ClinicalTrials.gg
CompletedNCT05831189CDI-SCOPEUpdated Apr 24, 2026Results posted

A Multi-center, Single-arm Trial Exploring the Safety and Clinical Effectiveness of RBX2660 Administered by Colonoscopy to Adults With Recurrent Clostridioides Difficile Infection

A Phase 3 interventional study of RBX2660 in Clostridium Difficile Infection Recurrence, sponsored by Ferring Pharmaceuticals. Completed at 12 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-04-24.

Sponsored by Ferring Pharmaceuticals · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
41
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This trial will be initiated to explore whether RBX2660 (REBYOTA®) could be suitable for administration by the practice of colonoscopy. More specifically, the purpose of this trial is to explore the safety and clinical effectiveness of RBX2660 when delivered by colonoscopy to adults with rCDI. The experience of physicians will be documented through a physician-experience questionnaire to explore the usability of RBX2660 in clinical practice for colonoscopic administration. Furthermore, to explore the patient-experience of RBX2660 treatment, each trial participant will be offered to undergo a structured interview.

02

Conditions studied

  • Clostridium Difficile Infection Recurrence

Keywords

  • C. Difficile Diarrhea
  • Clostridium Difficile
  • CDI
  • FMT
  • Fecal Microbiota Transplant
  • Microbiota Restoration Therapy
  • Diarrhea
  • Microbial Suspension
  • Fecal Transplant
  • C Difficile Colitis
  • Clostridium Difficile Associated Diarrhea
  • C diff diarrhea
  • C Difficile
  • C diff
03

In context

Diarrhea

877 studies on the registry are indexed under Diarrhea; 76 are open to participants now.

This study's enrollment of 41 is below the median of 137 across 738 interventional studies indexed under Diarrhea.

Browse Diarrhea studies →

Lead sponsor

Ferring Pharmaceuticals is the lead sponsor of 249 studies on the registry; 4 are open to participants now.

Of its 15 completed or terminated interventional studies of FDA-regulated products, 14 (93%) 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

  • have documented evidence of rCDI (≥1 recurrence after a primary CDI episode)
  • be undergoing antibiotic treatment for the qualifying rCDI episode that was diagnosed by a stool test for the presence of toxigenic C. difficile or C. difficile toxin
  • be eligible for FMT as judged by the investigator or current treatment guidelines for rCDI in the US
  • be a candidate for colonoscopy as judged by the investigator

Exclusion criteria

Exclusion Criteria:

  • Use or planned use of systemic antibiotics for an indication other than the qualifying rCDI episode.
  • Current uncontrolled chronic diarrhea not related to CDI.
  • Receipt of CDI vaccine or treatment with CDI monoclonal antibodies within the past 12 months before screening.
  • Evidence of active, severe, or fulminant colitis, diagnosis of toxic megacolon or have a current colostomy or ileostomy
05

Study design

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

Study arms

  • Experimental
    RBX2660

    Drug: RBX2660

Interventions

  • RBX2660 should be administered to the right side of the colon (i.e., between the ileocecal valve and the hepatic flexure of the colon).

    Also known as: REBYOTA®

06

What researchers measure

Primary outcomes

  1. Number of Participants With RBX2660-related Treatment-emergent Adverse Events (TEAEs) After RBX2660 Treatment Delivered by Colonoscopy Through 8 Weeks, or Treatment Failure

    Time frame: 8 weeks after RBX2660 treatment delivered by colonoscopy

Secondary outcomes

  1. Number of Participants With Recurrence of Clostridioides Difficile Infection (CDI) Within 8 Weeks After RBX2660 Treatment Delivered by Colonoscopy.

