Efficacy and Mechanism of FMT in the Treatment of Inflammatory Bowel Disease: an Open-label Randomized Controlled Study

NCT07149441 — Not applicable, Active not recruiting, 94 participants, Shanghai 10th People's Hospital

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Efficacy and Mechanism of Fecal Microbiota Transplantation in the Treatment of Inflammatory Bowel Disease: an Open-label Randomized Controlled Study

RegistryNCT07149441
StatusActive not recruiting
PhaseNot applicable
Study typeInterventional; randomized, parallel, masking: none, treatment
Enrollment94 (Actual)
SponsorShanghai 10th People's Hospital (Other)
ConditionsInflammatory Bowel Disease (Crohn&Amp;#39;s Disease and Ulcerative Colitis), Fecal Microbiota Transplantation
InterventionsFecal microbiota transplantation, infliximab (Procedure, drug)
Datesstart 2025-08-01, primary completion 2028-09-01 (estimated), completion 2028-09-01 (estimated), first posted 2025-09-02, last updated 2025-09-02
Locations1 site in China

Related Papers Related Patents Related Grants Related Experts
All trials for Inflammatory Bowel Disease (Crohn&Amp;#39;s Disease and Ulcerative Colitis) All trials for Fecal Microbiota Transplantation All trials of Fecal microbiota transplantation All trials of infliximab

-Summary

This study enrolled 94 patients with UC or CD. Two groups received either 8-week intestinal bacterial transplant capsule therapy or biological therapy, respectively. The control group received biological therapy alone, while the experimental group received biological therapy combined with FMT. Both groups were followed up for 52 weeks after discharge. The efficacy of FMT capsule therapy on the subjects' UC or CD symptom-related scores and its effect on remodeling the intestinal flora were observed, and its safety was verified.

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+Arms and interventions

ArmTypeInterventionsDescription
Biological agent +FMTExperimentalProcedure: Fecal microbiota transplantation; Drug: infliximab47 patients were treated with biological agents combined with fecal microbiota transplants (FMT). All patients were followed up for 52 weeks after discharge. To observe the curative effect of FMT capsule treatment on UC or CD symptom-related scores of subjects and its remodeling effect on intestinal flora and verify its safety.
Biological agentExperimentalDrug: infliximab47 patients were treated with biological agents. All patients were followed up for 52 weeks after discharge. To observe the curative effect of FMT capsule treatment on UC or CD symptom-related scores of subjects and its remodeling effect on intestinal flora and verify its safety.
  • Fecal microbiota transplantation (Procedure): Fecal microbiota transplantation (FMT) achieves the purpose of treating intestinal and extra-intestinal diseases by transplanting the functional microbes in the feces of healthy people into the patient's intestine through the upper or lower alimentary tract routes to rebuild the patient's intestinal microbiota.
  • infliximab (Drug), also known as Biological agent: Intravenous infusion of infliximab once every 8 weeks.

+Outcome measures

Primary outcomes

  • Endoscopic remission rate [14th and 52nd week after joining the group.]: UC is endoscopic Mayo score 0-1; CD is simple endoscopic score (SES-CD)<3 or no ulcer.
  • Clinical remission rate [14th and 52nd week after joining the group.]: UC is defined as Mayo score ≤2, and no single score > 1; CD is defined as CDAI (Crohn's disease activity index) < 150.

+Eligibility

Sex: All, ages: 18 Years to 65 Years

Inclusion Criteria:

* The diagnosis was UC or CD, and the diagnosis was based on clinical, endoscopic and pathological evidence.
* IBD should be diagnosed for at least 6 months to rule out the possibility of natural remission of new cases.
* Patients should be in mild to moderate active stage (UC: Mayo score 3-10; CD: CDAI score: 150-449)
* Biological agents (such as anti-TNF-α drugs, vedolizumab, etc.) were used in the past, but no clinical remission was achieved.
* Voluntary participation and signing of informed consent.
* Adults aged 18-65.
* Can tolerate oral enterobacteria transplantation capsule treatment.

Exclusion Criteria:

* The diagnosis was UC or CD, and the diagnosis was based on clinical, endoscopic and pathological evidence.
* IBD should be diagnosed for at least 6 months to rule out the possibility of natural remission of new cases.
* Patients should be in mild to moderate active stage (UC: Mayo score 3-10; CD: CDAI score: 150-449)
* Biological agents (such as anti-TNF-α drugs, vedolizumab, etc.) were used in the past, but no clinical remission was achieved.
* Voluntary participation and signing of informed consent.
* Adults aged 18-65.
* Can tolerate oral enterobacteria transplantation capsule treatment.

+Locations (1)

FacilityCityCountryStatus
Shanghai Tenth People's HospitalShanghai, Shanghai MunicipalityChina

+Publications

  • Results publication: Wang X, Wu W, Yang B, Liu Y, Xu Y, Wang L, Lv X, Gao J, Lu M, Yu A, Li N, Chen Q, Lu L, Zhao D. Additive effects of fecal microbiota transplantation and infliximab on gut microbiome and metabolome in refractory inflammatory bowel disease patients. mSystems. 2026 Apr 21;11(4):e0077425. doi: 10.1128/msystems.00774-25. Epub 2026 Mar 23. PMID 41870087