ClinicalTrials.gg
RecruitingNCT06370884Updated Sep 3, 2026

Intestinal Microbiota Transplantation in Patients Undergoing Colon Resection

A Phase 1 interventional study of IMT in Recurrent Clostridioides Difficile Infection and Colonic Surgery, sponsored by University of Minnesota. Recruiting at 1 site in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-09-03.

Sponsored by University of Minnesota · Phase 1, Interventional, and Other

From the registry’s dates

  • Started Feb 2024; still recruiting 2 years 9 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 121 studies in Clostridium Infections with a site in United States — 16 open to participants now, 19 under way, 3 of them phase 3. Clostridium Infections · United States.

Planned enrollment
58th of 102
40 · median 57
Started
2024
with 6 others
Phase 1
18 of 121
5 open now
Primary completion
2027-12
later than 10 of 18 live
Registered
107th of 121
by date

Among the 121 studies in Clostridium Infections with a site in United States, this one is the 58th largest by planned enrollment of the 102 interventional ones that give a count, is one of 7 that started in 2024, is one of 18 in phase 1, reaches primary completion later than 10 of the 18 other live ones, and was the 107th registered.

Clostridium Infections

251 studies on the registry are indexed under Clostridium Infections; 51 are open to participants now.

Browse Clostridium Infections studies →

Open to participants now

16 of the 121 studies in Clostridium Infections with a site in United States are open now. Recruiting first, the newest first:

10 more — sign in →

All 16 open studies →

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

Who these studies take

Of the 36 Clostridium Infections studies recruiting now, 22 (61%) set no upper age limit and 8 (22%) stop at 75 or younger; 9 take children under 18; 3 take healthy volunteers.

This study: 18 Years to 75 Years · all sexes · no healthy volunteers.

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02

Study summary

This is a single-center, open-label study for safety and feasibility of IMT in patients undergoing colonic surgery. After consent, individuals of the ages of 18-75 with a history of diverticulitis or sigmoid colon cancer will be enrolled to have a feeding tube placed at the time of surgery and receive IMT solution on postoperative day 2-3 (at least 48 hours following IV antibiotics) with the subsequent removal of the feeding tube. Prior to administration of IMT, recipients will be screened for inclusion/exclusion criteria, interviewed for medical history and medications, and consented. Additionally, prior to undergoing IMT, baseline blood and fecal samples will be collected. The use of a nasogastric feeding tube has specifically been chosen over colonoscopic introduction of the IMT. This is because colonoscopy introduces increased intraluminal carbon dioxide and pressure as well as mechanical stress on the colon in the setting of a newly created bowel anastomosis, which may contribute to the potential risk of anastomotic disruption. The nasogastric feeding tube will be placed while the patient is under anesthesia under direct visualization to minimize any risk of bowel perforation, albeit very low. The study will specifically utilize a 10F 43" Corpak feeding tube (Halyard Health, Alpharetta, GA). Patients will be monitored while in-patient in person. Following discharge, they will undergo follow-up either by phone, video or in-person visit, or via online survey of symptoms and chronic medical conditions potentially related to IMT, beginning on the day following discharge through post-operative day 14, and then monthly up to 6 months post- IMT to screen for SAEs and AEs. Screening for SAEs and AEs will be done using a symptom questionnaire as well as by asking patients during our interview. Fecal samples will be collected from participants on months one, three and six post-IMT to assess for changes in recipient microbiome (engraftment kinetics).

03

Conditions studied

  • Recurrent Clostridioides Difficile Infection
  • Colonic Surgery
04

Who can participate

Ages eligible
18 Years to 75 Years
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

  • Able/willing to provide
  • Between 18-75 years of age
  • Undergoing surgery for a history of diverticulitis or sigmoid colon cancer.
  • Able to provide fecal samples
  • Stated willingness to comply with all study procedures and availability for the duration of trial to follow-up by telephone, in-person, email, and/or video visits or correspondence

Exclusion criteria

Exclusion Criteria:

  • Any history of inflammatory bowel disease
  • Pregnancy or breastfeeding. A pregnancy test will be obtained from females of child- bearing potential on the proposed day of IMT (prior to the receipt of IMT). Patients with a positive pregnancy test will be excluded. A negative result will be required for subjects who are females of to receive IMT treatment.
  • of \< 6 months
  • Presence of ileostomy or colostomy
  • Known history of inflammatory bowel disease (Crohn's, Ulcerative Colitis)
  • Patients on (calcineurin inhibitors, prednisone ≥ 20 mg/day, methotrexate, azathioprine, immunosuppressive biologics, JAK inhibitors)
  • Patients with neutropenia (an \< 0.5 x 109 cells/L) obtained on a complete blood count with differential at screening.
  • History of solid organ or bone marrow transplant.
  • Anticipated recurrent antibiotic use (e.g., patients with frequent urinary tract infections or sinusitis).
  • History of severe anaphylactic food allergy.
  • History of celiac disease.
  • Patients receiving cancer chemotherapy, immunotherapy, or radiation.
Terms in these criteria, in plain language(5)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

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 1
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    IMT group

    individuals of the ages of 18-75 with a history of diverticulitis or sigmoid colon cancer will be enrolled to have a feeding tube placed at the time of surgery and receive either IMT solution

    Drug: IMT

Interventions

  • DrugIMT

    a feeding tube placed at the time of surgery and receive IMT solution on postoperative day 2-3 (at least 48 hours following IV antibiotics) with the subsequent removal of the feeding tube.

