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CompletedNCT02743234FACITUpdated Oct 15, 2019

Fecal Microbiota Transplantation for Relapsing Clostridium Difficile Infection

A Phase 3 interventional study of Fecal microbiota transplantation and Fidaxomicin in Clostridium Difficile Infection, sponsored by University of Aarhus. Completed at 1 site in Denmark. Open to participants aged 18 Years to 99 Years. Per ClinicalTrials.gov, last updated 2019-10-15.

Sponsored by University of Aarhus · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
18 Years to 99 Years
Sex
All
01

Study summary

Randomized open label clinical trial to compare the clinical and microbiological efficacy of fecal microbiota transplantation, fidaxomicin, and vancomycin for relapsing Clostridium difficile infection

02

Conditions studied

  • Clostridium Difficile Infection
03

In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's enrollment of 64 is below the median of 120 across 4,200 interventional studies indexed under Infections.

Browse Infections studies →

Lead sponsor

University of Aarhus is the lead sponsor of 1,274 studies on the registry; 183 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 99 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Relapse of Clostridium difficile infection with previous trial of vancomycin or fidaxomicin

Exclusion criteria

Exclusion Criteria:

  1. Pregnancy or breastfeeding
  2. Does not speak or understand the Danish language
  3. Current antibiotic treatment other than metronidazole, vancomycin, fidaxomicin
  4. fulminant colitis which contraindicates medical treatment
  5. physician's evaluation that the patient cannot tolerate project inclusion
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
64 participants (actual)

Study arms

  • Experimental
    FMT

    Fecal microbiota transplantation (FMT) following 4-10 days of vancomycin 125 mg x 4, using cryopreserved feces from a healthy anonymous donor

    Other: Fecal microbiota transplantation

  • Active comparator
    Fidaxomicin

    10 days fidaxomicin 200 mg x 2 daily

    Drug: Fidaxomicin

  • Active comparator
    Vancomycin

    10 days vancomycin 125 x 4 daily

    Drug: Vancomycin

Interventions

  • OtherFecal microbiota transplantation

    FMT follows 4-10 days of vancomycin 125 mg x 4 daily

  • DrugFidaxomicin

    Fidaxomicin 200 mg x 2 daily for 10 days

  • DrugVancomycin

    Vancomycin 125 mg x 4 daily for 10 days

06

What researchers measure

Primary outcomes

  1. Number of patients with global resolution (clinical resolution AND negative Clostridium difficile PCR test) 8 weeks after primary treatment

    Global resolution is defined as combined clinical and microbiological resolution, without need for rescue FMT or colectomy. Clinical resolution is absence of abdominal pain (pain score 0 (no pain), 1 (mild pain), 2 (moderate pain), 3 (severe pain)) and less than 3 bowel movements of Bristol 5 or lower, per day. Microbiological resolution is negative Clostridium difficile test 8 weeks after finishing allocated treatment

    Time frame: 8 weeks

Secondary outcomes

  1. Number of patients with clinical resolution 1 week after primary treatment

    Clinical resolution (absence of abdominal pain and less than 3 bowel movements of Bristol 5 or lower, per day) 1 week after finishing allocated treatment

    Time frame: 1 week

  2. Number of patients with clinical resolution 8 weeks after primary treatment

    Clinical resolution (absence of abdominal pain and less than 3 bowel movements of Bristol 5 or lower, per day) 8 weeks after finishing allocated treatment, without need for rescue FMT or colectomy

    Time frame: 8 weeks

  3. Number of patients with clinical resolution 26 weeks after primary treatment

    Clinical resolution (absence of abdominal pain and less than 3 bowel movements of Bristol 5 or lower, per day) 26 weeks after finishing allocated treatment, without need for rescue FMT or colectomy

    Time frame: 26 weeks

  4. Number of patients with microbiological resolution week 1

    Microbiological resolution (negative Clostridium difficile PC test) 1 weeks after finishing allocated treatment, without need for rescue FMT or colectomy

    Time frame: 1 week

  5. Number of patients with microbiological resolution week 8

    Microbiological resolution (negative Clostridium difficile PC test) 8 weeks after finishing allocated treatment, without need for rescue FMT or colectomy

    Time frame: 8 weeks

  6. Number of patients with microbiological resolution week 26

    Microbiological resolution (negative Clostridium difficile PC test) 26 weeks after finishing allocated treatment, without need for rescue FMT or colectomy

    Time frame: 26 weeks

  7. Number of patients with global resolution (Clinical and microbiological resolution) week 1

    Clinical resolution (absence of abdominal pain and less than 3 bowel movements of Bristol 5 or lower, per day) and microbiological resolution(negative Clostridium difficile test) 1 week after finishing allocated treatment, without need for rescue FMT or colectomy

    Time frame: 1 week

  8. Number of patients with global resolution (Clinical and microbiological resolution) week 26

    Clinical resolution (absence of abdominal pain and less than 3 bowel movements of Bristol 5 or lower, per day) and microbiological resolution(negative Clostridium difficile test) 26 weeks after finishing allocated treatment, without need for rescue FMT or colectomy

    Time frame: 26 weeks

  9. Numerical change in quality of life (EQ5D-3L) week 8 and 26

    EQ5D-3L (www.euroqol.com) measures self-reported quality of life in 5 dimensions (each three levels), rendering score from 5 (lowest and best) to 15 (highest and worst) plus an overall reporting of general well being (0, lowest, worst to 100, highest, best). Scoring is obtained week 0,8,26 after randomization. Numerical changes are documented and compared using non-parametric statistics

    Time frame: 8 and 26 weeks

  10. Microbiota pattern changes 1, 8 and 26 weeks

    Microbiota profiling, 16S rRNA, absence or presence of specific genera

    Time frame: 1, 8 and 26 weeks

07

Study locations

1 site
  • Aarhus University Hospital
    Aarhus C, 8000, Denmark
08

References and documents

Publications

  • Hammeken LH, Baunwall SMD, Dahlerup JF, Hvas CL, Ehlers LH. Health-related quality of life in patients with recurrent Clostridioides difficile infections. Therap Adv Gastroenterol. 2022 Apr 18;15:17562848221078441. doi: 10.1177/17562848221078441. eCollection 2022. PubMed 35463939 ↗
  • Hvas CL, Dahl Jorgensen SM, Jorgensen SP, Storgaard M, Lemming L, Hansen MM, Erikstrup C, Dahlerup JF. Fecal Microbiota Transplantation Is Superior to Fidaxomicin for Treatment of Recurrent Clostridium difficile Infection. Gastroenterology. 2019 Apr;156(5):1324-1332.e3. doi: 10.1053/j.gastro.2018.12.019. Epub 2019 Jan 2. PubMed 30610862 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 15, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02743234
Lead sponsor
University of Aarhus
Responsible party
Sponsor
First posted
Apr 19, 2016
Start date
Apr 2016
Primary completion
Feb 2019
Completion
Aug 31, 2019
Last update
Oct 15, 2019

Study contacts

Jens F Dahlerup, MD DrMSc
principal investigator · Associate professor

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Oct 2019. You cannot join it, but the record below documents what was studied.

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