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Enrolling by invitationNCT01933620Updated Aug 31, 2026

Studies of the Human Microbiome in Clinical Center Patients

An observational study in Multidrug-resistant Colonization, sponsored by National Institutes of Health Clinical Center (CC). Enrolling by invitation at 1 site in United States. Open to participants aged 2 Years to 120 Years. Per ClinicalTrials.gov, last updated 2026-08-31.

Sponsored by National Institutes of Health Clinical Center (CC) · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
250
Ages
2 Years to 120 Years
Sex
All
01

Study summary

Background:

- The intestines, mouth, and skin all contain billions of bacteria and some fungi. Every person s body contains microorganisms like these. They normally do not make people sick. Researchers are interested in how these microorganisms change when a person is hospitalized. They want to find out if changes take place because of the hospitalization (such as treatments used or changes in medical condition) or because of a person s biology (such as their immune system).

Objectives:

- To understand which microorganisms are most likely to spread through hospitals and what affects that spread.

Eligibility:

- People 2 years of age and older who are going to be inpatients at the National Institutes of Health Clinical Center (NIHCC) for at least 48 hours.

Design:

  • Clinicians will take samples from participants up to once a day for as long as they are hospitalized at NIHCC.
  • Samples will be taken with a swab, from the rectal area, groin, throat, and armpit, and possibly other areas.
  • Participants may give a stool sample or be asked to spit into a cup.
  • Clinicians will collect some information from participants medical records. They may request some samples of tissue that are left over from procedures already scheduled at NIHCC.
  • After participants leave the NIHCC, samples may be taken when they return for follow-up visits from their hospitalization, for up to 2 years. They will not have to return as a follow-up for this study only.
Read the detailed description

The goal of this protocol is to explore changes to microbial communities during the course of hospitalcare, and to determine the extent to which these alterations affect whether hospitalized patients become colonized with healthcare-associated organisms. The study enables collection of clinical specimens and associated medical data to evaluate the natural history, epidemiology, and genomics of patients who might become colonized or infected with a multidrug-resistant organism. Biological specimens including stool, sputum, and swabs will be taken from Clinical Center inpatients at least 2 years of age as frequently as daily through discharge, and at follow-up visits for up to 2 years from the date of enrollment. To understand possible pathogen colonization and infection of hospitalized patients, this protocol will assess the full complement of the microbial-host-environmental contributions including: (1) microbial genome and community;(2) patient s genotype, underlying medical condition, medical treatment; and (3) hospital practices and environment.

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Conditions studied

  • Multidrug-resistant Colonization

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Keywords

  • Multidrug-Resistant Organism
  • Nosocomial Infection
  • Natural History
03

In context

Cross Infection

285 studies on the registry are indexed under Cross Infection; 48 are open to participants now.

This study's planned enrollment of 250 is below the median of 351 across 115 observational studies indexed under Cross Infection.

Browse Cross Infection studies →

Lead sponsor

National Institutes of Health Clinical Center (CC) is the lead sponsor of 375 studies on the registry; 27 are open to participants now.

Of its 23 completed or terminated interventional studies of FDA-regulated products, 19 (83%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
2 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Individuals hospitalized at the Clinical Center

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Individuals must meet the following inclusion criteria to participate in the study:

  • Be inpatients in the NIH CC with an expected hospitalization of at least 48 hours beyond the date of referral.
  • Be 2 years of age or older
  • Allow storage of tissue samples for future analyses.
  • Allow genetic testing of body fluids, and tissue specimens.

Exclusion criteria

EXCLUSION CRITERIA:

A patient will not be eligible if he/she has any condition which, in the investigator s opinion, places the patient at undue risk by participating in the study.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
250 participants (estimated)

Groups and cohorts

  • Patient

    Patients who might become colonized or infected with a multidrug-resistant organism

06

What researchers measure

Primary outcomes

  1. The primary endpoint is to accumulate a sufficiently robust body of intestinal microbiome data and clinical and epidemiological metadata to characterize fully the changes in the human microbiota that occur during the course of hospitalization an...

    Once sufficient microbiome data and clinical and epidemiological meta data is collected we will be able to fully characterize the changes in the human microbiota that occur during the course if hospitalization

    Time frame: At completion of study

Secondary outcomes

  1. Determine the features of microbiota that may render patients vulnerable to or protect patients from colonization with MDROs.

    Time frame: At completion of study

  2. Determine clinical correlates of MDRO colonization and infection

    Time frame: At completion of study

  3. Detect the presence of MDROs in biological samples obtained from participants.

    Time frame: At completion of study

07

Study locations

1 site
  • National Institutes of Health Clinical Center
    Bethesda, Maryland 20892, United States
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References and documents

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2014 (actual). Primary completion is estimated for Oct 2028, 176 months after the start.

Of 56 non-industry observational studies under Cross Infection, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 17 and three quarters within 65. This study's planned 176 months is above that.

Counting every sponsor, half of 56 studies reached it within 28 months; a quarter within 17 and three quarters within 65.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 28, 2013
First posted
Sep 2, 2013
StartActual
Jan 28, 2014
Primary completionEst.
Oct 16, 2028
Last update
Aug 31, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 31, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01933620
Responsible party
Sponsor
First posted
Sep 2, 2013
Start date
Jan 28, 2014
Primary completion
Oct 16, 2028 (estimated)
Last update
Aug 31, 2026

Study contacts

Alison Han, M.D.
principal investigator · National Institutes of Health Clinical Center (CC)

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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No contact was published for this record. The registry link below has the sponsor’s details.

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