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CompletedNCT03078803Updated Sep 7, 2022

Fecal Transplant for Crohn's Disease

A Phase 2 interventional study of Fecal Microbiota Transplant (FMT) and Placebo in Crohn Disease, sponsored by University of Alberta. Completed at 3 sites in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-09-07.

Sponsored by University of Alberta · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
38
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

To determine the efficacy and safety of serial FMT at inducing and maintaining clinical and endoscopic response in patients with mild to moderate Crohn's disease

Read the detailed description

Double blind study will randomize patients with mild to moderate Crohn's 1:1 (FMT : water) stratified by disease duration and current use of biologic therapy. First FMT/placebo at week 0 by colonoscopy plus weekly FMT/placebo by capsules for 7 weeks. At week 8, a repeat colonoscopy will be done and endoscopy score repeated.

Responders in FMT arm are eligible to enter open label phase to receive FMT by capsules q2 weeks.

Blood, stool and urine samples, colonic biopsies will be collected. Quality of Life as measured by Short Inflammatory Bowel Disease Questionnaire, EuroQol five dimensions, and Work Productivity and Activity Impairment Questionnaire: Crohns disease and dietary intake diary collected.

Colonoscopies recorded and reviewed by a central reader.

02

Conditions studied

  • Crohn Disease

Keywords

  • fecal transplant
  • inflammatory bowel disease
03

In context

Crohn Disease

1,923 studies on the registry are indexed under Crohn Disease; 467 are open to participants now.

This study's enrollment of 38 is below the median of 66 across 1,212 interventional studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

University of Alberta is the lead sponsor of 819 studies on the registry; 168 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • mild to moderate ileal, ileo-colonic or colonic Crohns disease
  • active ileal and/or colonic disease on endoscopy with or without elevated inflammatory markers i.e. C-reactive protein >8mg/L, elevated fecal calprotectin >250 ug/g
  • If applicable, meds stable as follows: 5-ASA for 4 weeks, prednisone up to 20mg QD for 4 weeks, budesonide up to 6mg QD for 4 weeks, azathioprine, 6-MP and methotrexate for 12 weeks
  • Use of effective contraception

Exclusion criteria

Exclusion Criteria:

  • Antibiotic exposure within 30 days and probiotic exposure within 14 days
  • topical inflammatory bowel disease therapy within 2 weeks
  • active perianal disease
  • requirement for concurrent antibiotic therapy
  • SES-CD score \<5
  • severe CD HBI >25 or need for hospitalization
  • abdominal abscess
  • extensive colonic resection, subtotal or total colectomy
  • ileostomy, colostomy, known fixed symptomatic stenosis or complex fistulae
  • evidence of or treatment for C. difficile or other intestinal pathogen including Cytomegalovirus within 28 days
  • requiring or expected to require surgical intervention
  • history or evidence of adenomatous colonic polyps not removed
  • history of evidence of colonic dysplasia
  • active substance abuse or psychiatric problems that may interfere with study
  • chronic Hep B, C, or HIV infection
  • pregnancy or planning to become pregnant
  • upper CD
  • history of adhesions preventing colonoscopy to cecum
  • planned bowel resection within 3 mon of enrollment
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
38 participants (actual)

Study arms

  • Experimental
    Fecal microbiota transplant

    Transfer of healthy human gut bacteria

    Biological: Fecal Microbiota Transplant (FMT)

  • Placebo comparator
    Placebo

    Water

    Biological: Placebo

Interventions

06

What researchers measure

Primary outcomes

  1. Clinical and Endoscopic Remission

    Harvey Bradshaw Index \<5 and Simple endoscopic score \<5

    Time frame: Week 8

Secondary outcomes

  1. Clinical response

    Harvey Bradshaw Index reduction by 3 points

    Time frame: Week 8

  2. Clinical remission

    Harvey Bradshaw Index \<5

    Time frame: Week 8

  3. Endoscopic response

    Simple endoscopic score reduction by 50%

    Time frame: Week 8

  4. Endoscopic remission

    Simple endoscopic score \<5

    Time frame: Week 8

  5. Quality of Life 1

    Mean changes in Short Inflammatory Bowel Disease Questionnaire

    Time frame: Week 8

  6. Quality of Life 2

    Mean changes in Euro five dimensions questionnaire

    Time frame: Week 8

  7. Quality of Life 3

    Mean changes in Work Productivity and Activity Impairment: Crohns Disease questionnaire

    Time frame: Week 8

07

Study locations

3 sites
  • Foothills Hospital
    Calgary, Alberta T2N2T9, Canada
  • University of Alberta
    Edmonton, Alberta T6G 2X8, Canada
  • McMaster University
    Hamilton, Ontario, Canada
08

References and documents

Publications

  • Kao D, Wong K, Jijon H, Moayyedi P, Franz R, McDougall C, Hotte N, Panaccione R, Semlacher E, Kroeker KI, Peerani F, MacDonald KV, Xu H, Narula N, Turbide C, Marshall DA, Madsen KL. Preliminary Results From a Multicenter, Randomized Trial Using Fecal Microbiota Transplantation to Induce Remission in Patients With Mild-to-Moderate Crohn's Disease. Am J Gastroenterol. 2024 Nov 12;120(6):1334-1344. doi: 10.14309/ajg.0000000000003196. PubMed 39530534 ↗

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 Sep 7, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03078803
Responsible party
Sponsor
First posted
Mar 13, 2017
Start date
Mar 28, 2017
Primary completion
Jun 21, 2021
Completion
Aug 29, 2022
Last update
Sep 7, 2022

Study contacts

Dina Kao, MD
principal investigator · University of Alberta

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Fecal microbiota

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