NCT04706611

Brief Summary

In recent years, researches illustrate that multifactorial diseases such as functional gastrointestinal disorders, autoimmune diseases, metabolic, behavioral and neurological diseases are associated with an abnormal microbiome structure-dysbiosis, which means the imbalance of the microbiome community. Fecal microbiota transplantation (FMT), the infusion of faeces from a healthy donor to the gastrointestinal tract of a recipient patient aiming to alter the intestine microbiota, is recommended to be performed in Clostridium difficile infection(CDI) as the most effective therapy. It also being used experimentally in the treatment of the disease states linked to dysbiosis of the intestinal microbiota. However, the efficacy and safety of FMT to treat the dysbiosis-associated diseases is still in its infancy. To further verify the indications above, more data is required to be collected through studies.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
300

participants targeted

Target at P75+ for not_applicable

Timeline
8mo left

Started Jan 2021

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 Progress90%
Jan 2021Dec 2026

First Submitted

Initial submission to the registry

December 20, 2020

Completed
24 days until next milestone

First Posted

Study publicly available on registry

January 13, 2021

Completed
2 days until next milestone

Study Start

First participant enrolled

January 15, 2021

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 31, 2025

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2026

Expected
Last Updated

April 8, 2021

Status Verified

February 1, 2021

Enrollment Period

5 years

First QC Date

December 20, 2020

Last Update Submit

April 6, 2021

Conditions

Outcome Measures

Primary Outcomes (1)

  • The efficacy of FMT in patients with gastrointestinal symptom will be assessed by the change of Gastrointestinal Symptom Rating Scale(GSRS).

    Gastrointestinal Symptom Rating Scale(GSRS) is a measure of gastrointestinal symptom severity in five clusters (pain, bloating, constipation, diarrhea, and early satiety).The items are scored between 1 and 7, where 1 corresponds to "no discomfort at all" and 7 to "very severe discomfort" from the symptom. The participants will be asked to filled in the scale in several time points from baseline to 12 months after FMT.

    1 year

Secondary Outcomes (1)

  • Number of Participants With Treatment-Related Adverse Events as Assessed by Common Terminology Criteria for Adverse Events(CTCAE) V4.0

    1 year

Other Outcomes (1)

  • Numbers of patients who have improvement in clinical symptoms (depends on each disease as stated in outcome)

    1 year

Study Arms (40)

Irritable Bowel Syndrome

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Constipation

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Clostridium Difficile Infection

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Functional Dyspepsia

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Parkinson's Disease

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Metabolic Syndrome

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Non-Alcoholic Fatty Liver Disease

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Autism Spectrum Disorder

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Radiation Enteritis

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Atopic Dermatitis

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Food Allergic

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Graft-versus-Host Disease

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Obesity

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Diabetes mellitus

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Multi-Drug Resistant Infection

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Hepatic Encephalopathy

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Enteric Dysbacteriosis

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Multiple Sclerosis

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Pseudomembranous Enteritis

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Acute Pancreatitis

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Chronic Fatigue Syndrome

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Acute-on-chronic Liver Failure with HBV Infection

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Alcoholic Liver Disease

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Anorexia

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Decompensated Cirrhosis

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Henoch-Schonlein Purpura

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Autoimmune Liver Disease

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Systemic Lupus Erythematosus

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

IgG4-Related Disease

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Celiac Disease

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Protein-losing Enteropathy

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Asperger Syndrome

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Rheumatoid arthritis

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Ulcerative colitis

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Crohn's disease

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Psoriasis

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Ankylosing spondylitis

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Immune checkpoint inhibition-related colitis

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Autoimmune enteropathy

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Drug-induced diarrhea

EXPERIMENTAL

Fecal Microbiota Transplantation will be performed.

Procedure: Fecal Microbiota Transplantation

Interventions

Procedure: Fecal Microbiota Transplantation

Acute PancreatitisAcute-on-chronic Liver Failure with HBV InfectionAlcoholic Liver DiseaseAnkylosing spondylitisAnorexiaAsperger SyndromeAtopic DermatitisAutism Spectrum DisorderAutoimmune Liver DiseaseAutoimmune enteropathyCeliac DiseaseChronic Fatigue SyndromeClostridium Difficile InfectionConstipationCrohn's diseaseDecompensated CirrhosisDiabetes mellitusDrug-induced diarrheaEnteric DysbacteriosisFood AllergicFunctional DyspepsiaGraft-versus-Host DiseaseHenoch-Schonlein PurpuraHepatic EncephalopathyIgG4-Related DiseaseImmune checkpoint inhibition-related colitisIrritable Bowel SyndromeMetabolic SyndromeMulti-Drug Resistant InfectionMultiple SclerosisNon-Alcoholic Fatty Liver DiseaseObesityParkinson's DiseaseProtein-losing EnteropathyPseudomembranous EnteritisPsoriasisRadiation EnteritisRheumatoid arthritisSystemic Lupus ErythematosusUlcerative colitis

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Confirmed diagnosis of any of following diseases:
  • Irritable Bowel Syndrome
  • Ulcerative colitis
  • Crohn's disease
  • Constipation
  • Clostridium Difficile Infection
  • Functional Dyspepsia
  • Parkinson's Disease
  • Metabolic Syndrome
  • Non-Alcoholic Fatty Liver Disease
  • Autism Spectrum Disorder
  • Radiation Enteritis
  • Atopic Dermatitis
  • Food Allergic
  • Graft-versus-Host Disease
  • +29 more criteria

