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Fecal Microbiota TransplantationPhase 2NCT06205862

Efficacy and Safety of Fecal Microbiota Transplantation (FMT) in Reducing Recurrence of Colorectal Adenoma (CRA)

A Phase 2 study testing fecal microbiota transplantation in people with Fecal Microbiota Transplantation and Colorectal Adenoma, run by Shenzhen Hospital of Southern Medical University at 5 sites in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn about the efficacy and safety of fecal microbiota transplantation in reducing recurrence of colorectal adenomas after endoscopic resection. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
fecal microbiota transplantation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
466 participants
Where
5 sitesChina
Study dates
9 Apr 2024to Dec 2028
Phase
Phase 2
Are there results?
Not yet: the study is under way

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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18-75, gender not specified.
  • Colorectal adenoma patients diagnosed by colonoscopy and treated with endoscopic resection (such as EMR, ESD, APC treatment, etc.),or patients who have undergone endoscopic resection within the past 6 months and have pathologically confirmed colorectal adenoma.
  • Individuals who are able to swallow pills/capsules.
  • Individuals who voluntarily sign an informed consent form after fully understanding the purpose and procedures of this study, the characteristics of the disease, the therapeutic efficacy of the drugs, the related examination methods, and the potential risks/benefits of the study.

Who cannot join

  • Individuals in whom the adenoma was not completely removed in a previous colonoscopy;
  • Individuals who experienced serious complications during or after adenoma resection, including perforation, uncontrollable bleeding, or severe infection;
  • Individuals with a history of familial adenomatous polyposis (FAP) or hereditary nonpolyposis colorectal cancer (HNPCC/Lynch syndrome);
  • Individuals regularly taking aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs), cyclooxygenase 2 (COX2) inhibitors, calcium, or vitamin D;
  • Individuals with a history of subtotal or total gastrectomy or partial bowel resection;
  • People who cannot tolerate colonoscopy;
Show all 13Show fewer
  • Individuals with allergic diathesis, known allergies to fecal microbiota transplantation, drug allergies, or intolerance;
  • Individuals with serious heart, liver, or kidney diseases, or any history of cancer;
  • People suffering from severe constipation;
  • Pregnant women, breastfeeding mothers, or women planning to become pregnant;
  • Patients with mental illness who are unable to cooperate;
  • Individuals involved in the design, planning, or execution of this trial;
  • Any other individuals who, in the investigator's opinion, are unsuitable for inclusion.

Trial locations and contacts

5 sites in 1 country. Contact the study team or a site near you to ask about taking part.

5 sites in 1 country

China5 sites, 4 recruiting
  • Nanfang Hospital, Southern Medical University

    Guangzhou, Guangdong

    Withdrawn
  • Shenzhen Hospital of Southern Medical University

    Shenzhen, Guangdong, 518000

    Jun Huang, +8613189606428, 1473355495@qq.com

    Ye Chen, MD, chenye_2013@163.com

    Recruiting
  • Luohu District People's Hospital

    Shenzhen, Guangdong

    Jun huang

    Not yet recruiting
  • Shenzhen University General Hospital

    Shenzhen, Guangdong

    Jun Huang

    Not yet recruiting
  • Shunde Hospital of Southern Medical University

    Shunde, Guangdong

    Jun Huang

    Not yet recruiting

Other trials in China

About this study

Official title: Efficacy and Safety of Fecal Microbiota Transplantation in Reducing Recurrence of Colorectal Adenomas After Endoscopic Resection: a Multicenter, Open-label, Randomized Controlled Study

The goal of this clinical trial is to learn about the efficacy and safety of fecal microbiota transplantation in reducing recurrence of colorectal adenomas after endoscopic resection.

The main questions it aims to answer are:

Read more
  • the efficacy and safety of fecal microbiota transplantation in reducing the recurrence rate of colorectal adenomas after endoscopic resection.
  • changes in the intestinal and mucosal microbiota of patients before and after endoscopic treatment.
  • changes in the intestinal and mucosal microbiota of patients before and after fecal microbiota transplantation.

