Examining gut microbiota changes after fecal microbiota transplantation for recurrent Clostridioides difficile infection
Official title: Assessment Of Changes In Gut Microbiota Of Patients With Recurrent Clostridioides Difficile Infection After Fecal Microbiota Transplantation: Prospective Study
Run by Fondazione Policlinico Universitario Agostino Gemelli IRCCS · NCT05739825 · Data updated 2026-11-12
This study is testing how a fecal transplant from healthy donors affects the gut bacteria of people with recurring Clostridioides difficile infections.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years to 90 Years |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | Fondazione Policlinico Universitario Agostino Gemelli IRCCS Academic / other |
| Locations | 1 site (Roma) |
| Status | Recruiting |
| Started | February 13, 2023 |
| Main results expected | February 14, 2027 |
| Study ends | February 14, 2027 |
| Registry record updated | March 19, 2026 |
| Trial ID | NCT05739825 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are adults aged 18 to 90 who have recurrent Clostridioides difficile infections and can provide informed consent.
✕Probably not a fit
Patients with other gastrointestinal infections, severe comorbidities, or those unable to provide informed consent may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study focuses on patients with recurrent Clostridioides difficile infection (rCDI) and aims to evaluate the changes in gut microbiota following fecal microbiota transplantation (FMT) from healthy donors. The study will utilize metagenomics analysis to assess microbial diversity and understand the mechanisms behind the clinical efficacy of FMT. Participants will be monitored for their response to the treatment and any changes in their gut microbiota composition. The findings could provide insights into the effectiveness of FMT as a treatment option for rCDI.
Why it matters
Potential benefit: If successful, this study could enhance treatment options for patients suffering from recurrent Clostridioides difficile infections, potentially reducing recurrence rates and associated complications.
How similar studies have gone: Previous studies have shown that fecal microbiota transplantation is an effective treatment for recurrent Clostridioides difficile infections, supporting the potential success of this approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Recurrent Clostridioides difficile infection * Age between 18 and 90 years old * Ability to provide written informed consent * Ability to be compliant with the scheduled procedures Exclusion Criteria: * Another known gastrointestinal infection apart from C. difficile infection . Known active gastrointestinal disorders (e.g. infectious gastroenteritis, coeliac disease, inflammatory bowel disease, irritable bowel syndrome, chronic pancreatitis, biliary salt diarrhoea) * Previous colorectal surgery or cutaneous stoma * Current or recent (\< 6 weeks) therapy with drugs that could possibly alter gut microbiota (e.g. antimicrobials, probiotics) * Decompensated heart failure or heart disease with ejection fraction lower than 30% * Severe respiratory insufficiency * Psychiatric disorders * Pregnancy or breastfeeding * Unable to give informed consent
Where it's running
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Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Roma, Italy Recruiting
Study contacts
- Principal investigator: Gianluca Ianiro — Fondazione Policlinico Universitario Agostino Gemelli IRCCS
- Study coordinator: Gianluca Ianiro, MD, PhD
- Email: gianluca.ianiro@unicatt.it
- Phone: +390630157338
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Oral donor fecal capsules for recurrent C. difficile infection
This study tests whether taking donor fecal (FMT) capsules can prevent further C. difficile recurrences in adults who have already had at least two episodes.
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Preventing C. difficile recurrence with short-course oral vancomycin during later antibiotics
This trial tests whether taking short-course oral vancomycin while you need systemic antibiotics can prevent a recurrence of C. difficile in adults recently treated for CDI.
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VE303 for preventing recurrent Clostridioides difficile infections
This study is testing a new treatment called VE303 to see if it can help prevent Clostridioides difficile infections from coming back in people who are at high risk.
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Diet and counseling to see how meals affect gut health after CDI
We’re testing whether different meal plans and health counseling can influence the gut microbiome and reduce chances of CDI coming back in adults who are being treated for CDI.
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Lyophilized fecal microbiota transplant for adults with active ulcerative colitis
This trial will test whether a dried (lyophilized) fecal microbiota transplant helps adults with active ulcerative colitis when added to their current treatment or started alongside a new advanced medication.
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How antibiotics versus fecal transplants affect recovery from C. difficile infection
This project will see how antibiotics and fecal microbiota transplant (FMT) affect adults with C. difficile infection by tracking recovery and biological changes over time.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.