Official Title
Faecal Bacteriotherapy for Ulcerative Colitis
Phase
Phase 2Lead Sponsor
Charles UniversityStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Ulcerative ColitisIntervention/Treatment
mesalamine human fecal microbiota ...Study Participants
61The etiopathogenesis of ulcerative colitis (UC) is not fully understood. One of the theories of UC pathogenesis represents a pathological response of mucosal immunity to intestinal microbiota. Potential therapeutic procedure how to affect this fact is the faecal microbiota transplantation (FMT). Review of the literature on FMT suggests great potential as the treatment for UC, but two prospective controlled study that has been published yet are inconsistent.
The first objective of the project is to compare the administration of FMT enema with mesalazine enema for inducing remission in patients with active left-sided UC in the form of a prospective, randomized, controlled study. The second objective is to observe changes in the intestinal microbiota during and after FMT focusing on bacterial DNA sequencing to identify the bacterial species which are responsible for the effect of the FMT.
Enema prepared from 50 g of stool of examined donor dissolved in 150 ml of normal saline
Standard mesalazine enema
Will be treated with 4 g mesalazine enema 1x daily for 2 weeks, then every other day until the end of the 6th week.
Will be applied enema prepared from 50 g of stool of examined donor dissolved in 150 ml of normal saline, the 1st week 5 times, than one time a week until the end of the 6th week.
Inclusion Criteria: Left-sided ulcerative colitis > 15cm ongoing more than 3 month Mayo score < 10 Endoscopic Mayo score ≥ 2 Exclusion Criteria: Anti-TNF medication in the previous 6 months Cyclosporine in the previous 4 weeks Methotrexate in the previous 2 months Prednisone > 10mg The real risk of colectomy in the near future Positive stool culture (Salmonella, Shigella, Yersinia, Campylobacter, pathogenic E. coli) CMV infection Pregnancy, breastfeeding women