Fecal Microbiota Transplantation in the prevention of complications after allogeneic hematopoietic stem cell transplantation for hematologic malignancy

2024-512969-14-01 Protocol PHRC N 2018 BAY Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 2 May 2022 · Status Ongoing, recruiting · 1 EU/EEA countries · 20 sites · Protocol PHRC N 2018 BAY

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 165
Countries 1
Sites 20

Patient who underwent Allogeneic hematopoietic stem cell transplantation (allo-HSCT) for various haematological malignancies

To evaluate the effect of allogeneic FMT compared with no treatment on graft-versus-host disease-free, relapse-free survival (GRFS) at one year post-transplant in patients treated with myeloablative conditioning (MAC) allo-HSCT for haematological malignancy

Key facts

Sponsor
CHU Gabriel-Montpied
Participant type
Patients, Healthy volunteers
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Hemic and Lymphatic Diseases [C15]
Trial duration
2 May 2022 → ongoing
Decision date (initial)
2024-11-18
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
French Ministry of Health

External identifiers

EU CT number
2024-512969-14-01
EudraCT number
2020-000673-24
ClinicalTrials.gov
NCT04935684

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Prophylaxis

To evaluate the effect of allogeneic FMT compared with no treatment on graft-versus-host disease-free, relapse-free survival (GRFS) at one year post-transplant in patients treated with myeloablative conditioning (MAC) allo-HSCT for haematological malignancy

Secondary objectives 3

  1. To evaluate incidence of engraftment, incidence of aGvHD and cGvHD, overall survival, progression-free survival, transplant-related mortality, quality of life, rate of severe infections.
  2. To evaluate the tolerance and safety of post-allo-HSCT FMT, its effect on multidrug-resistant bacteria/extended spectrum beta-lactamases (ESBL), the cumulative incidence of clostridium difficile infection and diarrhoea
  3. To evaluate microbiota composition and diversity by 16s sequencing prospectively in all patients (treatment group and control group) before allo-HSCT, before FMT and at M1, M3 and M12, and in donors

Conditions and MedDRA coding

Patient who underwent Allogeneic hematopoietic stem cell transplantation (allo-HSCT) for various haematological malignancies

Regulatory references

Plan to share IPD
No
EU CT numberTitleSponsor
2024-512969-14-00 Fecal Microbiota Transplantation in the prevention of complications after allogeneic hematopoietic stem cell transplantation for hematologic malignancy CHU Gabriel-Montpied

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 6

  1. Patients who underwent allo-HSCT for a controlled haematological malignancy
  2. Patients aged ≥ 18 years old
  3. Patients affiliated with a social security organization
  4. Patients who had signed informed consent
  5. With myelo-ablative type conditioning
  6. With an allogeneic peripheral stem cell transplant, regardless of the type of donor (except cord blood)

Exclusion criteria 6

  1. Patient with tumor progression status at the time of allo-HSCT
  2. History of another progressive cancer or one occurring in the previous 3 years (excluding basal cell carcinoma)
  3. Faecal incontinence
  4. Allograft of HSC from bone marrow
  5. Patient suffering from a serious and uncontrolled concomitant condition (severe cardiac, renal, hepatic or respiratory failure, serious sepsis)
  6. Patient under guardianship, curatorship or safeguard of justice

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. GRFS (Graft-versus-host disease and Relapse-Free Survival) rate at 1 year post-allograft.

Secondary endpoints 7

  1. Survival at 1 and 2 years (overall and progression-free)
  2. Evaluation of hematological criteria
  3. Assessment of GVHD
  4. Incidence of infectious complications
  5. Tolerance and safety of post-allo-HSCT FMT
  6. Evolution of the composition and diversity of the microbiota
  7. Quality of life

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Transplant microbiote fécal

PRD11668413 · Product

Active substance
Allogeneic Faecal Microbiota
Pharmaceutical form
RECTAL SUSPENSION
Route of administration
RECTAL USE
Max daily dose
250 ml millilitre(s)
Max total dose
250 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
MA holder
CHU CLERMONT FERRAND
Paediatric formulation
No
Orphan designation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

CHU Gabriel-Montpied

Sponsor organisation
CHU Gabriel-Montpied
Address
58 Rue Montalembert
City
Clermont Ferrand
Postcode
63000
Country
France

Scientific contact point

Organisation
CHU Gabriel-Montpied
Contact name
Lise laclautre

Public contact point

Organisation
CHU Gabriel-Montpied
Contact name
Lise laclautre

Locations

1 EU/EEA country · 20 investigational sites

By country

CountryMS statusPlanned subjectsSites
France Ongoing, recruiting 165 20
Rest of world 0

