Fecal Microbiota Transplantation for Refractory IgA Nephropathy

A

Air Force Military Medical University of People's Liberation Army

Status and phase

Unknown
Phase 2

Conditions

IgA Nephropathy

Treatments

Biological: Fecal microbiota transplantation

Study type

Interventional

Funder types

Other

Identifiers

NCT03633864
FMT for IgAN

Details and patient eligibility

About

IgA nephropathy (IgAN) is one of the most common glomerular diseases worldwide. Current treatments for IgAN are limited by their relatively insufficient efficacy and severe adverse events. Previous studies suggested that the disorder of intestinal flora may play an important role in the pathogenesis and prognosis of IgAN. Fecal microbiota transplantation (FMT) have been proved to be effective on rebuilding the intestinal microecological balance. However, there is no evidence for the safety and efficacy of FMT in IgAN. Therefore, investigators perform a prospective cohort study to evaluate the safety and efficacy of FMT in IgAN patients who did not response to the conventional treatment and did not want to aggravate immunosuppressive treatments or IgAN patients who did not response to immunosuppressive treatments.

Enrollment

30 estimated patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

* Adult, age: 18-65 years old. * Pathological diagnosis with IgAN, eGFR:20-120 mL/min/1.73 m2. * The 24-hour urinary protein was still greater than 1g after 3-6 months of treatment of ACEI/ARB * Recurrence of IgAN after glucocorticoid and (or)immunosuppressant decrement and the 24-hour urinary protein was greater than 1g. * Not suitable for the administration of glucocorticoid and (or) immunosuppressive agents because of side effects. * Women of child-bearing age with negative urine pregnancy test have no pregnancy plan for the next 18 months and take effective contraceptive measures. * Agree to participate in this clinical trial

Exclusion criteria

* Malignant tumors and other diseases with expected survival time \<3 months. * Severe cardiovascular and cerebrovascular diseases and pulmonary dysfunction. * Other immune system diseases. * Diabetes * Inflammatory bowel disease(IBD) * Clostridium difficile infection * Gastrointestinal tumor * Active gastrointestinal bleeding * Acute and chronic gastroenteritis * Have received or are receiving FMT treatment. * HIV * Psychosis AND dysgnosia * Contraindication of colonoscopy and enema * Alcohol/drug abuse * Other conditions that the researchers thought were not appropriate for the group.

Trial design

Primary purpose

Treatment

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

30 participants in 1 patient group

FMT treatment
Experimental group
Description:
FMT treatment arm: Accept fecal microbiota transplantation without changing the ongoing treatment strategy.
Treatment:
Biological: Fecal microbiota transplantation

Trial contacts and locations

1

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Central trial contact

Shiren Sun, M.D.; Ming Bai, M.D

Data sourced from clinicaltrials.gov

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