- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05831189
A Multi-center, Single-arm Trial Exploring the Safety and Clinical Effectiveness of RBX2660 Administered by Colonoscopy to Adults With Recurrent Clostridioides Difficile Infection (CDI-SCOPE)
April 7, 2026 updated by: Ferring Pharmaceuticals
This trial will be initiated to explore whether RBX2660 (REBYOTA®) could be suitable for administration by the practice of colonoscopy.
More specifically, the purpose of this trial is to explore the safety and clinical effectiveness of RBX2660 when delivered by colonoscopy to adults with rCDI.
The experience of physicians will be documented through a physician-experience questionnaire to explore the usability of RBX2660 in clinical practice for colonoscopic administration.
Furthermore, to explore the patient-experience of RBX2660 treatment, each trial participant will be offered to undergo a structured interview.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
41
Phase
- Phase 3
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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Arkansas
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North Little Rock, Arkansas, United States, 72117
- Ferring Investigational Site
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California
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Camarillo, California, United States, 93012
- Ferring Investigational Site
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Connecticut
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Hamden, Connecticut, United States, 06518
- Ferring Investigational Site
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Idaho
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Idaho Falls, Idaho, United States, 83404
- Ferring Investigational Site
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Illinois
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Gurnee, Illinois, United States, 60031
- Ferring Investigational Site
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Louisiana
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Shreveport, Louisiana, United States, 71105
- Ferring Investigational Site
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Minnesota
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Plymouth, Minnesota, United States, 55446
- Ferring Investigational Site
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Rochester, Minnesota, United States, 55905
- Ferring Investigational Site
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Ohio
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Cleveland, Ohio, United States, 44195
- Ferring Investigational Site
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73102
- Ferring Investigational Site
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Virginia
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Burke, Virginia, United States, 22015
- Ferring Investigational Site
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Wisconsin
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Madison, Wisconsin, United States, 53705
- Ferring Investigational Site
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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
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- have documented evidence of rCDI (≥1 recurrence after a primary CDI episode)
- be undergoing antibiotic treatment for the qualifying rCDI episode that was diagnosed by a stool test for the presence of toxigenic C. difficile or C. difficile toxin
- be eligible for FMT as judged by the investigator or current treatment guidelines for rCDI in the US
- be a candidate for colonoscopy as judged by the investigator
Exclusion Criteria:
- Use or planned use of systemic antibiotics for an indication other than the qualifying rCDI episode.
- Current uncontrolled chronic diarrhea not related to CDI.
- Receipt of CDI vaccine or treatment with CDI monoclonal antibodies within the past 12 months before screening.
- Evidence of active, severe, or fulminant colitis, diagnosis of toxic megacolon or have a current colostomy or ileostomy
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: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: RBX2660
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RBX2660 should be administered to the right side of the colon (i.e., between the ileocecal valve and the hepatic flexure of the colon).
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Number of Participants With RBX2660-related Treatment-emergent Adverse Events (TEAEs) After RBX2660 Treatment Delivered by Colonoscopy Through 8 Weeks, or Treatment Failure
Time Frame: 8 weeks after RBX2660 treatment delivered by colonoscopy
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8 weeks after RBX2660 treatment delivered by colonoscopy
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
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Number of Participants With Recurrence of Clostridioides Difficile Infection (CDI) Within 8 Weeks After RBX2660 Treatment Delivered by Colonoscopy.
