Fecal Microbiota Transplantation in Pediatric Patients (FMT)
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ClinicalTrials.gov Identifier: NCT02108821 |
Recruitment Status :
Completed
First Posted : April 9, 2014
Results First Posted : February 4, 2021
Last Update Posted : February 4, 2021
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Sponsor:
Children's Mercy Hospital Kansas City
Collaborators:
University of Pittsburgh
Stanford University
Information provided by (Responsible Party):
Children's Mercy Hospital Kansas City
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Tracking Information | ||||
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First Submitted Date ICMJE | March 21, 2014 | |||
First Posted Date ICMJE | April 9, 2014 | |||
Results First Submitted Date ICMJE | June 16, 2018 | |||
Results First Posted Date ICMJE | February 4, 2021 | |||
Last Update Posted Date | February 4, 2021 | |||
Actual Study Start Date ICMJE | March 2014 | |||
Actual Primary Completion Date | September 30, 2016 (Final data collection date for primary outcome measure) | |||
Current Primary Outcome Measures ICMJE |
Number of Occurrences of Adverse Events at 6 Months According to Adverse Event Term [ Time Frame: 6 months ] Adverse events recorded to determine safety of Fecal Microbiome Transplant in the treatment of children with IBD.
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Original Primary Outcome Measures ICMJE |
Primary Objective: Study the safety of Fecal Microbiome Transplantation in patients with Inflammatory Bowel Diseases by assessing change in fecal microbiome. [ Time Frame: 1 week, 1 month, and 6 months post Fecal Microbiome Transplantation. ] Correlate safety and patient outcomes with fecal microbiome prior to and after Fecal Microbiome Transplantation.
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Change History | ||||
Current Secondary Outcome Measures ICMJE |
Examine the Efficacy of Fecal Microbiome Transplant in the Treatment of Children With IBD Using the Pediatric Ulcerative Colitis Activity Index (PUCAI) and the Pediatric Crohn Disease Activity Index (PCDAI) Analysis. [ Time Frame: Baseline, Day 30, Day 180 ] Efficacy outcomes scored via Pediatric Ulcerative Colitis Activity Index (PUCAI) and the Pediatric Crohn Disease Activity Index (PCDAI) analysis.
Scored at baseline, day 30, and at day 180 for responders.
The PUCAI score range is 0-85, where the higher the number the more severe the disease (A score of 65 and up is considered severe, a score of 35-64 is considered moderate, and a score of 10-34 is considered mild). The PUCAI is the scoring system used for patients with ulcerative colitis/indeterminate colitis.
The PCDAI score range is 0-100, where the higher the number the more severe the disease (A score of greater than 30 is considered moderate to severe, a score of 11-30 is considered mild, and a score of 10 or less is considered inactive disease). The PCDAI is the scoring system used for patients with crohn's disease.
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Original Secondary Outcome Measures ICMJE |
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Current Other Pre-specified Outcome Measures | Not Provided | |||
Original Other Pre-specified Outcome Measures | Not Provided | |||
Descriptive Information | ||||
Brief Title ICMJE | Fecal Microbiota Transplantation in Pediatric Patients | |||
Official Title ICMJE | A Study of Fecal Microbiota Transplantation in Pediatric Patients With Relapsed Inflammatory Bowel Disease. | |||
Brief Summary | A disturbance in the diversity of gut bacterial composition could be linked to several immune mediated diseases including inflammatory bowel diseases (IBD). IBD can be classified into Crohn's Disease (CD) and Ulcerative Colitis (UC). Both these diseases occur from abnormal immune reaction to resident gut bacteria.The process of fecal microbiota transplantation (FMT) where fecal bacteria from a healthy individual is transferred into a recipient, has recently received attention as an alternative therapy for individuals affected with these life-altering diseases. In this study, the investigators will perform fecal transplantation on the subjects meeting inclusion criteria, to determine the efficacy and safety of this therapy in subjects with IBD (CD and UC) who are not responding to first line therapy, and are in a flare. | |||
