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RecruitingNCT04014413Updated Aug 22, 2024

Safety and Efficacy of Fecal Microbiota Transplantation

An interventional study of Fecal Microbiota Transplantation in Crohn Disease, Ulcerative Colitis and Celiac Disease, sponsored by Chinese University of Hong Kong. Recruiting at 1 site in Hong Kong. Per ClinicalTrials.gov, last updated 2024-08-22.

Sponsored by Chinese University of Hong Kong · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2019; still recruiting 7 years 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
450
Allocation
Non-randomized
Sex
All
01

Study 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.

02

Conditions studied

  • 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
03

In context

Crohn Disease

1,992 studies on the registry are indexed under Crohn Disease; 478 are open to participants now.

This study's planned enrollment of 450 is above the median of 67 across 1,260 interventional studies indexed under Crohn Disease.

Browse Crohn Disease studies →

Lead sponsor

Chinese University of Hong Kong is the lead sponsor of 1,454 studies on the registry; 474 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
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

Confirmed diagnosis of any of the following diseases:

  • Crohn's disease
  • Ulcerative colitis
  • Celiac disease
  • Irritable bowel syndrome
  • Functional dyspepsia
  • Constipation
  • Antibiotic-associated diarrhea or any antibiotic- associated complications/symptoms
  • Metabolic syndrome such as diabetes mellitus and obesity
  • Multidrug-resistant infection
  • Hepatic encephalopathy
  • Multiple sclerosis
  • Pseudo-obstruction
  • Carbapenem-resistant Enterobacteriaceae (CRE) or Vancomycin-resistant Enterococci (VRE) infection
  • Multiple organ dysfunction
  • Dysbiotic bowel syndrome
  • MRSA enteritis
  • Pseudomembranous enteritis
  • Alopecia, autism
  • Idiopathic thrombocytopenic purpura (ITP)
  • Atopy or allergy
  • Liver disease such as Nonalcoholic fatty liver disease (NAFLD) and Nonalcoholic steatohepatitis (NASH)
  • Alcohol dependence
  • Psoriatic arthropathy that has suboptimal control of disease despite standard treatment.

Exclusion criteria

Exclusion Criteria:

  • Known to all FMT infusion method such as nasoduodenal tube insertion, oesophago-gastro-duodenoscopy (OGD), enteroscopy, colonoscopy and enema
  • Any conditions that may render the efficacy of FMT or at the discretion of the investigators
  • Current pregnancy
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.

GVHD (graft-versus-host disease)

After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
450 participants (estimated)

Study arms

  • Experimental
    Crohn's disease

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Ulcerative colitis

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Celiac disease

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Irritable bowel syndrome

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Functional dyspepsia

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Constipation

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Metabolic disease (diabetes mellitus or obesity)

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Multidrug-resistant infection

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Hepatic encephalopathy

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Multiple sclerosis

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Pseudo-obstruction

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    CRE infection

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    VRE infection

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Multiple organ dysfunction

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Dysbiotic bowel syndrome

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    MRSA enteritis

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Pseudomembranous enteritis

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Alopecia

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Autism

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Graft-versus-host disease

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Idiopathic thrombocytopenic purpura

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Atopy or allergy

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Liver disease

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Alcohol dependence

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

  • Experimental
    Antibiotic-associated diarrhea

    Fecal Microbiota Transplant will be performed.

