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临床试验/NCT02092402
NCT02092402已完成不适用

Fecal Microbiota Transplantation in Patients With Irritable Bowel Syndrome

Örebro University, Sweden2 个研究点 分布在 1 个国家目标入组 17 人开始时间: 2013年9月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
17
试验地点
2
主要终点
Effect of fecal microbiota transplantation on the symptoms of IBS patients using the IBS version of the gastrointestinal symptom rating scale (GSRS-IBS)

研究概览

简要总结

The purpose of this study is to investigate the effect of fecal microbiota transplantation (FMT) on the symptoms of irritable bowel syndrome (IBS) patients.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • for patients
  • Signed informed consent
  • Fulfilled Rome III diagnostic criteria for IBS, and frequency of IBS pain or discomfort for at least 2 days a week in the last 12 weeks
  • Age: 18-65 years

排除标准

  • for patients
  • High proportion of butyrate-producing microbiota in fecal samples
  • Known organic gastrointestinal disease (e.g. IBD)
  • Previous complicated gastrointestinal surgery
  • Non-gastrointestinal malignancy
  • Dementia, severe depression, major psychiatric disorder, or other incapacity for adequate cooperation
  • Females who are pregnant or breast-feeding
  • Severe endometriosis
  • Antimicrobial treatment 4 weeks prior to first screening visit
  • Antimicrobial prophylaxis (eg. acne, urinary tract infection)
  • Regular consumption of probiotic products 4 weeks prior to randomization
  • Recently (within the last 3 months) diagnosed lactose intolerance
  • Celiac disease
  • Abuse of alcohol or drugs
  • Any clinically significant disease/condition which in the investigator's opinion could interfere with the results of the trial
  • Inclusion criteria for donors
  • Signed informed consent
  • High-butyrate producing microbiota in fecal samples
  • Age: 18-65 years
  • Exclusion criteria for donors
  • Known organic gastrointestinal disease (e.g. IBD, IBS, chronic diarrhea or constipation)
  • Gastrointestinal malignancy or polyposis
  • History of major gastrointestinal surgery (e.g. gastric bypass)
  • Eosinophilic disorders of the gastrointestinal tract
  • Current communicable disease (e.g. upper respiratory tract infection)
  • Known or high risk of infectious diseases such as HIV, hepatitis A, B or C
  • Non-gastrointestinal malignancy
  • Dementia, severe depression, major psychiatric disorder, or other incapacity for adequate cooperation
  • Comorbidities such as metabolic syndrome, autoimmune diseases, allergies
  • Chronic pain syndromes (eg. chronic fatigue syndrome, fibromyalgia)
  • Severe or morbid obesity
  • Use of immunosuppressive or chemotherapy agents
  • Antimicrobial treatment or prophylaxis within the last 6 months
  • Females who are pregnant or breast-feeding
  • Known clinically significant abnormal laboratory values
  • Participation in high-risk sexual behaviors
  • Abuse of alcohol or drugs
  • Tattoo or body piercing within the last 6 months
  • Travel to areas with endemic diarrhea during the last 3 months
  • Positive stool testing for C. difficile toxin, ova, parasites, Giarda antigen, cryptosporidium antigen

研究组 & 干预措施

Fecal transplantation of own stool

Placebo Comparator

Autologous fecal transplantation (own stool)

干预措施: Fecal transplantation (Other)

Fecal transplantation (stool from donor)

Experimental

Allogeneic fecal transplantation (from donor)

干预措施: Fecal transplantation (Other)

结局指标

主要结局

Effect of fecal microbiota transplantation on the symptoms of IBS patients using the IBS version of the gastrointestinal symptom rating scale (GSRS-IBS)

时间窗: 6 months

次要结局

  • Effect of fecal microbiota transplantation on the symptoms of IBS patients using the IBS - severity scoring system (IBS-SSS)(6 months)
  • Effect of fecal microbiota transplantation on the general health of IBS patients using the SF-36 survey(6 months)
  • Effect of fecal transplantation on IBS patients' composition of mucosal microbiota (HITChip analysis)(2 months)
  • Effect of fecal transplantation on IBS patients' mucosal immune cell composition (lymphocyte fingerprinting using flow cytometry)(2 months)
  • Effect of fecal microbiota transplantation on the symptoms of IBS patients using the health-related quality of life questionnaire for IBS patients (IBS-QOL)(6 months)
  • Effect of fecal microbiota transplantation on the symptoms of IBS patients using the hospital and anxiety depression scale (HADS)(6 months)
  • Effect of fecal transplantation on IBS patients' visceral perception (Pain scores on the visual analogue scale during barostat procedure)(2 months)
  • Effect of fecal transplantation on IBS patients' composition of fecal microbiota (HITChip analysis)(6 months)

研究者

发起方
Örebro University, Sweden
申办方类型
Other
责任方
Principal Investigator
主要研究者

Robert Brummer

MD, PhD

Örebro University, Sweden

研究点 (2)

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