21 Participants Needed

Microbiome Transplantation for Constipation

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PO
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AP
Overseen ByAshish P Balar, MBBS, MPH
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: The University of Texas Health Science Center, Houston
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a new treatment, PRIM-DJ2727 (a microbiome transplantation therapy), to help individuals with constipation and bloating caused by systemic sclerosis, a condition where the immune system attacks the body's tissues. Researchers aim to determine if this treatment can safely improve gut health and symptoms by using beneficial bacteria. Participants will receive either the new treatment or a placebo to compare results. This trial suits those diagnosed with systemic sclerosis who experience constipation or bloating and are willing to follow study guidelines. As a Phase 2 trial, the research focuses on measuring the treatment's effectiveness in an initial, smaller group of people.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but you must stop taking probiotic supplements during the study. If you are on immunosuppressive medication, the dose should be stable for at least 4 weeks before joining the trial.

Is there any evidence suggesting that PRIM-DJ2727 is likely to be safe for humans?

Research has shown that PRIM-DJ2727 is generally safe and well-tolerated by patients. In a previous study, participants did not experience serious side effects such as fever or a rapid heartbeat. This indicates that those who received the treatment avoided these specific issues.

The current study is a Phase 2 trial. At this stage, researchers continue to assess safety, but the treatment has already passed initial safety checks in earlier phases. This provides some reassurance about its safety in humans. However, as this is still a Phase 2 trial, the full safety profile is under investigation, and new information may emerge.12345

Why do researchers think this study treatment might be promising?

Unlike the standard treatments for constipation, which typically involve laxatives or fiber supplements, PRIM-DJ2727 is unique because it utilizes microbiome transplantation. This approach aims to restore balance to the gut bacteria, potentially addressing the root cause of constipation rather than just relieving symptoms. Researchers are excited about PRIM-DJ2727 because it represents a novel, holistic way to improve gut health and could offer long-lasting relief for patients.

What evidence suggests that PRIM-DJ2727 might be an effective treatment for constipation?

Research has shown that fecal microbiota transplantation (FMT) can effectively treat constipation by transferring healthy bacteria to balance the gut. Previous studies demonstrated improvements in constipation symptoms following FMT. In the PRIM-DJ2727 trial, participants will receive either the experimental treatment PRIM-DJ2727 or a placebo. The PRIM-DJ2727 treatment aims to increase gut bacteria variety, potentially relieving constipation and bloating in people with systemic sclerosis. This treatment builds on FMT's success in other gut-related conditions.12356

Who Is on the Research Team?

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Zsuzsanna McMahan, MD, MHS

Principal Investigator

The University of Texas Health Science Center, Houston

Are You a Good Fit for This Trial?

This trial is for individuals with Systemic Sclerosis who are experiencing constipation. Participants should have a confirmed diagnosis and be struggling with bowel movements despite trying other treatments.

Inclusion Criteria

I meet the specific criteria for constipation.
Patients seen in the UT Houston Scleroderma Center (UTHSC)
Patients who meet 2013 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR) criteria or CREST criteria for SSc
See 7 more

Exclusion Criteria

Subjects unwilling to stop taking probiotic supplements during the duration of the study
Subjects unable to (a) tolerate microbiome transplant via enema for any reason or (b) swallow capsules
My immunosuppression medication dose has been stable for at least 4 weeks.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive microbiome transplantation treatment with PRIM-DJ2727 or placebo

12 weeks
Regular visits for treatment and monitoring

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • PRIM-DJ2727
Trial Overview The study tests PRIM-DJ2727, a microbiome transplant product, against a placebo to see if it can improve constipation in Systemic Sclerosis patients by altering gut bacteria and metabolites.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Placebo Group
Group I: PRIM-DJ2727Experimental Treatment1 Intervention
Group II: PlaceboPlacebo Group1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

The University of Texas Health Science Center, Houston

Lead Sponsor

Trials
974
Recruited
361,000+

Citations

Evaluation of Six Weekly Oral Fecal Microbiota Transplants ...We aimed to evaluate the safety and tolerability of 6 weekly oral fecal microbiota transplants (FMT) administered to reverse this dysbiosis.
Microbiome Transplantation for ConstipationWhat data supports the effectiveness of the treatment PRIM-DJ2727 for constipation? Research shows that fecal microbiota transplantation (FMT), which involves ...
A Study of Microbiome Transplantation for the Treatment of ...Search Results. A Study of Microbiome Transplantation for the Treatment of Constipation and/or Significant Bloating in Patients With Systemic Sclerosis.
Alternative treatment of recurrent Clostridioides difficile ...However, fecal microbiota transplantation (FMT) has been recommended by many studies for treating CDI recurrence (Bariola, 2019; Jarmo et al., ...
Fresh, Frozen or Lyophilized Fecal Microbiota ...The objective of the study is to investigate the efficacy of fresh, frozen or lyophilized fecal microbiota transplantation (FMT) via colonoscopy in patients ...
A promising treatment strategy for chronic liver diseaseThe Long-term Efficacy and Safety of Fecal Microbiota Transplant for Recurrent, Severe, and Complicated Clostridium difficile Infection in ...
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