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Multidrug Resistant Bacterial InfectionPhase 2NCT05632315

PMT for MDRO Decolonization

A Phase 2 study testing PMT in people with Multidrug Resistant Bacterial Infection and Enterobacteriaceae Infections, run by University of Pennsylvania at 3 sites in United States.

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

This is a randomized, open label, comparative Phase II trial being conducted to determine whether fecal microbiota transplant using Penn Microbiome Therapy (PMT) products helps standard therapy eradicate antibiotic-resistant bacteria. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
PMT
Could I receive a placebo?
No, everyone receives an active treatment
How many people
32 participants
Where
3 sitesUnited States
Study dates
19 Aug 2024to 24 Aug 2026
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Multidrug-resistant organism (MDRO) infection of the bloodstream, respiratory tract, or urinary tract. Qualifying MDROs include extended-spectrum cephalosporin-resistant Enterobacterales (ESCRE) or carbapenem-resistant Enterobacterales (CRE), Pseudomonas aeruginosa non-susceptible to two or more classes of antibiotics (MDR-PA), vancomycin-resistant Enterococcus (VRE), and methicillin-resistant Staphylococcus aureus (MRSA).
  • On appropriate antibiotic treatment per clinical phenotypic susceptibility testing of the qualifying MDRO, and with a qualifying antibiotic class. Qualifying antibiotic classes include beta-lactam + beta-lactamase inhibitor, carbapenem (with or without betalactamase inhibitor), fluoroquinolone, lipopeptide, glycopeptide, or oxazolidinone.
  • Expected duration of inpatient antibiotic treatment for index MDRO infection at least 5 days total.
  • At least two calendar days remaining, and no more than 7 calendar days remaining prior to SCAIM (scheduled completion of inpatient appropriate antibiotics for the index MDRO infection).
  • Age ≥ 18 years.

Who cannot join

  • Evidence of colon/small bowel perforation at the time of study screening.
  • Unable to tolerate enteral and enema nutrition and medication administration (i.e., only able to tolerate intravenous nutrition and medications).
  • Goals of care are directed to comfort rather than curative measures.
  • Moderate or severe neutropenia within 10 calendar days prior to enrollment.
  • Known food allergy that could lead to anaphylaxis.
  • Known allergy to fecal microbiota transplant products or their components
Show all 19Show fewer
  • Pregnancy or lactation
  • For subjects of childbearing potential (ages 18 to 55) and who are randomized to receive the intervention, the subject must have a negative pregnancy test within 24 hours prior to product administration
  • Female or male subjects (ages 18 to 55) of reproductive potential engaged in active sexual activity that could lead to a pregnancy must agree to use one of the following forms of birth control while receiving study medications and through day 28 following completion of treatment, at minimum:
  • Male or female condoms
  • Diaphragm or cervical cap with spermicide, if available
  • Intrauterine device (IUD)
  • Oral contraceptives or other hormonal contraception
  • Known gastrointestinal disease that could affect the safety of fecal microbiota transplant at time of enrollment:
  • Inflammatory Bowel Disease (IBD)
  • Short Gut Syndrome
  • Fistulas
  • Bowel resection surgery
  • Colitis

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Emory University - Grady Memorial Hospital

    Atlanta, Georgia, 30303

  • Hospital of the University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • Washington University

    St Louis, Missouri, 63110

Other trials in United States

About this study

Official title: A Phase II Randomized Trial to Evaluate the Impact of Fecal Microbiota Transplantation Using the Penn Microbiome Therapy Products on Recipient and Environmental Colonization With Multidrug-Resistant Organisms

This is a randomized, open label, comparative Phase II trial being conducted to determine whether fecal microbiota transplant using Penn Microbiome Therapy (PMT) products helps standard therapy eradicate antibiotic-resistant bacteria.

Being tested
PMT
Medical subject headings
Enterobacteriaceae Infections, Pseudomonas Infections

What participants receive

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

  • PMTDrug

    Also called Penn Microbiome Therapy

    Fecal Microbiota for Transplant, enema product (PMT-001) or Fecal Microbiota for Transplant, suspension product (PMT-002)

