Status:

COMPLETED

Primary or Recurrent Clostridioides Difficile Infection Treatment With Capsules of Lyophilised Faecal Microbiota vs Fidaxomicin

Lead Sponsor:

Mikrobiomik Healthcare Company S.L.

Conditions:

Recurrent Clostridium Difficile Infection

Primary Clostridium Difficile Infection

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

Patients with microbiota alterations developed after being exposed to antibiotics are especially susceptible to Clostridioides difficile infections (CDI). The incidence and severity of CDI has increas...

Detailed Description

This is a Phase III, multicenter, controlled and open label clinical trial in which patients who suffered an episode of Clostridioides difficile infection (either the first episode or subsequent recur...

Eligibility Criteria

Inclusion

  • Patients of both genders, over 18 years.
  • Patients that undergo an episode of CD infection (either the first episode or subsequent recurrences).
  • Presence of an episode of diarrhea defined as ≥3 stools/24 hours, at the beginning of the episode.
  • Confirmation of the presence of CD toxin A and/or B in faeces, by a direct toxin detection test or by the PCR technique for the detection of toxin/s producing genes, at the start of the episode that is going to be treated in the clinical trial (the toxin test must be positive within 7 days prior to the enrolment of the patient in the trial).

Exclusion

  • Previous faecal microbiota transfer.
  • Transplanted patients, except those with a solid organ transplant of more than 2 years, with good organ function.
  • Absolute neutrophil count \<500 cells /μL at the time of the enrollment in the study.
  • Pregnancy, breastfeeding, or pregnancy intentions over the course of the study.
  • Active treatment with bile acid sequestrants (for instance: cholestyramine).
  • Positive patients for the human immunodeficiency virus (HIV) except those with lymphocytes T CD4 count \> 200 cells/μL and viral load less than 20 copies.
  • Swallowing dysfunction or no oral motor coordination.
  • Patient admitted in an intensive care unit or expected to be admitted in an intensive care unit due to serious illness.
  • History of significant medical conditions that, in the opinion of the investigator, would not allow an adequate evaluation or follow-up of the patient.

Key Trial Info

Start Date :

October 29 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 15 2023

Estimated Enrollment :

93 Patients enrolled

Trial Details

Trial ID

NCT05201079

Start Date

October 29 2021

End Date

November 15 2023

Last Update

March 25 2025

Active Locations (21)

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Page 1 of 6 (21 locations)

1

Hospital Universitario Marqués de Valdecilla

Santander, Cantabria, Spain, 39008

2

Hospital General Universitario de Alicante

Alicante, Spain, 03010

3

Hospital Universitario de Cruces

Barakaldo, Spain, 48903

4

Hospital Quirónsalud Barcelona

Barcelona, Spain, 08023