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Type 2 Diabetes MellitusPhase 2SETOMNCT05253768

Safety and Efficacy of Human Microbiota Transplantation for Overweight and Obese Type 2 Diabetes Mellitus

A Phase 2 study testing Fecal microbiota transplant (FMT) and normal saline and glycerin/food coloring in people with Type 2 Diabetes Mellitus and Overweight and Obesity, run by Zhujiang Hospital at 1 site 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 The sponsor has not verified this record for over two years, so it may be out of date.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

The main purpose is to evaluate whether the percentage of body weight change from baseline to week 12 is higher than that in the placebo group. In this randomized, double-blind, placebo-controlled study, 39 patients fulfilling the study criteria will be enrolled in the study. Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Fecal microbiota transplant (FMT) and normal saline and glycerin/food coloring
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
39 participants
Where
1 siteChina
Study dates
Mar 2024to Dec 2025
Phase
Phase 2
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • A diagnosis of T2DM (≥2 months) according to the dagnostic and typing criteria of Chinese guideline for type 2 diabetes
  • Control the blood glucose level through diet or exercise only and never receive any hypoglycemic agent in the last 8 weeks.
  • Continuous treatment with insulin and its analogues for no more than 14 days in the last year. (The duration of treatment with insulin and its analogues for gestational diabetes mellitus is not included)
  • 7.0%≤HbA1c≤10.0%
  • Fasting plasma glucose(FPG)<15mmol/L
  • 24kg/m2≤BMI≤35kg/m2
  • Give informed consent and agree to receive FMT
  • Agree to maintain the same diet and exercise habit during the whole process.

Who cannot join

  • 1. Diagnosed with T1D, gestational diabetes mellitus(GDM) or other special type of diabetes.
  • 2. The presence of any of the following medical histories or clinical conditions that the investigator believes the risks of participation in the study outweigh the benefits or the treatment of combined conditions that may affect subject compliance or the objectivity of the study outcomes.
  • Patients with gastrointestinal disease(such as Irritable bowel syndrome, inflammatory bowel disease, peptic ulcer, gastrointestinal bleeding history, etc.) or history of gastrointestinal surgery(such as gastrectomy, gastroenterostomy, bowel resection, etc.) and are assessed to be unsuitable to participate in this clinical trial by researchers.
  • Patients with severe diabetic complications (diabetic ketoacidosis, hyperglycemic hyperosmolar condition etc.) in the last 6 months.
  • Patients in unstable condition and need therapy for proliferative diabetic retinopathy or maculopathy, severe diabetic neuropathy, diabetic foot or intermittent claudication in the last 6 months.
  • Patients with severe kidney diseases and liver diseases or systemic diseases of other viscera.
Show all 35Show fewer
  • History or condition of following heart disease in the last 6 months
  • Decompensated cardiac insufficiency(graded III or IV in NYHA)
  • History of unstable angina, myocardial infarction, coronary artery bypass grafting, or coronary stent implantation
  • Diagnosed with Severe arrhythmias requiring treatment(like long QT syndrome etc.), and assessed to be unsuitable to participate in this clinical trial by researchers
  • Patients with uncontrolled hypertension (systolic blood pressure (SBP) ≥ 160mmHg or diastolic blood pressure (DBP) ≥ 100mmHg at screening time).
  • Diagnosed with hemorrhagic stroke or ischemia stroke in the last 6 months and assessed to be unsuitable to participate in this clinical trial by researchers.
  • History of other severe endocrine system diseases that affect glucose metabolism or body weight, such as multiple endocrine adenomas, acromegaly syndrome, Cushing's syndrome, and hyperthyroidism and assessed to be unsuitable to participate in this clinical trial by researchers.
  • History of malignant tumor in the last 5 years (cured basal cell carcinoma of the skin and carcinoma in situ of the cervix are excluded) or malignant tumor being assessed.
  • Patients who have psychiatric disorders or language disorders or are unable or reluctant to communicate, cooperate and be followed up or may have difficulty completing the study judged by the investigator.
  • Patients with severe infection or trauma or history of major surgery in the last 3 months and assessed to be unsuitable to participate in this clinical trial by researchers.
  • History of substance abuse in the last five years, including repeated and large use of dependent medication which is unrelated to medical purposes (addiction medicine and habitual medicine which can lead to physical and mental dependence are included).
  • HIV, TP and HBsAg positive.
  • Participated in any clinical trials of interventional medication or devices in the last 3 months.
  • Patients with anemia or patients who need regular blood transfusion treatment.
  • 3. Receive any of the following medications or treatments.
  • Self-reported weight changes of more than 5kg or use of medication which may result in weight-gain or weight-loss including diuretic, weight loss medicine and so on in the last 90 days.
  • Use of antibiotics in the last 12 weeks.
  • Patients who have used drugs that may affect blood glucose for more than 1 week in the last 12 weeks, such as oral/intravenous glucocorticoid growth hormone, estrogen/progesterone, high-dose diuretics, antipsychotic drugs, etc. (usage of low-dose diuretics (hydrochlorothiazide < 25mg/d, indapamide ≤1.5mg/d) for antihypertensive purposes are not included).
  • Consumption of food or preparation like yogurt, fermented foods, dietary supplements (fish oil, probiotics, prebiotics, various microorganisms, minerals, nutritional foods or herbal preparations) and so on which can affect the gut microbiota in the last 4 weeks.
  • Previous or planned bariatric surgery.
  • 4. Laboratory results during the screening period meet the following criteria.
  • Alanine aminotransferase (ALT) and/or aspartate aminotransferase (AST) > 2.5 upper limit of normal.
  • Glomerular filtration rate(eGFR)< 60 mL/min/1.73m2 calculated by CKD-EPI.
  • Hemoglobin <100g/L
  • Proteinuria 2+ or above.
  • 5. Patients who have suspected or confirmed history of alcohol or drug abuse.
  • 6. Patients known to be allergic to the FMT or its accessories.
  • 7. Pregnancy, breast-feeding, or plans to become pregnant.
  • 8. Patients who are assessed to be unsuitable to participate in this clinical trial by researchers for other reasons.

