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HypertensionEarly Phase 1FMTNCT04406129

Effect of Gut Microbiome Restoration on Primary Hypertension Via FMT

A Early Phase 1 study testing FMT capsules in people with Hypertension, run by Chinese Academy of Medical Sciences, Fuwai Hospital at 7 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Mounting preclinical and clinical evidences have proved the causal role of gut microbiota on the pathogenesis of primary hypertension. Restoration of gut microbiota ameliorated high BP in rodents and/or human cases.A hypothesis is thus raised that gut microbiome restoration can be a potential approach to ameliorate… Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Hypertension
What is being tested?
FMT capsules
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
120 participants
Where
7 sitesChina
Study dates
17 Mar 2021to 1 Sep 2022
Phase
Early Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Age 18~60 years.
  • Established Diagnosis of Grade 1 Hypertension (initial diagnosis or free from antihypertensive drugs within a month): 140mmHg≤ Office SBP<160mmHg for three measurements at different days without any antihypertensive medications, according to the "2010 Chinese Guidelines for Prevention and Treatment of Hypertension".
  • Patients with informed consent after thorough explanation.

Who cannot join

  • Antibiotics or probiotics usage within last 4 weeks
  • Participants of other clinical trials related to hypertension currently or within last 3 months
  • Antihypertensive medications usage currently or within last month
  • Diagnosed secondary hypertension
  • Severe hepatic or renal diseases ((ALT >3 times the upper limit of normal value, or end stage renal disease on dialysis or eGFR <30 mL/min/1.73 m2, or serum creatinine >2.5 mg/dl [>221 μmol/L])
  • History of large atherosclerotic cerebral infarction or hemorrhagic stroke (not including lacunar infarction and transient ischemic attack [TIA])
Show all 15Show fewer
  • Hospitalization for myocardial infarction within last 6 months; Coronary revascularization (PCI or CABG) within last 12 months; Planned for PCI or CABG in the next 12 months.
  • Sustained atrial fibrillation or arrhythmias at recruitment disturbing the electronic BP measurement.
  • NYHA class III-IV heart failure; Hospitalization for chronic heart failure exacerbation within last 6 months.
  • Severe valvular diseases; Potential for surgery or percutaneous valve replacement within the study period.
  • Dilated cardiomyopathy; Hypertrophic cardiomyopathy; Rheumatic heart disease; Congenital heart disease.
  • Other severe diseases influencing the entry or survival of participants, such as malignant tumor or acquired immune deficiency syndrome.
  • Cognitive impairment or severe neuropsychiatric comorbidities who are incapable of providing their own informed consent.
  • Participants preparing for or under pregnancy and/or lactation.
  • Other conditions inappropriate for recruitment according to the investigators.

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

China7 sites, 7 recruiting
  • Fuwai Hospital, Chinese Academy of Medical Sciences

    Beijing, Beijing Municipality, 100037

    Jun Cai

    Not yet recruiting
  • Qilu Hospital of Shandong University

    Jinan, Shandong

    Peili Bu

    Recruiting
  • Fuwai Yunnan Cardiovascular Hospital

    Kunming, Yunnan

    Zihong Guo

    Recruiting
  • The Second Affiliated Hospital of Shantou University

    Shantou, Guangdong

    Youren Chen

    Recruiting
  • Southern University of Science and Technology Hospital

    Shenzhen, Shenzhen

    Bingpo Zhu

    Recruiting
  • Shanxi Bethune Hospital

    Taiyuan, Shanxi

    Jie Ren

    Recruiting
  • The People's Hospital of Ji Xian District

    Tianjin, Tianjin Municipality

    Jinfeng Yang

    Not yet recruiting

Other trials in China

About this study

Official title: Effect of Fecal Microbiota Transplantation on Primary Hypertension and the Underlying Mechanism of Gut Microbiome Restoration: a Randomized Clinical Trial

Mounting preclinical and clinical evidences have proved the causal role of gut microbiota on the pathogenesis of primary hypertension. Restoration of gut microbiota ameliorated high BP in rodents and/or human cases.A hypothesis is thus raised that gut microbiome restoration can be a potential approach to ameliorate hypertension. This pilot study will utilize fecal microbiota transplantation (FMT) capsules, in comparison with placebo capsules, to investigate the effect, safety and underlying mechanisms of gut microbiome restoration on primary hypertension.

