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Inflammatory Bowel Disease (Crohn&Amp;#39;s Disease and Ulcerative Colitis)NCT07149441

Efficacy and Mechanism of FMT in the Treatment of Inflammatory Bowel Disease: an Open-label Randomized Controlled Study

A study testing Fecal microbiota transplantation and infliximab in people with Inflammatory Bowel Disease (Crohn&Amp;#39;s Disease and Ulcerative Colitis) and Fecal Microbiota Transplantation, run by Shanghai 10th People's Hospital at 1 site in China.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This study enrolled 94 patients with UC or CD. Two groups received either 8-week intestinal bacterial transplant capsule therapy or biological therapy, respectively. The control group received biological therapy alone, while the experimental group received biological therapy combined with FMT. Read more about this study

Who is it for?
Ages 18 to 65 years
What is being tested?
Fecal microbiota transplantation and infliximab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
94 participants
Where
1 siteChina
Study dates
1 Aug 2025to 1 Sep 2028
Phase
Interventional
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The diagnosis was UC or CD, and the diagnosis was based on clinical, endoscopic and pathological evidence.
  • IBD should be diagnosed for at least 6 months to rule out the possibility of natural remission of new cases.
  • Patients should be in mild to moderate active stage (UC: Mayo score 3-10; CD: CDAI score: 150-449)
  • Biological agents (such as anti-TNF-α drugs, vedolizumab, etc.) were used in the past, but no clinical remission was achieved.
  • Voluntary participation and signing of informed consent.
  • Adults aged 18-65.
  • Can tolerate oral enterobacteria transplantation capsule treatment.

Who cannot join

  • The diagnosis was UC or CD, and the diagnosis was based on clinical, endoscopic and pathological evidence.
  • IBD should be diagnosed for at least 6 months to rule out the possibility of natural remission of new cases.
  • Patients should be in mild to moderate active stage (UC: Mayo score 3-10; CD: CDAI score: 150-449)
  • Biological agents (such as anti-TNF-α drugs, vedolizumab, etc.) were used in the past, but no clinical remission was achieved.
  • Voluntary participation and signing of informed consent.
  • Adults aged 18-65.
  • Can tolerate oral enterobacteria transplantation capsule treatment.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Shanghai Tenth People's Hospital

    Shanghai, Shanghai Municipality

Other trials in China

About this study

Official title: Efficacy and Mechanism of Fecal Microbiota Transplantation in the Treatment of Inflammatory Bowel Disease: an Open-label Randomized Controlled Study

This study enrolled 94 patients with UC or CD. Two groups received either 8-week intestinal bacterial transplant capsule therapy or biological therapy, respectively. The control group received biological therapy alone, while the experimental group received biological therapy combined with FMT. Both groups were followed up for 52 weeks after discharge. The efficacy of FMT capsule therapy on the subjects' UC or CD symptom-related scores and its effect on remodeling the intestinal flora were observed, and its safety was verified.

Being tested
Fecal microbiota transplantation, infliximab
Medical subject headings
Inflammatory Bowel Diseases, Colitis, Ulcerative

What participants receive

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

  • Fecal microbiota transplantationProcedure or surgery

    Fecal microbiota transplantation (FMT) achieves the purpose of treating intestinal and extra-intestinal diseases by transplanting the functional microbes in the feces of healthy people into the patient's intestine through the upper or lower alimentary tract routes to rebuild the patient's intestinal microbiota.

  • infliximabDrug

    Also called Biological agent

    Intravenous infusion of infliximab once every 8 weeks.

Study groups in NCT07149441
Study groupRoleWhat they receive
Biological agent +FMTExperimental47 patients were treated with biological agents combined with fecal microbiota transplants (FMT). All patients were followed up for 52 weeks after discharge. To observe the curative effect of FMT capsule treatment on UC or CD symptom-related scores of subjects and its remodeling effect on intestinal flora and verify its safety.
Receives: Procedure: Fecal microbiota transplantation; Drug: infliximab
Biological agentExperimental47 patients were treated with biological agents. All patients were followed up for 52 weeks after discharge. To observe the curative effect of FMT capsule treatment on UC or CD symptom-related scores of subjects and its remodeling effect on intestinal flora and verify its safety.
Receives: Drug: infliximab

What is being measured

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

  1. Endoscopic remission rate

    UC is endoscopic Mayo score 0-1; CD is simple endoscopic score (SES-CD)<3 or no ulcer.

    Measured: 14th and 52nd week after joining the group.

  2. Clinical remission rate

    UC is defined as Mayo score ≤2, and no single score > 1; CD is defined as CDAI (Crohn's disease activity index) < 150.

    Measured: 14th and 52nd week after joining the group.

Timeline

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

  1. First posted2 Sep 2025
  2. Study start1 Aug 2025
  3. Primary completion1 Sep 2028 (estimated)
  4. Study completion1 Sep 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 N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
94 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07149441
Sponsor's protocol ID
FMT-IBD
Status last verified
Aug 2025
First submitted
24 Aug 2025
Last updated
2 Sep 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Wang X, Wu W, Yang B, Liu Y, Xu Y, Wang L, Lv X, Gao J, Lu M, Yu A, Li N, Chen Q, Lu L, Zhao D. Additive effects of fecal microbiota transplantation and infliximab on gut microbiome and metabolome in refractory inflammatory bowel disease patients. mSystems. 2026 Apr 21;11(4):e0077425. doi: 10.1128/msystems.00774-25. Epub 2026 Mar 23.

    PubMed 41870087

Questions about this trial

What is this clinical trial studying?

A study testing Fecal microbiota transplantation and infliximab in people with Inflammatory Bowel Disease (Crohn&Amp;#39;s Disease and Ulcerative Colitis) and Fecal Microbiota Transplantation, run by Shanghai 10th People's 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 7 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: under way, not looking for participants, as of the sponsor's last update on 2 Sep 2025. 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. 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?

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?

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?

Endoscopic remission rate (time frame: 14th and 52nd week after joining the group.). The study lists 2 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 NCT07149441, 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 2 Sep 2025.

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