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Trial registered on ANZCTR
Registration number
ACTRN12618001590257
Ethics application status
Approved
Date submitted
18/09/2018
Date registered
25/09/2018
Date last updated
14/05/2021
Date data sharing statement initially provided
14/05/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Gut Microbiome Transfer for the Treatment of Crohn’s Disease
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Scientific title
Gut Microbiome Transfer for the Treatment of Crohn’s Disease
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Secondary ID [1]
296117
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None
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Universal Trial Number (UTN)
U1111-1220-6328
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Crohn's Disease
309707
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Inflammatory Bowel Disease
309708
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Condition category
Condition code
Oral and Gastrointestinal
308513
308513
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0
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Crohn's disease
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Oral and Gastrointestinal
308529
308529
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0
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Inflammatory bowel disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Gut Microbiome Transfer (GMT) capsules - a 650 ul aliquot of pooled bacteria (resuspended in 0.9% saline solution containing 15% glycerol) that was isolated from the stool of 4 healthy, clinically screened donors will be double encapsulated into size 0 and size 00 DRcpasTM capsules.
Placebo capsules - a 650 ul aliquot of 0.9% saline solution containing 15% glycerol will be double encapsulated into size 0 and size 00 DRcpasTM capsules.
Participants will be blindly randomized to receive either the intervention (GMT capsules) or the placebo (saline capsules). These capsules will be given to participants to swallow with water on three occasions under direct supervision by research staff
Dose 1 - baseline: 16 capsules
Dose 2 - week 2: 14 capsules
Dose 3 - week 4: 14 capsules
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Intervention code [1]
312457
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Treatment: Other
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Comparator / control treatment
Saline capsules
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Change in severity of intestinal inflammation as assessed by endoscopic index score
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Assessment method [1]
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Timepoint [1]
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6 weeks post-initial treatment dose [primary timepoint]
6 months post-initial treatment dose [secondary timepoint]
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Secondary outcome [1]
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Change in Crohn's disease symptom severity as assessed by Harvey Bradshaw Index (HBI) score
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Assessment method [1]
352051
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Timepoint [1]
352051
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6 weeks post-initial treatment dose
6 months post-initial treatment dose
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Secondary outcome [2]
352052
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Change in health-related quality of life as assessed by the short inflammatory bowel disease questionnaire (SIBDQ)
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Assessment method [2]
352052
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Timepoint [2]
352052
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6 weeks post-initial treatment dose
6 months post-initial treatment dose
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Secondary outcome [3]
352053
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Explore any changes to the gut microbiome (diversity, composition and function) as assessed by metagenomic, metatranscriptomic, and metabolomic technologies
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Assessment method [3]
352053
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Timepoint [3]
352053
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6 weeks post-initial treatment dose
6 months post-initial treatment dose
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Secondary outcome [4]
352054
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Explore any changes to body mass index (BMI) as assessed via anthropomorphic measurements
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Assessment method [4]
352054
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Timepoint [4]
352054
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6 months post-initial treatment dose
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Eligibility
Key inclusion criteria
Patients
- male
- 20-50 years old
- mild to moderate Crohn's disease (HBI 5-16)
Donors
- male
- 20-50 years old
- healthy
- BMI 18.5 - 24.9 kg/m2
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Minimum age
20
Years
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Maximum age
50
Years
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Donor exclusion criteria:
- Chronic disease
- Gastrointestinal disease (including irritable bowel syndrome, coeliac and inflammatory bowel disease)
- Any transmissible viral, bacterial, or protozoan pathogens
- Current or past history of malignancy (including gastrointestinal cancer or polyposis)
- Acute substance abuse (including tobacco, >7 standard alcoholic units/week, recreational drugs)
- Use of probiotics or antibiotics in the past 6 months
- Atopic diseases (e.g. asthma, eczema)
- Chronic pain or chronic fatigue syndromes
- Overseas travel in previous three months
- Metabolic syndrome
- First-degree relative with type 2 diabetes mellitus
Patient exclusion criteria
- Bowel complications (including abscess, phlegmon, stricture, obstruction, perforation, fistula, or infection)
- Requiring or expected to require surgery
- Major abdominal surgery in the past 3 months
- Use of antibiotics or probiotics in the past 3 months
- Acute substance abuse (including tobacco, >7 standard alcoholic units/week, recreational drugs)
- Chronic hepatitis B, C, or HIV infection
- Diabetes mellitus, cancer, or systemic lupus
- Food allergies
- Allergy to Biscodyl tablets or Glycoprep
- Swallowing dysfunction or esophageal dysmotility
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Withdrawn
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Reason for early stopping/withdrawal
Lack of funding/staff/facilities
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Date of first participant enrolment
