ClinicalTrials.gg
Not yet recruitingNCT07003438Updated Jun 4, 2025

Study on the Efficacy and Safety of Fecal Microbiota Transplantation in the Treatment of Steroid - Dependent /Steroid-resistant Nephrotic Syndrome in Children

An Early Phase 1 interventional study of Fecal microbiota transplantation (FMT) in Steroid-Resistant Nephrotic Syndrome and Steroid-Dependent Nephrotic Syndrome, sponsored by Zhang Ting. Not yet recruiting. Open to participants aged 2 Years to 18 Years. Per ClinicalTrials.gov, last updated 2025-06-04.

Sponsored by Zhang Ting · Early Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Apr 2026, 7 months ago, but the record still lists the study as not yet recruiting.
Phase
Early Phase 1
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
2 Years to 18 Years
Sex
All
01

Study summary

The objective of this clinical trial was to understand whether FMT is effective in treating steroid-dependent/steroid-resistant nephrotic syndrome in children. It will also learn about the safety of FMT. The main question it was designed to answer was: Did FMT reduce participants '24-hour urine protein content? What medical problems did participants experience while using FMT? The researchers will compare FMT treatment with and without FMT on top of conventional treatment to see if FMT is effective in treating steroid-dependent/steroid-resistant nephrotic syndrome in children. Participants will receive 2 FMT treatments, 1 endoscopic injection under anesthesia, 1 oral fecal bacteria transplantation capsule intake, and follow-up visits (weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, and 48) every 4 weeks from the beginning of medication to our renal specialist clinic for drug efficacy evaluation and safety testing. Blood and fecal samples were collected to determine the effects of fecal bacterial transplantation on intestinal flora, fecal metabolomics, and intestinal mucosal permeability.

02

Conditions studied

  • Steroid-Resistant Nephrotic Syndrome
  • Steroid-Dependent Nephrotic Syndrome

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03

In context

Nephrotic Syndrome

191 studies on the registry are indexed under Nephrotic Syndrome; 65 are open to participants now.

This study's planned enrollment of 120 is above the median of 46 across 122 interventional studies indexed under Nephrotic Syndrome.

Browse Nephrotic Syndrome studies →

Lead sponsor

This is the only study on the registry with Zhang Ting as lead sponsor.

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

04

Who can participate

Ages eligible
2 Years to 18 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

  • Age 2-18 years, -dependent/steroid-resistant nephrotic syndrome, regardless of gender, with SDNS at steroid-dependent doses less than 0.5 mg/kg.d

Exclusion criteria

Exclusion Criteria:

  • Those with concurrent infections or diseases of other organ systems, and those with abnormal renal function.
Terms in these criteria, in plain language(1)

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.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
120 participants (estimated)

Study arms

  • No intervention
    SDNS:control group

    Traditional treatment plan: Steroid Tapering Therapy

  • Experimental
    SDNS:Fecal microbiota transplantation group

    Fecal microbiota transplantation and traditional treatment plan

    Drug: Fecal microbiota transplantation (FMT)

  • No intervention
    SRNS control group

    Conventional treatment plan: Steroid + calcineurin inhibitors (cyclosporine or tacrolimus)

  • Experimental
    SRNS:Fecal microbiota transplantation group

    Conventional treatment plan + fecal microbiota transplantation

    Drug: Fecal microbiota transplantation (FMT)

Interventions

  • DrugFecal microbiota transplantation (FMT)

    FMT was slowly administered to the patient's small intestine with fecal suspension under anesthesia and patients received a second transplant through oral administration freeze-dried capsules containing the fecal matter.

    Also known as: FMT

06

What researchers measure

Primary outcomes

  1. 24h urinary protein

    24-hour urine protein by urine collection

    Time frame: follow-up visits (weeks 4, 8, 12, 16, 20, 24, 28, 32, 36, 40, 44, and 48) every 4 weeks from the beginning of medication to our renal specialist clinic for drug efficacy evaluation and safety testing

  2. Gut microbiota

    Collect fecal samples

    Time frame: immediately Before FMT, immediately before second FMT, one month after second FMT

  3. Zonulin

    collect blood samples

    Time frame: immediately Before FMT, immediately before second FMT, one month after second FMT

Secondary outcomes

  1. Serum creatinine

    collect blood samples

    Time frame: immediately Before FMT, immediately before second FMT, one month after second FMT

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Jun 2025; primary completion for Apr 2026, 10 months later.

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

Registered
May 26, 2025
First posted
Jun 4, 2025
StartEst.
Jun 1, 2025
Primary completionEst.
Apr 1, 2026
CompletionEst.
Apr 1, 2028
Last update
Jun 4, 2025
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 4, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07003438
Lead sponsor
Zhang Ting
Responsible party
Zhang Ting (chief physician, Shanghai Children's Hospital) — Sponsor-investigator
First posted
Jun 4, 2025
Start date
Jun 1, 2025 (estimated)
Primary completion
Apr 1, 2026 (estimated)
Completion
Apr 1, 2028 (estimated)
Last update
Jun 4, 2025

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in May 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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