Trial locations and contacts

1 site in 1 country.

Hong Chen, MD contact

13602759769

rubychq@163.com

China1 site, 1 recruiting
  • Zhujiang Hospital of Southern Medical University

    Guangzhou, Guangdong, 510000

    Recruiting

Other trials in China

About this study

Official title: Safety and Efficacy of Human Microbiota Transplantation for Overweight and Obese Type 2 Diabetes Mellitus ( SETOM ): A Randomized, Double-blind, Placebo-controlled Clinical Study

The main purpose is to evaluate whether the percentage of body weight change from baseline to week 12 is higher than that in the placebo group.

In this randomized, double-blind, placebo-controlled study, 39 patients fulfilling the study criteria will be enrolled in the study. Patients will be randomized(2:1) to either FMT or placebo.

Read the detailed description

This is a randomized, double-blind, placebo-controlled study evaluating fecal microbiota transplantation from lean healthy donors to reduce the patients' weight. Patients wishing to participate will be evaluated whether they qualify for the study regarding the aforementioned inclusion and exclusion criteria. The details of the experiment and potential risks or discomforts involved in it will be presented, after which the patients will sign informed consent forms.

In this study, patients will be randomly assigned to the experimental group and the control group in a 2:1 ratio according to a random allocation table. The table will be formulated on the basis of the random numbers generated by SPSS.

The study will comprise of three parts:

  1. Baseline - two weeks of run-in and screening period.
  • Ensure that each patient reads and signs informed consent.
  • Collect demographic data.
  • Ask about past medical history, current medical history, surgical history, allergy history, etc.
  • Ask about previous medication and combination medication.
  • Complete the FFQ questionnaire.
  • Collect information about vital signs, physical examination, BMI, ECG, conventional index and therapeutic effect index.
  • Collect 2 tubes of stool samples for fecal metagenomics sequencing and three tubes of blood samples for measuring serum metabolomics and inflammatory index (IL-6).
  • Review whether patients qualify for participate in the study according to the inclusion and exclusion criteria.
  • Dietitian will give diet, exercise lifestyle intervention guidance to patients.
  1. FMT/ placebo intervention-patients will receive three interventions every two weeks. Four donors of any gender will be recruited for this study. Patients will receive 200ml FMT from donors with the same gender or receive the same amount of placebo FMT. FMT will be packaged in a 50ml sterile syringe or in an enema bag/surgical nutrition bag, the outer package of which will be affixed with the unique identifiable bar code label generated according to the biological specimen bank of the Department of Laboratory Medicine. The placebo FMT will be mainly composed of normal saline and glycerin and will be packaged in the same way as FMT. The night before receiving FMT or placebo FMT via nasointestinal tube, patients will go through proton pump inhibitors(oral 20mg esomeprazole or 40mg omeprazole). The end of the nasointestinal tube should reach at least the patient's duodenum, or reach the patient's jejunum if the patient cooperate. To prevent aspiration, the patient's upper body must maintain an upright posture of 45 degrees for 4 hours after the infusion. Before the first intervention, information about drug combination, vital signs, physical examination, BMI, body composition analysis and adverse events of patients will be collected, and advice of diet and lifestyle will be given to patients. Before the second intervention and before the third intervention, information about drug combination, vital signs, physical examination, BMI, renal function, liver function, blood fat, fasting blood glucose/C-peptide/insulin, body composition analysis and adverse events of patients will be collected, and advice of diet and lifestyle will be given to patients.
  2. Follow-up meetings - total follow up of 6 weeks after FMT/placebo intervention. Meetings will occur 2 weeks and 6 weeks after the third intervention.

During every follow-up meeting, information about drug combination, vital signs, physical examination, BMI, inflammatory biomarkers, renal function, liver function, blood fat, HbAlc, fasting blood glucose/C-peptide/insulin, 2-hour postprandial blood glucose/C-peptide/insulin, body composition analysis and adverse events of patients will be collected, and advice of diet and lifestyle will be given to patients. In the second follow-up meeting, there will be a fecal metagenomics sequencing and a serum metabonomics analysis.