Time Frame: Within 8 weeks after RBX2660 treatment delivered by colonoscopy
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Within 8 weeks after RBX2660 treatment delivered by colonoscopy
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Time to CDI Recurrence From Baseline Through 8 Weeks After RBX2660 Treatment Delivered by Colonoscopy
Time Frame: 8 weeks after RBX2660 treatment delivered by colonoscopy
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8 weeks after RBX2660 treatment delivered by colonoscopy
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Physician-experience, as Determined by Questionnaire, Documenting Subjective Experience of Investigators on Usability of RBX2660 in Clinical Practice When Delivered by Colonoscopy
Time Frame: At Day 1 (baseline visit)
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At Day 1 (baseline visit)
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Physician Perception of Patient Benefit, as Determined by Number of Participants With Clinician Global Impression of Improvement (CGI-I) at 8 Weeks, or at Treatment Failure, After RBX2660 Treatment Delivered by Colonoscopy
Time Frame: 8 weeks after RBX2660 treatment delivered by colonoscopy
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8 weeks after RBX2660 treatment delivered by colonoscopy
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Patient-experience Interview at 8 Weeks, or at Treatment Failure, After RBX2660 Treatment Delivered by Colonoscopy
Time Frame: 8 weeks after RBX2660 treatment delivered by colonoscopy
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8 weeks after RBX2660 treatment delivered by colonoscopy
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Number of Participants With Treatment-emergent Adverse Events up to 8 Weeks or Treatment Failure After RBX2660 Treatment
Time Frame: Up to 8 weeks after RBX2660 treatment delivered by colonoscopy
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Up to 8 weeks after RBX2660 treatment delivered by colonoscopy
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Number of Participants With Serious Adverse Events (SAEs)
Time Frame: Up to 8 weeks after RBX2660 treatment delivered by colonoscopy
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Up to 8 weeks after RBX2660 treatment delivered by colonoscopy
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Number of Participants With Any Adverse Events of Special Interest (AESIs)
Time Frame: Up to 8 weeks after RBX2660 treatment delivered by colonoscopy
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Up to 8 weeks after RBX2660 treatment delivered by colonoscopy
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Number of Participants With Adverse Events Leading to Death or Intensive Care Unit (ICU) Admission
Time Frame: Up to 8 weeks after RBX2660 treatment delivered by colonoscopy
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Up to 8 weeks after RBX2660 treatment delivered by colonoscopy
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: Global Clinical Compliance, Ferring Pharmaceuticals
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- McCool-Myers M, Umanzor-Figueroa C, Symonds T, Landeira M, Awad T, Armandi D, Guthmueller B & Khanna S. Patient-reported benefits of colonoscopically administered microbiota restoration therapy: a qualitative study of adult patients with recurrent Clostridioides difficile infection. Therapeutic Advances in Gastroenterology. 2025 Nov 14; 18:17562848251392102. doi: 10.1177/17562848251392102.
- Khanna S, Yoho D, Van Handel D, Clark BJ, Awad T, Guthmueller B, Armandi D, Knapple W, Safdar N, Baggott B, Simon K, Feuerstadt P. Safety and effectiveness of fecal microbiota, live-jslm (REBYOTA(R)) administered by colonoscopy for prevention of recurrent Clostridioides difficile infection: 8-week results from CDI-SCOPE, a single-arm, phase IIIb trial. Ther Adv Gastroenterol. 2025 Apr 22;18:17562848251339697. doi: 10.1177/17562848251339697. eCollection 2025.
- Khanna S, Yoho D, Van Handel D, Clark BJ, Awad T, Guthmueller B, Armandi D, Knapple W, Safdar N, Baggott B, Simon K, Feuerstadt P. Prevention of recurrent Clostridioides difficile infection by fecal microbiota, live-jslm (REBYOTA(R)) administered via colonoscopy: 6-month data from the single-arm phase IIIb CDI-SCOPE trial. Ther Adv Gastroenterol. 2025 Nov 9;18:17562848251396744. doi: 10.1177/17562848251396744. eCollection 2025.
- McCool-Myers M, Umanzor-Figueroa C, Symonds T, Landeira M, Awad T, Armandi D, Guthmueller B, Khanna S. Patient-reported benefits of colonoscopicallyadministered microbiota restoration therapy: a qualitative study of adult patients with recurrent Clostridioides difficile infection. Ther Adv Gastroenterol. 2025 Nov 14;18:17562848251392102. doi: 10.1177/17562848251392102. eCollection 2025.
Helpful Links
- Safety and effectiveness of fecal microbiota, live-jslm (REBYOTA(R)) administered by colonoscopy for prevention of recurrent Clostridioides difficile infection: 8-week results from CDI-SCOPE, a single-arm, phase IIIb trial
- Prevention of recurrent Clostridioides difficile infection by fecal microbiota, live-jslm (REBYOTA(R)) administered via colonoscopy: 6-month data from the single-arm phase IIIb CDI-SCOPE trial.
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)
April 21, 2023
Primary Completion (Actual)
January 17, 2025
Study Completion (Actual)
January 17, 2025
Study Registration Dates
First Submitted
April 14, 2023
First Submitted That Met QC Criteria
April 14, 2023
First Posted (Actual)
April 26, 2023
Study Record Updates
Last Update Posted (Actual)
April 24, 2026
Last Update Submitted That Met QC Criteria
April 7, 2026
Last Verified
March 1, 2026
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Signs and Symptoms, Digestive
- Intestinal Diseases
- Infections
- Digestive System Diseases
- Gastrointestinal Diseases
- Gastroenteritis
- Gram-Positive Bacterial Infections
- Bacterial Infections
- Bacterial Infections and Mycoses
- Clostridium Infections
- Enterocolitis
- Pathological Conditions, Signs and Symptoms
- Signs and Symptoms
- Diarrhea
- Enterocolitis, Pseudomembranous
Other Study ID Numbers
- 000416
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
Yes
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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