UMIN-CTR Clinical Trial

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

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Basic information

Public title

Fecal microbiota transplantation for recurrent Clostridioides difficile infection

Acronym

Fecal microbiota transplantation for recurrent Clostridioides difficile infection

Scientific Title

Fecal microbiota transplantation for recurrent Clostridioides difficile infection

Scientific Title:Acronym

Fecal microbiota transplantation for recurrent Clostridioides difficile infection

Region

Japan


Condition

Condition

Recurrent Clostridioides difficile infection

Classification by specialty

Medicine in general Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To confirm the effectiveness and safety of fecal microbiota transplantation for recurrent Clostridioides difficile infection

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

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.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

Fecal microbiota transplantation

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

16 years-old <=

Age-upper limit

120 years-old >=

Gender

Male and Female

Key inclusion criteria

<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.

Key exclusion criteria

(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

Target sample size

23


Research contact person

Name of lead principal investigator

1st name Akira
Middle name
Last name Andoh

Organization

Shiga University of Medical Science

Division name

Division of Gastroenterology

Zip code

520-2192

Address

Seta-Tsukinowa, Otsu

TEL

077-548-2217

Email

hqmed2@belle.shiga-med.ac.jp


Public contact

Name of contact person

1st name Shigeki
Middle name
Last name Bamba

Organization

Shiga University of Medical Science

Division name

Division of Clinical Nutrition

Zip code

520-2192

Address

Seta-Tsukinowa, Otsu

TEL

077-548-2544

Homepage URL


Email

sb@belle.shiga-med.ac.jp


Sponsor or person

Institute

Shiga University of Medical Science

Institute

Department

Personal name



Funding Source

Organization

Shiga University of Medical Science

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Shiga University of Medical Science

Address

Seta-Tsukinowa, Otsu

Tel

077-548-2544

Email

sb@belle.shiga-med.ac.jp


Secondary IDs

Secondary IDs

YES

Study ID_1

jRCTs051190048

Org. issuing International ID_1

Japan Registry of Clinical Trials

Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2020 Year 11 Month 11 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

0

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Terminated

Date of protocol fixation

2020 Year 04 Month 09 Day

Date of IRB

2020 Year 04 Month 09 Day

Anticipated trial start date

2020 Year 11 Month 11 Day

Last follow-up date

2024 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2020 Year 11 Month 11 Day

Last modified on

2020 Year 11 Month 16 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000048417


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name