Status:

TERMINATED

Fecal Transplantation for Primary Clostridium Difficile Infection

Lead Sponsor:

Oslo University Hospital

Collaborating Sponsors:

South-Eastern Norway Regional Health Authority

University Hospital of North Norway

Conditions:

Clostridium Difficile Infection

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

In this randomized controlled trial the investigators want to compare the effect of one-time rectal instillation of fecal microbiota transplantation, compared to a ten-day antibiotic course for the tr...

Detailed Description

Up to one third of patients with clostridium difficile infection treated with antibiotics experience recurrent or relapsing symptoms within a few weeks. Even with subsequent antibiotic treatment, mult...

Eligibility Criteria

Inclusion

  • Patients, ≥18 years with primary C. difficile infection, defined by the following three criteria:
  • Diarrhea as defined by the WHO (≥3 loose stools per day), and
  • Positive stool test for toxin producing C. difficile, and
  • No evidence of previous C. difficile infection during 365 days before enrolment.
  • Written informed consent

Exclusion

  • Known presence of other stool pathogens known to cause diarrhea.
  • Ongoing antibiotic treatment for other infections that cannot be stopped before study treatment administration.
  • Inflammatory bowel disease or microscopic colitis.
  • \< 3 months life expectancy.
  • Serious immunodeficiency, defined as one of the following:
  • Ongoing or recent chemotherapy and current or expected neutropenia with neutrophil count of \< 500/μL.
  • Active severe immunocompromising disease.
  • Inability to comply with protocol requirements.
  • Need of intensive care.
  • Known irritable bowel syndrome, diarrheal type.
  • Pregnancy or nursing.
  • Known or suspected toxic megacolon or ileus.
  • Total or subtotal colectomy, ileostomy or colonostomy.
  • Contraindications for rectal catheter insertion
  • Known hypersensitivity or other contraindications to vancomycin

Key Trial Info

Start Date :

July 17 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 2 2024

Estimated Enrollment :

104 Patients enrolled

Trial Details

Trial ID

NCT03796650

Start Date

July 17 2019

End Date

April 2 2024

Last Update

September 19 2024

Active Locations (18)

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Page 1 of 5 (18 locations)

1

Vestre Viken HF, Bærum Hospital

Sandvika, Gjettum, Norway, 1346

2

Diakonhjemmet Hospital

Oslo, Oslo County, Norway, 0319

3

Ålesund Sjukehus

Ålesund, Norway

4

Haukeland universitetssykehus

Bergen, Norway