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The purpose of this research is to investigate the efficacy of transplanting screened donor fecal material in treating patients with recurrent Clostridium difficile infection. Participants with refractory Clostridium difficile infection will be given healthy donor stool administered by colonoscopy or enema and their response will be evaluated by symptom questionnaire and stool testing for Clostridium difficile at 4 weeks after the treatment.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fecal Microbial Transplantation | Biological | Participants with refractory Clostridium difficile infection will be given healthy donor stool administered by colonoscopy or enema. |
| Measure | Description | Time Frame |
|---|---|---|
| The recurrence rate of Clostridium difficile 4 weeks after FMT. | Four weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical symptoms from before fecal microbiota transplant (FMT) to 4 weeks after FMT. | Four weeks | |
| Satisfaction with the FMT procedure. ( satisfaction questionnaire ) | Subjects will complete a satisfaction questionnaire following the FMT procedure. |
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Inclusion Criteria for Recipient:
Examples of standard therapy are:
Exclusion Criteria for Recipient:
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Patients who are referred for recurrent Clostridium difficile infections. Donors will be identified by the Recipient.
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| Name | Affiliation | Role |
|---|---|---|
| Nimisha Parekh, MD | University of California, Irvine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of California, Irvine Medical Center | Orange | California | 92868 | United States |
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| ID | Term |
|---|---|
| D003015 | Clostridium Infections |
| ID | Term |
|---|---|
| D016908 | Gram-Positive Bacterial Infections |
| D001424 | Bacterial Infections |
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
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A donor stool sample will be kept for future testing in case of contamination.
| Up to 24 weeks |
| Quality of life before and 4 weeks after FMT. | Subjects will complete a quality of life questionnaire before and 4 weeks after FMT. | Four weeks |
| Alternate treatments needed for Clostridium difficile before and after FMT. | Subjects medication and treatment history for Clostridium difficile before and after FMT will be collected. | Up to 24 weeks |
| The rate of adverse events that may be related to FMT. | Up to 24 weeks |