Standardized Fecal Microbiota Transplantation for Crohn&Apos;s Diseases

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorThe Second Hospital of Nanjing Medical University

About this trial

The gut microbiota is considered to constitute a "microbial organ" which has pivotal roles in the intestinal diseases and body's metabolism. Evidence from animal and human studies strongly supports the link between intestinal bacteria and inflammatory bowel diseases (IBD). Dozens of studies reported its efficacy in treatment of severe Clostridium difficile colitis. Preliminary studies using fecal microbiota transplantation (FMT) for Ulcerative Colitis (UC), Crohn's diseases (CD), irritable bowel syndrome (IBS) and constipation have also met with some success. However, the results on CD is very limited. This marks the initial step in exploring the potential efficacy of fecal bacteriotherapy for CD. The investigators aim to evaluate the effectiveness, durability, and safety of FMT in a cohort of at least 500 patients with CD over a ten-year period

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • FMT

    Procedure/Surgery

    Standard FMT

Treatment groups

800 Participants
are divided into 2 treatment groups
Group A: Fecal microbiota transplantationExperimental treatment 1 intervention
Group B: Traditional treatmentsNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Clinical remission

Clinical remission defined as HBI score ≦ 4. For patients with complications such as intestinal obstruction, Clinical remission can be defined as obstruction improvement. The endpoint of follow-up is the time of clinical recurrence.

Time frame
Up to one year

Secondary outcomes

1

Costs

Social and medical costs

Time frame
Up to one year
2

Adverse events

All possible adverse events:fever,abdominal pain,infectious diseases and others

Time frame
During FMT and ten years after FMT
3

Sleep quality

evaluated by Pittsburgh Sleep Quality Index (PSQI), with a score range of 0 to 21. Higher PSQI score indicates poorer sleep quality. Insomnia Severity Index (ISI), with a score range of 0 to 28. Higher ISI score indicates more severe insomnia.

Time frame
before FMT, 1 month after FMT, 12 weeks after FMT
4

Fatigue

evaluated by Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F), with a score range of 0 to 52. Higher FACIT-F score indicates lower levels of fatigue and better quality of life.

Time frame
before FMT, 1 month after FMT, 12 weeks after FMT

Other outcomes

Sponsors and contacts

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The Second Hospital of Nanjing Medical University

Lead sponsor

The Affiliated Huaian NO.1 People's Hospital of Nanjing Medical University

Collaborator

The First Affiliated Hospital of Air Force Medicial University

Collaborator