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Fecal Microbiota TransplantationNCT05035784

RCE With FMT in the Treatment of Childhood Constipation

A study testing Fecal supernatant in people with Fecal Microbiota Transplantation and Constipation - Functional, run by Shengjing Hospital at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Constipation is the most common complaint in childhood gastrointestinal disease, affecting an estimated 20% of the global children.The treatment strategies consist of diet control, behavioral intervention and oral and sometimes rectal laxatives. Read more about this study

Who is it for?
Ages 4 to 14 yearsHealthy volunteers can take part
What is being tested?
Fecal supernatant
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
110 participants
Where
1 siteChina
Study dates
10 Nov 2020to 13 May 2022
Phase
Interventional
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 4 to 14 years
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • 4-14 years old;
  • Roman IV criteria for childhood constipation;
  • After a course of PEG and a course of Chinese medicine treatment was ineffective;
  • Barium enema showing fecal impaction.

Who cannot join

  • Congenital and/or acquired intestinal diseases, such as congenital megacolon, intestinal stenosis, polyps, Crohn's disease, tuberculosis, inflammation, and tumors;
  • Anorectal diseases, such as anal atresia, fistula, abscess, and tumor;
  • Neurological diseases, such as brain and spinal cord diseases;
  • genetic metabolic diseases;
  • psychosocial and behavioral diseases;
  • other systemic diseases;
  • Refused to participate in.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Shengjing Hospital

    Shenyang, Liaoning, 110004

Other trials in China

About this study

Official title: Retrograde Colonic Enema With Fecal Microbiota Transplantation vs Retrograde Colonic Enema Only in the Treatment of Childhood Constipation

Constipation is the most common complaint in childhood gastrointestinal disease, affecting an estimated 20% of the global children.The treatment strategies consist of diet control, behavioral intervention and oral and sometimes rectal laxatives. Given higher success rate and fewer side effects, the laxative PEG3350 has been considered the first choice in childhood constipation.However, effectiveness of PEG 3350 laxative is not lasting, and the use of PEG increases the risk of fecal incontinence. Additional treatment interventions are still necessary.Enema can act directly on the rectum and distal colon to quickly relieve symptoms of fecal impaction which is considered one of main source of intractable constipation. Children with fecal impaction who received enema had fewer fecal incontinence and diarrhea than children who received PEG. There have been lots of evidence that enema is effective in fecal impaction in children with functional constipation.But there are still cases of recurrences noted after enema. Fecal bacteria transplantation (FMT) is a new treatment method emerging in recent years, which is widely used in the treatment of functional gastrointestinal diseases. FMT has been proved to play a very prominent role in correcting intestinal flora disorders. By transplanting exogenous flora into the intestinal tract of patients, FMT can inhibit bacterial reproduction, regulate intestinal environment and cascade the body immunity, so as to achieve the therapeutic effect of disease.

Retrograde colonic enema with FMT, an new method, provides the possibility for the treatment of childhood constipation. However, there is still a lack of evidence-based support for the treatment of childhood constipation by retrograde colonic enema with FMT. Therefore, we designed a randomized, controlled, double-blind clinical trial to confirm the efficacy and safety of retrograde colonic enema with FMT in the treatment of childhood constipation.

Being tested
Fecal supernatant, Placebo

What participants receive

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

  • Fecal supernatantDrug

    Fecal supernatant from a child registered in the specimen bank that matches the subject's age, gender, and weight .

  • PlaceboDrug

    a placebo designed to match the FMT+RCE group based on appearance including 0.9% physiological saline.

Study groups in NCT05035784
Study groupRoleWhat they receive
Fecal supernatantActive comparatorFecal supernatant is used for treatment of childhood Constipation
Receives: Drug: Fecal supernatant
non-Fecal supernatantPlacebo comparatorPlacebo is used for treatment of childhood Constipation
Receives: Drug: Placebo

What is being measured

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

  1. improvement of spontaneous bowel movements(SBMs) per week

    the frequency of defecation without drugs or other auxiliary methods

    Measured: Baseline

  2. improvement of spontaneous bowel movements(SBMs) per week

    the frequency of defecation without drugs or other auxiliary methods

    Measured: at the end of 4-weeks FMT treatment

  3. improvement of spontaneous bowel movements(SBMs) per week

    the frequency of defecation without drugs or other auxiliary methods

    Measured: at the end of 12 weeks follow-up

  4. Satisfaction with bowel function

    Satisfaction with bowel function was collected from the parents and defined as whether they were satisfied with bowel function after the treatment (yes or no).

