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ACTIVE NOT RECRUITING
NCT03524352
PHASE3

the Prophylaxis of Recurrent Pouchitis After Fecal Microbiota Transplant in UC With Ileo-anal Anastomosis

Sponsor: Nantes University Hospital

View on ClinicalTrials.gov

Summary

Ulcerative colitis (UC) is a chronic inflammatory digestive (IBD) disease medically treated with corticosteroids, aminosalicylates, immunomodulators, and biologics. Almost one third of UC patients will require surgical interventions because of fulminant colitis, dysplasia, cancer, or medical refractory diseases. Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the current standard surgical intervention. Anastomotic leak, pouch failure, pelvic sepsis, and pouch ischemia can occur after the procedure, but the most common long-term complication is pouchitis, an idiopathic inflammatory condition involving the ileal reservoir. Symptoms of pouchitis are increased stool frequency, urgency, incontinence, bloody stools, abdominal or pelvic discomfort, fatigue, malaise, and fever. The prevalence of pouchitis ranges from 23 to 46 %, with an annual incidence up to 40 %. Though the majority of initial cases of pouchitis are easily managed with a short course of antibiotics, in about 5 to 15 % of cases, inflammation of the pouch becomes chronic with very few treatments available. Fecal microbiota transplantation (FMT) is a novel therapy to transfer normal intestinal flora from a healthy donor to a patient with a medical condition potentially caused by disrupted homeostasis of intestinal microbiota or dysbiosis. FMT has been widely used in refractory Clostridium difficile infection (CDI) and recently it has gained popularity for treatment of inflammatory bowel disease (IBD). Previous studies suggested that manipulating the composition of intestinal flora through antibiotics, probiotics, and prebiotic achieved significant results for treating acute episodes of UC-associated pouchitis. However, currently there is no established effective treatment for chronic antibiotic dependent pouchitis. Our project aims to evaluate the delay of relapse in chronic recurrent pouchitis after FMT versus sham transplantation.

Official title: Prospective Multicenter Randomized Controlled Double-blind Label Study of the Prophylaxis of Recurrent Pouchitis After Fecal Microbiota Transplant in UC With Ileo-anal Anastomosis

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

42

Start Date

2020-03-12

Completion Date

2028-05-12

Last Updated

2026-02-17

Healthy Volunteers

No

Conditions

Interventions

OTHER

fecal microbiota

fecal microbiota in suspension

OTHER

Placebo

sterile saline

Locations (13)

CHU Angers

Angers, France

CHU Estaing

Clermont-Ferrand, France

Hopital Beaujon, Clichy

Clichy, France

CHU Henry Mondor

Créteil, France

CHU Claude Huriez

Lille, France

CHU Lyon Sud

Lyon, France

CHRU Nancy

Nancy, France

CHU of Nantes

Nantes, France

CHU de l'Archet 2

Nice, France

Hopital Saint Antoine

Paris, France

Groupe Hospitalier Sud- Hopital Haut-lévêque

Pessac, France

CHU Pontchaillou

Rennes, France

CHU Toulouse

Toulouse, France