NCT07481422

Brief Summary

The goal of this clinical trial is to learn if oral capsules containing lyophilized fecal microbiota transplantation (FMT) can safely and effectively treat refractory irritable bowel syndrome (IBS) in adults aged 18-65 years. The main questions it aims to answer are: Does treatment with lyophilized FMT capsules reduce IBS symptom severity compared with placebo? Does treatment with lyophilized FMT capsules improve quality of life, anxiety, and depression in patients with IBS? Are there differences in the frequency of adverse events between participants receiving FMT capsules and those receiving placebo? Researchers will compare lyophilized FMT capsules to placebo capsules to see if FMT reduces IBS symptoms and improves quality of life and mental health. Participants will: Be randomly assigned to receive either lyophilized FMT capsules or placebo capsules for three consecutive days. Take the capsules under supervision after receiving a proton pump inhibitor before the first dose. Complete questionnaires assessing symptom severity, quality of life, anxiety, and depression at baseline, 4 weeks, and 12 weeks after treatment. Attend follow-up visits at 4 weeks and 12 weeks after treatment and receive a telephone follow-up call 10 days after capsule ingestion. Report any adverse events and have vital signs and medical information monitored during follow-up. This study will help determine whether oral lyophilized FMT capsules are a safe and effective treatment option for adults with refractory IBS.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
70

participants targeted

Target at P75+ for phase_1

Timeline
19mo left

Started Mar 2026

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 Progress11%
Mar 2026Dec 2027

First Submitted

Initial submission to the registry

March 13, 2026

Completed
2 days until next milestone

Study Start

First participant enrolled

March 15, 2026

Completed
3 days until next milestone

First Posted

Study publicly available on registry

March 18, 2026

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 15, 2027

Expected
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 15, 2027

Last Updated

March 18, 2026

Status Verified

March 1, 2026

Enrollment Period

1 year

First QC Date

March 13, 2026

Last Update Submit

March 13, 2026

Conditions

Keywords

FMTIrritable Bowel SyndromeIBSLyophilization

Outcome Measures

Primary Outcomes (1)

  • Efficacy

    A decrease in the IBS-SSS of at least 50 points

    12 weeks

Secondary Outcomes (2)

  • Qualty of life

    12 weeks

  • Hospital Anxiety and Depression Scale

    12 weeks

Study Arms (2)

FMT

EXPERIMENTAL

Lyophilized FMT capsules

Other: FMT capsule

Placebo

PLACEBO COMPARATOR

Placebo capsules

Other: Placebo

Interventions

A total of 18 capsules containing 3060 of lyophilizate yhrough three days (three capsules twice daily)

FMT
PlaceboOTHER

18 capsules of identical apparence and weight given in the same way as FMT capsules

Placebo

Eligibility Criteria

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

You may qualify if:

  • years of age
  • disease activity defined by an IBS-Symptom Severity Score (IBS-SSS) of more than 175
  • symptoms refractory to conservative medical therapy (hyoscine salts, osmotic laxatives such as polyethylene glycol, loperamide, rifaximin, tricyclic antidepressants, SSRIs or other antidepressants, peppermint oil)
  • negative evaluation for coeliac disease
  • signed informed consent

You may not qualify if:

  • pregnant or breastfeeding women
  • women of childbearing potential who are unwilling to use an acceptable method of birth control
  • severely immunocompromised or immunosuppressed (organ transplant recipients, those with neutropenia with an absolute neutrophil count of \<500 cells per mm3, those receiving current treatment with antineoplastic drugs, HIV positive)
  • gastrointestinal symptoms explained by an alternative diagnosis (underlying IBD, infectious enteritis)
  • severe allergy to capsule components
  • therapy with new antidepressants or had a change in antidepressant dose within previous 3 months
  • serious medical comorbidities (including neurological or psychiatric comorbidities)
  • treatment with antibiotics 3 months before enrolment
  • previous history of FMT at any time in the past
  • unwillingness to ingest the capsules

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Clinical Hospital Center Rijeka

Rijeka, 51000, Croatia

RECRUITING

MeSH Terms

Conditions

Irritable Bowel Syndrome

Interventions

Fecal Microbiota Transplantation

Condition Hierarchy (Ancestors)

Colonic Diseases, FunctionalColonic DiseasesIntestinal DiseasesGastrointestinal DiseasesDigestive System Diseases

Intervention Hierarchy (Ancestors)

Biological TherapyTherapeutics

Central Study Contacts

Dora Palčevski, MD

CONTACT

Nataša Skočibušić, mag. clin. nutr.

CONTACT

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
PRINCIPAL INVESTIGATOR
PI Title
MD

Study Record Dates

First Submitted

March 13, 2026

First Posted

March 18, 2026

Study Start

March 15, 2026

Primary Completion (Estimated)

March 15, 2027

Study Completion (Estimated)

December 15, 2027

Last Updated

March 18, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will share

De-identified individual participant data (IPD) that underlie the results resported in the publication (e.g. adverse events, changes in IBS-SSS, IBS-QoL, and HADS questionnaires) will be made available upon reasonable request. Data will be shared with qualified researchers for academic purposes under a data use agreement. Requests should be directed via e-mail.

Shared Documents
STUDY PROTOCOL, ICF
Time Frame
Beginning 3 months and ending 3 years after the publications of results.
Access Criteria
Data will be shared with qualified researchers for academic purposes under a data use agreement. Requests should be directed via e-mail.

Locations