About this trial
In this clinical trial, our aim is to assess the effect of auto-FMT (Fecal microbiome transplantation) on the intestinal microbiota, after a course of antibiotics.
30 healthy adults are recruited. All are given a five day course of amoxicillin-clavulanate. The subjects are double blinded and randomized to two groups. Group A is given autologous FMT (auto-FMT) on day 7 (two days after the end of the course of antibiotics) and Group B is given auto-FMT on day 28 (23 days after the end of the course of antibiotics).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
None
Disqualifiers
IBD (inflammatory bowel disease)
celiac disease
abdominal symptoms such as diarrhea or constipation necessitating medical therapy
pregnancy and breastfeeding
Trial design
Crossover
Treatments tested in this trial
FMT
Other interventionCapsulated oral auto fecal microbiota transplant
Placebo
Other interventionCapsulated hot chocolate powder
Amox Clav
Drug5 day course of Amoxicillin Clavulanic acid given to all participants
Treatment groups
Trial outcomes
Primary outcomes
Feasibility and safety; Number of participants with treatment-related adverse events such as; nausea, vomiting, signs of infection such as elevation of CRP after receiving the capsules, bloody stools
The feasibility and safety of the transplantation process using lyophilized auto-FMT. All adverse events are reported, CRP is taken from all patients at the day of the transplant and 2 day after. The participants answer to weekly online questionaires including questions of any abdominal symptoms, defecation frequency, stool consistence, abdominal pain, nausea and other used medication weekly until 7 weeks.
Taxonomic restoration of the gut microbiome at day 27.
Quantitative PCR will be used for quantitative microbiota profiling.
Secondary outcomes
The percentage of participants with restoration of intestinal microbiome.
The investigators observe especially the influence of auto-FMT towards successful restoration of bacteria from beneficial groups, including Lachnospiraceae (family), Ruminococcaceae (family), and Bacteroidetes (phylum).
Magnitude and duration of GI-symptoms
The investigators will use questionaires filled by the participants.
Impact of FMT given to placebo group on day 28 on gut microbiome on day 48
Quantitative PCR will be used for quantitative microbiota profiling.
Sponsors and contacts
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Otto Helve
Lead sponsor
Helsinki University Central Hospital
Sponsor institution
University of Helsinki
Collaborator
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