Fecal Microbiota TransplantationPhase 2HERACLESNCT03359980
Treatment of Steroid Refractory Gastro-intestinal Acute GVHD afteR AllogeneiC HSCT With fEcal Microbiota tranSfer
A Phase 2 study testing fecal microbiota transfer in people with Fecal Microbiota Transplantation, run by MaaT Pharma at 16 sites in 3 countries.
Trial summary
Patients who have a gastrointestinal acute Graft versus host disease (GVHD) received a first-line standard treatment of corticosteroids. For patients who do not respond or progress after an initial response have a high mortality. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Fecal Microbiota Transplantation
- What is being tested?
- fecal microbiota transfer
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 24 participants
- Where
- 16 sitesin 3 countries
- Study dates
- 13 Aug 2018to 26 Nov 2020
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients who develop a first episode of Stage 2 to 4 Gastro-intestinal Acute Graft-versus-Host (GI-aGVHD) with gut predominance (Przepiorka D, 1995), resistant to a first line therapy with steroids (lack of improvement after 5 days or progression after 3 days of treatment with corticosteroids at 2 mg/Kg methylprednisolone equivalent dose) (SR GI-aGVHD)
- Age ≥ 18 years old
- Allogeneic Hematopoietic stem cell transplantation (Allo-HSCT) with any type of donor, stem cell source, GVHD prophylaxis or conditioning regimen
- Patients able to have a minimum of 12 hours discontinuation of systemic antibiotics in order to perform the allogeneic FMT
- Signature of informed and written consent by the subject or by the subject's legally acceptable representative
Who cannot join
- Grade IV hyper-acute GVHD
- Overlap chronic GVHD
- Acute GVHD after donor lymphocytes infusion
- Relapsed/persistent malignancy requiring rapid immune suppression withdrawal
- Active uncontrolled infection according to the attending physician
- Other systemic drugs than corticosteroids for GVHD treatment (including extra-corporeal photopheresis). Drugs already being used for GVHD prevention (eg. calcineurin inhibitors) are allowed.
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- Absolute neutrophil count < 0.5 x 10^9 /L
- Absolute platelet count < 10 000
- Patient Epstein-Barr Virus (EBV) negative
- Evidence of toxic megacolon or gastrointestinal perforation on abdominal X-ray
- Known allergy or intolerance to trehalose or maltodextrin
- Pregnancy: positive urinary or blood test in female of childbearing potential; lactation; absence of effective contraceptive method for female of childbearing potential
- Other ongoing interventional protocol that might interfere with the current study primary endpoint.
Trial locations and contacts
16 sites in 3 countries.
16 sites in 3 countries
France12 sites
CHU Amiens
Amiens, 80054
CHU Angers
Angers, 49933
CHRU Besançon
Besançon, 25030
Hôpital Henri Mondor
Créteil, 94000
CHRU Lille
Lille, 59037
CHU Limoges
Limoges, 87000
CHU Nantes
Nantes, 44000
Hôpital Saint Antoine
Paris, 75012
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69310
Institut de Cancérologie de la Loire
Saint-Priest-en-Jarez, 42270
CHU Strasbourg
Strasbourg, 67098
IUCT Oncopole
Toulouse, 31100
Poland3 sites
Klinika Hematologii i Transplantologii
Gdansk, 80-952
Public Clinic Hospital
Katowice, 40-032
University Clinical hospital
Wroclaw, 50-556
About this study
Official title: Treatment of Steroid Refractory Gastro-intestinal Acute Graft-versus-Host disEase afteR AllogeneiC Hematopoietic Stem celL Transplantation With fEcal Microbiota tranSfer
Patients who have a gastrointestinal acute Graft versus host disease (GVHD) received a first-line standard treatment of corticosteroids. For patients who do not respond or progress after an initial response have a high mortality. There is an interest in identifying effective second line therapy for these patients corticosteroid-resistant acute GVHD. Fecal microbiota transfer might be a beneficial treatment in this clinical situation with a poor prognosis and limited therapeutic options.
- Conditions
- Fecal Microbiota Transplantation
- Being tested
- fecal microbiota transfer
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
fecal microbiota transferDrug
Also called MaaT013
transfer of fecal microbiota from healthy donors to the patients
| Study group | Role | What they receive |
|---|---|---|
| treated patients | Experimental | Treated with Fecal Microbiota Transfer (FMT) Receives: Drug: fecal microbiota transfer |
What is being measured
The primary outcome is the main question the study is designed to answer.
Efficacy of FMT in the treatment of Steroid Refractory -Gastro-intestinal Acute GVHD (SR-GI-aGVHD) at D28 post inclusion
Proportion of patients achieving GI and overall GVHD response by D28, defined as Complete response (CR) or Very Good Partial Response (VGPR)
Measured: up to 4 weeks post inclusion
Secondary outcomes (5)
Safety of FMT in patients with SR-GI-aGVHD
The overall safety of the study will be evaluated with the incidence of all Adverse Events (AEs) and Serious Adverse Events (SAEs) (frequency, grade, relationship) throughout the study period
Measured: through study completion, an average of six months
Gastrointestinal GVHD overall response rate at D28 post inclusion
Proportion of patients achieving GI and overall GVHD response by D28, defined as Complete response (CR) or Very Good Partial Response (VGPR) or Partial Response (PR)
Measured: Day 28
Number of patients with infectious disorders
Evaluation of FMT activity on infectious disorders
Measured: through study completion, an average of six months
Number of multidrug resistant bacteria in faeces
Evaluation of FMT activity on multidrug-resistant bacteria (MDRB) carriage
Measured: through study completion, an average of six months
Number of patients with Chronic GVHD
Chronic GVHD expression
Measured: through study completion, an average of six months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Dec 2017
- Study start13 Aug 2018
- Primary completion25 Feb 2020
- Study completion26 Nov 2020
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Fecal Microbiota TransplantationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 24 participants (actual)
Sponsor and investigators
- Lead sponsor
- MaaT Pharma
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Florent Malard, MD, PhD, Principal investigator, Hôpital Saint Antoine - PARIS
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03359980
- Sponsor's protocol ID
- MPOH03
- Acronym
- HERACLES
- Status last verified
- Feb 2021
- First submitted
- 20 Nov 2017
- Last updated
- 23 Feb 2021
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Malard F, Loschi M, Huynh A, Cluzeau T, Guenounou S, Legrand F, Magro L, Orvain C, Charbonnier A, Panz-Klapuch M, Desmier D, Mear JB, Cornillon J, Robin C, Daguindau E, Bilger K, Vehreschild MJGT, Chevallier P, Labussiere-Wallet H, Mediavilla C, Couturier MA, Bulabois CE, Camus V, Chantepie S, Ceballos P, Gaugler B, Holler E, Dore J, Prestat E, Gasc C, Plantamura E, Mohty M. Pooled allogeneic faecal microbiota MaaT013 for steroid-resistant gastrointestinal acute graft-versus-host disease: a single-arm, multicentre phase 2 trial. EClinicalMedicine. 2023 Jul 26;62:102111. doi: 10.1016/j.eclinm.2023.102111. eCollection 2023 Aug.