Study groups in NCT05632315
Study groupRoleWhat they receive
ESCRE/CRE BL-BLIExperimentalMDRO: extended-spectrum cephalosporin resistant Enterobacterales ESCRE/CRE Antibiotic Class: Beta Lactamase Inhibitors (BL-BLI)
Receives: Drug: PMT
ESCRE/CRE BL-BLI standard of care (SOC)No interventionMDRO: extended-spectrum cephalosporin resistant Enterobacterales ESCRE/CRE Antibiotic Class: Beta Lactamase Inhibitors (BL-BLI) standard of care (SOC)
ESCRE/CRE carbapenem +/- BLIExperimentalMDRO: extended-spectrum cephalosporin resistant Enterobacterales ESCRE/CRE Antibiotic Class: carbapenem +/- BLI
Receives: Drug: PMT
ESCRE/CRE carbapenem +/- BLI standard of care (SOC)No interventionMDRO: extended-spectrum cephalosporin resistant Enterobacterales ESCRE/CRE Antibiotic Class: carbapenem +/- BLI standard of care (SOC)
ESCRE/CRE FluoroquinoloneExperimentalMDRO: extended-spectrum cephalosporin resistant Enterobacterales ESCRE/CRE Antibiotic Class: Fluoroquinolone
Receives: Drug: PMT
ESCRE/CRE Fluoroquinolone standard of care (SOC)No interventionMDRO: extended-spectrum cephalosporin resistant Enterobacterales ESCRE/CRE Antibiotic Class: Fluoroquinolone standard of care (SOC)
MRSA lipo/glycopeptideExperimentalMRDO: methicillin-resistant S. aureus (MRSA) Antibiotic Class: lipo/glycopeptide
Receives: Drug: PMT
MRSA lipo/glycopeptide standard of care (SOC)No interventionMRDO: methicillin-resistant S. aureus (MRSA) Antibiotic Class: lipo/glycopeptide standard of care (SOC)
MRSA oxazolidinoneExperimentalMRDO: methicillin-resistant S. aureus (MRSA) Antibiotic Class: oxazolidinone
Receives: Drug: PMT
MRSA oxazolidinone standard of care (SOC)No interventionMRDO: methicillin-resistant S. aureus (MRSA) Antibiotic Class: oxazolidinone standard of care (SOC)
MDR-PA BL-BLIExperimentalMDRO: two-class non-susceptible Pseudomonas aeruginosa (MDR-PA) Antibiotic Class: Beta Lactamase Inhibitors (BL-BLI)
Receives: Drug: PMT
MDR-PA BL-BLI standard of care (SOC)No interventionMDRO: two-class non-susceptible Pseudomonas aeruginosa (MDR-PA) Antibiotic Class: Beta Lactamase Inhibitors (BL-BLI) standard of care (SOC)
MDR-PA carbapenem +/- BLIExperimentalMDRO: two-class non-susceptible Pseudomonas aeruginosa (MDR-PA) Antibiotic Class: carbapenem +/- BLI
Receives: Drug: PMT
MDR-PA carbapenem +/- BLI standard of care (SOC)No interventionMDRO: two-class non-susceptible Pseudomonas aeruginosa (MDR-PA) Antibiotic Class: carbapenem +/- BLI standard of care (SOC)
MDR-PA FluoroquinoloneExperimentalMDRO: two-class non-susceptible Pseudomonas aeruginosa (MDR-PA) Antibiotic Class: Fluoroquinolone
Receives: Drug: PMT
MDR-PA Fluoroquinolone standard of care (SOC)No interventionMDRO: two-class non-susceptible Pseudomonas aeruginosa (MDR-PA) Antibiotic Class: Fluoroquinolone standard of care (SOC)
VRE lipopeptideExperimentalMDRO: vancomycin resistant Enterococcus (VRE) Antibiotic Class: lipopeptide
Receives: Drug: PMT
VRE lipopeptide standard of care (SOC)No interventionMDRO: vancomycin resistant Enterococcus (VRE) Antibiotic Class: lipopeptide standard of care (SOC)
VRE oxazolidinoneExperimentalMDRO: vancomycin resistant Enterococcus (VRE) Antibiotic Class: oxazolidinone
Receives: Drug: PMT
VRE oxazolidinone standard of care (SOC)No interventionMDRO: vancomycin resistant Enterococcus (VRE) Antibiotic Class: oxazolidinone standard of care (SOC)
ESCRE/CRE cefepime/cefidericolExperimentalMDRO: ESCRE/CRE Antibiotic Class: cefepime/cefidericol
Receives: Drug: PMT
ESCRE/CRE cefepime/cefidericol standard of care (SOC)No interventionMDRO: ESCRE/CRE Antibiotic Class: cefepime/cefidericol standard of care (SOC)
MDR-PA cefepime/cefidericolExperimentalMDRO: two-class non-susceptible Pseudomonas aeruginosa (MDR-PA) Antibiotic Class: cefepime/cefidericol
Receives: Drug: PMT
MDR-PA cefepime/cefidericol standard of care (SOC)No interventionMDRO: two-class non-susceptible Pseudomonas aeruginosa (MDR-PA) Antibiotic Class: cefepime/cefidericol standard of care (SOC)

What is being measured

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

  1. Proportion of subjects with resolution of index MDRO colonization of the gut

    measured by selective stool culture, resolution will be defined as the absence of growth of the index MDRO on selective culture media.

