Unique ID issued by UMIN | UMIN000042418 |
---|---|
Receipt number | R000048417 |
Scientific Title | Fecal microbiota transplantation for recurrent Clostridioides difficile infection |
Date of disclosure of the study information | 2020/11/11 |
Last modified on | 2020/11/16 14:56:37 |
Fecal microbiota transplantation for recurrent Clostridioides difficile infection
Fecal microbiota transplantation for recurrent Clostridioides difficile infection
Fecal microbiota transplantation for recurrent Clostridioides difficile infection
Fecal microbiota transplantation for recurrent Clostridioides difficile infection
Japan |
Recurrent Clostridioides difficile infection
Medicine in general | Gastroenterology |
Others
NO
To confirm the effectiveness and safety of fecal microbiota transplantation for recurrent Clostridioides difficile infection
Safety,Efficacy
Response rate of single FMT to recurrent CDI
A response is a condition in which there is no recurrence. Recurrence is defined as diarrhea (at least three loose or watery stools per day for two or more consecutive days) and positivity in the CD toxin stool test or positivity for Clostridioides difficile in the stool culture and presence of pseudomembrane.
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Other |
Fecal microbiota transplantation
16 | years-old | <= |
120 | years-old | >= |
Male and Female
<Inclusion criteria for recipients> (1) Patients with recurrent CDI were enrolled. Recurrent CDI was defined as recurrence within 10 weeks after the end of treatment despite the antibiotic treatment of C. difficile with vancomycin. In case of vancomycin intolerance, metronidazole or fidaxomicin should be fully administered. (2) CDI is defined as diarrhea (at least three loose or watery stools per day for two or more consecutive days) and positivity in the CD toxin stool test or positivity for C. difficile in the stool culture and presence of pseudomembrane. (3) The other disease should be properly excluded. (4) At least 16 years old (5) A person who can obtain written consent of the research participation by free will. In the case of a juvenile patient, the consent of the representative in addition to the patient should be obtained. Basically, the representative is selected from parents. Grandparents and relatives who live together are considered to be able to represent the intentions and interests of the patients. <Inclusion criteria for donors> (1) Healthy person from 16 years old or older and 60 years old or younger. (2) A person who can provide feces on the day of FMT (3) A person who can refrain from taking the food at least 5 days before FMT, if the recipient has a food allergy. (4) Those judged to be eligible as a result of screening tests (5) Donors eligibility means that the screening tests does not meet the donor exclusion criteria (see below), infections except for cytomegalovirus and EB virus are denied, and the donor questionnaire shows No except for question #1 and #10. (6) Regarding cytomegalovirus and EB virus, if the recipient is uninfected and the donor is already infected, it is judged as ineligible. (7) A person who can obtain written consent of the research participation by free will.
(1) Those who cannot obtain appropriate donors
(2) Immunosuppressive drugs (anti-cancer drugs, high-dose steroids (15 mg/day or more), calcineurin inhibitors, mTOR inhibitors, anti-TNF-a antibody, biologics that cause lynmphopenia (rituximab, anti-human thymocyte rabbit immunoglobulin etc.)
(3) HIV virus infection
(4) Decompensated cirrhosis
(5) Pregnant women
(6) Antibiotics other than recurrent Clostridioides difficile infection
(7) Patients who cannot tolerate colonoscopy
(8)Lymphocyte count(<750/mm3)
(9)IgG(<500mg/dL)
(10) Otherwise, if the attending doctor deems inappropriate
23
1st name | Akira |
Middle name | |
Last name | Andoh |
Shiga University of Medical Science
Division of Gastroenterology
520-2192
Seta-Tsukinowa, Otsu
077-548-2217
hqmed2@belle.shiga-med.ac.jp
1st name | Shigeki |
Middle name | |
Last name | Bamba |
Shiga University of Medical Science
Division of Clinical Nutrition
520-2192
Seta-Tsukinowa, Otsu
077-548-2544
sb@belle.shiga-med.ac.jp
Shiga University of Medical Science
Shiga University of Medical Science
Other
Shiga University of Medical Science
Seta-Tsukinowa, Otsu
077-548-2544
sb@belle.shiga-med.ac.jp
YES
jRCTs051190048
Japan Registry of Clinical Trials
2020 | Year | 11 | Month | 11 | Day |
Unpublished
0
Terminated
2020 | Year | 04 | Month | 09 | Day |
2020 | Year | 04 | Month | 09 | Day |
2020 | Year | 11 | Month | 11 | Day |
2024 | Year | 06 | Month | 30 | Day |
2020 | Year | 11 | Month | 11 | Day |
2020 | Year | 11 | Month | 16 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000048417