Read the detailed description

Primary hypertension is a most prevalent cardiovascular diseases, and becomes a severe global public health issue because of the high morbidity and potential risk to other cardiovascular diseases. Several animal studies and diverse patient cohorts reported that the disorder of gut microbiome correlated with hypertension. Based on the investigators' previous work findings of metagenomics analysis, fecal transplantation and metabolomics changes in hypertension and pre-hypertension patients, a casual role of gut microbiome disorder was observed in primary hypertension and raised a hypothesis that gut microbiome restoration can be a potential approach to ameliorate hypertension. Recent studies indicated FMT, prebiotics, probiotics, dietary changes and other methodologies can assist gut microbiome restoration in diseases such as type 2 diabetes. The investigators therefore develop two pilot studies respectively utilizing FMT capsules (Pilot Study I) and innovative dietary changes (Pilot Study II) to explore the effect, safety and underlying mechanisms of gut microbiome restoration on hypertension. These pilot studies also present as the clinical translational section of the research project "The Role of Gut Microbiome in the Pathogenesis of Essential Hypertension"(Project ID 81630014, sponsored by National Natural Science Foundation of China).

This study is the Study I:

Objective: To explore the effect, safety and underlying mechanisms of gut microbiome restoration via FMT on primary hypertension.

Study Design: A multicenter, randomized, double-blinded, placebo-controlled pilot study.

Data quality control and statistical analysis: The investigators have invited professional statistic analysts to assist analyzing data and a third party to supervise data quality.

Ethics: The Ethics Committee of Fuwai Hospital approved this study. Informed consents before patient enrollment are required.

Conditions
Hypertension
Being tested
FMT capsules, Placebo capsules
Keywords
Hypertension, Microbiome, Treatment, Fecal Microbiota Transplantation
Medical subject headings
Hypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FMT capsulesBiological

    Intervention: FMT capsules containing extensively screened donor stool.

  • Placebo capsulesOther

    Intervention: Placebo capsules that do not contain donor stool or any active drug.

Study groups in NCT04406129
Study groupRoleWhat they receive
FMT capsulesExperimentalIntervention: FMT capsules containing extensively screened donor stool. FMT capsules will be orally taken on Day 1, Day 7 (Week 1) and Day 14 (Week 2).
Receives: Biological: FMT capsules
Placebo capsulesPlacebo comparatorIntervention: Placebo capsules that do not contain donor stool or any active drug. Placebo capsules will be orally taken on Day 1, Day 7 (Week 1) and Day 14 (Week 2).
Receives: Other: Placebo capsules

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change for Office Systolic Blood Pressure (SBP)

    Change for Office Systolic Blood Pressure (SBP)

    Measured: From baseline to Day 30

Secondary outcomes (20)
  1. Change for Office SBP

    Change for Office SDBP

    Measured: Baseline, Day 7, Day 14, Day 30, Day 60, Day 90

  2. Change for Office Diastolic Blood Pressure (DBP)

    Change for Office Diastolic Blood Pressure (DBP)

    Measured: Baseline, Day 7, Day 14, Day 30, Day 60, Day 90

  3. Change for Home Systolic Blood Pressure (SBP)

    Change for Home Systolic Blood Pressure (SBP)

    Measured: Baseline, Day 7, Day 14, Day 30, Day 60, Day 90

  4. Change for Home Diastolic Blood Pressure (DBP)

    Change for Home Diastolic Blood Pressure (DBP)

    Measured: Baseline, Day 7, Day 14, Day 30, Day 60, Day 90

  5. Change for average SBP via 24-hour Ambulatory BP Monitoring

    Change for average SBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Day 30, Day 90

  6. Change for average DBP via 24-hour Ambulatory BP Monitoring

    Change for average DBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Day 30, Day 90

  7. Change for daytime average SBP via 24-hour Ambulatory BP Monitoring

    Change for daytime average SBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Day 30, Day 90

  8. Change for daytime average DBP via 24-hour Ambulatory BP Monitoring

    Change for daytime average DBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Day 30, Day 90

  9. Change for nightime average SBP via 24-hour Ambulatory BP Monitoring

    Change for nightime average SBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Day 30, Day 90

  10. Change for nightime average DBP via 24-hour Ambulatory BP Monitoring

    Change for nightime average DBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Day 30, Day 90

  11. Change for Ankle-Brachial Blood Pressure Index(ABI)

    Change for ABI as an objective measurement of arterial insufficiency based on the ratio of ankle systolic pressure to brachial systolic pressure.

    Measured: Baseline, Day 90

  12. Number of Participants with Adverse Events (AEs) as a Measure of Safety

    Number of Participants with Adverse Events (AEs) as a Measure of Safety

    Measured: All AEs over 3 months

  13. Changes in Intestinal Microbiota Composition Pre- and Post-intervention via Metagenomic Analysis

    Changes in Intestinal Microbiota Composition Pre- and Post-intervention (FMT or Placebo) via Metagenomic Analysis, stratified by:

    1. Randomisation
    2. Change in Office SBP

    Measured: Baseline, Day 7, Day 14, Day 30, Day 60, Day 90

  14. Changes in Intestinal Microbiota Function Pre- and Post-intervention via Metagenomic Analysis

    Changes in Intestinal Microbiota Function Pre- and Post-intervention (FMT or Placebo) via Metagenomic Analysis, stratified by:

