Microbial Restoration in Inflammatory Bowel Diseases

PHASE2PHASE3RECRUITING

This is a prospective, two-centre, double-blind, parallel-arm, randomised, placebo-controlled trial evaluating the impact of FMT on patients with active Crohn's disease.

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Study details:

The study will be conducted in two parts. The first part will involve all patients undergoing an optimisation phase, followed by randomisation into either intervention or placebo arms of the induction phase of the study. For patients achieving a pre-determined clinical response threshold at week 8 they will be re-randomised into the maintenance phase of the trial for a further 44 weeks.

FMT will be anaerobically prepared, freeze-thawed for administration.

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Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  • Active Crohn's disease
  • Exclusion criteria

  • Active perianal or fistulising disease
  • Pregnant
  • Enteropathy or colitis other than Crohn's disease
  • Symptomatic stricture likely to require surgical treatment
  • Presence of a stoma
  • Presence of an ileoanal pouch
  • Immunodeficiency (beyond that caused by immune suppressants used with IBD) e.g. HIV or Common variable immune deficiency
  • Prednisolone dose >20mg or budesonide dose >6mg
  • Active gastrointestinal infection
  • Alcohol consumption of a dependent nature
  • Primary sclerosing cholangitis
  • Recent overseas travel
  • Contact with COVID-19 positive or DHHS-defined close contact of COVID-19 positive individual in 8 weeks prior to study entry
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    Eligibility

    Age eligible for study : 18 and older

    Healthy volunteers accepted : No

    Gender eligible for study: All

    Things to know

    Study dates

    Study start: 2021-12-01

    Primary completion: 2024-12-01

    Study completion finish: 2025-12-01

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE2

      PHASE3

    trial

    Trial ID

    NCT04970446

    Intervention or treatment

    DRUG: Antibiotics

    DIETARY_SUPPLEMENT: Dietician designed diet

    DRUG: FMT

    OTHER: Placebo

    Conditions

    • Fecal Microbiota Transplantation
    • Crohn Disease
    • Inflammatory Bowel Diseases
    • Microbiome
    Image related to Fecal Microbiota Transplantation
    • Condition: Fecal Microbiota Transplantation, Crohn Disease and more

    • DRUG: Antibiotics and other drugs

    • Melbourne, Victoria, Australia

    • Sponsor: St Vincent's Hospital Melbourne

    Find a site

    Closest Location:

    St Vincents Hospital

    Research sites nearby

    Select from list below to view details:

    • St Vincents Hospital

      Melbourne, Victoria, Australia

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    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?

    Participant Group/ArmIntervention/Treatment
    ACTIVE_COMPARATOR: FMT arm
    • Anaerobically prepared, freeze-thawed faecal microbiota transplantation
    DRUG: Antibiotics
    • All patients will receive a one week course of antibiotic therapy.
    PLACEBO_COMPARATOR: Placebo arm
    • Placebo liquid formulation (normal saline, glycerol, food colorant)
    DRUG: Antibiotics
    • All patients will receive a one week course of antibiotic therapy.

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    Clinical responseCDAI decrease of ≥100 or CDAI\<150Week 8

    Secondary outcome

    Frequently Asked Questions

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    References

    Clinical Trials Gov: Microbial Restoration in Inflammatory Bowel Diseases

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