FMT in Checkpoint Inhibitor-mediated Diarrhea and Colitis

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Aarhus

About this trial

The goal of this clinical trial is to determine the outcome of patients with immune checkpoint inhibitor-mediated diarrhea/colitis (IMC) treated with faecal microbiota transplantation (FMT) in a randomised, placebo-controlled trial.

The aim of the present study is to assess the feasibility, pilot efficacy, and safety of FMT for patients with IMC.

Participants will be treated two times with capsule FMT or placebo capsules in a 1:1 ratio. The intervention treatment will be an add-on to the patients' standard treatment for IMC.

Researchers will compare the FMT-treated group to the placebo-treated group to see if FMT promotes remission of IMC.

Eligibility criteria

Qualifiers

Age 18 years or above.

Histologically proven diagnosis of malignant melanoma and/or kidney cancer.

Treatment with any immune checkpoint inhibitor (Nivolumab, Pembrolizumab, Cemiplimab, Atezolizumab, Durvalumab, Avelumab, Ipilimumab), alone or in combination, within the last 8 weeks.

Grade 2 or higher CTCAE diarrhea, of which at least 3 stools are Bristol chart score 6-7.

Disqualifiers

Diagnosed bacterial infection requiring antibiotic treatment at inclusion.

Pregnancy or breastfeeding. Pregnancy ruled out by male sex, postmenopausal women or a negative choriogonadotropin (hCG) urine test.

Primary diarrheal disease pre-existing to the immune checkpoint inhibitor treatment, including inflammatory bowel disease.

Unable to ingest capsules.

Trial design

Treatments tested in this trial

  • Faecal Microbiota Transplantation (FMT)
  • Placebo

Treatment groups

20 Participants
are divided into 2 treatment groups

Sponsors and collaborators