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Efficacy and Safety of Fecal Microbiota Transplantation

Not Applicable
Recruiting
Conditions
Fecal Microbiota Transplantation
Interventions
Procedure: Fecal Microbiota Transplantation
Registration Number
NCT04706611
Lead Sponsor
Guangzhou First People's Hospital
Brief Summary

In recent years, researches illustrate that multifactorial diseases such as functional gastrointestinal disorders, autoimmune diseases, metabolic, behavioral and neurological diseases are associated with an abnormal microbiome structure-dysbiosis, which means the imbalance of the microbiome community. Fecal microbiota transplantation (FMT), the infusion of faeces from a healthy donor to the gastrointestinal tract of a recipient patient aiming to alter the intestine microbiota, is recommended to be performed in Clostridium difficile infection(CDI) as the most effective therapy. It also being used experimentally in the treatment of the disease states linked to dysbiosis of the intestinal microbiota. However, the efficacy and safety of FMT to treat the dysbiosis-associated diseases is still in its infancy. To further verify the indications above, more data is required to be collected through studies.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
300
Inclusion Criteria

Confirmed diagnosis of any of following diseases:

  • Irritable Bowel Syndrome
  • Ulcerative colitis
  • Crohn's disease
  • Constipation
  • Clostridium Difficile Infection
  • Functional Dyspepsia
  • Parkinson's Disease
  • Metabolic Syndrome
  • Non-Alcoholic Fatty Liver Disease
  • Autism Spectrum Disorder
  • Radiation Enteritis
  • Atopic Dermatitis
  • Food Allergic
  • Graft-versus-Host Disease
  • Obesity
  • Diabetes mellitus
  • Multi-Drug Resistant Infection
  • Hepatic Encephalopathy
  • Enteric Dysbacteriosis
  • Multiple Sclerosis
  • Pseudomembranous Enteritis
  • Acute Pancreatitis
  • Chronic Fatigue Syndrome
  • Acute-on-chronic Liver Failure with HBV Infection
  • Alcoholic Liver Disease
  • Anorexia
  • Decompensated Cirrhosis
  • Henoch-Schonlein Purpura
  • Autoimmune Liver Disease
  • Systemic Lupus Erythematosus
  • Rheumatoid arthritis
  • IgG4-Related Disease
  • Celiac Disease
  • Protein-losing Enteropathy
  • Asperger Syndrome
  • Rheumatoid arthritis
  • Psoriasis
  • Ankylosing spondylitis
  • Immune checkpoint inhibition-related colitis
  • Autoimmune enteropathy
  • Drug-induced diarrhea
  • Suffering from gastrointestinal symptoms such as constipation, diarrheas, abdominal pain, flatulence, etc.
  • The participants must be able to tolerate the FMT infusion method such as endoscopy, colonoscopy, capsule, nasoduodenal tube insertion, etc.
Exclusion Criteria
  • Current pregnancy or breast-feeding;
  • Suffering from other severe diseases, including liver or kidney failure, heart failure, MODS, coma, cerebrovascular accident;
  • Known contraindication to all FMT infusion method such as nasoduodenal tube insertion, endoscopy, colonoscopy and enema;
  • Any conditions that may render the efficacy of FMT or at the discretion of the investigators.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Acute PancreatitisFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Clostridium Difficile InfectionFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Functional DyspepsiaFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
ConstipationFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Atopic DermatitisFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Food AllergicFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
ObesityFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Diabetes mellitusFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Multi-Drug Resistant InfectionFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Autoimmune Liver DiseaseFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Asperger SyndromeFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Ulcerative colitisFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Ankylosing spondylitisFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Autoimmune enteropathyFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Parkinson's DiseaseFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Irritable Bowel SyndromeFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Metabolic SyndromeFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Graft-versus-Host DiseaseFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Hepatic EncephalopathyFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Enteric DysbacteriosisFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Henoch-Schonlein PurpuraFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
IgG4-Related DiseaseFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Non-Alcoholic Fatty Liver DiseaseFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Radiation EnteritisFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Multiple SclerosisFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Acute-on-chronic Liver Failure with HBV InfectionFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Alcoholic Liver DiseaseFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
AnorexiaFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Celiac DiseaseFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Rheumatoid arthritisFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Drug-induced diarrheaFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Autism Spectrum DisorderFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Pseudomembranous EnteritisFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Chronic Fatigue SyndromeFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Decompensated CirrhosisFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Protein-losing EnteropathyFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
PsoriasisFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Immune checkpoint inhibition-related colitisFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Systemic Lupus ErythematosusFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Crohn's diseaseFecal Microbiota TransplantationFecal Microbiota Transplantation will be performed.
Primary Outcome Measures
NameTimeMethod
The efficacy of FMT in patients with gastrointestinal symptom will be assessed by the change of Gastrointestinal Symptom Rating Scale(GSRS).1 year

Gastrointestinal Symptom Rating Scale(GSRS) is a measure of gastrointestinal symptom severity in five clusters (pain, bloating, constipation, diarrhea, and early satiety).The items are scored between 1 and 7, where 1 corresponds to "no discomfort at all" and 7 to "very severe discomfort" from the symptom. The participants will be asked to filled in the scale in several time points from baseline to 12 months after FMT.

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Treatment-Related Adverse Events as Assessed by Common Terminology Criteria for Adverse Events(CTCAE) V4.01 year

Trial Locations

Locations (1)

Guangzhou First People's Hospital

🇨🇳

Guangzhou, Guangdong, China

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