Participants are required to complete one colonoscopy and infuse 150ml of fecal suspension into the terminal ileum under endoscopy, performing the first fecal microbiota transplantation (FMT) on day 0. Subsequently, for 2 days continuously (day 1-2), the participants will undergo microbiota transplantation in the form of oral capsules, taking 40 FMT capsules within one day (20 capsules bid). Subsequently, participants will receive a maintenance treatment with oral FMT capsules (20 capsules bid) at 3, 6, and 9 months (approximately every 75 to 90 days). Participants will undergo their first follow-up colonoscopy between 6 to 12 months(the high-risk adenoma group will receive colonoscopy at 6 months, and the low-risk adenoma group will receive colonoscopy at 12 months).

Read the detailed description

Colorectal adenomas are precancerous lesions that can lead to colorectal cancer if not effectively managed. The standard treatment for colorectal adenomas is endoscopic resection. However, there is a significant rate of recurrence following this procedure, which poses a challenge for long-term management and prevention of colorectal cancer. Recent research has suggested a potential role for the gut microbiota in the development and recurrence of colorectal adenomas. Fecal microbiota transplantation (FMT) has been proposed as a novel strategy to manipulate the microbiota to reduce the recurrence of these lesions. This clinical trial aims to investigate both the efficacy and safety of FMT in reducing the recurrence of colorectal adenomas post endoscopic resection, and to elucidate the changes in intestinal and mucosal microbiota associated with the treatment.

The clinical trial is designed as a randomized controlled study where participants who have undergone endoscopic resection for colorectal adenomas are enrolled to receive FMT. The primary objective is to assess the efficacy of FMT in reducing the recurrence rate of colorectal adenomas. The secondary objective is to evaluate the safety of FMT in this patient population and to examine the changes in intestinal and mucosal microbiota before and after endoscopic treatment and FMT.

Participants are required to undergo a baseline colonoscopy to ensure the absence of residual adenomas post endoscopic resection. Following this, on day 0, participants will receive their first FMT via infusion of 150ml of fecal suspension into the terminal ileum under endoscopic guidance. This procedure aims to directly alter the gut microbiota by introducing a healthy donor's fecal material.

The FMT treatment is continued orally in the form of capsules for the next two days. Participants are instructed to ingest a considerable number of FMT capsules (40 capsules per day, 20 capsules twice daily) to maintain the introduced microbiota's presence and potential therapeutic effect.

After the initial intensive treatment phase, participants enter a maintenance phase where they receive oral FMT capsules at 3, 6, and 9 months (approximately every 75 to 90 days). This phase is designed to establish a newly balanced and potentially disease-modifying gut microbiome, allowing for a longitudinal assessment of the FMT's efficacy in reducing adenoma recurrence.

Safety assessments are performed throughout the trial, including monitoring for adverse events related to the FMT procedure and the overall health status of participants. Stool samples are collected at various time points to analyze changes in the gut microbiota composition using molecular techniques.

This clinical trial represents a critical step in understanding the potential role of FMT in preventing the recurrence of colorectal adenomas following endoscopic resection. By investigating both the efficacy and safety of FMT, as well as the associated changes in the gut microbiota, this study could significantly contribute to the development of novel therapeutic strategies for colorectal cancer prevention. If successful, this approach could provide a non-invasive and potentially effective treatment modality for patients at risk of recurrent colorectal adenomas, ultimately improving patient outcomes and reducing the burden of colorectal cancer.

Being tested
fecal microbiota transplantation
Keywords
Fecal Microbiota Transplantation, Colorectal Adenomas, Gastrointestinal Microbiome, Recurrence rate after endoscopic resection

What participants receive

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

  • fecal microbiota transplantationProcedure or surgery

    We will use fecal suspensions and capsules prepared from the feces of healthy donors for fecal microbiota transplantation. Participants are required to complete one colonoscopy and infuse 150ml of fecal suspension into the terminal ileum under endoscopy, performing the first fecal microbiota transplantation (FMT) on day 0. Subsequently, for 2 days continuously (day 1-2), the participants will undergo microbiota transplantation in the form of oral capsules, taking 40 FMT capsules within one day (20 capsules bid). Subsequently, participants will receive a maintenance treatment with oral FMT capsules (20 capsules bid) at 3, 6, and 9 months (approximately every 75 to 90 days). Participants will undergo their first follow-up colonoscopy between 6 to 12 months(the high-risk adenoma group will receive colonoscopy at 6 months, and the low-risk adenoma group will receive colonoscopy at 12 months).

