Actively Recruiting

Phase 2
Phase 3
Age: 18Years +
All Genders
NCT04188743

Decolonization of Gram-negative Multi-resistant Organisms (MDRO) with Donor Microbiota (FMT)

Led by University Hospital, Ghent · Updated on 2024-09-19

150

Participants Needed

1

Research Sites

314 weeks

Total Duration

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Sponsors

U

University Hospital, Ghent

Lead Sponsor

R

Research Foundation Flanders

Collaborating Sponsor

AI-Summary

What this Trial Is About

Colonization by Multiple Drug Resistant Organisms (MDROs) during patient hospitalization requires expensive isolation measures and renders the return or transfer to other departments or institutions often impossible. Currently there is no specific treatment available. Patients have to wait for spontaneous clearance which can take months or does not happen at all. The study will test the effect of Fecal Microbiota Transfer (FMT) on gut MDRO colonization. The focus will be on patients with a long-term colonization by Gram-negative bacteria for which isolation is warranted. Participants will be randomized into two treatment groups; allogenic FMT versus autologous FMT. A third group of participants will be monitored but will not receive an FMT. Decolonization rate will be compared one month after treatment. Additionally gut microbial composition will be studied up to one year after FMT.

CONDITIONS

Official Title

Decolonization of Gram-negative Multi-resistant Organisms (MDRO) with Donor Microbiota (FMT)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants must be at least 18 years of age and provide informed consent for data collection, sampling, and FMT.
  • Must have at least 2 consecutive confirmations of MDRO colonization in feces complicating follow-up or therapy.
  • Must be evaluated by the treating physician as able to endure the treatment.
Not Eligible

You will not qualify if you...

  • Inflammatory bowel disease such as Crohn's disease or ulcerative colitis.
  • Diagnosed hereditary blood diseases like Haemophilia or Von Willebrand.
  • Chronic liver disease.
  • Active drug use or alcohol abuse/dependence that may interfere with participation.
  • Use of probiotics other than yoghurt.
  • Existing immune deficiency or immunomodulatory treatment within 12 weeks prior to randomization, except nasal or inhaled corticosteroids.
  • Positive pregnancy test or potential pregnancy.
  • Breastfeeding.
  • Severe food allergy including anaphylaxis or urticarial.
  • Antibiotic treatment within 7 days before FMT or planned within one month after FMT.

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

Ghent University Hospital

Ghent, Oost-Vlaanderen, Belgium, 9000

Actively Recruiting

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Research Team

B

Bruno Verhasselt, Prof. Dr.

CONTACT

H

Hannelore Hamerlinck, Master

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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