ClinicalTrials.gg
CompletedNCT03439982Updated Jun 10, 2022

Fecal Transplant for Hepatic Encephalopathy

A Phase 1/2 interventional study of FMT in Hepatic Encephalopathy, sponsored by University of Alberta. Completed at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2022-06-10.

Sponsored by University of Alberta · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 10 months after the study started (first participant enrolled Apr 2016, registered Feb 2018).
Phase
Phase 1/2
Study type
Interventional
Enrollment
3
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 11 studies in Hepatic Encephalopathy with a site in Canada — 1 open to participants now, 2 under way, 1 of them phase 3. Hepatic Encephalopathy · Canada.

Started
2016
the only one that year
Phase 1/2
2 of 11
none open now
Registered
6th of 11
by date
Lead sponsor
3 of 11
University of Alberta

Among the 11 studies in Hepatic Encephalopathy with a site in Canada, this one is the only one that started in 2016, is one of 2 in phase 1/2, and was the 6th registered.

Hepatic Encephalopathy

225 studies on the registry are indexed under Hepatic Encephalopathy; 53 are open to participants now.

Browse Hepatic Encephalopathy studies →

Open to participants now

1 of the 11 studies in Hepatic Encephalopathy with a site in Canada is open now. Recruiting first, the newest first:

A study can be open while its sites in Canada have not opened yet or have stopped. Only those recruiting at a site in Canada →

Who these studies take

Of the 30 Hepatic Encephalopathy studies recruiting now, 12 (40%) set no upper age limit and 13 (43%) stop at 75 or younger; 1 takes children under 18; 3 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 11 studies in Hepatic Encephalopathy with a site in Canada, or all of them as a file.
02

Study summary

The purpose of the study is to determine if fecal microbiota transplant (FMT) can reverse hepatic encephalopathy (HE) in cirrhotic patients who continue to have breakthrough episodes of HE despite maintenance therapy with lactulose and/or rifaximin or metronidazole.

Read the detailed description

Subjects receive FMT from a single donor by colonoscopy at week 0 and by enema at weeks 1-4. HE is measured by Inhibitory Control Test (ICT) and Stroop test as well as fasting serum ammonia levels.

03

Conditions studied

  • Hepatic Encephalopathy

Keywords

  • Hepatic encephalopathy, fecal microbiota transplant
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

  • Adult cirrhotic patients of various etiology on lactulose and/pr rifaximin or metronidazole for minimum 4 weeks as secondary prophylaxis
  • Abnormal ICT (>5 lures) or abnormal Stroop test (>200 seconds)
  • Baseline Conn score 0 or 1
  • Infectious etiology of HE has been ruled out

Exclusion criteria

Exclusion Criteria:

  • those with tense ascites
  • those who do not provide assent
  • \<3 months
  • TIPS within the past 3 months
  • neurologic disease such as dementia, Parkinson's, structural brain lesions
  • pregnancy
  • intestinal obstruction
  • alcoholic hepatitis
  • active alcohol or substance abuse
  • those without stable social support
  • concurrent infection such as spontaneous bacterial peritonitis, pneumonia or urinary tract infection
  • less that 50% compared to baseline
  • hospital admission for HE within one month of enrollment
  • active hepatocellular carcinoma
  • active GI bleed
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    FMT

    Open label FMT administered at week 0 by colonoscopy and weeks 1-4 by enema

    Biological: FMT

Interventions

  • BiologicalFMT

    FMT processed from routinely screened donors

06

What researchers measure

Primary outcomes

  1. Portion of participants with normalization of ICT or Stroop Test during the study

    Time frame: 8 weeks

Secondary outcomes

  1. Proportion of patients with normalization ICT or Stroop test scores at 1 week, 2 weeks, 4 weeks and 8

    Time frame: 8 weeks

  2. Changes in serum ammonia level pre and post FMT

    Time frame: 8 weeks

  3. Changes in Quality of Life measured by Chronic Liver Disease Questionnaire (CDLQ) pre and post FMT

    29 Questions Total- each question is on a seven point scales, ranging from the worst (1) to the best (7) possible function

    Time frame: 8 weeks

  4. Change in Intestinal Microbiota pre-and post FMT

    Time frame: 8 weeks

  5. Serious Adverse Events

    i) All serious adverse events up to and including week 8. A serious adverse event is any event which results in any of the following: i) Death ii) Colonic perforation iii) Proven infections as defined by the presence of i) spontaneous bacteremia: positive blood cultures in the absence of any other potential source of infection; ii) spontaneous bacterial peritonitis: ascetic fluid PMN equal to or greater than 250/mm3; iii) UTI: urinary leukocyte count greater than 15 cells per HPF and positive urine culture; vi) other infections identified by clinical, radiologic and bacteriologic results. iv) Possible infections as defined by i) fever (temp \> 37.80 C), ii) leukocytosis (\>15,000 mm3) or increased immature neutrophils in blood (\>500 mm3), negative cultures and no other signs of infection.

    Time frame: 8 weeks

  6. Change in stool Bile Acids Composition pre and post FMT

    Time frame: 8 Weeks

  7. Changes in stool short chain free fatty acids pre and post FMT

    Time frame: 8 weeks

07

Study locations

1 site
  • University of Alberta Hospital
    Edmonton, Alberta, Canada
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Apr 2016 to primary completion in Aug 2019, 39 months.

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

Registered
Feb 13, 2018
First posted
Feb 20, 2018
StartActual
Apr 12, 2016
Primary completionActual
Aug 7, 2019
CompletionActual
Mar 18, 2021
Last update
Jun 10, 2022
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.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
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 Jun 10, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03439982
Collaborators
Rebiotix Inc.
Responsible party
Sponsor
First posted
Feb 20, 2018
Start date
Apr 12, 2016
Primary completion
Aug 7, 2019
Completion
Mar 18, 2021
Last update
Jun 10, 2022

Study contacts

Dina Kao, MD
principal investigator · Associate Professor

Oversight

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

Not currently enrolling

This study is completed, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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