Investigational sites

France

20 sites · Ongoing, recruiting
Assistance Publique Hopitaux De Paris
Hématologie adulte, 149 Rue De Sevres, 75015, Paris
Besancon University Hospital Center
Hématologie clinique, 3 Boulevard Alexander Fleming, Cs 81816, Besancon Cedex
Centre Hospitalier Universitaire De Nice
Hématologie clinique, département de greffe de moelle, 151 Route De Saint Antoine, 06200, Nice
Centre Henri Becquerel
Unité de Recherche Clinique, Rue D Amiens, 76038, Rouen Cedex
Centre Hospitalier Universitaire De Nantes
Hématologie, 1 Place Alexis Ricordeau, 44000, Nantes
Assistance Publique Hopitaux De Paris
Hématologie greffe, 1 Avenue Claude Vellefaux, 75010, Paris
Hospices Civils De Lyon
Hématologie, 165 Chemin Du Grand Revoyet, 69310, Pierre-Benite
Centre Hospitalier Universitaire De Poitiers
Onco-Hématologie et Thérapie Cellulaire, 2 Rue De La Miletrie, 86000, Poitiers
University Hospital Of Clermont-Ferrand
Plateforme d’Investigation Clinique, 58 Rue Montalembert, 63003, Clermont Ferrand Cedex 1
Centre Hospitalier Universitaire Grenoble Alpes
Hématologie, Boulevard De La Chantourne, Cs 10217, Grenoble Cedex 9
Centre Hospitalier Universitaire De Bordeaux
Hématologie et de Thérapie Cellulaire, Avenue De Magellan, 33600, Pessac
Centre Hospitalier Universitaire De Lille
Maladies du sang, Rue Michel Polonovski, 59037, Lille Cedex
Centre Hospitalier Universitaire Amiens Picardie
Hématologie Clinique et Thérapie Cellulaire, 30 Avenue De La Croix Jourdain, 80054, Amiens Cedex 1
Centre Hospitalier Universitaire D'Angers
Maladies du sang, 4 Rue Larrey, 49100, Angers
University Hospital Of Clermont-Ferrand
Thérapie Cellulaire et d’Hématologie Clinique Adulte, 1 Place Lucie Et Raymond Aubrac, 63100, Clermont-Ferrand
Centre Hospitalier Universitaire De Saint Etienne
Recherche Clinique, Avenue Albert Raimond, 42270, Saint Priest En Jarez
Centre Hospitalier Universitaire De Toulouse
Oncopole, 1 Avenue Irene Joliot Curie, 31059, Toulouse Cedex 9
CHRU De Nancy
Hématologie, 11 Rue Du Morvan, Bp 80001, Vandoeuvre Les Nancy Cedex
Centre Hospitalier Et Universitaire De Limoges
Hématologie Clinique et Thérapie Cellulaire, 2 Avenue Martin Luther King, 87000, Limoges
Assistance Publique Hopitaux De Paris
Hématologie clinique, 47 Boulevard De L Hopital, 75651, Paris Cedex 13

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
France 2022-05-02 2022-05-02

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 11 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol_2024-512969-14-01 8
Protocol (for publication) D1_Protocol_2024-512969-14-01_TC 8
Protocol (for publication) D1_Protocol-signature_2024-512969-14-01 8
Recruitment arrangements (for publication) 2020-000673-24_RECRUTEMENT-donneur_TMF-Allo 2
Recruitment arrangements (for publication) 2020-000673-24_RECRUTEMENT-patient_TMF-Allo 1
Recruitment arrangements (for publication) K1_RECRUITMENT ARRANGEMENTS_TMF-Allo 1
Subject information and informed consent form (for publication) 2024-512969-14-00_NICE-donneur_TMF-Allo 4
Subject information and informed consent form (for publication) L1_SIS and ICF patient 5
Subject information and informed consent form (for publication) L1_SIS and ICF patient_TC 5
Synopsis of the protocol (for publication) D1_Protocol synopsis_ FR_2024-512969-14-01 7
Synopsis of the protocol (for publication) D1_Protocol synopsis_FR_2024-512969-14-01_TC 7

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-18 France Acceptable
2024-11-08
2024-11-18
2 SUBSTANTIAL MODIFICATION SM-1 2025-04-08 France Acceptable
2025-05-21
2025-05-21