Being tested
Fecal microbiota transplant (FMT), normal saline and glycerin/food coloring
Keywords
Fecal Microbiota Transplantation(FMT), Type 2 Diabetes Mellitus, obesity, Weight Loss, Diabetes Mellitus, Overweight
Medical subject headings
Diabetes Mellitus, Type 2, Overweight, Obesity, Weight Loss, Diabetes Mellitus

What participants receive

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

  • Fecal microbiota transplant (FMT)Biological

    Patients will randomized to a fecal microbiota transplantation by using a nasointestinal tube for 3 times in 4 weeks(0,2,4) without undergoing an enema before the treatment.

    The amount of FMT is 200ml at one time. Patients are given the same lifestyle guidance and nutritional advice.

  • normal saline and glycerin/food coloringOther

    Patients will receive an equivalent volume of normal saline and glycerin/food coloring via a nasointestinal tube (sham transplantation) for 3 times in 4 weeks(0,2,4) without undergoing an enema before the treatment.

    The amount of placebo FMT is 200ml at one time. Patients are given the same lifestyle guidance and nutritional advice.

Study groups in NCT05253768
Study groupRoleWhat they receive
interventionExperimentalPatients who receive a fecal microbiota transplantation via a nasointestinal tube.
Receives: Biological: Fecal microbiota transplant (FMT)
placeboPlacebo comparatorPatients who receive a placebo FMT via a nasointestinal tube.
Receives: Other: normal saline and glycerin/food coloring

What is being measured

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

  1. Percentage of change in weight compared with baseline.

    Measured: 12 weeks

Secondary outcomes (26)
  1. The absolute value of change in weight compared with baseline.

    Measured: 6,12 weeks

  2. Proportion of at least 5% reduction in weight.

    Measured: 12 weeks

  3. Proportion of at least 10% reduction in weight.

    Measured: 12 weeks

  4. Proportion of at least 15% reduction in weight.

    Measured: 12 weeks

  5. Proportion of patients with HbA1c < 7.0%.

    Measured: 12 weeks

  6. Proportion of patients with HbA1c < 6.5%.

    Measured: 12 weeks

  7. Change in the level of HbA1c.

    Measured: 6,12 weeks

  8. Change in FCP (fasting C-peptide) compared with baseline.

    Measured: 6,12 weeks

  9. Change in FPG (fasting plasma glucose) compared with baseline.

    Measured: 6,12 weeks

  10. Change in FINS (fasting serum insulin) compared with baseline.

    Measured: 6,12 weeks

  11. Change in 2h-PPG (Postprandial plasma glucose) compared with baseline.

    Measured: 6,12 weeks

  12. Change in the level of 2-hour postprandial C-peptide compared with baseline.

    Measured: 6,12 weeks

  13. Change in the level of 2-hour postprandial serum insulin compared with baseline.

    Measured: 6,12 weeks

  14. Change in BMI compared with baseline.

    Measured: 6,12 weeks

  15. Change in waist circumference compared with baseline.

    Measured: 6,12 weeks

  16. Change in hip circumference compared with baseline.

    Measured: 6,12 weeks

  17. Change in waist hip ratio compared with baseline.

    Measured: 6,12 weeks

  18. Change in body fat rate compared with baseline.

    Measured: 6,12 weeks

  19. Change in visceral fat area compared with baseline.

    Measured: 6,12 weeks

  20. Change in basal metabolic rate compared with baseline.

    Measured: 6,12 weeks

  21. Change in TC、TG、HDL and LDL compared with baseline.

    Measured: 6,12 weeks

  22. Change in Blood pressure parameter (SBP, DBP) compared with baseline.

    Measured: 6,12 weeks

  23. Change in inflammatory markers (hS-CRP, IL-6) compared with baseline.

    Measured: 6,12 weeks

  24. Change in gut microbiota composition compared with baseline.

    Measured: 12 weeks

  25. Change in serum metabolic profile compared with baseline.

    Measured: 12 weeks

  26. Safety of FMT

    Rate of adverse events(reflux, aspiration, nausea, vomiting belching, abdominal distension, abdominal pain, diarrhea, constipation, infection, fever etc.).

    Measured: 12 weeks

Timeline

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

  1. First posted24 Feb 2022
  2. Study startMar 2024 (estimated)
  3. Primary completionMar 2025 (estimated)
  4. Study completionDec 2025 (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
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
39 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05253768
Sponsor's protocol ID
SETOM
Acronym
SETOM
Status last verified
Mar 2024
First submitted
23 Dec 2021
Last updated
15 Mar 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Fecal microbiota transplant (FMT) and normal saline and glycerin/food coloring in people with Type 2 Diabetes Mellitus and Overweight and Obesity, run by Zhujiang 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 8 inclusion and 35 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 15 Mar 2024. 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.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 Hong Chen, MD (13602759769, rubychq@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of change in weight compared with baseline. (time frame: 12 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 15 Mar 2024.

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