Ulcerative Colitis Clinical Trial
Official title:
Transplantation of Faeces in Ulcerative Colitis; Restoring Nature's Homeostasis.
Ulcerative colitis (UC) is a chronic inflammatory bowel disease (IBD) of the colon.
Complaints such as abdominal pain, cramps and bloody diarrhoea usually start in early
adulthood and lead to life-long substantial morbidity. There is no medical treatment
available that meets the desired criteria of high efficacy versus low adverse effects. The
current prevailing hypothesis regarding the cause of UC states that the pathogenesis
involves an inappropriate and ongoing activation of the mucosal immune system driven by the
intestinal microbiota in a genetically predisposed individual. Systematic investigation into
the effect of correcting the dysbiosis in ulcerative colitis patients has never been
performed. The most radical way to restore the presumably disturbed natural homeostasis in
UC is to perform faecal transplantation from a healthy donor. In this trial the potential
beneficial effects of restoring microbial homeostasis by faecal transplantation through a
duodenal tube will be studied in a phase II randomised placebo controlled design.
Endpoints are clinical remission and reduction of endoscopic inflammation after 12 weeks
(primary), as well as time to recurrence, intra individual changes in faecal samples and
mucosal biopsies. Follow up is 12 months.
treatment with faecal transplantation from a healthy donor in active ulcerative colitis patients. In this trial the potential beneficial effects of restoring microbial homeostasis by faecal transplantation through a duodenal tube will be studied in a phase II randomised placebo controlled design. ;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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