06

What researchers measure

Primary outcomes

  1. Evaluate safety of IMT in patients undergoing colon surgery

    Collected via adverse event monitoring, to be reported as frequency, relatedness, expectedness, and severity of AEs/SAEs

    Time frame: Day of surgery, post-op Day 1-14, Day30, Day60, Day90, Day120, Day150, Day180

  2. compare fecal microbiota prior to and after IMT

    Collected via stool sample collection, to be reported as sequenced microbial DNA profiles (alpha diversity, beta diversity)

    Time frame: Day -60-0, Day of surgery, post-op Day1-3, Day14, Day30, Day90, Day180

Secondary outcomes

  1. Evaluate engraftment of donor microbiota

    ollected via stool sample, to be reported as sequenced microbial DNA profiles (alpha diversity, beta diversity). We will compare preoperative stool samples to samples collected post-transplant of the donor microbiota

    Time frame: Day -60-0, day of surgery, postoperative Day1-3, Day14

  2. Evaluate changes in circulating markers of inflammation: WBC

    Collected via blood sample with standard laboratory values reported White blood count (WBC) is 10\^9/liter, absolute number in 10\^9, volume in liters

    Time frame: Day -60-0, day of surgery, postoperative Day1-3, Day14, Day30, Day90, Day180

  3. Evaluate changes in circulating markers of inflammation: Hemoglobin

    Collected via blood sample with standard laboratory values reported Hemoglobin is grams/deciliter (g/dL), weight in grams, volume in deciliters

    Time frame: Day -60-0, day of surgery, postoperative Day1-3, Day14, Day30, Day90, Day180

  4. Evaluate changes in circulating markers of inflammation: Platelets

    Collected via blood sample with standard laboratory values reported Platelets is 10\^9/liter, absolute number in 10\^9, volume in liters

    Time frame: Day -60-0, day of surgery, postoperative Day1-3, Day14, Day30, Day90, Day180

  5. Evaluate changes in circulating markers of inflammation: Electrolytes

    Collected via blood sample with standard laboratory values reported Sodium, potassium, chloride, carbon dioxide are millimole/liter (mmol/L), amount of substance in millimoles, volume in liters

    Time frame: Day -60-0, day of surgery, postoperative Day1-3, Day14, Day30, Day90, Day180

  6. Evaluate changes in circulating markers of inflammation

    Collected via blood sample with standard laboratory values reported Blood urea nitrogen, creatinine, glucose, magnesium, total bilirubin, prealbumin are milligrams/deciliter (mg/dL) weight in milligrams, volume in deciliters

    Time frame: Day -60-0, day of surgery, postoperative Day1-3, Day14, Day30, Day90, Day180

  7. Evaluate changes in circulating markers of inflammation: alkaline phosphatase

    Collected via blood sample with standard laboratory values reported Alkaline phosphatase (ALP), aspartate aminotransferase (AST), alanine transaminase (ALT) are units/liter (U/L) amount of substance in Units, volume in liters

    Time frame: Day -60-0, day of surgery, postoperative Day1-3, Day14, Day30, Day90, Day180

  8. Evaluate changes in circulating markers: Albumin

    Collected via blood sample with standard laboratory values reported Total protein, albumin are grams/liter (g/L) weight in grams, volume in liters

    Time frame: Day -60-0, day of surgery, postoperative Day1-3, Day14, Day30, Day90, Day180

  9. Evaluate changes in microbial metabolites: Fecal short-chain fatty-acids

    Collected via blood sample with standard laboratory values reported Fecal short-chain fatty acids are millimole/kilogram (mmol/kg) amount of substance in millimoles, weight in kilograms

    Time frame: Day -60-0, day of surgery, postoperative Day1-3, Day14, Day30, Day90, Day180

  10. Evaluate changes in microbial metabolites: Fecal IgA

    Collected via blood sample with standard laboratory values reported Fecal IgA is nanograms IgA/ milligram of stool (ng IgA/mg stool) weight of IgA in nanograms, weight of stool in milligrams

    Time frame: Day -60-0, day of surgery, postoperative Day1-3, Day14, Day30, Day90, Day180

  11. Compare baseline microbiome characteristics with changes over time after IMT

    Collected via stool sample, to be reported as sequenced microbial DNA profiles (alpha diversity, beta diversity). We will compare preoperative stool samples to samples collected post-transplant of the donor microbiota across all time points.

    Time frame: Day -60-0, day of surgery, postoperative Day1-3, Day14, Day30, Day90, Day180

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Feb 2024 (actual). Primary completion is estimated for Dec 2027, 46 months after the start.

Of 14 phase 1 interventional studies under Clostridium Infections, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 28. This study's planned 46 months is above that.

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

Registered
Mar 4, 2024
First posted
Apr 17, 2024
StartActual
Feb 1, 2024
Primary completionEst.
Dec 1, 2027
CompletionEst.
Dec 1, 2027
Last update
Sep 3, 2026
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 Sep 3, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06370884
Responsible party
Sponsor
First posted
Apr 17, 2024
Start date
Feb 1, 2024
Primary completion
Dec 1, 2027 (estimated)
Completion
Dec 1, 2027 (estimated)
Last update
Sep 3, 2026

Study contacts

Surgery Clinical Trials Office
Contact
surgcto@umn.edu
612-624-7463
Cyrus Jahansouz, MD
principal investigator · University of Minnesota

Oversight

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

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