Faecal Microbiota Transplantation After Allogeneic Stem Cell Transplantation (TMF-Allo)
Acute Leukemia in Remission, Myelodysplastic Syndromes, Myeloproliferative Syndrome
About this trial
This is an interventional treatment trial for Acute Leukemia in Remission focused on measuring Allogeneic hematopoietic stem cell transplantation, Hematologic malignancies, Graft versus Host Disease, Intestinal microbiota, Intestinal dysbiosis, Fecal Microbiota Transplantation
Eligibility Criteria
Inclusion Criteria:
- Patient aged 18 or over
- Men and women
- Patients affiliated with a social-security organization
- Patients undergoing a myelo-ablative allo-HSCT for a controlled haematologic malignant disease, with peripheral stem cells, whatever the type of donor (except cord blood)
- Signed and dated informed consent
Exclusion Criteria:
- Status of tumor progression at the time of allo-HSCT
- Inability to understand the protocol (linguistic barrier, cognitive difficulties)
- Medical history of another progressive cancer or occurrence in the 3 previous years (excluding basal cell carcinoma)
- Presence of a simultaneous serious and uncontrolled disease (severe cardiac, renal, hepatic or respiratory failure, severe sepsis)
- Fecal incontinence
- Participation in another clinical trial studying an allograft procedure including the type of graft, the type of immunosuppression, a preventive or a curative treatment of GvHD, or studying the effectiveness of a FMT in another indication.
- Pregnant women
- Patient under guardianship, curatorship or protection of justice
Sites / Locations
- Service d'Hématologie Clinique et Thérapie Cellulaire CHU Amiens Picardie - Site Sud
- Service Maladies du sang CHU Angers
- Hématologie clinique CHU Besançon
- Plateforme d'Investigation Clinique / Centre d'Investigation Clinique - Inserm 1405, CHU Gabriel Montpied Clermont-FerrandRecruiting
- Service de thérapie Cellulaire et d'Hématologie Clinique Adulte CHU Estaing - Clermont-Ferrand
- Service hématologie CHU Grenoble
- Service des Maladies du sang Hôpital HURIEZ, CHRU de Lille
- Service de thérapie cellulaire et l'hématologie clinique adulte CHU Limoges
- Service d'Hématologie Centre Hospitalier Lyon Sud
- Service d'Hématologie et de Médecine interne Hôpital Brabois CHRU Nancy
- Service d'Hématologie Clinique CHU Nantes
- Service d'hématologie clinique, département de greffe de moelle CHU Nice
- Service d'Hématologie Adultes Hôpital Necker
- Service d'Hématologie clinique Hôpital Pitié-Salpêtrière
- Service d'hématologie greffe Hôpital St Louis
- Hématologie clinique et thérapie cellulaire Hôpital Haut-Lévèque
- Service d'hématologie greffe Hôpital St Louis
- Département d'hématologie CAC Rouen
- Hématologie clinique Institut de Cancérologie de la Loire
- IUC T - Oncopôle
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Group 1: Fecal Microbiota Transplantation (FMT)
Group 2: no intervention
Patients randomized in the "FMT group" will received FMT. FMT product will be made by the the pharmacy of the Clermont-Ferrand University Hospital from stools of healthy volunteer donors within 6 hours after defecation in order to preserve the viability of the bacteria. The preparation will be standardized: 50g aliquots will be prepared and diluted in 250mL of 0.9% NaCl containing 10% glycerol, until a homogeneous suspension is obtained. The preparation will be rapidly frozen at -80°C until use, with a maximum shelf life of 18 months.
The comparator group will be constituted by patients randomized in the "no FMT" group. For ethical reasons, these patients will not receive any FMT and therefore no enema or colic preparation. No placebo will be administered. Prophylactic anti-infective treatments can be introduced at any time.