    Measured: 30 (+/-7)- day visit after SCAIM (scheduled completion of appropriate inpatient antibiotics for the index MDRO infection)

  2. Frequency of solicited adverse events (AEs)

    Measured: randomization until 180 day visit after SCAIM (scheduled completion of appropriate inpatient antibiotics for the index MDRO infection)

  3. Frequency of serious adverse events (SAEs)

    Measured: randomization until 180 day visit after SCAIM (scheduled completion of appropriate inpatient antibiotics for the index MDRO infection)

  4. Frequency of adverse events of special interest (AESIs)

    Measured: randomization until 180 day visit after SCAIM (scheduled completion of appropriate inpatient antibiotics for the index MDRO infection)

  5. Frequency of medically attended adverse events (MAAEs)

    Measured: randomization until 180 day visit after SCAIM (scheduled completion of appropriate inpatient antibiotics for the index MDRO infection)

Secondary outcomes (13)
  1. Eradication of gut colonization with the index MDRO

    i.e., negative selective bacterial culture for the index MDRO to be assessed in addition to primary endpoint

    Measured: 7 days and 90 days after SCAIM (scheduled completion of appropriate inpatient antibiotics for the index MDRO infection)

  2. Eradication of gut colonization with any of the included MDROs

    Measured: 7- , 30-, and 90-days after SCAIM (scheduled completion of appropriate inpatient antibiotics for the index MDRO infection)

  3. All-cause mortality

    Measured: 30- and 60-days following SCAIM (scheduled completion of appropriate inpatient antibiotics for the index MDRO infection)

  4. Colectomy occurrence

    Measured: within 30 days after SCAIM (scheduled completion of appropriate inpatient antibiotics for the index MDRO infection)

  5. Cumulative days of hospitalization

    Measured: from randomization to 30 days after SCAIM (scheduled completion of appropriate inpatient antibiotics for the index MDRO infection)

  6. Cumulative days of intensive care

    Measured: from randomization to 30 days after SCAIM (scheduled completion of appropriate inpatient antibiotics for the index MDRO infection)

  7. Bacteria growth in blood samples

    Measured: from randomization to 30 days after SCAIM (scheduled completion of appropriate inpatient antibiotics for the index MDRO infection)

  8. Hospital admission

    Measured: within 60 days of discharge from index hospitalization

  9. Hospital admission

    Measured: within 180 days after SCAIM (scheduled completion of appropriate inpatient antibiotics for the index MDRO infection)

  10. Instances of worsened abdominal pain, fever, tachycardia, and hypotension

    Measured: randomization until 180-day visit

  11. Instances of aspiration (including reduced oxygen saturation, tachypnea, or respiratory distress (PMT-002 upper entral delivery only)

    Measured: randomization until 180-day visit

  12. Instances of fever, diarrhea, nausea and vomiting

    Measured: 7-, 30-, 90- and 180 day follow up visits

  13. Instances of new metabolic disease, including hyperglycemia, thyroid disease, weight gain or loss

    Measured: 30-, 90- and 180 day follow up visits

Timeline

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

  1. First posted30 Nov 2022
  2. Study start19 Aug 2024
  3. Primary completion24 Aug 2026
  4. Study completion24 Aug 2026

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
Model description
Randomized, open label, comparative
Masking
None (open label)
Enrolment
32 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05632315
Sponsor's protocol ID
852552
Status last verified
Sep 2026
First submitted
17 Nov 2022
Last updated
24 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PMT in people with Multidrug Resistant Bacterial Infection and Enterobacteriaceae Infections, run by University of Pennsylvania at 3 sites in United States.

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 5 inclusion and 19 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 24 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. 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. 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?

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?

Proportion of subjects with resolution of index MDRO colonization of the gut (time frame: 30 (+/-7)- day visit after SCAIM (scheduled completion of appropriate inpatient antibiotics for the index MDRO infection)). The study lists 5 primary outcomes in all. 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 24 Sep 2026; AzTrials last refreshed its copy on 27 Oct 2026.

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