About this trial
This is a prospective, two-centre, double-blind, parallel-arm, randomised, placebo-controlled trial evaluating the impact of FMT on patients with active Crohn's disease.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Confirmed endoscopic active inflammation (unless isolated small bowel disease that is inaccessible by endoscopy in which case sonographic inflammation is sufficient) within 6 months of study entry AND
CDAI score of 220-450 AND
CRP ≥5mg/L
faecal calprotectin ≥100μg/g
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Antibiotics
DrugAll patients will receive a one week course of antibiotic therapy.
Dietician designed diet
Dietary supplementAll patients will be recommended dietary modification 3 weeks prior to, and during, the study.
FMT
DrugAnaerobically prepared stool. Dosing will vary according to mode of administration.
Placebo
Other interventionPlacebo will contain food colourant, 0.9% normal saline and glycerol.
Treatment groups
Trial outcomes
Primary outcomes
Clinical response
CDAI decrease of ≥100 or CDAI\<150
Secondary outcomes
Clinical remission
CDAI \<150
Endoscopic response
SES-CD reduction by 25% and 50%
Endoscopic remission
SES-CD ≤2 or absence of ulcers
Histological Remission
The absence of ulcers; the absence of acute inflammation histologically; one of either Geboes Score or Robarts Histology Index
Sponsors and contacts
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St Vincent's Hospital Melbourne
Lead sponsor
The Queen Elizabeth Hospital
Collaborator
BiomeBank Adelaide
Collaborator
The University of Queensland
Collaborator
Monash University
Collaborator