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Study to Evaluate the Fecal Microbiota Transplantation (FMT) in the Treatment of Ulcerative Colitis
NCT05786404 · The University of Texas Health Science Center, Houston
In plain English
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Official title
A Randomized, Open-label, Pilot Study to Evaluate the Fecal Microbiota Transplantation (FMT) in the Treatment of Ulcerative Colitis
About this study
Studies have shown that microbiota disturbances occur in patients with ulcerative colitis (UC). This study will evaluate safety and preliminary efficacy of microbiota replacement treatment in active UC, and changes in microbiome (diversity and genera) and proportion of antibody-coated microbiota from baseline to after completion of FMT. Studies have shown that microbiota disturbances occur in patients with ulcerative colitis (UC). This study will evaluate safety and preliminary efficacy of microbiota replacement treatment in active UC, and changes in microbiome (diversity and genera) and proportion of antibody-coated microbiota from baseline to after completion of FMT.
Eligibility criteria
Inclusion Criteria:
* Diagnosis of active UC defined on clinical grounds (Partial Mayo score ≥ 3 with each subscore \>1)
* Sexually active male and female subjects of childbearing potential must agree to use an effective method of birth control during the study.
* Female subjects of childbearing potential must have a negative urine Qualitative Human Chorionic Gonadotropin(HCG)pregnancy test at enrolment and on the Week 1, Day 1 of the Treatment prior to administration of study drug.
* Willing and able to sign an informed consent form and attend all study-related clinic visits, assessments, and follow-up phone calls.
* Subject has an attending physician who will provide the non-FMT care.
Exclusion Criteria:
* Subjects with sever UC (Mayo score of \>7)
* Unable to take retention enema or multiple capsules orally.
* Females who are pregnant, breastfeeding, or planning to become pregnant during the study.
* Receipt of systemic non-topical antibiotics within 14 days of treatment day 1.
* Positive results for active HIV, Hepatitis B, or Hepatitis C infections.
* History of recurrent Clostridium difficile infection or FMT in the past 6-months.
* History of other active gastrointestinal conditions such as irritable bowel syndrome, microscopic colitis, celiac disease, short gut syndrome, colostomy, colectomy, gastrointestinal fistulae or strictures, chronic parasitic infections, diverticulitis etc.
* Known history of bile acid diarrhea
* Compromised immune system (e.g. primary immune disorders or clinical immunosuppression due to a medical condition or medication e.g. taking oral prednisone \>20 mg a day or prednisone-equivalent)
* History of active cancer and/or ongoing chemotherapy (superficial non-metastatic cancers and maintenance chemotherapy are permitted).
* History of use of an investigational drug within 90 days prior to the screening visit.
* History of significant uncontrolled systemic disease that in the opinion of the study investigator could interfere with study participation and/or objectives.
* Life expectancy of \< 1 year.
* In the opinion of investigator, subject for any reason, should be excluded from the study.
* Absolute neutrophil count (ANC) \< 500IU/mL
Study design
Enrollment target: 20 participants
Allocation: randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2023-12-15
Estimated completion: 2027-12-15
Last updated: 2024-05-10
Interventions
Drug: PRIM-DJ2727 - FROZENDrug: PRIM-DJ2727 - CAPSULES
Primary outcomes
- • Disease severity as assessed by the Partial Mayo Score (PMS) for Ulcerative Colitis (UC) (week 5)
- • Change in fecal microbiota diversity and genera as assessed by sequencing (Baseline,end of treatment (4 weeks after baseline))
- • Change in proportion of antibody-coated microbiota as assessed by the antibiotic susceptibility test (Baseline,end of treatment (4 weeks after baseline))
Sponsor
The University of Texas Health Science Center, Houston · other
Contacts & investigators
ContactHerbert L DuPont, MD · contact · herbert.l.dupont@uth.tmc.edu · 713 500 6687
ContactZhi-Dong Jiang, Dr.PH · contact · 713 500 9371
InvestigatorHerbert L DuPont, MD · principal_investigator, The University of Texas Health Science Center, Houston
All locations (1)
The University of Texas Health Science Center at HoustonRecruiting
Houston, Texas, United States