ClinicalTrials.gg
RecruitingNCT05776914Updated May 8, 2026

Fecal Microbiota Transplantation for IBS

A Phase 2 interventional study of Donor Fecal Microbiota Transplantation and Autologous Fecal Microbiota Transplantation in Irritable Bowel Syndrome and Diarrhea, sponsored by Madhusudan (Madhu) Grover, MBBS. Recruiting at 1 site in United States. Open to female participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-05-08.

Sponsored by Madhusudan (Madhu) Grover, MBBS · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Apr 2024; still recruiting 2 years 6 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
43
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
Female
01

Study summary

The purpose of this study is to learn the efficacy and safety of fecal microbiota transplantation (FMT) using stool from a donor with low proteolytic activity and containing the bacteria Alistipes putredinis in patients with irritable bowel syndrome (IBS) and high proteolytic activity. Proteolytic activity is the breakdown of proteins into smaller polypeptides or amino acids.

02

Conditions studied

  • Irritable Bowel Syndrome
  • Diarrhea

Keywords

  • Post-infection irritable bowel syndrome with diarrheal
  • Post-infection irritable bowel syndrome with mixed symptoms
03

In context

Irritable Bowel Syndrome

1,116 studies on the registry are indexed under Irritable Bowel Syndrome; 208 are open to participants now.

This study's planned enrollment of 43 is below the median of 70 across 896 interventional studies indexed under Irritable Bowel Syndrome.

Browse Irritable Bowel Syndrome studies →

Lead sponsor

This is the only study on the registry with Madhusudan (Madhu) Grover, MBBS as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
Female
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

  • IBS defined by Rome IV criteria
  • Non IBS-C
  • Moderate to severe symptoms defined by IBS-SSS≥175
  • Able to safely undergo and consent to colonoscopy

Exclusion criteria

Exclusion Criteria

  • Immune deficiency or treatment with medications
  • Severe bowel or medical disease precluding administration of bowel prep
  • Severe bowel or medical disease precluding colonoscopy with conscious sedation
  • Active cancer
  • Pregnant or lactating
  • Abdominal surgery (exception of splenectomy, partial hepatectomy, partial/unilateral nephrectomy, laparoscopy, pelvic floor repair, mesh, liposuction, fundoplication, tubal ligation, gastric sleeve, oophorectomy, hernia, appendectomy, cholecystectomy, caesarean section and hysterectomy)
  • Severe psychiatric disorder (HADS-A or D>16), or diagnosed alcohol or drug abuse disorder
  • New probiotics or treatment with antibiotics, NSAIDs (within 4 wks prior to study entry)
  • Use of treatments known to affect colonic motility (with exception of loperamide)
  • Diagnosed h/o bleeding disorder
  • Organic GI diseases (IBD, celiac disease, microscopic colitis)
  • Chronic kidney or liver disease
  • (ANC) \<500 IU/ml
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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
43 participants (estimated)

Study arms

  • Experimental
    Donor Fecal Microbiota Transplantation Group

    Subjects will receive a fecal microbiota transplantation (FMT) using stool from a donor

    Biological: Donor Fecal Microbiota Transplantation

  • Placebo comparator
    Autologous Fecal Microbiota Transplantation Group

    Subjects will receive a fecal microbiota transplantation (FMT) using their own stool

    Biological: Autologous Fecal Microbiota Transplantation

Interventions

  • BiologicalDonor Fecal Microbiota Transplantation

    Single fecal microbiota transplantation using 50 gm of freeze-thawed donor stool

  • BiologicalAutologous Fecal Microbiota Transplantation

    Single fecal microbiota transplantation using 50 gm of stool collected from the same individual

06

What researchers measure

Primary outcomes

  1. Percentage of responders

    Number of subjects receiving the donor fecal microbiota transplantation identified as a responder defined as a decrease of ≥50 points in Irritable Bowel Syndrome Symptom Severity Score (IBS-SSS) from baseline. The Irritable Bowel Syndrome Symptom Severity Score scale has a possible range of scores from 0-500. Mild cases are classified as a score of 75-175, moderate cases are classified as a score of 175-300, and severe cases are classified as a score of \>300.

    Time frame: 12 weeks

Secondary outcomes

  1. Change in level of fecal proteolytic activity

    The level of fecal proteolytic activity will be measured at baseline and again at 12 weeks. The proteolytic activity is measured using a standardized FITC Casein assay that relies on the activity of proteases in the sample to digest casein protein.

    Time frame: Baseline, 12 weeks

  2. Changes in in vivo excretion of 2-24 hr lactulose excretion

    Measured by permeability testing

    Time frame: Baseline, 12 weeks

  3. Number of weekly responders

    Number of subjects to meet responder criteria of ≥30% decrease in average of worst abdominal pain in past 24 hours plus ≥50% decrease in the number of days per week with at least one stool that has a consistency of Type 6 or 7 (compared with baseline)

    Time frame: 12 weeks

  4. Global Adequate Relief Questionnaire

    Number of subjects to report adequate relief of IBS symptoms, measured by answering yes to question "In the past 7 days have you had adequate relief of your IBS symptoms?"

    Time frame: 12 weeks

  5. Alistipes putredinis proportion post-FMT

    Number of subject to have the bacteria Alistipes putredinis in stool sample after fecal microbiota transplantation (FMT)

    Time frame: 12 weeks

07

Study locations

1 of 1 sites recruiting
08

References and documents

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 May 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05776914
Lead sponsor
Madhusudan (Madhu) Grover, MBBS
Responsible party
Madhusudan (Madhu) Grover, MBBS (Regulatory Sponsor and Principal Investigator, Mayo Clinic) — Sponsor-investigator
First posted
Mar 20, 2023
Start date
Apr 15, 2024
Primary completion
Jun 26, 2027 (estimated)
Completion
Jun 26, 2027 (estimated)
Last update
May 8, 2026

Study contacts

Jonah Pedelty, MS
Contact
pedelty.jonah@mayo.edu
507-538-7774
Margaret Breen-Lyles
Contact
breen-lyles.margaret@mayo.edu
507-422-5759
Madhusudan Grover, MBBS
principal investigator · Mayo Clinic

Oversight

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

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