    Time frame: Within 8 weeks after RBX2660 treatment delivered by colonoscopy

  2. Time to CDI Recurrence From Baseline Through 8 Weeks After RBX2660 Treatment Delivered by Colonoscopy

    Time frame: 8 weeks after RBX2660 treatment delivered by colonoscopy

  3. Physician-experience, as Determined by Questionnaire, Documenting Subjective Experience of Investigators on Usability of RBX2660 in Clinical Practice When Delivered by Colonoscopy

    Time frame: At Day 1 (baseline visit)

  4. Physician Perception of Patient Benefit, as Determined by Number of Participants With Clinician Global Impression of Improvement (CGI-I) at 8 Weeks, or at Treatment Failure, After RBX2660 Treatment Delivered by Colonoscopy

    Time frame: 8 weeks after RBX2660 treatment delivered by colonoscopy

  5. Patient-experience Interview at 8 Weeks, or at Treatment Failure, After RBX2660 Treatment Delivered by Colonoscopy

    Time frame: 8 weeks after RBX2660 treatment delivered by colonoscopy

  6. Number of Participants With Treatment-emergent Adverse Events up to 8 Weeks or Treatment Failure After RBX2660 Treatment

    Time frame: Up to 8 weeks after RBX2660 treatment delivered by colonoscopy

  7. Number of Participants With Serious Adverse Events (SAEs)

    Time frame: Up to 8 weeks after RBX2660 treatment delivered by colonoscopy

  8. Number of Participants With Any Adverse Events of Special Interest (AESIs)

    Time frame: Up to 8 weeks after RBX2660 treatment delivered by colonoscopy

  9. Number of Participants With Adverse Events Leading to Death or Intensive Care Unit (ICU) Admission

    Time frame: Up to 8 weeks after RBX2660 treatment delivered by colonoscopy

07

Results

Posted Apr 24, 2026

Participant flow

Participant flow — Overall Study
MilestoneRBX2660
Started41
Completed39
Not completed2
Withdrew: Withdrawal by subject2

