search
Back to results

Dose Ranging Study of the Safety and Efficacy of Orally Administered Lyophilized Fecal Microbiota Product (PRIM-DJ2727) for the Treatment of Recurrent Clostridium Difficile Infection (CDI)

Primary Purpose

Recurrent C. Difficile Infection

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Low fecal microbiota dose
Mid fecal microbiota dose
High fecal microbiota dose
Sponsored by
The University of Texas Health Science Center, Houston
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Recurrent C. Difficile Infection

Eligibility Criteria

18 Years - 100 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Sexually active female subjects of child-bearing potential must agree to use an effective method of birth control during the treatment and follow-up period
  • Female subjects of child-bearing potential must have a negative pregnancy test on the day of the procedure.
  • Subject willing to sign an informed consent form
  • Subject deemed likely to survive for ≥ 1 year after enrollment
  • Able to follow study procedure and follow-ups
  • Subjects' attending physician will provide non-transplant care for the subject
  • Diagnosed by medical history of ≥ 3 bouts of CDI in outpatients or ≥ 2 bouts of recurrent CDI in an inpatient with ≥ 2 positive fecal tests for C. difficile toxin
  • Received at least one course of adequate antibiotic therapy for CDI (≥ 10 days of vancomycin or metronidazole or fidaxomicin) since last bout of CDI
  • Have a 4 degrees Celsius refrigerator at home to keep the second dose FMT for overnight

Exclusion Criteria:

  • Unable to take capsules orally
  • Requiring systemic non-C. difficile antibiotic therapy within 14 days prior to FMT
  • Actively taking Saccharomyces boulardii or other probiotic at the time of FMT other than that found in fortified foods
  • Need for continuing use of drugs with CDI activity: oral vancomycin, oral or IV metronidazole, fidaxomicin, rifaximin or nitazoxanide at the time of FMT and after FMT
  • Severe underlying disease such that the patient is not expected to survive for one or more years or unstable medical condition requiring daily change in treatments

Sites / Locations

  • The University of Texas Health Science Center at Houston

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Active Comparator

Active Comparator

Arm Label

Low fecal microbiota dose

Mid fecal microbiota dose

High fecal microbiota dose

Arm Description

receiving healthy microbiota (PRIM-DJ2727) collected from 50g stool for 2 consecutive days

receiving healthy microbiota (PRIM-DJ2727) collected from 100g stool on the 1st day of treatment and from 50g stool on the 2nd day of the treatment

receiving healthy microbiota (PRIM-DJ2727) collected from 100g stool for 2 consecutive days

Outcomes

Primary Outcome Measures

Safety as Assessed by Number of Participants With Nausea
Safety as Assessed by Number of Participants With Vomiting
Safety as Assessed by Number of Participants With Diarrhea
Safety as Assessed by Number of Participants With Bloating
Safety as Assessed by Number of Participants With Constipation

Secondary Outcome Measures

Number of Participants With Recurrent C. Difficile Infection

Full Information

First Posted
September 26, 2017
Last Updated
February 20, 2020
Sponsor
The University of Texas Health Science Center, Houston
search

1. Study Identification

Unique Protocol Identification Number
NCT03298048
Brief Title
Dose Ranging Study of the Safety and Efficacy of Orally Administered Lyophilized Fecal Microbiota Product (PRIM-DJ2727) for the Treatment of Recurrent Clostridium Difficile Infection (CDI)
Official Title
Phase II. Dose Ranging Study of the Safety and Efficacy of Orally Administered Lyophilized Fecal Microbiota Product (PRIM-DJ2727) for the Treatment of Recurrent Clostridium Difficile Infection (CDI)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2020
Overall Recruitment Status
Terminated
Why Stopped
Investigators are no longer considering FMT product development for C. difficile.
Study Start Date
December 21, 2017 (Actual)
Primary Completion Date
March 30, 2019 (Actual)
Study Completion Date
June 30, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
The University of Texas Health Science Center, Houston

