A Pilot Study of FMT on CD Patients With AIEC
A Pilot Study of Fecal Microbiota Transplant (FMT) and Its Effects in Patients With Crohn's Disease With Moderate-to-High Risk of Colonization of Adherent-Invasive E. Coli (AIEC)
1 other identifier
interventional
30
1 country
1
Brief Summary
The goal of this pilot study is to test whether Fecal Microbiota Transplant (FMT) would be an effective antibacterial treatment for managing Adherent-invasive Escherichia coli (AIEC) colonization in Crohn's disease (CD) patients. It aims to assess the safety of FMT in patients with clinically inactive or mild to moderate CD and to determine the presence of AIEC before and after FMT. Participants will receive FMT via colonoscopy and have a follow-up colonoscopy at the end of the study.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Oct 2022
Shorter than P25 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
Study Start
First participant enrolled
October 12, 2022
CompletedFirst Submitted
Initial submission to the registry
October 14, 2022
CompletedFirst Posted
Study publicly available on registry
November 10, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 31, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
July 31, 2023
CompletedJune 1, 2023
May 1, 2023
10 months
October 14, 2022
May 30, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Adverse Event
Occurrence of any adverse events
12 weeks
Secondary Outcomes (5)
Change in AIEC colonization
Week 12
Change in inflammatory biomarker Erythrocyte sedimentation rate (ESR)
Week 12
Change in inflammatory biomarker C-reactive protein (CRP)
Week 12
Change in fecal microbiota
Week 12
Disease Severity
Week 12
Study Arms (1)
Fecal Microbiota Transplantation
EXPERIMENTALRecruited patients will receive Fecal Microbiota Transplantation
Interventions
Eligibility Criteria
You may qualify if:
- \>18 years of age;
- Patients with CD history ≥ 3-month duration;
- Patients with no or mild-to-moderate symptoms defined as Harvey Bradshaw Index (HBI) \< 16 ;
- Patients with positive total E.coli antibodies (AEcAb)
You may not qualify if:
- Pregnancy;
- New biological treatment or steroids use within 4 weeks;
- Current Colorectal tumor;
- Active gastrointestinal bleeding;
- Having ulcerative colitis;
- Having colectomy or partial colectomy (less than ileo-transverse colonic anastomosis);
- Having colonic or small bowel stoma;
- Active perianal lesions;
- Receiving antibiotics within 4 weeks;
- Presenting psychological or linguistic incapability to sign the informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Chinese University of Hong Kong
Shatin, 000000, Hong Kong
Related Publications (14)
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PMID: 26323879BACKGROUNDNg SC, Tang W, Ching JY, Wong M, Chow CM, Hui AJ, Wong TC, Leung VK, Tsang SW, Yu HH, Li MF, Ng KK, Kamm MA, Studd C, Bell S, Leong R, de Silva HJ, Kasturiratne A, Mufeena MNF, Ling KL, Ooi CJ, Tan PS, Ong D, Goh KL, Hilmi I, Pisespongsa P, Manatsathit S, Rerknimitr R, Aniwan S, Wang YF, Ouyang Q, Zeng Z, Zhu Z, Chen MH, Hu PJ, Wu K, Wang X, Simadibrata M, Abdullah M, Wu JC, Sung JJY, Chan FKL; Asia-Pacific Crohn's and Colitis Epidemiologic Study (ACCESS) Study Group. Incidence and phenotype of inflammatory bowel disease based on results from the Asia-pacific Crohn's and colitis epidemiology study. Gastroenterology. 2013 Jul;145(1):158-165.e2. doi: 10.1053/j.gastro.2013.04.007. Epub 2013 Apr 9.
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PMID: 23128233BACKGROUNDDarfeuille-Michaud A, Boudeau J, Bulois P, Neut C, Glasser AL, Barnich N, Bringer MA, Swidsinski A, Beaugerie L, Colombel JF. High prevalence of adherent-invasive Escherichia coli associated with ileal mucosa in Crohn's disease. Gastroenterology. 2004 Aug;127(2):412-21. doi: 10.1053/j.gastro.2004.04.061.
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PMID: 32014035BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Siew Chien Ng, PhD
Chinese University of Hong Kong
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
October 14, 2022
First Posted
November 10, 2022
Study Start
October 12, 2022
Primary Completion
July 31, 2023
Study Completion
July 31, 2023
Last Updated
June 1, 2023
Record last verified: 2023-05
Data Sharing
- IPD Sharing
- Will not share