Implications of Fecal Microbiota Transplantation in Modulating the Effects of Liver Cirrhosis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: Cristian Ichim, Resident Doctor
- Phone Number: 0040771643848
- Email: cristian.ichim@ulbsibiu.ro
Study Locations
-
-
-
Sibiu, Romania, 550245
- County Clinical Emergency Hospital of Sibiu
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Diagnosis of liver cirrhosis according to current protocols.
- Conscious and cooperative adult patients.
Exclusion Criteria:
- Patients with hemodynamic and/or respiratory instability.
- Patients with contraindications for colonoscopy or fecal transplantation.
- Patients with acute or chronic infections with HIV, Tuberculosis, MDR Enterobacteria, CMV, parasites, fungi.
- Associated oncological pathology.
- Patients with other causes of severe immunodeficiencies.
- Lack of compliance with the conditions imposed by the research project.
- Patients who do not sign the informed consent.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Fecal microbiota transplantation (FMT) in patients with liver cirrhosis
The experimantal group will receive fecal transplantation from a healthy donor.
The study results will be obtained from analyzing the progression observed in imaging and laboratory tests (blood and fecal matter) as well as the patients clinical condition - compared to the initial phase and the control group.
Patients will undergo fecal transplantation using a minimum of 70 grams of material collected and tested from a healthy donor.
The fecal matter will be transferred into the cecum using a colonoscope.
|
Performing a colonoscopy with fecal microbiota transplantation at the level of the cecum.
Other Names:
|
|
No Intervention: Control
The control group will include patients who will be monitored for their progress while receiving standard treatment.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Liver Stiffness by Transient Elastography (FibroScan)
Time Frame: At one month post-FMT.
|
Liver fibrosis was assessed using transient elastography (FibroScan) one month after fecal microbiota transplantation (FMT).
Liver stiffness values, expressed in kilopascals (kPa), were used to quantify fibrosis.
Multiple measurements were taken per participant, and the median value was reported.
Lower kPa values indicate less fibrosis (better outcome), while higher values indicate more severe fibrosis (worse outcome).
|
At one month post-FMT.
|
|
Implications of Fecal Microbiota Transplantation in Modulating Hepatic Encephalopathy
Time Frame: At one month post-FMT.
|
Hepatic encephalopathy (HE) was monitored in all participants at one month after fecal microbiota transplantation (FMT) using the West Haven criteria (Grade 0-IV).
Higher grades indicate more severe encephalopathy.
|
At one month post-FMT.
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Victoria Birlutiu, Prof. Dr., County Clinical Emergency Hospital of Sibiu
- Study Director: Adrian Boicean, Prof. Dr., County Clinical Emergency Hospital of Sibiu
Publications and helpful links
General Publications
- Boicean A, Birlutiu V, Ichim C, Brusnic O, Onisor DM. Fecal Microbiota Transplantation in Liver Cirrhosis. Biomedicines. 2023 Oct 30;11(11):2930. doi: 10.3390/biomedicines11112930.
- Ichim C, Boicean A, Anderco P, Todor SB, Hasegan A, Birsan S, Birlutiu V. MicroRNAs in Liver Cirrhosis: Diagnostic and Therapeutic Perspectives-A Comprehensive Review. J Pers Med. 2025 Aug 14;15(8):376. doi: 10.3390/jpm15080376.
- Ichim C, Boicean A, Todor SB, Anderco P, Birlutiu V. Fecal Microbiota Transplantation in Patients with Alcohol-Associated Cirrhosis: A Clinical Trial. J Clin Med. 2025 Aug 24;14(17):5981. doi: 10.3390/jcm14175981.
- Ichim C, Boicean A, Todor SB, Boeras I, Anderco P, Birlutiu V. Dynamics of Fecal microRNAs Following Fecal Microbiota Transplantation in Alcohol-Related Cirrhosis. J Clin Med. 2025 Dec 5;14(24):8623. doi: 10.3390/jcm14248623.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Pathologic Processes
- Metabolic Diseases
- Digestive System Diseases
- Liver Diseases
- Brain Diseases, Metabolic
- Liver Failure
- Hepatic Insufficiency
- Pathological Conditions, Signs and Symptoms
- Nutritional and Metabolic Diseases
- Fibrosis
- Liver Cirrhosis
- Hepatic Encephalopathy
- Therapeutics
- Diagnostic Techniques and Procedures
- Diagnosis
- Surgical Procedures, Operative
- Minimally Invasive Surgical Procedures
- Diagnostic Techniques, Surgical
- Endoscopy, Gastrointestinal
- Endoscopy, Digestive System
- Diagnostic Techniques, Digestive System
- Endoscopy
- Digestive System Surgical Procedures
- Biological Therapy
- Colonoscopy
- Fecal Microbiota Transplantation
Other Study ID Numbers
Other Study ID Numbers
- No: 3505/15.02.2023
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.