    Measured: Baseline

  5. Satisfaction with bowel function

    Satisfaction with bowel function was collected from the parents and defined as whether they were satisfied with bowel function after the treatment (yes or no).

    Measured: at the end of 4-weeks FMT treatment

  6. Satisfaction with bowel function

    Satisfaction with bowel function was collected from the parents and defined as whether they were satisfied with bowel function after the treatment (yes or no).

    Measured: at the end of 12 weeks follow-up

Secondary outcomes (15)
  1. Bowel movements

    the frequency of bowel movements per week

    Measured: Baseline

  2. Bowel movements

    the frequency of bowel movements per week

    Measured: at the end of 4-weeks FMT treatment

  3. Bowel movements

    the frequency of bowel movements per week

    Measured: at the end of 12 weeks follow-up

  4. Painful or hard bowel movements

    The feelings of children during defecation

    Measured: Baseline

  5. Painful or hard bowel movements

    The feelings of children during defecation

    Measured: at the end of 4-weeks FMT treatment

  6. Painful or hard bowel movements

    The feelings of children during defecation

    Measured: at the end of 12 weeks follow-up

  7. Large diameter or scybalous stools

    appearance and wetness of stool

    Measured: Baseline

  8. Large diameter or scybalous stools

    appearance and wetness of stool

    Measured: at the end of 4-weeks FMT treatment

  9. Large diameter or scybalous stools

    appearance and wetness of stool

    Measured: at the end of 12 weeks follow-up

  10. Excessive volitional stool retention

    The number of children who intentionally control or reduce the frequency of defecation

    Measured: Baseline

  11. Excessive volitional stool retention

    The number of children who intentionally control or reduce the frequency of defecation

    Measured: at the end of 4-weeks FMT treatment

  12. Excessive volitional stool retention

    The number of children who intentionally control or reduce the frequency of defecation

    Measured: at the end of 12 weeks follow-up

  13. Encopresis

    the frequency of fecal incontinence

    Measured: Baseline

  14. Encopresis

    the frequency of fecal incontinence

    Measured: at the end of 4-weeks FMT treatment

  15. Encopresis

    the frequency of fecal incontinence

    Measured: at the end of 12 weeks follow-up

Timeline

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

  1. First posted5 Sep 2021
  2. Study start10 Nov 2020
  3. Primary completion20 Jan 2022
  4. Study completion13 May 2022

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
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
110 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05035784
Sponsor's protocol ID
A333--1
Status last verified
Nov 2023
First submitted
26 Aug 2021
Last updated
22 Nov 2023
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Wang S, Xu M, Wang W, Cao X, Piao M, Khan S, Yan F, Cao H, Wang B. Systematic Review: Adverse Events of Fecal Microbiota Transplantation. PLoS One. 2016 Aug 16;11(8):e0161174. doi: 10.1371/journal.pone.0161174. eCollection 2016.

    PubMed 27529553
  • Gurram B, Sue PK. Fecal microbiota transplantation in children: current concepts. Curr Opin Pediatr. 2019 Oct;31(5):623-629. doi: 10.1097/MOP.0000000000000787.

    PubMed 31169545
  • Xu D, Chen VL, Steiner CA, Berinstein JA, Eswaran S, Waljee AK, Higgins PDR, Owyang C. Efficacy of Fecal Microbiota Transplantation in Irritable Bowel Syndrome: A Systematic Review and Meta-Analysis. Am J Gastroenterol. 2019 Jul;114(7):1043-1050. doi: 10.14309/ajg.0000000000000198.

    PubMed 30908299
  • Tian H, Ding C, Gong J, Ge X, McFarland LV, Gu L, Wei Y, Chen Q, Zhu W, Li J, Li N. Treatment of Slow Transit Constipation With Fecal Microbiota Transplantation: A Pilot Study. J Clin Gastroenterol. 2016 Nov/Dec;50(10):865-870. doi: 10.1097/MCG.0000000000000472.