Outcome measures

PrimaryNumber of Participants With RBX2660-related Treatment-emergent Adverse Events (TEAEs) After RBX2660 Treatment Delivered by Colonoscopy Through 8 Weeks, or Treatment Failure
Time frame:
8 weeks after RBX2660 treatment delivered by colonoscopy
Reported as:
Count of participants · Participants
Number of Participants With RBX2660-related Treatment-emergent Adverse Events (TEAEs) After RBX2660 Treatment Delivered by Colonoscopy Through 8 Weeks, or Treatment Failure
ParticipantsRBX2660
Number of Participants With RBX2660-related Treatment-emergent Adverse Events (TEAEs) After RBX2660 Treatment Delivered by Colonoscopy Through 8 Weeks, or Treatment Failure18
SecondaryNumber of Participants With Recurrence of Clostridioides Difficile Infection (CDI) Within 8 Weeks After RBX2660 Treatment Delivered by Colonoscopy.
Time frame:
Within 8 weeks after RBX2660 treatment delivered by colonoscopy
Reported as:
Count of participants · Participants
Number of Participants With Recurrence of Clostridioides Difficile Infection (CDI) Within 8 Weeks After RBX2660 Treatment Delivered by Colonoscopy.
ParticipantsRBX2660
Number of Participants With Recurrence of Clostridioides Difficile Infection (CDI) Within 8 Weeks After RBX2660 Treatment Delivered by Colonoscopy.2
SecondaryTime to CDI Recurrence From Baseline Through 8 Weeks After RBX2660 Treatment Delivered by Colonoscopy
Time frame:
8 weeks after RBX2660 treatment delivered by colonoscopy
Reported as:
Number · Weeks
Time to CDI Recurrence From Baseline Through 8 Weeks After RBX2660 Treatment Delivered by Colonoscopy
WeeksRBX2660
Time to CDI Recurrence From Baseline Through 8 Weeks After RBX2660 Treatment Delivered by Colonoscopy0
SecondaryPhysician-experience, as Determined by Questionnaire, Documenting Subjective Experience of Investigators on Usability of RBX2660 in Clinical Practice When Delivered by Colonoscopy
Time frame:
At Day 1 (baseline visit)
Reported as:
Count of participants · Participants
Physician-experience, as Determined by Questionnaire, Documenting Subjective Experience of Investigators on Usability of RBX2660 in Clinical Practice When Delivered by Colonoscopy
ParticipantsRBX2660
Preparations before administration — Somewhat positive2
Preparations before administration — Positive experience20
Preparations before administration — Very positive experience19
Preparations before administration — Somewhat negative experience0
Preparations before administration — Neutral experience0
Ease of administration — Somewhat positive0
Ease of administration — Positive experience17
Ease of administration — Very positive experience21
Ease of administration — Somewhat negative experience1
Ease of administration — Neutral experience2
Activities following administration — Somewhat positive1
Activities following administration — Positive experience16
Activities following administration — Very positive experience21
Activities following administration — Somewhat negative experience0
Activities following administration — Neutral experience3
Overall experience using RBX2660 — Somewhat positive1
Overall experience using RBX2660 — Positive experience23
Overall experience using RBX2660 — Very positive experience14
Overall experience using RBX2660 — Somewhat negative experience1
Overall experience using RBX2660 — Neutral experience2
SecondaryPhysician Perception of Patient Benefit, as Determined by Number of Participants With Clinician Global Impression of Improvement (CGI-I) at 8 Weeks, or at Treatment Failure, After RBX2660 Treatment Delivered by Colonoscopy
Time frame:
8 weeks after RBX2660 treatment delivered by colonoscopy
Reported as:
Count of participants · Participants
Physician Perception of Patient Benefit, as Determined by Number of Participants With Clinician Global Impression of Improvement (CGI-I) at 8 Weeks, or at Treatment Failure, After RBX2660 Treatment Delivered by Colonoscopy
ParticipantsRBX2660
Very much improved26
Much improved13
SecondaryPatient-experience Interview at 8 Weeks, or at Treatment Failure, After RBX2660 Treatment Delivered by Colonoscopy
Time frame:
8 weeks after RBX2660 treatment delivered by colonoscopy
Reported as:
Count of participants · Participants
Patient-experience Interview at 8 Weeks, or at Treatment Failure, After RBX2660 Treatment Delivered by Colonoscopy
ParticipantsRBX2660
Very Much Improved26
Much Improved13
SecondaryNumber of Participants With Treatment-emergent Adverse Events up to 8 Weeks or Treatment Failure After RBX2660 Treatment
Time frame:
Up to 8 weeks after RBX2660 treatment delivered by colonoscopy
Reported as:
Count of participants · Participants
Number of Participants With Treatment-emergent Adverse Events up to 8 Weeks or Treatment Failure After RBX2660 Treatment
ParticipantsRBX2660
Adverse events18
Mild adverse events14
Moderate adverse events3
Severe adverse events2
Potentially Life-threatening1
Adverse events leading to discontinuation0
Serious adverse events2
Adverse events leading to death0
SecondaryNumber of Participants With Serious Adverse Events (SAEs)
Time frame:
Up to 8 weeks after RBX2660 treatment delivered by colonoscopy
Reported as:
Count of participants · Participants
Number of Participants With Serious Adverse Events (SAEs)
ParticipantsRBX2660
Number of Participants With Serious Adverse Events (SAEs)2
SecondaryNumber of Participants With Any Adverse Events of Special Interest (AESIs)
Time frame:
Up to 8 weeks after RBX2660 treatment delivered by colonoscopy
Reported as:
Count of participants · Participants
Number of Participants With Any Adverse Events of Special Interest (AESIs)
ParticipantsRBX2660
Number of Participants With Any Adverse Events of Special Interest (AESIs)2
SecondaryNumber of Participants With Adverse Events Leading to Death or Intensive Care Unit (ICU) Admission
Time frame:
Up to 8 weeks after RBX2660 treatment delivered by colonoscopy
Reported as:
Count of participants · Participants
Number of Participants With Adverse Events Leading to Death or Intensive Care Unit (ICU) Admission
ParticipantsRBX2660
Number of Participants With Adverse Events Leading to Death or Intensive Care Unit (ICU) Admission2

Adverse events

Collected over 8 weeks. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
RBX26600/41 (0%)2/41 (4.9%)6/41 (14.6%)
Most frequent serious events
Most frequent serious events
EventRBX2660
Colitis UlcerativeGastrointestinal disorders1/41
Brain NeoplasmNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/41
Most frequent other events
Most frequent other events
EventRBX2660
Abdominal DistensionGastrointestinal disorders3/41
ConstipationGastrointestinal disorders3/41

