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Fecal Microbiota Transplantation (FMT) in the Management of Active Ulcerative Colitis

Primary Purpose

Ulcerative Colitis

Status
Completed
Phase
Phase 1
Locations
Canada
Study Type
Interventional
Intervention
Fecal Microbiota Transplant
Sponsored by
University of Alberta
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ulcerative Colitis

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Age > 18 and < 65 years
  2. Diagnosis of UC for > 3 months but < 5 years prior to screening as determined by the investigators
  3. Those with mild to moderate UC
  4. Those who have failed maintenance therapy with stable doses of 5-ASA, azathioprine or 6 mercaptopurine (6-MP) for > 3 months
  5. Where applicable, those who are taking the following medications must be at a stable dose defined as:

    i) 5-ASA must be at a stable dose for 2 weeks ii) Prednisone up to 20 mg/d must be at a stable dose for 2 weeks iii) Budesonide up to 6 mg/d must be at a stable dose for 2 weeks iv) Azathioprine or 6-MP must be at a stable dose for > 8 weeks

  6. ability to provide informed consent
  7. evidence of active inflammation

Exclusion Criteria:

  1. Those whose disease is limited to the rectum (ie. proctitis)
  2. Those with colectomy or diverting ileostomy
  3. Those who are pregnancy or plan to be pregnant during the trial
  4. Those who are breastfeeding or plan to breast feed during the trial
  5. Those who are on or have previously failed a biological agent
  6. Those with an active infection requiring antibiotic therapy
  7. Those with positive stool cultures for known pathogens such as E coli, Salmonella, Shigella, Yersinia, Campylobacter, and Clostridium difficile toxin within 2 weeks of enrollment
  8. Those with positive CMV on colonic tissue biopsy within 2 weeks of screening
  9. Those with allergy to ciprofloxacin and metronidazole
  10. Those with colonic mucosal dysplasia

Sites / Locations

  • University of Alberta Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Fecal Microbiota Transplantation

Arm Description

serial Fecal Microbiota Transplantation

Outcomes

Primary Outcome Measures

Mayo score reduction
Patients with at least 3 point reduction in partial Mayo scoring index at week 12 and at week 32 in the extension phase.

Secondary Outcome Measures

Full Information

First Posted
July 22, 2014
Last Updated
December 13, 2016
Sponsor
University of Alberta
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1. Study Identification

Unique Protocol Identification Number
NCT02227342
Brief Title
Fecal Microbiota Transplantation (FMT) in the Management of Active Ulcerative Colitis
Official Title
A Prospective, Single Center, Open Label Trial of Fecal Microbiota Transplantation (FMT) in the Management of Active Ulcerative Colitis
Study Type
Interventional

2. Study Status

Record Verification Date
December 2016
Overall Recruitment Status
Completed
Study Start Date
July 2014 (undefined)
Primary Completion Date
December 2016 (Actual)
Study Completion Date
December 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Alberta

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Manipulation of the intestinal microbiota through FMT is a potential therapeutic target for IBD patients. Studies are now required to determine if repeated FMT can overcome the apparent immune response to FMT thereby maintaining sustained clinical improvement and remission. Prior to a large randomized controlled trial of FMT in UC we will carry out a feasibility study to determine if serial FMTs can sustain a clinical response and maintain stability of transplanted microbiota.
Detailed Description
same as above

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ulcerative Colitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
3 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Fecal Microbiota Transplantation
Arm Type
Experimental
Arm Description
serial Fecal Microbiota Transplantation
Intervention Type
Biological
Intervention Name(s)
Fecal Microbiota Transplant
Intervention Description
serial FMT
Primary Outcome Measure Information:
Title
Mayo score reduction
Description
Patients with at least 3 point reduction in partial Mayo scoring index at week 12 and at week 32 in the extension phase.
Time Frame
12 and 32 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age > 18 and < 65 years Diagnosis of UC for > 3 months but < 5 years prior to screening as determined by the investigators Those with mild to moderate UC Those who have failed maintenance therapy with stable doses of 5-ASA, azathioprine or 6 mercaptopurine (6-MP) for > 3 months Where applicable, those who are taking the following medications must be at a stable dose defined as: i) 5-ASA must be at a stable dose for 2 weeks ii) Prednisone up to 20 mg/d must be at a stable dose for 2 weeks iii) Budesonide up to 6 mg/d must be at a stable dose for 2 weeks iv) Azathioprine or 6-MP must be at a stable dose for > 8 weeks ability to provide informed consent evidence of active inflammation Exclusion Criteria: Those whose disease is limited to the rectum (ie. proctitis) Those with colectomy or diverting ileostomy Those who are pregnancy or plan to be pregnant during the trial Those who are breastfeeding or plan to breast feed during the trial Those who are on or have previously failed a biological agent Those with an active infection requiring antibiotic therapy Those with positive stool cultures for known pathogens such as E coli, Salmonella, Shigella, Yersinia, Campylobacter, and Clostridium difficile toxin within 2 weeks of enrollment Those with positive CMV on colonic tissue biopsy within 2 weeks of screening Those with allergy to ciprofloxacin and metronidazole Those with colonic mucosal dysplasia
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Dina Kao, MD
Organizational Affiliation
University of Alberta
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Alberta Hospital
City
Edmonton
State/Province
Alberta
Country
Canada

12. IPD Sharing Statement

Learn more about this trial

Fecal Microbiota Transplantation (FMT) in the Management of Active Ulcerative Colitis

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