You may not qualify if:

  • Current pregnancy or breast-feeding;
  • Suffering from other severe diseases, including liver or kidney failure, heart failure, MODS, coma, cerebrovascular accident;
  • Known contraindication to all FMT infusion method such as nasoduodenal tube insertion, endoscopy, colonoscopy and enema;
  • Any conditions that may render the efficacy of FMT or at the discretion of the investigators.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Guangzhou First People's Hospital

Guangzhou, Guangdong, 510180, China

RECRUITING

Related Publications (11)

  • Levy M, Kolodziejczyk AA, Thaiss CA, Elinav E. Dysbiosis and the immune system. Nat Rev Immunol. 2017 Apr;17(4):219-232. doi: 10.1038/nri.2017.7. Epub 2017 Mar 6.

    PMID: 28260787BACKGROUND
  • 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
  • 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
  • Ooijevaar RE, Terveer EM, Verspaget HW, Kuijper EJ, Keller JJ. Clinical Application and Potential of Fecal Microbiota Transplantation. Annu Rev Med. 2019 Jan 27;70:335-351. doi: 10.1146/annurev-med-111717-122956. Epub 2018 Nov 7.

    PMID: 30403550BACKGROUND
  • Lee P, Yacyshyn BR, Yacyshyn MB. Gut microbiota and obesity: An opportunity to alter obesity through faecal microbiota transplant (FMT). Diabetes Obes Metab. 2019 Mar;21(3):479-490. doi: 10.1111/dom.13561. Epub 2018 Nov 20.

    PMID: 30328245BACKGROUND
  • Bajaj JS, Kassam Z, Fagan A, Gavis EA, Liu E, Cox IJ, Kheradman R, Heuman D, Wang J, Gurry T, Williams R, Sikaroodi M, Fuchs M, Alm E, John B, Thacker LR, Riva A, Smith M, Taylor-Robinson SD, Gillevet PM. Fecal microbiota transplant from a rational stool donor improves hepatic encephalopathy: A randomized clinical trial. Hepatology. 2017 Dec;66(6):1727-1738. doi: 10.1002/hep.29306. Epub 2017 Oct 30.

    PMID: 28586116BACKGROUND
  • Sun MF, Zhu YL, Zhou ZL, Jia XB, Xu YD, Yang Q, Cui C, Shen YQ. Neuroprotective effects of fecal microbiota transplantation on MPTP-induced Parkinson's disease mice: Gut microbiota, glial reaction and TLR4/TNF-alpha signaling pathway. Brain Behav Immun. 2018 May;70:48-60. doi: 10.1016/j.bbi.2018.02.005. Epub 2018 Feb 20.

    PMID: 29471030BACKGROUND
  • Johnsen PH, Hilpusch F, Cavanagh JP, Leikanger IS, Kolstad C, Valle PC, Goll R. Faecal microbiota transplantation versus placebo for moderate-to-severe irritable bowel syndrome: a double-blind, randomised, placebo-controlled, parallel-group, single-centre trial. Lancet Gastroenterol Hepatol. 2018 Jan;3(1):17-24. doi: 10.1016/S2468-1253(17)30338-2. Epub 2017 Nov 1.

    PMID: 29100842BACKGROUND
  • El-Salhy M, Hatlebakk JG, Gilja OH, Brathen Kristoffersen A, Hausken T. Efficacy of faecal microbiota transplantation for patients with irritable bowel syndrome in a randomised, double-blind, placebo-controlled study. Gut. 2020 May;69(5):859-867. doi: 10.1136/gutjnl-2019-319630. Epub 2019 Dec 18.

    PMID: 31852769BACKGROUND
  • Leshem A, Horesh N, Elinav E. Fecal Microbial Transplantation and Its Potential Application in Cardiometabolic Syndrome. Front Immunol. 2019 Jun 14;10:1341. doi: 10.3389/fimmu.2019.01341. eCollection 2019.

    PMID: 31258528BACKGROUND
  • DeFilipp Z, Bloom PP, Torres Soto M, Mansour MK, Sater MRA, Huntley MH, Turbett S, Chung RT, Chen YB, Hohmann EL. Drug-Resistant E. coli Bacteremia Transmitted by Fecal Microbiota Transplant. N Engl J Med. 2019 Nov 21;381(21):2043-2050. doi: 10.1056/NEJMoa1910437. Epub 2019 Oct 30.

    PMID: 31665575BACKGROUND

MeSH Terms

Interventions

Fecal Microbiota Transplantation

Intervention Hierarchy (Ancestors)

Biological TherapyTherapeutics

Study Officials

  • Hongli Huang, MM

    Guangzhou First People's Hospital

    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
SPONSOR

Study Record Dates

First Submitted

December 20, 2020

First Posted

January 13, 2021

Study Start

January 15, 2021

Primary Completion

December 31, 2025

Study Completion (Estimated)

December 31, 2026

Last Updated

April 8, 2021

Record last verified: 2021-02

Data Sharing

IPD Sharing
Will not share

Locations