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Fecal Transplantation in Ulcerative Colitis (FMT-CU)

Primary Purpose

Ulcerative Colitis

Status
Unknown status
Phase
Not Applicable
Locations
Finland
Study Type
Interventional
Intervention
Fecal microbiota transplantation (FMT)
Placebo
Sponsored by
Joint Authority for Päijät-Häme Social and Health Care
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ulcerative Colitis

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • • • Diagnosis of CU based on clinical, endoscopic, and histological findings.

    • Remission assessed by Mayo score (0 to 1) and F-Calpro (<100 ug/g).
    • Availability of consecutive fecal samples during one year after the diagnosis of CU.
    • Availability of blood sample to study the IBD associated genetic background
    • Compliance to attend ileocolonoscopy and FMT within 3-6 months after the diagnosis of CU and at 52 week
    • 18-75 years

Exclusion Criteria:

  • Unable to provide informed consent
  • Need for any antibiotic therapy within 3 months
  • Use of corticosteroids, immunosuppressive or biological medication at the baseline
  • Use of any probiotics
  • Pregnancy

Sites / Locations

  • Helsinki University Hospital
  • Päijät-Häme Central Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

FMT

Placebo

Arm Description

50% of the participants will receive fecal suspension of a healthy donor administered in colonoscopy into the cecum

50% of the participants will receive fecal suspension made of their own feces administered in colonoscopy into the cecum.

Outcomes

Primary Outcome Measures

Maintenance of remission of ulcerative colitis
Endoscopic remission and Mayo-score < 2

Secondary Outcome Measures

Full Information

First Posted
June 6, 2018
Last Updated
August 14, 2019
Sponsor
Joint Authority for Päijät-Häme Social and Health Care
Collaborators
Helsinki University Central Hospital, University of Helsinki
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1. Study Identification

Unique Protocol Identification Number
NCT03561532
Brief Title
Fecal Transplantation in Ulcerative Colitis
Acronym
FMT-CU
Official Title
FECAL MICROBIOTA TRANSPLANTATION IN THE TREATMENT OF ULCERATIVE COLITIS
Study Type
Interventional

2. Study Status

Record Verification Date
August 2019
Overall Recruitment Status
Unknown status
Study Start Date
October 1, 2016 (Actual)
Primary Completion Date
May 31, 2020 (Anticipated)
Study Completion Date
May 31, 2020 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Joint Authority for Päijät-Häme Social and Health Care
Collaborators
Helsinki University Central Hospital, University of Helsinki

4. Oversight

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

5. Study Description

Brief Summary
Adult individuals with ulcerative colitis in remission are given a single fecal microbiota transplantation (FMT) in colonoscopy. A half of the patients will receive autologous FMT as a placebo and a half will receive an FMT from a healthy donor.
Detailed Description
80 adult patients with ulcerative colitis (UC) will be recruited. They are randomized to receive either an autologous FMT as a placebo or FMT from a healthy donor (frozen and thawed). The patients are followed up with fecal samples to detect microbial changes. The follow up lasts 1 year after the FMT and a follow up colonoscopy will be done 52 weeks after the FMT.

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
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
Participants are randomized in two groups to receive in colonoscopy either a fecal suspension made of their own feces or a fecal suspension of a healthy donor.
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
The participant and the treating personnel are blinded of the randomization result.
Allocation
Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FMT
Arm Type
Active Comparator
Arm Description
50% of the participants will receive fecal suspension of a healthy donor administered in colonoscopy into the cecum
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
50% of the participants will receive fecal suspension made of their own feces administered in colonoscopy into the cecum.
Intervention Type
Other
Intervention Name(s)
Fecal microbiota transplantation (FMT)
Intervention Description
FMT administered into the cecum of the patient in colonoscopy.
Intervention Type
Other
Intervention Name(s)
Placebo
Intervention Description
Autologous FMT (fecal suspension made of patients own feces) administered into the cecum of the patient in colonoscopy.
Primary Outcome Measure Information:
Title
Maintenance of remission of ulcerative colitis
Description
Endoscopic remission and Mayo-score < 2
Time Frame
52 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: • • Diagnosis of CU based on clinical, endoscopic, and histological findings. Remission assessed by Mayo score (0 to 1) and F-Calpro (<100 ug/g). Availability of consecutive fecal samples during one year after the diagnosis of CU. Availability of blood sample to study the IBD associated genetic background Compliance to attend ileocolonoscopy and FMT within 3-6 months after the diagnosis of CU and at 52 week 18-75 years Exclusion Criteria: Unable to provide informed consent Need for any antibiotic therapy within 3 months Use of corticosteroids, immunosuppressive or biological medication at the baseline Use of any probiotics Pregnancy
Facility Information:
Facility Name
Helsinki University Hospital
City
Helsinki
Country
Finland
Facility Name
Päijät-Häme Central Hospital
City
Lahti
Country
Finland

12. IPD Sharing Statement

Plan to Share IPD
No
IPD Sharing Plan Description
Individual participant data will not be shared.

Learn more about this trial

Fecal Transplantation in Ulcerative Colitis

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