Microbiome-based oral therapy for gut GVHD after stem cell transplant
Official title: Microbiome manipulation through oral live biotherapeutic product (LBP) for the treatment of gut acute graft-versus-host disease (GVHD)
Funded at Sloan-Kettering Inst Can Research · NIH-11320120 · Data updated 2026-11-12
Researchers are testing an oral live Biotherapeutic Product to help the gut microbiome improve graft-versus-host disease after stem cell transplant patients.
Quick facts
| Grant type | NIH-funded research |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Sloan-Kettering Inst Can Research NIH-funded |
| Lab location | 1 site (New York, United States) |
| Project start | July 15, 2026 |
| Project end | June 30, 2029 |
| Funding year | 2026 |
| Award (this year) | $281,722 |
| NIH project number | 1R34HL184529-01 |
| Project ID | NIH-11320120 on NIH RePORTER |
Who could benefit from this research
✓Could help
Adults who have undergone allogeneic hematopoietic cell transplantation and are at risk for or experiencing GI GVHD.
✕Less likely to help
Patients without GVHD or without GI involvement may not benefit from this specific gut-directed therapy.
What this research studies
For people who have undergone allogeneic hematopoietic cell transplantation, this project explores an oral gut-directed therapy to modify the microbiome and potentially reduce gut GVHD symptoms. The study builds on prior work suggesting that restoring microbial balance can influence GVHD outcomes, aiming to offer a non-immunosuppressive option. It uses a carefully designed live biotherapeutic product to target the GI tract and monitor safety, microbiome changes, and clinical signals of GVHD response. If successful, this approach could complement current treatments and lessen infection risk while supporting immune recovery.
Why it matters
Potential benefit: A potential new, gut-targeted therapy that may lessen GVHD symptoms and improve recovery after transplant.
How similar studies have gone: Preliminary data from related microbiome interventions in allo-HCT have shown safety and signals of benefit, but strong efficacy evidence in GVHD is still being gathered.
Where this research is happening
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Sloan-Kettering Inst Can Research
New York, United States Active
Researchers
- Principal investigator: Ponce, Doris — Sloan-Kettering Inst Can Research
- Study coordinator: Ponce, Doris
Related research
Other NIH-funded projects on the same topics.
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Targeting early oral GVHD to improve mouth health after stem cell transplant
A study at UW–Madison will explore why some transplant patients develop painful oral GVHD and test ideas to prevent and lessen mouth-related problems.
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Microbiome-based therapy for treatment-refractory GVHD after stem cell transplant
A microbiome-based therapy is being developed to help people who have graft-versus-host disease that doesn’t respond to standard treatments after a stem cell transplant.
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Role of altered mitochondria in preventing GVHD after stem cell transplant
This NIH grant explores how damaged mitochondria released during pre-transplant conditioning may trigger graft-versus-host disease and tests ways to fix mitochondrial dynamics to prevent GVHD.
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Fecal transplant plus fiber to treat graft-versus-host disease after blood stem cell transplant
A study to see if giving fecal transplant along with dietary fiber helps gut health and reduces complications in patients who have received a stem cell transplant and developed graft-versus-host disease.
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Using medium-chain fatty acids and a fat-sensing receptor to treat chronic graft-versus-host disease
This project looks at whether changing medium‑chain fatty acids or blocking a fat sensor called GPR84 can help people with chronic graft‑versus‑host disease after a bone marrow/stem cell transplant.
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How the protein ID3 controls donor T cells that cause GVHD and fight leukemia
Researchers are looking at whether changing the activity of a protein called ID3 in donor T cells can lower graft-versus-host disease while keeping those cells able to attack leukemia after a stem cell transplant.
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.