- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03053505
A Novel Faecal Microbiota Transplantation System for Treatment of Primary and Recurrent Clostridium Difficile Infection (FMTREAT)
Two-arm, Interventional, Prospective, Open-label, Multi-center Trial to Evaluate the Safety & Effectiveness of FMT for Treatment of Adult Patients With Primary or Recurrent CDI, Using a Novel, Standardized Microbiota Transplantation System
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Gergely G Nagy, M.D., Ph.D.
- Phone Number: 0036209547016
- Email: ngergely@hotmail.com
Study Contact Backup
- Name: Zsuzsa Tudlik, Pharm.D.
- Phone Number: 0036204197188
- Email: drtudlikzsuzsa@sejtterapia.hu
Study Locations
-
-
B-A-Z County
-
Miskolc, B-A-Z County, Hungary, 3525
- Recruiting
- Miskolci Semmelweis Kórház és Egyetemi Oktatókórház
-
Contact:
- Tibor Pap, M.D.
-
-
Hajdu-Bihar megye
-
Debrecen, Hajdu-Bihar megye, Hungary, 4032
- Recruiting
- University of Debrecen, Clinical Centre
-
Contact:
- Gyorgy Paragh, M.D., D.Sc.
-
-
Szabocs-Szatmar-Bereg megye
-
Nyiregyhaza, Szabocs-Szatmar-Bereg megye, Hungary, 4400
- Recruiting
- Szabolcs-Szatmar-Bereg Megyei Korhazak es Egyetemi Oktatokorhaz
-
Contact:
- Laszlo Szegedi, M.D.
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Group "R":- recurrent CDI;- positive stool toxin test within 72 hours before enrolment
- Group "F":- first (initial) episode of CDI;- enrolled patient falls in at least one of the following categories:high risk of recurrence or high risk of developing severe CDI or severe or life-threatening CDI;- patient requires hospitalization or CDI occurs during a hospital stay;- persisting symptoms despite least 72 hours of adequate antibiotic treatment;-positive stool CD toxin test obtained within 72 hours before screening;- in all cases, primary consideration must be given to the severity and pace of the patient's CDI when deciding whether early use of FMT is appropriate to prevent further clinical deterioration.
Exclusion Criteria:
- absence of either patient's or its legally authorized representative's informed consent
- inability or unwillingness to comply with protocol requirements
- severe co-morbidities, terminal underlying disease with a life expectancy of less than 90 days
- pregnancy or breastfeeding
- active gastroenteritis caused by microorganisms other than CD
- underlying chronic gastrointestinal disease that causes diarrhoea such as autonomic diabetic neuropathy, short bowel syndrome, faecal incontinence, active inflammatory bowel disease
- alimentary or over-the-counter drog allergy with previous anaphylactic reaction
- absolute contraindication to FMT
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Recurrent CDI FMT
Non-randomized group ("R") for treatment of recurrent CDI with FMT
|
Non-randomized group "R": Patients with recurrent CD infection are treated with FMT in this group. Randomized group "F"FMT: patients with initial CD infection who have severe disease or who are at high risk of recurrence or high risk of developing severe disease are treated with FMT.
Other Names:
|
Active Comparator: Primary CDI antibiotic
Randomized group ("F" AB) for the treatment of primary CDI with antibiotics (vancomycin or fidaxomicin)
|
Randomized group "F"AB: patients with initial CD infection who have severe disease or who are at high risk of recurrence or high risk of developing severe disease are treated with antibiotics (vancomycin per os 125mg four times a day for 10 days) in this group.
In case of treatment failure changes in antibiotic regime (e.g.
fidaxomicin per os 200mg per two times a day for 10 days) will be allowed in the line with the recommendations of current CDI treatment guidelines(13).
|
Experimental: Primary CDI FMT
Randomized group ("F" FMT) for the treatment of primary CDI with FMT
|
Non-randomized group "R": Patients with recurrent CD infection are treated with FMT in this group. Randomized group "F"FMT: patients with initial CD infection who have severe disease or who are at high risk of recurrence or high risk of developing severe disease are treated with FMT.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Global cure rate at 10 weeks
Time Frame: 10 weeks after enrolment
|
10 weeks after enrolment
|
|
Time to clinical cure
Time Frame: Through study completion, an average of 18 months
|
The number of days between enrolment and the resolution of diarrhoea
|
Through study completion, an average of 18 months
|
Time to global cure
Time Frame: Through study completion, an average of 18 months
|
The number of days between enrolment and the resolution of diarrhoea without relapse
|
Through study completion, an average of 18 months
|
Cure rate at 2 weeks
Time Frame: 2 weeks after enrolment
|
2 weeks after enrolment
|
|
Cure rate at 4 weeks
Time Frame: 4 weeks after enrolment
|
4 weeks after enrolment
|
|
Treatment failure rate
Time Frame: Through study completion, an average of 18 months
|
Through study completion, an average of 18 months
|
|
Recurrence rate 8 weeks after clinical cure
Time Frame: 8 weeks after clinical cure
|
8 weeks after clinical cure
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of adverse events (AE)
Time Frame: Through study completion, an average of 18 months
|
Number of participants with treatment related adverse events
|
Through study completion, an average of 18 months
|