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
To establish optimal dosing of lyophilized Fecal microbiota transplantation (FMT) product in the treatment of recurrent C. difficile infection
Detailed Description
This is a single center, randomized, parallel assignment, double-blinded, safety and efficacy study to be conducted in subjects with recurrent CDI. Approximately 300 subjects will be enrolled in the study and randomized at 1:1:1 ratio to receive lyophilized donor intestinal bacteria with various doses in capsules. All subjects will be followed for approximately 180 days following FMT for safety.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Recurrent C. Difficile Infection

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
17 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Low fecal microbiota dose
Arm Type
Active Comparator
Arm Description
receiving healthy microbiota (PRIM-DJ2727) collected from 50g stool for 2 consecutive days
Arm Title
Mid fecal microbiota dose
Arm Type
Active Comparator
Arm Description
receiving healthy microbiota (PRIM-DJ2727) collected from 100g stool on the 1st day of treatment and from 50g stool on the 2nd day of the treatment
Arm Title
High fecal microbiota dose
Arm Type
Active Comparator
Arm Description
receiving healthy microbiota (PRIM-DJ2727) collected from 100g stool for 2 consecutive days
Intervention Type
Biological
Intervention Name(s)
Low fecal microbiota dose
Other Intervention Name(s)
Fecal microbiota transplantation (FMT)
Intervention Description
receiving healthy microbiota (PRIM-DJ2727) collected from 50g stool for 2 consecutive days
Intervention Type
Biological
Intervention Name(s)
Mid fecal microbiota dose
Other Intervention Name(s)
Fecal microbiota transplantation (FMT)
Intervention Description
receiving healthy microbiota (PRIM-DJ2727) collected from 100g stool on the 1st day of treatment and from 50g stool on the 2nd day of the treatment
Intervention Type
Biological
Intervention Name(s)
High fecal microbiota dose
Other Intervention Name(s)
Fecal microbiota transplantation (FMT)
Intervention Description
receiving healthy microbiota (PRIM-DJ2727) collected from 100g stool for 2 consecutive days
Primary Outcome Measure Information:
Title
Safety as Assessed by Number of Participants With Nausea
Time Frame
180 days
Title
Safety as Assessed by Number of Participants With Vomiting
Time Frame
180 days
Title
Safety as Assessed by Number of Participants With Diarrhea
Time Frame
180 days
Title
Safety as Assessed by Number of Participants With Bloating
Time Frame
180 days
Title
Safety as Assessed by Number of Participants With Constipation
Time Frame
180 days
Secondary Outcome Measure Information:
Title
Number of Participants With Recurrent C. Difficile Infection
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
100 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Sexually active female subjects of child-bearing potential must agree to use an effective method of birth control during the treatment and follow-up period Female subjects of child-bearing potential must have a negative pregnancy test on the day of the procedure. Subject willing to sign an informed consent form Subject deemed likely to survive for ≥ 1 year after enrollment Able to follow study procedure and follow-ups Subjects' attending physician will provide non-transplant care for the subject Diagnosed by medical history of ≥ 3 bouts of CDI in outpatients or ≥ 2 bouts of recurrent CDI in an inpatient with ≥ 2 positive fecal tests for C. difficile toxin Received at least one course of adequate antibiotic therapy for CDI (≥ 10 days of vancomycin or metronidazole or fidaxomicin) since last bout of CDI Have a 4 degrees Celsius refrigerator at home to keep the second dose FMT for overnight Exclusion Criteria: Unable to take capsules orally Requiring systemic non-C. difficile antibiotic therapy within 14 days prior to FMT Actively taking Saccharomyces boulardii or other probiotic at the time of FMT other than that found in fortified foods Need for continuing use of drugs with CDI activity: oral vancomycin, oral or IV metronidazole, fidaxomicin, rifaximin or nitazoxanide at the time of FMT and after FMT Severe underlying disease such that the patient is not expected to survive for one or more years or unstable medical condition requiring daily change in treatments
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Herbert L DuPont, MD
Organizational Affiliation
UTHealth School of Public Health
Official's Role
Principal Investigator
Facility Information:
Facility Name
The University of Texas Health Science Center at Houston
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Dose Ranging Study of the Safety and Efficacy of Orally Administered Lyophilized Fecal Microbiota Product (PRIM-DJ2727) for the Treatment of Recurrent Clostridium Difficile Infection (CDI)

We'll reach out to this number within 24 hrs