Title
FMT for Remission of Active Ulcerative Colitis in Adults
A Randomized Double-blind, Placebo-controlled Trial of Lyophilized Fecal Microbiota Transplantation for the Induction of Remission in Adults With Active Ulcerative Colitis
Phase
Phase 2Lead Sponsor
University of British ColumbiaStudy Type
InterventionalStatus
WithdrawnIndication/Condition
Ulcerative Colitis Inflammatory Bowel DiseasesStudy Participants
0The goal of this study is to establish the safety and effectiveness of lyophilized (LYO) fecal microbiota transplant (FMT) for treating ulcerative colitis (UC) in adults. The protocol is being re-designed to address relevant, current research questions in the context of FMT treatment for UC. Once a final protocol is approved, this webpage will be updated.
lyophilized FMT given orally (10 capsules) twice weekly for total of 8 weeks
lyophilized FMT given via enema (1) twice weekly for total of 8 weeks
placebo given orally (10 capsules) twice weekly for total of 8 weeks
placebo given via enema (1) twice weekly for total of 8 weeks
twice weekly x 8 weeks: 10 placebo oral capsules + placebo enema
twice weekly x 8 weeks: 10 LYO-FMT oral capsules + 1 placebo enema
Inclusion Criteria: Able to provide informed consent. Willing and able to comply with all the required trial procedures Active ulcerative colitis as defined by Mayo score > 3 AND Mayo endoscopic sub-score > 1 (within 30 days before enrollment, or at baseline) Exclusion Criteria: Planned or actively taking another investigational product Abdominal surgery within the past 60 days Patients with neutropenia with absolute neutrophil count <0.5 x 109/L at - Evidence of toxic megacolon or gastrointestinal perforation on imaging Peripheral white blood cell count > 35.0 x 109/L at enrollment AND temperature > 38.0oC Active infectious diarrhea at the time of enrolment Increase in medical therapy for UC within 3 months of enrollment. Continued treatment with stable dose of 5-ASA, azathioprine, 6-mercaptopurine, cyclosporine, prednisone and/or anti- TNF agents for at least 3 months of is allowed Severe UC requiring hospitalization at the time of enrolment Pregnant or lactating History of anaphylaxis to any food Requiring oral and/or intravenous systemic antibiotic therapy at the time of study enrolment Unwilling to discontinue probiotic (yogurt is allowed) Severe underlying disease such that the patient is not expected to survive for at least 30 days. Any condition that in the opinion of the investigator that would pose harm to the participant or the research staff for the potential participant to take part in the trial