Intestinal Microbiota Transplant in Alcohol-Associated Liver Disease
IMPACT
2 other identifiers
interventional
80
1 country
2
Brief Summary
The purpose of this research study is to test the safety, tolerability, and effectiveness of the capsules that contain bacteria from healthy individuals when used to treat alcohol craving and drinking.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Nov 2022
Longer than P75 for phase_1
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 16, 2022
CompletedFirst Posted
Study publicly available on registry
September 21, 2022
CompletedStudy Start
First participant enrolled
November 21, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 30, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 30, 2026
May 6, 2026
May 1, 2026
4 years
September 16, 2022
May 5, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Number of abstinent days
Number of drinks per day will be measured through self report
Baseline to 3 months after treatment (analysis of all 3 primary outcomes via Win Ratio)
Change in WHO drinking levels by 1 or greater at month 3
WHO grade by self report
Baseline to 3 months after treatment (analysis of all 3 primary outcomes via Win Ratio)
Phosphatidyl Ethanol (PEth) level change
Change to \<70
Baseline to 3 months after treatment (analysis of all 3 primary outcomes via Win Ratio)
Secondary Outcomes (12)
Change in markers of alcohol in urine
Baseline to 3 months after treatment
Change in markers of alcohol in blood
Baseline to 3 months after treatment
Change in percentage of heavy drinking days
Baseline to 3 months after treatment
Change in alcohol craving
Baseline to 3 months after treatment
Change in life problems
Baseline to 3 months after treatment
- +7 more secondary outcomes
Study Arms (2)
Intestinal Microbiota Transplant capsules
EXPERIMENTALCapsules will be provided twice during the trial
Placebo capsules
PLACEBO COMPARATORCapsules will be provided twice during the trial
Interventions
Capsules containing freeze-dried intestinal microbiota from healthy human donors
Eligibility Criteria
You may qualify if:
- \>18 years of age
- Advanced liver disease
- Able to give written, informed consent
- Alcohol as a cause of advanced liver disease
- Continued sustained drinking
- Having previously declined a referral to traditional AUD therapy services or having failed such treatments
You may not qualify if:
- Lack of sustained drinking
- Recent or current alcoholic hepatitis
- Alcohol withdrawal symptoms
- Clinically significant use of illicit drugs
- Uncontrolled mood disorders or primary psychotic conditions
- MELD score\>17
- Unclear diagnosis of chronic liver disease
- Current hepatic encephalopathy on lactulose and/or rifaximin
- WBC count\<1000
- Non-elective hospitalization within last month
- on dialysis
- known untreated, in-situ luminal GI cancers
- chronic intrinsic GI diseases (ulcerative colitis, Crohn's disease or microscopic colitis, eosinophilic gastroenteritis and celiac disease)
- Dysphagia within 2 weeks
- History of aspiration, gastroparesis, intestinal obstruction
- +9 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Hunter Holmes McGuire VA Medical Center
Richmond, Virginia, 23249, United States
Virginia Commonwealth University
Richmond, Virginia, 23298, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jasmohan S Bajaj, MD
Virginia Commonwealth University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 1
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
September 16, 2022
First Posted
September 21, 2022
Study Start
November 21, 2022
Primary Completion (Estimated)
November 30, 2026
Study Completion (Estimated)
December 30, 2026
Last Updated
May 6, 2026
Record last verified: 2026-05
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF
Deidentified data via NIAAA DA website