    Procedure: Fecal Microbiota Transplantation

Interventions

  • ProcedureFecal Microbiota Transplantation

    Fecal microbiota transplantation

06

What researchers measure

Primary outcomes

  1. 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

Secondary outcomes

  1. Number of Participants With Treatment-Related Adverse Events as Assessed by CTCAE v4.0

    Time frame: 1 year

Other outcomes

  1. Any improvement or deterioration or recurrence of the underlying condition by clinical judgement of doctors

    Time frame: 1 year

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Brandt LJ. American Journal of Gastroenterology Lecture: Intestinal microbiota and the role of fecal microbiota transplant (FMT) in treatment of C. difficile infection. Am J Gastroenterol. 2013 Feb;108(2):177-85. doi: 10.1038/ajg.2012.450. Epub 2013 Jan 15. PubMed 23318479 ↗
  • Philips CA, Pande A, Shasthry SM, Jamwal KD, Khillan V, Chandel SS, Kumar G, Sharma MK, Maiwall R, Jindal A, Choudhary A, Hussain MS, Sharma S, Sarin SK. Healthy Donor Fecal Microbiota Transplantation in Steroid-Ineligible Severe Alcoholic Hepatitis: A Pilot Study. Clin Gastroenterol Hepatol. 2017 Apr;15(4):600-602. doi: 10.1016/j.cgh.2016.10.029. Epub 2016 Nov 2. No abstract available. PubMed 27816755 ↗
  • Yang Z, Wang X, Bu C. Fecal microbiota transplant for Crohn's disease: a prospective, randomized study in chinese population. United european gastroenterology journal. Conference: 25th united european gastroenterology week, UEG 2017. Spain. Volume 5, 2017:A112-a113
  • Paramsothy S, Kamm MA, Kaakoush NO, Walsh AJ, van den Bogaerde J, Samuel D, Leong RWL, Connor S, Ng W, Paramsothy R, Xuan W, Lin E, Mitchell HM, Borody TJ. Multidonor intensive faecal microbiota transplantation for active ulcerative colitis: a randomised placebo-controlled trial. Lancet. 2017 Mar 25;389(10075):1218-1228. doi: 10.1016/S0140-6736(17)30182-4. Epub 2017 Feb 15. PubMed 28214091 ↗
  • Rossen NG, Fuentes S, van der Spek MJ, Tijssen JG, Hartman JH, Duflou A, Lowenberg M, van den Brink GR, Mathus-Vliegen EM, de Vos WM, Zoetendal EG, D'Haens GR, Ponsioen CY. Findings From a Randomized Controlled Trial of Fecal Transplantation for Patients With Ulcerative Colitis. Gastroenterology. 2015 Jul;149(1):110-118.e4. doi: 10.1053/j.gastro.2015.03.045. Epub 2015 Mar 30. PubMed 25836986 ↗
  • Moayyedi P, Surette MG, Kim PT, Libertucci J, Wolfe M, Onischi C, Armstrong D, Marshall JK, Kassam Z, Reinisch W, Lee CH. Fecal Microbiota Transplantation Induces Remission in Patients With Active Ulcerative Colitis in a Randomized Controlled Trial. Gastroenterology. 2015 Jul;149(1):102-109.e6. doi: 10.1053/j.gastro.2015.04.001. Epub 2015 Apr 7. PubMed 25857665 ↗
  • Costello SP, Waters O, Bryant RV, et al. Short duration, low intensity, pooled fecal microbiota transplantation induces remission in patients with mildmoderately active ulcerative colitis: A randomised controlled trial. Gastroenterology 2017;152 (5 Supplement 1):S198-S199
  • Kirk KF, Kousgaard SJ, Nielsen HL, et al. Faecal transplant for the treatment of chronic pouchitis-A randomised, placebo-controlled, clinical trial. Colorectal Disease 2017;19 (Supplement 2):143
  • Johnsen PH, Hilpusch F, Cavanagh JP, et al. Fecal transplantation in Irritable Bowel Syndrome (IBS): An RCT. Neurogastroenterology and Motility 2017;29 (Supplement 2):135.
  • Holster S, Repsilber D, Brummer RJ, et al. Faecal microbiota transfer in irritable bowel syndrome-clinical outcomes of a randomised placebo-controlled trial. United European Gastroenterology Journal 2017;5 (5 Supplement 1):A155-A156.
  • Holster S, Brummer RJ, Repsilber D, et al. Fecal microbiota transplantation in irritable bowel syndrome and a randomized placebo-controlled trial. Gastroenterology 2017;152 (5 Supplement 1):S101-S102.
  • Holger Johnsen P, Mazzawi T, El-Salhy M, et al. Effect of faecal microbiota transplantation on the enteroendocrine cells of the colon in patients with Irritable Bowel Syndrome (IBS): Double blinded-placebo controlled study. Neurogastroenterology and Motility 2017;29 (Supplement 2):71.
  • Bajaj JS, Kassam Z, Fagan A, et al. Fecal microbiota transplant using a precision medicine approach is safe, Associated with lower hospitalization risk and improved cognitive function in recurrent hepatic encephalopathy. Journal of Hepatology 2017;66:S49-S49.
  • Mullish BH, McDonald JAK, Thursz MR, Marchesi JR. Fecal microbiota transplant from a rational stool donor improves hepatic encephalopathy: A randomized clinical trial. Hepatology. 2017 Oct;66(4):1354-1355. doi: 10.1002/hep.29369. Epub 2017 Aug 26. No abstract available. PubMed 28714089 ↗

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 Aug 22, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04014413
Responsible party
Siew Chien NG (Professor, Chinese University of Hong Kong) — Principal investigator
First posted
Jul 10, 2019
Start date
Jul 15, 2019
Primary completion
Oct 31, 2030 (estimated)
Completion
Oct 31, 2030 (estimated)
Last update
Aug 22, 2024

Study contacts

Matthew Fung
Contact
mfung@cuhk.edu.hk
+852 35053855
Siew Ng
principal investigator · Chinese University of Hong Kong

Oversight

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

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