Actively Recruiting

Phase 4
Age: 2Years - 18Years
All Genders
Healthy Volunteers
NCT05821309

Evaluation of Fecal Microbiome Changes After Antegrade Continence Enema Placement and Initiation of Bowel Flush Regimen

Led by Indiana University · Updated on 2025-07-04

65

Participants Needed

2

Research Sites

159 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This study will evaluate changes in the fecal microbiome in constipated pediatric patients before and after antegrade continence enema placement and initiation of antegrade enema flushes. Subjects will have their microbiome sequenced prior to placement by obtaining a fecal sample. Pre-antegrade continence enema placement results will be compared to fecal samples obtained at 0, 4, 8 months after placement of the antegrade continence enema and initiation of miralax or golytely flushes to look for changes in bacterial diversity.

CONDITIONS

Official Title

Evaluation of Fecal Microbiome Changes After Antegrade Continence Enema Placement and Initiation of Bowel Flush Regimen

Who Can Participate

Age: 2Years - 18Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Children aged 2 to 18 years
  • Recalcitrant chronic functional constipation requiring MACE appendicostomy or cecostomy treatment at Riley Hospital for Children
  • Intact colonic motility confirmed by colonic manometry studies
Not Eligible

You will not qualify if you...

  • Underlying anatomic or pathologic cause for constipation
  • History of prior gastrointestinal surgery except gastrostomy or gastrojejunostomy tube placement
  • Severe gastrointestinal disease unrelated to chronic constipation
  • Use of probiotic supplements, prebiotic supplements, or antibiotics within one month before consent

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 2 locations

1

IU North Hospital

Carmel, Indiana, United States, 46032

Actively Recruiting

2

Riley Hospital for Children

Indianapolis, Indiana, United States, 46224

Actively Recruiting

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Research Team

E

Erik Andrewski, MD

CONTACT

A

Ann Klipsch, RN

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

BASIC_SCIENCE

Number of Arms

2

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