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.
Condition or disease | Intervention/treatment | Phase |
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Crohn Disease Ulcerative Colitis Celiac Disease Irritable Bowel Syndrome Functional Dysphonia Constipation Clostridium Difficile Infection Diabetes Mellitus Obesity Multidrug -Resistant Infection Hepatic Encephalopathy Multiple Sclerosis Pseudo-Obstruction Carbapenem-Resistant Enterobacteriaceae Infection Vancomycin Resistant Enterococci Infection Multiple Organ Dysfunction Syndrome Dysbiotic Bowel Syndrome MRSA Enteritis Pseudomembranous Enterocolitis Alopecia Autism Graft-versus-host Disease Idiopathic Thrombocytopenic Purpura Atopy or Allergy Liver Disease Alcohol Dependence Psoriatic Arthropathy | Procedure: Fecal Microbiota Transplantation | Not Applicable |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 450 participants |
Allocation: | Non-Randomized |
Intervention Model: | Parallel Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Safety and Efficacy of Fecal Microbiota Transplantation: A Pilot Study |
Actual Study Start Date : | July 15, 2019 |
Estimated Primary Completion Date : | October 31, 2023 |
Estimated Study Completion Date : | October 31, 2024 |
Arm | Intervention/treatment |
---|---|
Experimental: Crohn's disease
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
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Experimental: Ulcerative colitis
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Celiac disease
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Irritable bowel syndrome
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Functional dyspepsia
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Constipation
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Metabolic disease (diabetes mellitus or obesity)
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Multidrug-resistant infection
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Hepatic encephalopathy
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Multiple sclerosis
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Pseudo-obstruction
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: CRE infection
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: VRE infection
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Multiple organ dysfunction
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Dysbiotic bowel syndrome
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: MRSA enteritis
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Pseudomembranous enteritis
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Alopecia
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Autism
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Graft-versus-host disease
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Idiopathic thrombocytopenic purpura
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Atopy or allergy
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Liver disease
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Alcohol dependence
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Experimental: Antibiotic-associated diarrhea
Fecal Microbiota Transplant will be performed.
|
Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
|
Ages Eligible for Study: | Child, Adult, Older Adult |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Confirmed diagnosis of any of the following diseases:
Exclusion Criteria:
Contact: Kitty Cheung | +852 26373260 | kittyccy@cuhk.edu.hk | |
Contact: Amy Li | +852 26373260 | amyli@cuhk.edu.hk |
Hong Kong | |
The Chinese University of Hong Kong | Recruiting |
Hong Kong, Shatin, Hong Kong, 000000 |
Principal Investigator: | Siew Ng | Chinese University of Hong Kong |
Tracking Information | |||||||||
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First Submitted Date ICMJE | June 21, 2019 | ||||||||
First Posted Date ICMJE | July 10, 2019 | ||||||||
Last Update Posted Date | April 22, 2020 | ||||||||
Actual Study Start Date ICMJE | July 15, 2019 | ||||||||
Estimated Primary Completion Date | October 31, 2023 (Final data collection date for primary outcome measure) | ||||||||
Current Primary Outcome Measures ICMJE |
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) [ Time Frame: 1 year ] | ||||||||
Original Primary Outcome Measures ICMJE | Same as current | ||||||||
Change History | |||||||||
Current Secondary Outcome Measures ICMJE |
Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v4.0 [ Time Frame: 1 year ] | ||||||||
Original Secondary Outcome Measures ICMJE | Same as current | ||||||||
Current Other Pre-specified Outcome Measures |
Any improvement or deterioration or recurrence of the underlying condition by clinical judgement of doctors [ Time Frame: 1 year ] | ||||||||
Original Other Pre-specified Outcome Measures | Same as current | ||||||||
Descriptive Information | |||||||||
Brief Title ICMJE | Safety and Efficacy of Fecal Microbiota Transplantation | ||||||||
Official Title ICMJE | Safety and Efficacy of Fecal Microbiota Transplantation: A Pilot Study | ||||||||
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. |
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Detailed Description | Not Provided | ||||||||
Study Type ICMJE | Interventional | ||||||||
Study Phase ICMJE | Not Applicable | ||||||||
Study Design ICMJE | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: None (Open Label) Primary Purpose: Treatment |
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Condition ICMJE |
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Intervention ICMJE | Procedure: Fecal Microbiota Transplantation
Fecal microbiota transplantation
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Study Arms ICMJE |
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Publications * |
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* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | |||||||||
Recruitment Status ICMJE | Recruiting | ||||||||
Estimated Enrollment ICMJE |
450 | ||||||||
Original Estimated Enrollment ICMJE | Same as current | ||||||||
Estimated Study Completion Date ICMJE | October 31, 2024 | ||||||||
Estimated Primary Completion Date | October 31, 2023 (Final data collection date for primary outcome measure) | ||||||||
Eligibility Criteria ICMJE |
Inclusion Criteria: Confirmed diagnosis of any of the following diseases:
Exclusion Criteria:
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Sex/Gender ICMJE |
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Ages ICMJE | Child, Adult, Older Adult | ||||||||
Accepts Healthy Volunteers ICMJE | No | ||||||||
Contacts ICMJE |
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Listed Location Countries ICMJE | Hong Kong | ||||||||
Removed Location Countries | |||||||||
Administrative Information | |||||||||
NCT Number ICMJE | NCT04014413 | ||||||||
Other Study ID Numbers ICMJE | FMT-Pilot | ||||||||
Has Data Monitoring Committee | Yes | ||||||||
U.S. FDA-regulated Product |
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IPD Sharing Statement ICMJE |
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Responsible Party | Siew Chien NG, Chinese University of Hong Kong | ||||||||
Study Sponsor ICMJE | Chinese University of Hong Kong | ||||||||
Collaborators ICMJE | Not Provided | ||||||||
Investigators ICMJE |
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PRS Account | Chinese University of Hong Kong | ||||||||
Verification Date | April 2020 | ||||||||
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP |