Fecal microbiota transplantation (FMT) Single FMT infusion
Fecal microbiota transplantation (FMT) Single FMT infusion: Single FMT infusion via colonoscopy
Study summary
Irritable bowel syndrome (IBS) is a complex multifactorial functional disorder, whose pathophysiology is largely associated to an impairment of the intestinal microbiota composition, namely dysbiosis. Thus, the modulation of the gut microbiota has been proposed as a possible therapeutic strategy for IBS patients alongside with current available drugs. Fecal microbiota transplantation (FMT) is a promising strategy to restore intestinal eubiosis. In this randomised double-blind placebo-controlled trial patients diagnosed with IBS with constipation are assigned with 1:1 ratio to receive FMT from healthy donor or autologous FMT (placebo group) to assess the effectiveness of FMT on IBS symptoms and quality of life, to evaluate the safety of FMT among IBS patients and to estimate any change in the gut microbiota composition of IBS patients after the FMT.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Ability to express and give informed consent
* Age ≥ 18 years
* Diagnosis of constipation-predominant or with mixed/alternating stool pattern IBS, according to the Rome IV criteria
* Have performed a colonoscopy within the last 5 years that has ruled out intestinal diseases
Exclusion Criteria:
* Taking antibiotics or probiotics within the 8 weeks before the baseline visit
* Patients with chronic inflammatory bowel disease (Crohn's disease, ulcerative colitis, indeterminate colitis or eosinophilic gastroenteritis), malignant neoplasms of the gastroenteric tract, celiac disease, diverticular disease
* Uncontrolled heart failure or severe heart disease with EF \< 30%
* Severe respiratory failure
* Serious psychiatric conditions or psychological instability according to the clinician
* Contraindication to fecal microbiota transplantation (high risk of complications related to colonoscopy)
* Previous abdominal surgery on the gastroenteric tract (except cholecystectomy, appendectomy and other types of surgery not involving the digestive tract)
* Patients with cutaneous enterostomy
* Pregnancy or lactation
* Concurrent enrollment in other interventional experimental protocols
* Personality unstable or unable to adhere to protocol procedures
* Any clinical condition which, in the opinion of the investigators, may contraindicate enrollment in the study
Primary outcome measure(s)
Improving IBS symptoms assessed with the IBS severity scoring system (IBS-SSS) — 365 days To assess the effectiveness of healthy donor FMT in improving the symptoms of IBS without constipation compared to autologous microbiota transplantation using the IBS-SSS (\< 175: mild IBS; 175-300: moderate IBS; \> 300: severe IBS)
Number and severity grade of adverse events after FMT — 365 days To assess the number and severity grade of adverse events occurred after FMT
Trial sites (1)
Facility
City
Region
Status
Giovanni Cammarota
Roma
Italy
Recruiting
More Fondazione Policlinico Universitario Agostino Gemelli IRCCS trials in Italy
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
We use cookies to analyse site traffic and improve your experience. With your consent, we may also use cookies for advertising. You can change your choice at any time.