    1. Randomisation
    2. Change in Office SBP

    Measured: Baseline, Day 7, Day 14, Day 30, Day 60, Day 90

  15. Durability of Engraftment of Donor Microbiome Following FMT

    Durability of engraftment of donor microbiome following FMT, measured by similarity comparison of intestinal microbiota composition between donor and recipient

    Measured: Baseline, Day 7, Day 14, Day 30, Day 60, Day 90

  16. Changes in Intestinal Metabolite Composition Pre- and Post-intervention via Metabolomic Analysis

    Changes in Intestinal Metabolite Composition Pre- and Post-intervention (FMT or Placebo) via Metabolomic Analysis, stratified by:

    1. Randomisation
    2. Change in Office SBP

    Measured: Baseline, Day 7, Day 14, Day 30, Day 60, Day 90

  17. Changes in Serum Metabolite Composition Pre- and Post-intervention via Metabolomic Analysis

    Changes in Serum Metabolite Composition Pre- and Post-intervention (FMT or Placebo) via Metabolomic Analysis, stratified by:

    1. Randomisation
    2. Change in Office SBP

    Measured: Baseline, Day 7, Day 14, Day 30, Day 60, Day 90

  18. Change for Fasting Blood Glucose Level

    Change for Fasting Blood Glucose Level

    Measured: Baseline, Day 90

  19. Change for Blood Lipid Level (Total Cholesterol, Total Triglyceride, Low Density Lipoprotein Cholesterol, High Density Lipoprotein Cholesterol)

    Change for Blood Lipid Level (Total Cholesterol, Total Triglyceride, Low Density Lipoprotein Cholesterol, High Density Lipoprotein Cholesterol)

    Measured: Baseline, Day 90

  20. Change for Body Mass Index

    Change for Body Mass Index

    Measured: Baseline, Day 90

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 May 2020
  2. Study start17 Mar 2021
  3. Primary completion1 Feb 2022 (estimated)
  4. Study completion1 Sep 2022 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
120 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04406129
Sponsor's protocol ID
2017-GZ10 (Part I)
Acronym
FMT
Status last verified
Jul 2021
First submitted
20 May 2020
Last updated
16 Jul 2021
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Li J, Zhao F, Wang Y, Chen J, Tao J, Tian G, Wu S, Liu W, Cui Q, Geng B, Zhang W, Weldon R, Auguste K, Yang L, Liu X, Chen L, Yang X, Zhu B, Cai J. Gut microbiota dysbiosis contributes to the development of hypertension. Microbiome. 2017 Feb 1;5(1):14. doi: 10.1186/s40168-016-0222-x.

    PubMed 28143587
  • Cammarota G, Ianiro G, Tilg H, Rajilic-Stojanovic M, Kump P, Satokari R, Sokol H, Arkkila P, Pintus C, Hart A, Segal J, Aloi M, Masucci L, Molinaro A, Scaldaferri F, Gasbarrini G, Lopez-Sanroman A, Link A, de Groot P, de Vos WM, Hogenauer C, Malfertheiner P, Mattila E, Milosavljevic T, Nieuwdorp M, Sanguinetti M, Simren M, Gasbarrini A; European FMT Working Group. European consensus conference on faecal microbiota transplantation in clinical practice. Gut. 2017 Apr;66(4):569-580. doi: 10.1136/gutjnl-2016-313017. Epub 2017 Jan 13.

    PubMed 28087657
  • Translating Microbiome Research into Therapies: The Path Ahead. Cell. 2020 Apr 2;181(1):20-21. doi: 10.1016/j.cell.2020.03.009. No abstract available.

    PubMed 32243790
  • Fan L, Chen J, Zhang Q, Ren J, Chen Y, Yang J, Wang L, Guo Z, Bu P, Zhu B, Zhao Y, Wang Y, Liu X, Wang W, Chen Z, Gao Q, Zheng L, Cai J. Fecal microbiota transplantation for hypertension: an exploratory, multicenter, randomized, blinded, placebo-controlled trial. Microbiome. 2025 May 23;13(1):133. doi: 10.1186/s40168-025-02118-6.

    PubMed 40410854
  • Fan L, Ren J, Chen Y, Wang Y, Guo Z, Bu P, Yang J, Ma W, Zhu B, Zhao Y, Cai J. Effect of fecal microbiota transplantation on primary hypertension and the underlying mechanism of gut microbiome restoration: protocol of a randomized, blinded, placebo-controlled study. Trials. 2022 Feb 24;23(1):178. doi: 10.1186/s13063-022-06086-2.

    PubMed 35209934

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing FMT capsules in people with Hypertension, run by Chinese Academy of Medical Sciences, Fuwai Hospital at 7 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 16 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact LUYUN FAN (01088392165, fuwai_fanluyun@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change for Office Systolic Blood Pressure (SBP) (time frame: From baseline to Day 30). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04406129, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Jul 2021.

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