Examining the Efficacy of Fecal Microbiota Transplantation (FMT) and Dietary Fiber in Patients With Ulcerative Colitis

• Status: Recruiting
• Trial end date: 2025-01-01
• Target enrollment: 0
• Participant gender: All

Summary

A double-blind, randomized, placebo-controlled clinical trial examining the efficacy and safety of Fecal Microbiota Transplantation (FMT) and high fiber supplementation in patients with active mild to moderate Ulcerative Colitis (UC). All enrolled subjects will provide serological, stool and mucosal specimen at each clinic visit to help further define the alterations in microbial profiles and immune cell function in response to psyllium fiber after FMT treatment.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Weill Medical College of Cornell University
• Collaborator: Crohn's and Colitis Foundation
• Treatments: Calcium polycarbophil; Psyllium

Criteria

Inclusion Criteria:

• Male or Female ≥ 18 years of age.

• Documentation of prior history of mild to moderate UC.

• Endoscopy confirmed active UC ≥ 15 centimeters at week 0 screening colonoscopy.

a. As defined by a total Mayo scoring of 4-10 with an endoscopic sub-score ≥ 1.

• Patients must have a descending intact colon.

• Patients taking steroid or biologic therapy must be on a stable dose for 4 weeks prior to screening and maintained throughout the trial.

• Eligible patients willing to undergo screening testing prior to FMT to document baseline status:

1. Urine Testing

2. Blood Testing

3. Stool Testing

• Patients must discontinue anti-rCDI antibiotics (e.g. vancomycin, fidaxomicin) 48 hours prior to FMT delivery procedure.

Exclusion Criteria:

• Biopsy proven Crohn's disease

• UC patients with severe disease (defined as a total mayo score >10)

• Clinical complications requiring emergent management (e.g. stricture, bowel obstruction, perforation and/or abscess)

• Concurrent C. difficile or other infections

• Primary sclerosing cholangitis

• Prior history of FMT

• Treatment for malignancy within past 5 years

• Active or latent tuberculosis

• Clinically meaningful laboratory abnormalities

1. Hb: < 8

2. ALT: greater than 3x the ULN (upper limit of normal)

• History of anaphylactic reactions to food allergens or allergy to psyllium husk

• Subject having any other condition that, in the opinion of the investigator, would jeopardize the safety or rights of the subject participating in the study, would make it unlikely for the subject to complete the study, or would confound the study.