    PubMed 26751143
  • Ohkusa T, Koido S, Nishikawa Y, Sato N. Gut Microbiota and Chronic Constipation: A Review and Update. Front Med (Lausanne). 2019 Feb 12;6:19. doi: 10.3389/fmed.2019.00019. eCollection 2019.

    PubMed 30809523
  • Kassam Z, Dubois N, Ramakrishna B, Ling K, Qazi T, Smith M, Kelly CR, Fischer M, Allegretti JR, Budree S, Panchal P, Kelly CP, Osman M. Donor Screening for Fecal Microbiota Transplantation. N Engl J Med. 2019 Nov 21;381(21):2070-2072. doi: 10.1056/NEJMc1913670. Epub 2019 Oct 30. No abstract available.

    PubMed 31665572
  • Gough E, Shaikh H, Manges AR. Systematic review of intestinal microbiota transplantation (fecal bacteriotherapy) for recurrent Clostridium difficile infection. Clin Infect Dis. 2011 Nov;53(10):994-1002. doi: 10.1093/cid/cir632.

    PubMed 22002980
  • Vriesman MH, Koppen IJN, Camilleri M, Di Lorenzo C, Benninga MA. Management of functional constipation in children and adults. Nat Rev Gastroenterol Hepatol. 2020 Jan;17(1):21-39. doi: 10.1038/s41575-019-0222-y. Epub 2019 Nov 5.

    PubMed 31690829
  • Clemente MG, Mandato C, Poeta M, Vajro P. Pediatric non-alcoholic fatty liver disease: Recent solutions, unresolved issues, and future research directions. World J Gastroenterol. 2016 Sep 28;22(36):8078-93. doi: 10.3748/wjg.v22.i36.8078.

    PubMed 27688650
  • Woodworth MH, Carpentieri C, Sitchenko KL, Kraft CS. Challenges in fecal donor selection and screening for fecal microbiota transplantation: A review. Gut Microbes. 2017 May 4;8(3):225-237. doi: 10.1080/19490976.2017.1286006. Epub 2017 Jan 27.

    PubMed 28129018
  • Vindigni SM, Surawicz CM. Fecal Microbiota Transplantation. Gastroenterol Clin North Am. 2017 Mar;46(1):171-185. doi: 10.1016/j.gtc.2016.09.012.

    PubMed 28164849
  • Shen ZH, Zhu CX, Quan YS, Yang ZY, Wu S, Luo WW, Tan B, Wang XY. Relationship between intestinal microbiota and ulcerative colitis: Mechanisms and clinical application of probiotics and fecal microbiota transplantation. World J Gastroenterol. 2018 Jan 7;24(1):5-14. doi: 10.3748/wjg.v24.i1.5.

    PubMed 29358877
  • Dai M, Liu Y, Chen W, Buch H, Shan Y, Chang L, Bai Y, Shen C, Zhang X, Huo Y, Huang D, Yang Z, Hu Z, He X, Pan J, Hu L, Pan X, Wu X, Deng B, Li Z, Cui B, Zhang F. Rescue fecal microbiota transplantation for antibiotic-associated diarrhea in critically ill patients. Crit Care. 2019 Oct 21;23(1):324. doi: 10.1186/s13054-019-2604-5.

    PubMed 31639033
  • Gu X, Yang Z, Kou Y, Yang F, Wang Y, Chen Y, Wang E, Jiang X, Bai Y, Zhang Z, Zhang S. Effects of Retrograde Colonic Enema-Based Fecal Microbiota Transplantation in the Treatment of Childhood Constipation: A Randomized, Double-Blind, Controlled Trial. Am J Gastroenterol. 2024 Nov 1;119(11):2288-2297. doi: 10.14309/ajg.0000000000002958. Epub 2024 Jul 11.

    PubMed 38989869

Questions about this trial

What is this clinical trial studying?

A study testing Fecal supernatant in people with Fecal Microbiota Transplantation and Constipation - Functional, run by Shengjing Hospital at 1 site 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 4 inclusion and 7 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: finished, as of the sponsor's last update on 22 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

improvement of spontaneous bowel movements(SBMs) per week (time frame: Baseline). The study lists 6 primary outcomes in all. 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 NCT05035784, which also lists 14 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 22 Nov 2023; AzTrials last refreshed its copy on 8 Nov 2026.

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