UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000020067
Receipt number R000023148
Scientific Title Safety of fecal microbiota transplantation using frozen, encapsulated inoculum for steroid resistant/dependent acute graft-versus-host disease of gut in allogeneic hematopoietic stem cell transplantation: A pilot study.
Date of disclosure of the study information 2015/12/25
Last modified on 2017/06/06 17:47:59

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Basic information

Public title

Safety of fecal microbiota transplantation using frozen, encapsulated inoculum for steroid resistant/dependent acute graft-versus-host disease of gut in allogeneic hematopoietic stem cell transplantation: A pilot study.

Acronym

Safety evaluation study of frozen FMT capsules for acute GVHD of gut in allo-SCT

Scientific Title

Safety of fecal microbiota transplantation using frozen, encapsulated inoculum for steroid resistant/dependent acute graft-versus-host disease of gut in allogeneic hematopoietic stem cell transplantation: A pilot study.

Scientific Title:Acronym

Safety evaluation study of frozen FMT capsules for acute GVHD of gut in allo-SCT

Region

Japan


Condition

Condition

Steroid resistant/dependent acute graft-versus-host disease of gut after allogeneic hematopoietic stem cell transplantation or donor lymphocyte infusion

Classification by specialty

Medicine in general Hematology and clinical oncology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Evaluation of safety of fecal microbiota transplantation using frozen, encapsulated inoculum in transplant patients who developed steroid resistant/dependent acute graft-versus-host disease of gut and have a risk for the insertion of elemental diet tube.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Safety of fecal microbiota transplantation using orally administered capsules.
All adverse events which newly occurr or progress within 1 week after each FMT are evaluated for the safety of FMT, and are graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) version 4.0.

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

1) FMT using frozen, encapsulated inoculum, will be started soon after meeting inclusion criteria.
2) The minimum dose of FMT: capsules prepared from 30 grams of donor's feces. There is no upper limit.
3) Patient who did not show sufficient response without any severe (grade 3 or higher) adverse events can be offered another course of FMT between 3 and 10 days after prior FMT.
The maximum treatment cycles: 4.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1)Acute GVHD of gut after allo-SCT, or DLI.
2)Gut aGVHD does not improve within 5 days after initial steroid therapy (1-2 mg/kg of methylprednisolone, steroid-resistant case), or steroid dose can hardly be reduced less than 0.5 mg/kg of mPSL because of the exacerbation of gut aGVHD (steroid-dependent case).
3) Patients with other comorbid enteropathy can also be enrolled when gut aGVHD is considered as a main cause of their symptoms.
4) Performance status (PS) 0-2 (exclusion: poor PS due to gut aGVHD)
5) Patients with a risk for the insertion of ED tube (e.g. severe thrombocytopenia).
6) Obtained written informed consent from both patient and FMT donor.

Key exclusion criteria

1) Patients who received other systemic therapy, or higher dose of steroid (>2 mg/kg of mPSL) for their aGVHD (exclusion: the use of immunosuppressants for the prophylaxis of GVHD, or topical steroid).
2) Steroid sensitive aGVHD.
3) Progressive aGVHD after steroid therapy.
4) Uncontrollable infection.
5) Patients symptoms are considered to be caused mainly by enteropathy other than gut aGVHD.
6) PS: 3 or higher.
7) With a risk of aspiration.
8) Inadequate condition judged by primary physician.

Target sample size

6


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Kazuhiko Kakihana

Organization

Tokyo Metropolitan Cancer and Infectious diseases Center Komagome Hospital

Division name

Hematology division

Zip code


Address

3-18-22 Honkomagome, Bunkyo-ku, Tokyo 113-8677, Japan

TEL

+81-3-3823-2101

Email

kakihana@cick.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kazuhiko Kakihana

Organization

Tokyo Metropolitan Cancer and Infectious diseases Center Komagome Hospital

Division name

Hematology division

Zip code


Address

3-18-22 Honkomagome, Bunkyo-ku, Tokyo 113-8677, Japan

TEL

+81-3-3823-2101

Homepage URL


Email

kakihana@cick.jp


Sponsor or person

Institute

Tokyo Metropolitan Cancer and Infectious diseases Center Komagome Hospital

Institute

Department

Personal name



Funding Source

Organization

Tokyo Metropolitan Cancer and Infectious diseases Center Komagome Hospital

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2015 Year 12 Month 25 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2015 Year 12 Month 02 Day

Date of IRB


Anticipated trial start date

2015 Year 12 Month 07 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 12 Month 03 Day

Last modified on

2017 Year 06 Month 06 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000023148


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name