Unique ID issued by UMIN | UMIN000024633 |
---|---|
Receipt number | R000028338 |
Scientific Title | Examination of the utility of the fecal microbiota transplantation for Crohn's disease |
Date of disclosure of the study information | 2016/11/01 |
Last modified on | 2018/11/20 21:54:41 |
Examination of the utility of the fecal microbiota transplantation for Crohn's disease
CDFMT
Examination of the utility of the fecal microbiota transplantation for Crohn's disease
CDFMT
Japan |
Crohn's disease
Medicine in general | Gastroenterology |
Others
NO
Inflammatory bowel disease does not lead to the identification of the etiology at present, and it is said that the immunoreactive abnormality in the induced gastrointestinal tract is more likely to be associated by a genetic predisposition and an environmental predisposition. In late years it was found that enteric bacteria played an important role in clinical condition of the inflammatory bowel disease. Furthermore, the development of the therapy for the purpose of correcting a change of the intestinal bacterial flora is pushed forward.
As therapy to correct dysbiosis for inflammatory bowel disease, the enteric bacteria transfer (fecal microbiota transplantation: FMT) out of feces attracts attention.
In FMT for the ulcerative colitis, the report of Bennet et al. performed in 1989 becomes the first time. The Borody et al. receive FMT for refractory ulcerative colitis and report it subsequently when remission was obtained in all cases three months later. In reported systematic review, there is a report (9 cohort studies, 8 case reports, 1RCT are included) of 18 FMT treatment and examines a 122 case (79 ulcerative colitis, Crohn's disease 39, unclassifiable four cases) in total recently. In all, which it was 45% of remission rates, and was 36.2% (17.4% - 60.4% of 95% CI) of remission rates by the analysis only for cohort studies.
Whereas, in the cohort study, a lot of reports saying that efficacy of FMT is not found are found.
Which we do when there was no such precedent that the Angelgerger et al. receive FMT for five severe ulcerative colitis from moderate disease, and remission was obtained by 12 weeks.
Efficacy
Confirmatory
Pragmatic
Not applicable
We examine efficacy of the enteric bacteria transfer out of feces for Crohn's disease in 12 weeks.
We examine an adverse event and integrity of the enteric bacteria transfer out of feces.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
NO
NO
Institution is not considered as adjustment factor.
NO
No need to know
1
Treatment
Other |
Fecal microbiota transplantation
20 | years-old | <= |
65 | years-old | > |
Male and Female
(1) Mild to moderate Crohn's disease
(2) We are younger than 65 years old 20 years old or older
(3) One with CDAI (Crohn's disease disease activity index) 450 or less
(1) Severe Crohn's disease
(2) When there are the serious complications including a stenosis and the abscess which expansion needs and the perianal abscess
(3) When it is developed an infection with the activity
(4) When it is inadequate on the prior examination of the provider (donor) (screening)
(5) When we are given antibiotics two weeks before transplant
(6) When diabetes and hypertension, hyperlipidemia have other serious complications
(7) When we have pregnant possibilities
40
1st name | |
Middle name | |
Last name | Akira Andoh |
Shiga University of Medical Science
Division of Gastroenterology, Department of Medicine
Setatsukinowa, Otsu
077-548-2217
andoh@belle.shiga-med.ac.jp
1st name | |
Middle name | |
Last name | Hirotsugu Imaeda |
Shiga University of Medical Science
Division of Gastroenterology, Department of Medicine
Setatsukinowa, Otsu
077-548-2217
http://www.ninai-sums.jp/study/gastrointestinal-medicine
imaeda@belle.shiga-med.ac.jp
Shiga University of Medical Science
Ministry of Health, Labour and Welfare
Japanese Governmental office
NO
滋賀医科大学附属病院
2016 | Year | 11 | Month | 01 | Day |
Unpublished
Open public recruiting
2016 | Year | 12 | Month | 20 | Day |
2016 | Year | 12 | Month | 20 | Day |
2018 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2019 | Year | 03 | Month | 31 | Day |
2020 | Year | 03 | Month | 31 | Day |
None
2016 | Year | 10 | Month | 30 | Day |
2018 | Year | 11 | Month | 20 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000028338