- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05461833
FMT for Post-infectious IBS
July 14, 2022 updated by: Nazarii Kobyliak, Bogomolets National Medical University
Fecal Microbiota Transplantation in Patients With Post-infection Irritable Bowel Syndrome: a Randomized, Clinical Trial
Considering that PI-IBS is brought on by infection and gut microbiota may be associated with the onset of symptoms, the modification of altered gut microbiota with nonabsorbable antibiotics such as rifaximin-α or probiotics is often employed as first-stage treatment.
Research in recent years has also shown the potential benefits of fecal microbiota transplantation (FMT) for IBS, which is the replacement of a sick recipient's gut microbiota with fecal material from a healthy donor.
Even though the only officially approved indication for FMT at this time is recurrent Clostridium difficile infection, the effectiveness of FMT is nevertheless being studied for the treatment of other gastrointestinal and non-gastrointestinal pathologies including IBS.
To date, several controlled and uncontrolled studies have been conducted to study the effectiveness of FMT for IBS, and most of them have demonstrated positive results.
The investigators have not come across studies devoted to the study of the effectiveness of FMT in patients with PI-IBS in the available literature.
So, the aim of the current study was to conduct single-centre, randomized clinical trial to assess the safety, clinical and microbiological efficacy of FMT in patients with PI-IBS.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
59
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Kyiv, Ukraine, 01601
- Bogomolets National Medical University
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Kyiv, Ukraine
- Ukrainian Research and Practical Centre of Endocrine Surgery, Transplantation of Endocrine Organs and Tissues of the Ministry of Health of Ukraine
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years to 63 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria
- age 18-65 years
- PI-IBS diagnosis in accordance with the Rome IV criteria
- moderate-severe disease activity (as determined by an IBS-Symptom Severity Score ≥175)
- normal appearing colon on colonoscopy with biopsy that did not reveal pathology
- signed inform consent.
Exclusion Criteria:
- systemic disease, immunodeficiency, or previous treatment with immunomodulators;
- pregnant or breastfeeding;
- previous surgery on the abdominal cavity, with the exception of appendectomy, cholecystectomy, caesarean section and hysterectomy;
- severe current disease (hepatic, renal, respiratory, or cardiovascular);
- probiotic or antibiotic use within 8 weeks prior to study initiation;
- any condition or circumstance that would, in the opinion of the investigator, prevent completion of the study or interfere with analysis of study results.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
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: Fecal transplantation group
Fecal transplantation of frozen prepared feces from healthy donor.
Application by colonoscope in proximal half of colon.
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Preparation of flesh feces by blending in 0.9 % saline and crude filtering.
The solution is applied in proximal colon of IBS patient by colonoscopy after standard bowel preparation.
Other Names:
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Active Comparator: Standard-care group
FODMAP diet, Otilonium Bromide, oral, (40mg, 1 tablet TID) and a multi-strain probiotic, oral, (1 capsule BID)
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OTILONII BROMIDUM , oral, 40 mg TID, 1 months of treatment
Other Names:
multi-strain probiotic, oral, 1 capsule BID for 1 month
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Irritable bowel syndrome severity scoring system (IBS-SSS)
Time Frame: at 0, 2, 4 and 12 weeks
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This questionnaire contains five questions, each with a maximum score of 100 using a visual analog scale.
Total scores between 75 and 175 were considered indicative of mild IBS severity, 175-300 were moderate, and >300 were severe.
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at 0, 2, 4 and 12 weeks
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assesment of response rate
Time Frame: at 12 weeks
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response rate was assessed as decrease of ≥ 50 points on the IBS-SSS
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at 12 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in BS Quality of Life Scale (IBS-QoL)
Time Frame: at 0, 2, 4 and 12 weeks
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This questionnaire contains 34 items concerning the physical and psychological functioning of IBS patients in 8 domains: dysphoria, activity interference, body image, health concerns, food avoidance, social reactions, sexual function and impact on relationships.
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at 0, 2, 4 and 12 weeks
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Change in Fatigue Assessment Scale (FAS)
Time Frame: at 0, 2, 4 and 12 weeks
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The questionnaire comprises 10 questions with 5-point-scale answers varying from never to always.
Five of these questions measured physical fatigue and the other five measured mental fatigue.
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at 0, 2, 4 and 12 weeks
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Bacteriology measured in the stool flora by specialized non-culture techniques
Time Frame: at 0 and 1 months
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The percentage of patients in each group were evaluated and characterized by a decrease below the normal content of symbiotic bacteria Bifidobacterium (less than 107 CFU / g), lactobacilli (less than 107 CFU / d), E.coli with normal properties (less than 106 CFU / d) and increase in content E.coli with altered properties (more than 106 CFU / g), pathogenic enterobacteria (not normally detected) and fungi of the genus Candida (more than 104 CFU / d)
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at 0 and 1 months
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Microbiome profile change
Time Frame: at 0 and 1 months
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Characterization of fecal microbiome by metagenomic analysis before and after intervention Characterization of fecal microbiome by metagenomic analysis before and after intervention
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at 0 and 1 months
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 1, 2020
Primary Completion (Actual)
December 31, 2021
Study Completion (Actual)
January 15, 2022
Study Registration Dates
First Submitted
July 11, 2022
First Submitted That Met QC Criteria
July 14, 2022
First Posted (Actual)
July 18, 2022
Study Record Updates
Last Update Posted (Actual)
July 18, 2022
Last Update Submitted That Met QC Criteria
July 14, 2022
Last Verified
July 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Pathologic Processes
- Disease
- Gastrointestinal Diseases
- Colonic Diseases, Functional
- Colonic Diseases
- Intestinal Diseases
- Syndrome
- Irritable Bowel Syndrome
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Parasympatholytics
- Autonomic Agents
- Peripheral Nervous System Agents
- Muscarinic Antagonists
- Cholinergic Antagonists
- Cholinergic Agents
- Gastrointestinal Agents
- Membrane Transport Modulators
- Calcium-Regulating Hormones and Agents
- Calcium Channel Blockers
- Octylonium
Other Study ID Numbers
- FMT-PI-IBS
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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.
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