Effect of Fecal Microbiota Transplantation in Irritable Bowel Syndrome
- Conditions
- Irritable Bowel Syndrome
- Interventions
- Dietary Supplement: FMT placeboDietary Supplement: FMT capsules
- Registration Number
- NCT02788071
- Lead Sponsor
- Aleris-Hamlet Hospitaler København
- Brief Summary
The purpose of this study is to investigate if fecal microbiota transplantation (FMT) will result in improvement in clinical outcome in patients with irritable bowel syndrome (IBS).
- Detailed Description
Irritable bowel syndrome (IBS) is the most commonly diagnosed gastrointestinal condition. IBS is associated with a high use of health-care costs and can substantially reduce quality of life and work productivity.
Several studies have demonstrated that the composition of the gut microbiota in IBS patients is different from healthy controls.
Fecal microbiota transplantation (FMT) could therefore be a treatment option for IBS patients by exchanging the microbiota of an IBS patient with the microbiota of a healthy donor.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 52
- Fulfilled Rome III diagnostic criteria for IBS
- Moderate-severe disease activity (IBS-Symptom Severity Score ≥175)
- Able to read and speak Danish
- Normal colonoscopy at age ≥ 40 years (performed within 1 year) or blood in stool
- Other chronic gastrointestinal disease
- Positive fecal sample with enteropathogenic microorganisms or Clostridium difficile
- Positive screening for HIV, Hepatitis B or HCV antibody
- Surgical interventions in the gastrointestinal region (except for appendectomy, hernia repair, cholecystectomy, and gynecological and urological procedures)
- Psychiatric disorder
- Fecal calprotectin ≥ 50 mg/kg
- Abuse of alcohol or drugs
- Medications other than birth control pills, hormone supplements, allergies and asthma agents, blood pressure and cholesterol lowering agents, proton pump inhibitors and non-prescription medicines
- Abnormal screening biochemistry
- Abnormal colonoscopy findings
- Pregnant, planned pregnancy or breastfeeding females
- Ingestion of probiotics or antibiotics < 8 weeks before the inclusion
Inclusion criteria for donors
- Age between 18-45 years
- Past and current healthy
- Normal weight (BMI between 18,5-24,9 kg/m2)
- Normal bowel movements (defined as 1-2 per day and type 3-4 at Bristol Stool Form Scale)
- No medication consumption
Exclusion criteria for donors
- Known or high risk of infectious diseases such as HIV, hepatitis A, B or C
- Positive stool sample for C. difficile toxin, parasites or other pathogens
- Antibiotic treatment in the past 6 months
- Abuse of alcohol or drugs
- Smoking
- Tattoo or body piercing within the last 6 months
- Allergy, asthma or eczema
- Family history of gastrointestinal diseases
- Participation in high-risk sexual behaviors
- Born by Caesarean section
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description FMT placebo FMT placebo Placebo capsules FMT capsules FMT capsules FMT capsules
- Primary Outcome Measures
Name Time Method symptoms score 12 weeks Measured by the Irritable bowel syndrome - severity symptom score (IBS-SSS)
- Secondary Outcome Measures
Name Time Method Change in microbiota diversity Day 4, 4 weeks, 12 weeks and 24 weeks Measured by DNA sequencing
Microbiota diversity IBS patients Baseline Measured by DNA sequencing
Microbiota diversity in healthy donors Baseline Measured by DNA sequencing. To compare with the recipients (IBS patients)
Change in Irritable Bowel Syndrome-Quality of Life (IBS-QOL) Questionnaire Scores Baseline, 4 weeks, 12 weeks and 24 weeks
Trial Locations
- Locations (1)
Aleris Hamlet Hospitaler, København
🇩🇰Copenhagen, Søborg, Denmark