Transplant will be performed.
Pseudomembranous enteritis
EXPERIMENTALFecal Microbiota Transplant will be performed.
Alopecia
EXPERIMENTALFecal Microbiota Transplant will be performed.
Autism
EXPERIMENTALFecal Microbiota Transplant will be performed.
Graft-versus-host disease
EXPERIMENTALFecal Microbiota Transplant will be performed.
Idiopathic thrombocytopenic purpura
EXPERIMENTALFecal Microbiota Transplant will be performed.
Atopy or allergy
EXPERIMENTALFecal Microbiota Transplant will be performed.
Liver disease
EXPERIMENTALFecal Microbiota Transplant will be performed.
Alcohol dependence
EXPERIMENTALFecal Microbiota Transplant will be performed.
Antibiotic-associated diarrhea
EXPERIMENTALFecal Microbiota Transplant will be performed.
Interventions
Fecal microbiota transplantation
Eligibility Criteria
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
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: 23318479BACKGROUNDPhilips 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: 27816755BACKGROUNDYang 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
BACKGROUNDParamsothy 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: 28214091BACKGROUNDRossen 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: 25836986BACKGROUNDMoayyedi 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: 25857665BACKGROUNDCostello 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
BACKGROUNDKirk 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
BACKGROUNDJohnsen PH, Hilpusch F, Cavanagh JP, et al. Fecal transplantation in Irritable Bowel Syndrome (IBS): An RCT. Neurogastroenterology and Motility 2017;29 (Supplement 2):135.
BACKGROUNDHolster 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.
BACKGROUNDHolster 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.
BACKGROUNDHolger 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.
BACKGROUNDBajaj 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.
BACKGROUNDMullish 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
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Siew Ng
Chinese University of Hong Kong
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