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FMT for Pediatric SR-aGVHD
Sponsor: Bambino Gesù Hospital and Research Institute
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
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