Detailed Description | 50 subjects (25 subjects with Crohn's Disease and 25 subjects with Ulcerative Colitis) who are 2 to 22 years of age will be enrolled in the trial over 3 years. The fecal donors, preferably a parent or sibling, will be extensively screened for infectious diseases prior to providing stool for the transplant. Patients who are failing primary therapy, are in a flare, and require restaging of their IBD by an endoscopy and colonoscopy will be approached for the study. Standard of care endoscopy and colonoscopy will be performed on each subject and 2 additional biopsies will be taken for analysis. Microbiota analysis will also be performed on both the donor and recipient stool sample prior to transplantation, and on the recipient sample at 1 week, 1 month, and 6 months post transplantation. The primary objective will be to study the safety of FMT in all enrolled subjects. The study will also correlate efficacy and patient outcomes with the fecal microbiome prior to, and after FMT. The secondary objectives are to examine the efficacy of FMT in the treatment of children with IBD using the Pediatric Ulcerative Colitis Activity Index (PUCAI) and the Pediatric Crohn Disease Activity Index (PCDAI) analysis. Correlate the patient outcomes with the fecal microbiome prior to, and after FMT. | |||
Study Type ICMJE | Interventional | |||
Study Phase ICMJE | Phase 1 | |||
Study Design ICMJE | Allocation: N/A Intervention Model: Single Group Assignment Masking: None (Open Label) Primary Purpose: Treatment |
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Condition ICMJE |
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Intervention ICMJE | Biological: Fecal Microbiota Transplantation (FMT)
The process of fecal microbiota transplantation (FMT), where fecal bacteria from a healthy individual is transferred into a recipient as an alternative therapy for individuals affected with these life-altering diseases: Crohn's Disease (CD), and/or Ulcerative Colitis (UC).
Other Name: Fecal Transplantation
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Study Arms ICMJE | Experimental: Fecal Microbiome Transplantation
Fecal Microbiome Transplantation will be done at the time of EGD and colonoscopy. A parent or sibling or a healthy relative will be tested for several infections like hepatitis, H. Pylori, HIV, syphilis, ova and parasites, culture and C.diff. They will fill out a donor questionnaire used for blood donors prior to the sample collection. After eligibility criteria have been met, appropriate consent has been obtained, and the screening labs have been assessed, the fecal transplant procedure will take place in the procedure center at Children's Hospital of Pittsburgh. Fresh stool sample will be obtained from the donor. The fecal sample will be prepared for transplantation in a designated area in the procedure center. Frequency: once. Duration: Approximately 1 hour
Intervention: Biological: Fecal Microbiota Transplantation (FMT)
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Publications * | Not Provided | |||
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | ||||
Recruitment Status ICMJE | Completed | |||
Actual Enrollment ICMJE |
23 | |||
Original Estimated Enrollment ICMJE |
50 | |||
Actual Study Completion Date ICMJE | September 30, 2016 | |||
Actual Primary Completion Date | September 30, 2016 (Final data collection date for primary outcome measure) | |||
Eligibility Criteria ICMJE | STUDY SUBJECT INCLUSION CRITERIA: Current IBD patients who have:
STUDY SUBJECTS EXCLUSION CRITERIA:
DONOR EXCLUSION CRITERIA:
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Sex/Gender ICMJE |
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Ages ICMJE | 2 Years to 22 Years (Child, Adult) | |||
Accepts Healthy Volunteers ICMJE | Yes | |||
Contacts ICMJE | Contact information is only displayed when the study is recruiting subjects | |||
Listed Location Countries ICMJE | United States | |||
Removed Location Countries | ||||
Administrative Information | ||||
NCT Number ICMJE | NCT02108821 | |||
Other Study ID Numbers ICMJE | PRO13030081 | |||
Has Data Monitoring Committee | Yes | |||
U.S. FDA-regulated Product | Not Provided | |||
IPD Sharing Statement ICMJE | Not Provided | |||
Current Responsible Party | Children's Mercy Hospital Kansas City | |||
Original Responsible Party | Alka Goyal, MD, University of Pittsburgh, Associate Professor of Pediatrics, Medical Director Infusion Center | |||
Current Study Sponsor ICMJE | Children's Mercy Hospital Kansas City | |||
Original Study Sponsor ICMJE | University of Pittsburgh | |||
Collaborators ICMJE |
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Investigators ICMJE |
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PRS Account | Children's Mercy Hospital Kansas City | |||
Verification Date | February 2021 | |||
ICMJE Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP |