Detailed genetic look at C. difficile and the gut microbiome in infection and relapse

High-resolution genomic interrogation of pathogen-microbiome interactions in Clostridioides difficile infection

NIH-funded research Washington University · NIH-11311860

Researchers will sequence C. difficile and gut bacteria from thousands of patient stool samples to find genetic and microbial patterns linked to severe or recurring infections.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionWashington University NIH-funded
Lab location1 site (Saint Louis, United States)
Project IDNIH-11311860 on NIH RePORTER

What this research studies

This project will analyze more than 30,000 patient stool samples with linked clinical records to map C. difficile strains and the surrounding gut microbiome at high genomic resolution. By comparing bacterial genomes, microbial community features, and patient health data, the team will look for genetic elements and microbe interactions that track with disease severity or recurrence. The work combines advanced sequencing, computational genomics, and clinical metadata to build detailed maps of pathogen–microbiome–host dynamics. Results are intended to point to biomarkers or intervention targets to reduce recurrent and severe C. difficile infections.

Who could benefit from this research

Good fit: People who have had or currently have C. difficile infection and who can provide stool samples or allow access to their clinical records would be ideal candidates.

Not a fit: People without C. difficile infection, those unwilling or unable to provide stool samples or medical data, or whose samples are not part of the cohort are unlikely to be included or directly benefit.

Why it matters

Potential benefit: Could help predict who is most likely to have severe or recurrent C. difficile and guide more personalized prevention or treatment approaches.

How similar studies have performed: Prior microbiome and genomic studies have linked loss of gut bacteria and specific C. difficile strains to relapse risk, but this very large, high-resolution genomic analysis is broader and relatively novel.

Where this research is happening

Saint Louis, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.