Baseline characteristics

Age, Continuous
Age, Continuous(Years)RBX2660
Mean61.2 ± 14.9
Sex: Female, Male
Sex: Female, Male(Participants)RBX2660
Female36
Male5
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)RBX2660
Hispanic or Latino1
Not Hispanic or Latino40
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)RBX2660
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American2
White39
More than one race0
Unknown or Not Reported0
Number of Previous CDI Episodes
Number of Previous CDI Episodes(Episodes)RBX2660
Mean3.2 ± 1.8
08

Study locations

12 sites
  • Ferring Investigational Site
    North Little Rock, Arkansas 72117, United States
  • Ferring Investigational Site
    Camarillo, California 93012, United States
  • Ferring Investigational Site
    Hamden, Connecticut 06518, United States
  • Ferring Investigational Site
    Idaho Falls, Idaho 83404, United States
  • Ferring Investigational Site
    Gurnee, Illinois 60031, United States
  • Ferring Investigational Site
    Shreveport, Louisiana 71105, United States
  • Ferring Investigational Site
    Plymouth, Minnesota 55446, United States
  • Ferring Investigational Site
    Rochester, Minnesota 55905, United States
  • Ferring Investigational Site
    Cleveland, Ohio 44195, United States
  • Ferring Investigational Site
    Oklahoma City, Oklahoma 73102, United States
  • Ferring Investigational Site
    Burke, Virginia 22015, United States
  • Ferring Investigational Site
    Madison, Wisconsin 53705, United States
09

References and documents

Publications

  • Khanna S, Yoho D, Van Handel D, Clark BJ, Awad T, Guthmueller B, Armandi D, Knapple W, Safdar N, Baggott B, Simon K, Feuerstadt P. Safety and effectiveness of fecal microbiota, live-jslm (REBYOTA(R)) administered by colonoscopy for prevention of recurrent Clostridioides difficile infection: 8-week results from CDI-SCOPE, a single-arm, phase IIIb trial. Ther Adv Gastroenterol. 2025 Apr 22;18:17562848251339697. doi: 10.1177/17562848251339697. eCollection 2025. PubMed 40321366 ↗
  • Khanna S, Yoho D, Van Handel D, Clark BJ, Awad T, Guthmueller B, Armandi D, Knapple W, Safdar N, Baggott B, Simon K, Feuerstadt P. Prevention of recurrent Clostridioides difficile infection by fecal microbiota, live-jslm (REBYOTA(R)) administered via colonoscopy: 6-month data from the single-arm phase IIIb CDI-SCOPE trial. Ther Adv Gastroenterol. 2025 Nov 9;18:17562848251396744. doi: 10.1177/17562848251396744. eCollection 2025. PubMed 41230019 ↗
  • McCool-Myers M, Umanzor-Figueroa C, Symonds T, Landeira M, Awad T, Armandi D, Guthmueller B, Khanna S. Patient-reported benefits of colonoscopicallyadministered microbiota restoration therapy: a qualitative study of adult patients with recurrent Clostridioides difficile infection. Ther Adv Gastroenterol. 2025 Nov 14;18:17562848251392102. doi: 10.1177/17562848251392102. eCollection 2025. PubMed 41647268 ↗
  • Chopra T, Van Handel D, Baggott B, Orenstein R, Reveles K, Guthmueller B, Srivastava S, Khanna S. Efficacy Outcomes of Fecal Microbiota, Live-jslm in Preventing Recurrent Clostridioides difficile Infection from Seven Clinical Studies. Infect Dis Ther. 2026 Aug;15(8):2071-2086. doi: 10.1007/s40121-026-01374-9. Epub 2026 Jun 12. PubMed 42286373 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT05831189
Responsible party
Sponsor
First posted
Apr 26, 2023
Start date
Apr 21, 2023
Primary completion
Jan 17, 2025
Completion
Jan 17, 2025
Results posted
Apr 24, 2026
Last update
Apr 24, 2026

Study contacts

Global Clinical Compliance
study director · Ferring Pharmaceuticals

Oversight

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

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