Anticipated
1/11/2018
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
20
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
20853
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New Zealand
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State/province [1]
20853
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Auckland
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Funding & Sponsors
Funding source category [1]
300706
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University
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Name [1]
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University of Auckland Foundation
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Address [1]
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University of Auckland
Symonds Street
Auckland, 1010
New Zealand
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Country [1]
300706
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New Zealand
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Primary sponsor type
Individual
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Name
Associate Professor Justin O'Sullivan
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Address
The Liggins Institute
University of Auckland
85 Park Road
Grafton
Auckland, 1023
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Country
New Zealand
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Secondary sponsor category [1]
300249
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None
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Name [1]
300249
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Address [1]
300249
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Country [1]
300249
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
301490
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Health and Disability Ethics Committee
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Ethics committee address [1]
301490
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Ministry of Health Health and Disability Ethics Committees PO Box 5013 Wellington 6140
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Ethics committee country [1]
301490
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New Zealand
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Date submitted for ethics approval [1]
301490
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20/09/2018
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Approval date [1]
301490
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16/01/2019
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Ethics approval number [1]
301490
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18/STH/188
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Summary
Brief summary
The gut microbiome (complete collection of microorganisms) of Crohn's disease patients has been found to significantly differ in diversity and composition to the gut microbiomes of healthy individuals. This microbial dysbiosis is thought to play a significant role in the pathogenesis of Crohn's disease by switching on the host's inflammatory immune response, causing wide spread intestinal inflammation. Current treatments for Crohn's disease focus on dampening down the inflammation and are often ineffective or associated with unpleasant side effects. An alternative treatment approach is to target the gut microbiome directly to try and prevent the inflammation from occurring in the first place. Gut microbiome transfer (GMT) is a procedure that involves isolating the bacterial community from the stool of a healthy individual and administering it to a patient with gut dysbiosis. This form of therapy has proven overwhelmingly effective at resolving gastrointestinal infections (>92% cure rates) and has been shown to be a promising treatment for Crohn's disease based on small scale pilot studies (58-87% clinical response rates). Our study aims to build on these findings by testing a capsule-based, multi-dose GMT treatment protocol. We will perform a small-scale randomized control trial on 20 adult male Crohn's disease patients which will compare the effectiveness of our protocol against a placebo control. We hypothesize that GMT will be well-tolerated and lead to significant improvements in patient’s clinical disease and symptom scores, and health-related quality of life.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Justin O'Sullivan
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Address
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Liggins Institute
University of Auckland
85 Park Road
Grafton
Auckland 1023
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Country
87174
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New Zealand
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Phone
87174
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+64 09 9239868
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Fax
87174
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Email
87174
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[email protected]
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Contact person for public queries
Name
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Justin O'Sullivan
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Address
87175
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Liggins Institute
University of Auckland
85 Park Road
Grafton
Auckland 1023
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Country
87175
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New Zealand
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Phone
87175
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+64 09 9239868
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Fax
87175
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Email
87175
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[email protected]
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Contact person for scientific queries
Name
87176
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Justin O'Sullivan
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Address
87176
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Liggins Institute
University of Auckland
85 Park Road
Grafton
Auckland 1023
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Country
87176
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New Zealand
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Phone
87176
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+64 09 9239868
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Fax
87176
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Email
87176
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
This trial will no longer be going ahead
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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