Number of serious adverse events (SAE)
Time Frame: Through study completion, an average of 18 months
|
Number of participants with treatment related serious adverse events
|
Through study completion, an average of 18 months
|
Time of hospitalization
Time Frame: Through study completion, an average of 18 months
|
Through study completion, an average of 18 months
|
|
Days without diarrhoea during study period
Time Frame: Through study completion, an average of 18 months
|
Through study completion, an average of 18 months
|
|
Patient related quality of life
Time Frame: 0, 7, 14 days after enrolment
|
Measured with EuroQoL 5Q-TL questionnaire
|
0, 7, 14 days after enrolment
|
Professional acceptance
Time Frame: Through study completion, an average of 18 months
|
A modified TSQM-14 questionnaire for assessing professional acceptance will be used during the study
|
Through study completion, an average of 18 months
|
General health survey for patients
Time Frame: 0, 7, 14 days after enrolment
|
Measured with SF-36v2 questionnaire
|
0, 7, 14 days after enrolment
|
Patient anxiety and depression
Time Frame: 0, 14, 70 days after enrolment
|
Measured with HAD Scale (HADS)
|
0, 14, 70 days after enrolment
|
Patient acceptance of treatment
Time Frame: 14,70 days after enrolment
|
Measure with TSQM-14 questionnaire
|
14,70 days after enrolment
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Chair: Gergely G Nagy, M.D., Ph.D., University of Debrecen
- Study Director: Zoltan Szilvassy, M.D., D.Sc., University of Debrecen
- Principal Investigator: Gyorgy Paragh, M.D., D.Sc., University of Debrecen
- Principal Investigator: Istvan Varkonyi, M.D., Kenézy Gyula Kórház És Rendelőintézet
- Principal Investigator: Zoltan Fulep, M.D., Bacs-kiskun Megyei Korhaz
- Principal Investigator: Laszlo Szegedi, M.D., Szabolcs-Szatmar-Bereg Megyei Korhaz es Egyetemi Oktatokorhaz
- Principal Investigator: Tibor Pap, M.D., Miskolci Semmelweis Kórház és Egyetemi Oktatókórház
- Principal Investigator: Laszlo Nagy, M.D., D.Sc., UD-Genomed Kft.
- Study Chair: Eva Rakoczi, M.D., Kenézy Gyula Kórház És Rendelőintézet
- Study Chair: Judit Szabo, M.D., Ph.D., University of Debrecen
- Study Chair: Maria Papp, M.D., Ph.D., University of Debrecen
- Principal Investigator: Peter Vajo, Sejtterapia Kozpont Kft.
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- FMT01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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.
Clinical Trials on Clostridium Difficile Infection
-
Vedanta Biosciences, Inc.CompletedClostridium Difficile Infection | Clostridium Difficile Infection Recurrence | Clostridium Difficile | CDI | Clostridioides Difficile Infection | Clostridioides Difficile | Clostridioides Difficile Infection RecurrenceUnited States, Canada
-
Vedanta Biosciences, Inc.Not yet recruitingClostridium Difficile Infection Recurrence | Recurrent Clostridium Difficile Infection | Clostridium Difficile | Diarrhea Infectious | CDI | Clostridium Difficile Infections | Clostridioides Difficile Infection | C.Difficile Diarrhea | Clostridioides Difficile Infection Recurrence | C. Diff Infection
-
University of PennsylvaniaTerminatedSevere Clostridium Difficile Infection | Severe-Complicated/Fulminant Clostridium Difficile InfectionUnited States
-
Mikrobiomik Healthcare Company S.L.CompletedRecurrent Clostridium Difficile Infection | Primary Clostridium Difficile InfectionSpain
-
University of North Carolina, Chapel HillNorth Carolina Translational and Clinical Sciences Institute; North Carolina...CompletedClostridium DifficileUnited States
-
University Health Network, TorontoTerminatedRecurrent Clostridium Difficile Infection | Laboratory Confirmed Clostridium Difficile InfectionCanada
-
University of Wisconsin, MadisonAgency for Healthcare Research and Quality (AHRQ)Enrolling by invitationClostridium Difficile Infection | Clostridium Difficile | C Difficile ColitisUnited States
-
DeinoveRecruitingClostridium Difficile (C. Difficile)United States, Canada
-
Hospital Universitario Evangelico de CuritibaNot yet recruitingClostridium Difficile Infections
-
MJM BontenUniversiteit Antwerpen; Universitätsklinikum Köln; Da VolterraCompletedClostridium DifficileGermany, Spain, France, Greece, Netherlands, Romania
Clinical Trials on faecal human microbiota transplant (FMT)
-
University of BirminghamPSC Support; Life ArcNot yet recruitingInflammatory Bowel Diseases | Primary Sclerosing CholangitisUnited Kingdom
-
Örebro University, SwedenRegion Örebro CountyCompleted
-
St Vincent's Hospital MelbourneUnknownCrohn Disease | Ulcerative Colitis | Microscopic Colitis | Faecal Microbiota TransplantationAustralia
-
University of AarhusNot yet recruitingDiarrhea | Systemic SclerosisDenmark
-
Jena University HospitalGerman Federal Ministry of Education and ResearchNot yet recruitingInflammatory Bowel Diseases | Ulcerative Colitis
-
Hospital Universitario Dr. Jose E. GonzalezCompletedChronic Kidney Disease Due to Hypertension | Chronic Kidney Disease Due to Type 2 Diabetes MellitusMexico
-
St. Jude Children's Research HospitalNot yet recruiting
-
Stacy A. KahnCompletedInflammatory Bowel Diseases | Crohn Disease | Ulcerative ColitisUnited States
-
University of AarhusRecruitingKidney Cancer | Diarrhea | Colitis | Malignant MelanomaDenmark
-
University of AarhusRecruitingClostridium Difficile InfectionDenmark