Study groups in NCT06205862
Study groupRoleWhat they receive
FMT groupExperimentalParticipants are required to complete one colonoscopy and infuse 150ml of fecal suspension into the terminal ileum under endoscopy, performing the first fecal microbiota transplantation (FMT) on day 0. Subsequently, for 2 days continuously (day 1-2), the participants will undergo microbiota transplantation in the form of oral capsules, taking 40 FMT capsules within one day (20 capsules bid). Subsequently, participants will receive a maintenance treatment with oral FMT capsules (20 capsules bid) at 3, 6, and 9 months (approximately every 75 to 90 days). Participants will undergo their first follow-up colonoscopy between 6 to 12 months(the high-risk adenoma group will receive colonoscopy at 6 months, and the low-risk adenoma group will receive colonoscopy at 12 months).
Receives: Procedure: fecal microbiota transplantation
No treatment groupNo interventionParticipants are required to complete one colonoscopy and during the procedure, 150ml of saline is infused into the terminal ileum on day 0. Subsequently, participants don't need any treatment. The participants will receive their first colonoscopy follow-up 6 to 12 months after enrollment.

What is being measured

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

  1. CRA recurrence rate

    Percentage of patients who has recurrence of CRA(colorectal adenoma) during or after FMT.

    Measured: 6~12 months

Secondary outcomes (5)
  1. Number of participants with treatment-related adverse events as assessed by NCI CTCAE v5.0

    The number of participants with adverse events both severe and non-severe, assessed for severity based on the 5-grade criteria set by the NCI CTCAE version 5.0.

    Measured: 1~12 months

  2. Intestinal Microbiota Composition Pre- and Post-FMT (Fecal Microbiota Transplantation)

    Outcomes assessed included alpha and beta diversity, etc.

    Measured: 1~12 months

  3. All polypoid lesions incidence rate

    Percentage of patients who has incidence of all polypoid lesions during or after FMT.

    Measured: 6~12 months

  4. CRC incidence rate

    Percentage of patients who has incidence of CRC (colorectal cancer) during or after FMT.

    Measured: 6~12 months

  5. Changes in intestinal mucosal microbiota Pre- and Post-FMT

    Intestinal mucosal microbiota tests (16S rRNA gene sequencing, metagenome sequencing).

    Measured: 1~12 months

Timeline

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

  1. First posted16 Jan 2024
  2. Study start9 Apr 2024
  3. Primary completionDec 2026 (estimated)
  4. Study completionDec 2028 (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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
466 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06205862
Sponsor's protocol ID
20231219v2.6
Status last verified
Jul 2024
First submitted
19 Dec 2023
Last updated
15 Jul 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Huang J, Chen Z, Wang M, Yang C, Wang A, Chen Y. Efficacy and safety of fecal microbiota transplantation in reducing recurrence of colorectal adenomas after endoscopic resection: study protocol for a multicenter, open-label, randomized, no-treatment-controlled trial. Trials. 2026 Apr 27;27(1):435. doi: 10.1186/s13063-026-09740-1.

    PubMed 42045958

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing fecal microbiota transplantation in people with Fecal Microbiota Transplantation and Colorectal Adenoma, run by Shenzhen Hospital of Southern Medical University at 5 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 4 inclusion and 13 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: looking for participants now, as of the sponsor's last update on 15 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 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. 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?

This study is still under way. Results are not available in the source record yet.

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

Contact Jun Huang (+8613189606428, 1473355495@qq.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

CRA recurrence rate (time frame: 6~12 months). 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 NCT06205862, which also lists 1 linked publication.

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 Jul 2024.

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