Fecal Microbiota Transplantation for Decolonization of Carbapenem-resistant Enterobacteriaceae
NCT05981430 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 80
Last updated 2026-05-13
Summary
The emergence of multidrug-resistant organisms (MDROs) has become one of the major threats to the healthcare system in Hong Kong in recent years. The situation is particularly worrisome for carbapenem-resistant Enterobacteriaceae (CRE). Taking Queen Mary Hospital as an example, the number of CRE cases has surged from 24 in year 2014 to 625 in year 2021. The case burden in Hong Kong is therefore substantial when all 43 public hospitals and institutions in Hong Kong are considered. With the widespread use of broad-spectrum antibiotics and active case screening, the number of CRE cases is expected to further increase in an exponential manner.
Given that colonization with MDROs is due to gut dysbiosis from antibiotic use, a normal intestinal microbiota is apparently crucial in protecting hosts from colonization with MDROs including CRE. Fecal microbiota transplantation (FMT), which involves the infusion of stool from a healthy donor to the gastrointestinal (GI) tract of a recipient, has gained popularity in recent years to restore colonic microbial diversity in various diseases associated with gut dysbiosis, e.g. Clostridium difficile (CD) infection, ulcerative colitis and even metabolic diseases. The investigators aim to conduct a double-blind randomized controlled trial to evaluate the benefit of FMT via upper GI delivery (oral capsules) on CRE clearance.
Conditions
- Carbapenem-Resistant Enterobacteriaceae Infection
- Fecal Microbiota Transplantation
Interventions
- BIOLOGICAL
-
Fecal microbiota transplant
Active comparator will receive oral capsules form of FMT for 2 days (the day of first ingestion as day 0)
- BIOLOGICAL
-
Sham fecal microbiota transplant
Placebo comparator will receive placebo oral capsules FMT for 2 days (the day of first ingestion as day 0)
Sponsors & Collaborators
-
The University of Hong Kong
lead OTHER
Principal Investigators
-
Ka Shing Cheung · The University of Hong Kong
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-11-01
- Primary Completion
- 2027-12-31
- Completion
- 2028-06-30
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