PubMed 37654670
Study at a glance
From the registry record, last updated by the sponsor on 23 Feb 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Treatment of Steroid Refractory Gastro-intestinal Acute Graft-versus-Host disEase afteR AllogeneiC Hematopoietic Stem celL Transplantation With fEcal Microbiota tranSfer
- ClinicalTrials.gov ID
- NCT03359980
- Acronym / sponsor ID
- HERACLES / MPOH03
- Conditions
- Fecal Microbiota Transplantation
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 24 participants (actual)
- Lead sponsor
- MaaT PharmaIndustry (pharma, biotech, devices)
- Study start
- 13 Aug 2018 (actual)
- Primary completion
- 25 Feb 2020 (actual)
- Study completion
- 26 Nov 2020 (actual)
- First posted
- 2 Dec 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Patients who have a gastrointestinal acute Graft versus host disease (GVHD) received a first-line standard treatment of corticosteroids. For patients who do not respond or progress after an initial response have a high mortality. There is an interest in identifying effective second line therapy for these patients corticosteroid-resistant acute GVHD. Fecal microbiota transfer might be a beneficial treatment in this clinical situation with a poor prognosis and limited therapeutic options.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| treated patients | Experimental | Drug: fecal microbiota transferTreated with Fecal Microbiota Transfer (FMT) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Patients who develop a first episode of Stage 2 to 4 Gastro-intestinal Acute Graft-versus-Host (GI-aGVHD) with gut predominance (Przepiorka D, 1995), resistant to a first line therapy with steroids (lack of improvement after 5 days or progression after 3 days of treatment with corticosteroids at 2 mg/Kg methylprednisolone equivalent dose) (SR GI-aGVHD)
- Age ≥ 18 years old
- Allogeneic Hematopoietic stem cell transplantation (Allo-HSCT) with any type of donor, stem cell source, GVHD prophylaxis or conditioning regimen
- Patients able to have a minimum of 12 hours discontinuation of systemic antibiotics in order to perform the allogeneic FMT
- Signature of informed and written consent by the subject or by the subject's legally acceptable representative
Key exclusion criteria (13 listed)
- Grade IV hyper-acute GVHD
- Overlap chronic GVHD
- Acute GVHD after donor lymphocytes infusion
- Relapsed/persistent malignancy requiring rapid immune suppression withdrawal
- Active uncontrolled infection according to the attending physician
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| fecal microbiota transferAlso: MaaT013transfer of fecal microbiota from healthy donors to the patients | Drug | treated patients |
Primary outcome
Efficacy of FMT in the treatment of Steroid Refractory -Gastro-intestinal Acute GVHD (SR-GI-aGVHD) at D28 post inclusion
Time frame: up to 4 weeks post inclusion
Proportion of patients achieving GI and overall GVHD response by D28, defined as Complete response (CR) or Very Good Partial Response (VGPR)
5 secondary outcomes
Safety of FMT in patients with SR-GI-aGVHD
Time frame: through study completion, an average of six months
Gastrointestinal GVHD overall response rate at D28 post inclusion
Time frame: Day 28
Number of patients with infectious disorders
Time frame: through study completion, an average of six months
Number of multidrug resistant bacteria in faeces
Time frame: through study completion, an average of six months
Number of patients with Chronic GVHD
Time frame: through study completion, an average of six months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Feb 2021.
- Derived from this study: PubMed 37654670Malard F, Loschi M, Huynh A, Cluzeau T, Guenounou S, Legrand F, Magro L, Orvain C, Charbonnier A, Panz-Klapuch M, Desmier D, Mear JB, Cornillon J, Robin C, Daguindau E, Bilger K, Vehreschild MJGT, Chevallier P, Labussiere-Wallet H, Mediavilla C, Couturier MA, Bulabois CE, Camus V, Chantepie S, Ceballos P, Gaugler B, Holler E, Dore J, Prestat E, Gasc C, Plantamura E, Mohty M. Pooled allogeneic faecal microbiota MaaT013 for steroid-resistant gastrointestinal acute graft-versus-host disease: a single-arm, multicentre phase 2 trial. EClinicalMedicine. 2023 Jul 26;62:102111. doi: 10.1016/j.eclinm.2023.102111. eCollection 2023 Aug.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Florent Malard, MD, PhD principal investigator
Hôpital Saint Antoine - PARIS
16 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing fecal microbiota transfer in people with Fecal Microbiota Transplantation, run by MaaT Pharma at 16 sites in 3 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 23 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 16 sites in France, Poland, Italy. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Efficacy of FMT in the treatment of Steroid Refractory -Gastro-intestinal Acute GVHD (SR-GI-aGVHD) at D28 post inclusion (time frame: up to 4 weeks post inclusion). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03359980, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Feb 2021.