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NOT YET RECRUITING
NCT07602751
PHASE1/PHASE2

FMT for Pediatric SR-aGVHD

Sponsor: Bambino Gesù Hospital and Research Institute

View on ClinicalTrials.gov

Summary

This is a pilot, prospective, non-profit, multicenter, uncontrolled, open-label study to evaluate the safety and feasibility of FMT in patients aged between 3 months and 25 years suffering from acute intestinal GVHD resistant to conventional steroid therapy. Eligible patients will receive 1-3 FMT via naso-jejunal tube or endoscopy.

Official title: Fecal Microbiota Transplantation for the Treatment of Steroid-refractory Graft-versus-host Disease.

Key Details

Gender

All

Age Range

3 Months - 25 Years

Study Type

INTERVENTIONAL

Enrollment

20

Start Date

2026-05-18

Completion Date

2029-05

Last Updated

2026-05-22

Healthy Volunteers

No

Interventions

BIOLOGICAL

Fecal Microbial Transplantation

The administration of the fecal preparation (from a related donor or a third party donor) will be carried out via esophagogastroduodenoscopy, with the release of the fecal preparation into the duodenum; or via a nasoduodenal tube, with the release of the fecal preparation into the duodenum at a 'dose' of 7-12 ml/kg, up to a maximum of 250 ml/administration; or via colonoscopy. In the latter case, mucosal biopsies will not be performed to reduce the risk of bacterial translocation. In some subjects, the possibility of administering the emulsion via ENEMA will be evaluated. Cases will be selected based on specific clinical indications. In the case of a partial response, after evaluating the risk/benefit ratio, a second infusion can be performed after 3 days. The procedure can be repeated a third time later (7 days) in case of a new flare of intestinal GVHD after initial improvement.

Locations (3)

Pediatric Hematology and Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna

Bologna, Italy

UOC Clinica di Oncoematologia Pediatrica, Azienda Ospedale-Università Padova

Padova, Italy

Department of Hematology/Oncology, Cell and Gene Therapy, IRCCS Bambino Gesù Children's Hospital

Roma, Italy