Sentinel Cohort REACT
NCT05780801 · Status: COMPLETED · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 10
Last updated 2024-03-28
Summary
The purpose of this study is to better understand the efficacy and safety of microbiome therapies (MT) in patients with Multidrug Resistant Organism (MDRO) colonization who are admitted to Long Term Acute Care Hospitals (LTACH). This use of MT has been studied in other small studies to treat MDRO colonization, further study of the effect of MT on the transmission of MDRO to other patients is needed. This study will test the safety of the MT for this use in LTACH patients, and how well it works to help design larger studies.
Importance to the field: MDRO colonization increases the risk of subsequent infection and transmission to others, however, there are no approved therapies for decolonization or reduction of the burden of colonization with MDROs. MT like Allogeneic Microbiota in Glycerol (AMG) has been shown to have \~ 60-90% efficacy for decolonization and an acceptable safety profile but has not been studied in this population for this indication.
Study population: patients admitted to long-term care facilities (e.g. LTACHs and ventilator-capable skilled nursing facilities \[vSNF\]) found to be MDRO colonized during prevalence screening activities. The MT AMG will be delivered through an already existing feeding tube or into the rectum as an enema.
Conditions
- Multi-Drug Resistant Organism
Interventions
- DRUG
-
Allogeneic Microbiota in Glycerol (10%) (AMG)
Participants with positive MDRO cultures will receive MT instilled via a functional feeding tube when in place or rectal enema (when a functional feeding tube is not present) with the rate adjusted to the recipient's clinical status and infusion tolerance.
Sponsors & Collaborators
-
Centers for Disease Control and Prevention
collaborator FED -
Emory University
lead OTHER
Principal Investigators
-
Michael Woodworth, MD, MSc · Emory University
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-04-24
- Primary Completion
- 2024-01-31
- Completion
- 2024-01-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
The Characteristics and Role of Mucosal Microbiome After Treatment of Clostridioides Difficile Infection
NCT04668014 ·Status: COMPLETED
-
Studies of the Human Microbiome in Clinical Center Patients
NCT01933620 ·Status: ENROLLING_BY_INVITATION
-
Interaction Between Non-typhoid Salmonella, Host Microbiota, and Immune System During Acute Infection and Remission
NCT03494101 ·Status: UNKNOWN
-
Open-Label Extension of CP101 Trials Evaluating Oral Full-Spectrum Microbiota™ (CP101) in Subjects With Recurrence of Clostridium Difficile Infection
NCT03497806 ·Status: COMPLETED ·Phase: PHASE2
-
REBYOTA™ Prospective Registry
NCT05835219 ·Status: COMPLETED
-
The Effect of Faecal Microbiota Transplantation (FMT) on Eradication of Multidrug Resistant Organisms (MRO) in Intestinal Carriers
NCT05742074 ·Status: COMPLETED ·Phase: NA
-
Multicentre Blinded Comparison of Lyophilized Sterile Fecal Filtrate to Lyophilized Fecal Microbiota Transplant in Recurrent Clostridioides Difficile Infection
NCT03806803 ·Status: COMPLETED ·Phase: PHASE2
-
SER-109 Versus Placebo to Prevent Recurrent Clostridium Difficile Infection (RCDI)
NCT02437487 ·Status: COMPLETED ·Phase: PHASE2
-
Multi-Drug Resistant Organism (MDRO): Study of Highly Resistant Escherichia Coli
NCT04574596 ·Status: COMPLETED
-
Fecal Microbiota Transplant
NCT04090346 ·Status: COMPLETED ·Phase: PHASE4
-
C. Difficile Toxin Levels in Stool From Healthy Individuals Following Standard of Care Antibiotic Treatment for CDI.
NCT07250724 ·Status: RECRUITING
-
PMT for MDRO Decolonization
NCT05632315 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
AssessmeNT of the Incidence of Clostridium Difficile Infections in Hospitalized Patients on Antibiotic TrEatment
NCT02896244 ·Status: COMPLETED
-
Lyophilized Fecal Microbiome Transfer vs. Vancomycin Monotherapy for Primary Clostridioides Difficile Infection
NCT05709184 ·Status: RECRUITING ·Phase: NA
-
Treatment of Recurrent Clostridium Difficile Infection With RBX7455
NCT02981316 ·Status: COMPLETED ·Phase: PHASE1
-
ECOSPOR III - SER-109 Versus Placebo in the Treatment of Adults With Recurrent Clostridium Difficile Infection
NCT03183128 ·Status: COMPLETED ·Phase: PHASE3
-
FMT Versus Antimicrobials for Initial Treatment of Recurrent CDI
NCT02255305 ·Status: TERMINATED ·Phase: PHASE2
-
Primary or Recurrent Clostridioides Difficile Infection Treatment With Capsules of Lyophilised Faecal Microbiota vs Fidaxomicin
NCT05201079 ·Status: COMPLETED ·Phase: PHASE3
-
Changes in Recipients Gut Microbiota After Fecal Microbiota Transplantation
NCT05739825 ·Status: RECRUITING
-
Study to Assess Safety, Tolerability and Efficacy of Incremental Doses of MGB-BP-3 in Patients With CDAD
NCT03824795 ·Status: COMPLETED ·Phase: PHASE2
-
The Role of Mucosal Microbiome in the Development, Clearance and Recurrence of Clostridioides Difficile Infection
NCT04679324 ·Status: WITHDRAWN
-
Multi-Centre Trial of Fresh vs. Frozen-and-Thawed FMT for Recurrent CDI
NCT01398969 ·Status: COMPLETED ·Phase: PHASE2
-
To Understand the Safety and Effects of a C. Difficile Vaccine With New Adds-Ons That Will Be Given to Healthy Adults
NCT05805826 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
Study of the Clinical Effectiveness of a Human Monoclonal Antibody to C. Difficile Toxin A and Toxin B in Patients With Clostridium Difficile Associated Disease
NCT00350298 ·Status: COMPLETED ·Phase: PHASE2
-
Study of a Candidate Clostridium Difficile Toxoid Vaccine in Subjects at Risk for C. Difficile Infection
NCT01887912 ·Status: TERMINATED ·Phase: PHASE3