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HypertensionPhase 1NCT05608447

Effect of Intensive FMT on Primary Hypertension

A Phase 1 study testing FMT capsules in people with Hypertension, run by Chinese Academy of Medical Sciences, Fuwai Hospital at 3 sites in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Mounting preclinical and clinical evidences have proved the causal role of gut microbiota on the pathogenesis of primary hypertension. Restoration of gut microbiota ameliorated high BP in rodents and/or human cases.A hypothesis is thus raised that gut microbiome restoration can be a potential approach to ameliorate… Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Hypertension
What is being tested?
FMT capsules
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
72 participants
Where
3 sitesChina
Study dates
1 Jan 2023to 30 Sep 2023
Phase
Phase 1
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 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age 18~65 years.
  • Established Diagnosis of Grade 1 Hypertension (initial diagnosis or free from antihypertensive drugs within a month): 140mmHg≤ Office SBP<160mmHg and/or 90mmHg≤ Office DBP<100mmHg for three measurements at different days without any antihypertensive medications, according to the"2010 Chinese Guidelines for Prevention and Treatment of Hypertension".
  • Patients with informed consent after thorough explanation.

Who cannot join

  • Antibiotics or probiotics usage within last 4 weeks
  • Participants of other clinical trials related to hypertension currently or within last 3 months
  • Antihypertensive medications usage currently or within last month
  • Diagnosed secondary hypertension
  • Severe hepatic or renal diseases ((ALT >3 times the upper limit of normal value, or end stage renal disease on dialysis or eGFR <30 mL/min/1.73 m2, or serum creatinine >2.5 mg/dl [>221 μmol/L])
  • History of large atherosclerotic cerebral infarction or hemorrhagic stroke(not including lacunar infarction and transient ischemic attack [TIA])
Show all 15Show fewer
  • Hospitalization for myocardial infarction within last 6 months; Coronary revascularization (PCI or CABG) within last 12 months; Planned for PCI or CABG in the next 12 months.
  • Sustained atrial fibrillation or arrhythmias at recruitment disturbing the electronic BP measurement.
  • NYHA class III-IV heart failure; Hospitalization for chronic heart failure exacerbation within last 6 months.
  • Severe valvular diseases; Potential for surgery or percutaneous valve replacement within the study period.
  • Dilated cardiomyopathy; Hypertrophic cardiomyopathy; Rheumatic heart disease; Congenital heart disease.
  • Other severe diseases influencing the entry or survival of participants, such as malignant tumor or acquired immune deficiency syndrome.
  • Cognitive impairment or severe neuropsychiatric comorbidities who are incapable of providing their own informed consent.
  • Participants preparing for or under pregnancy and/or lactation.
  • Other conditions inappropriate for recruitment according to the investigators.

Trial locations and contacts

3 sites in 1 country.

Jun Jun, MD,PhD contact

86-010-88392165

caijun7879@126.com

Jun Jun, MD,PhD contact

86-010-60866432

caijun7879@126.com

China3 sites
  • The Second Affiliated Hospital of Shantou University

    Shantou, Guangdong

    Youren Chen

  • Shanxi Bethune Hospital

    Taiyuan, Shanxi

    Jie Ren

  • The People's Hospital of Ji Xian District

    Tianjin, Tianjin Municipality

    Jinfeng Yang

Other trials in China

About this study

Official title: Effect and Safety of Intensive Fecal Microbiota Transplantation on Primary Hypertension: a Randomized Clinical Trial.

Mounting preclinical and clinical evidences have proved the causal role of gut microbiota on the pathogenesis of primary hypertension. Restoration of gut microbiota ameliorated high BP in rodents and/or human cases.A hypothesis is thus raised that gut microbiome restoration can be a potential approach to ameliorate hypertension. This study will perform intense fecal microbiota transplantation (FMT) intervention via oral capsules, in comparison with placebo capsules, to investigate the effect, safety and underlying mechanisms of gut microbiome intervention on primary hypertension.

Read the detailed description

Primary hypertension is a most prevalent cardiovascular diseases, and becomes a severe global public health issue because of the high morbidity and potential risk to other cardiovascular diseases. Several animal studies and diverse patient cohorts reported that the disorder of gut microbiome correlated with hypertension. Based on the investigators' previous work findings, a casual role of gut microbiome disorder was observed in primary hypertension (Microbiome. 2017;5(1):14.), and trend of ameliorating SBP was observed after short-course FMT intervention but recovery after intervention termination(Trials. 2022;23(1):178, unpublished results). The investigators therefore developed a consecutive study of intensive FMT intervention on primary hypertension.

Objective: To explore the effect, safety and underlying mechanisms of intensive FMT on primary hypertension.

Study Design: A multi-center, randomized, blinded, placebo-controlled pilot study.

Data quality control and statistical analysis: The investigators have invited professional statistic analysts to assist analyzing data and a third party to supervise data quality.

Conditions
Hypertension
Being tested
FMT capsules, Placebo capsules
Keywords
hypertension, microbiome, fecal microbiota transplantation, treatment
Medical subject headings
Hypertension

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FMT capsulesBiological

    FMT capsules containing extensively screened donor stool.

  • Placebo capsulesOther

    Placebo capsules that do not contain donor stool or any active drug.

Study groups in NCT05608447
Study groupRoleWhat they receive
FMT capsulesActive comparatorFMT capsules containing extensively screened donor stool. FMT capsules will be orally taken on Day 0 (randomization), Day 1, Day 2, Day 7, Day 14, Day 21, Day 28, Day 35, Day 42, Day 49.
Receives: Biological: FMT capsules
Placebo capsulesPlacebo comparatorPlacebo capsules that do not contain donor stool or any active drug. Placebo capsules will be orally taken on Day 0 (randomization), Day 1, Day 2, Day 7, Day 14, Day 21, Day 28, Day 35, Day 42, Day 49.
Receives: Other: Placebo capsules

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Office Systolic Blood Pressure (SBP)

    Change in Office Systolic Blood Pressure (SBP)

    Measured: From baseline to Week 8

Secondary outcomes (19)
  1. Change in Office Systolic Blood Pressure (SBP)

    Change in Office Systolic Blood Pressure (SBP)

    Measured: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 12

  2. Change in Office Diastolic Blood Pressure (DBP)

    Change in Office Diastolic Blood Pressure (DBP)

    Measured: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 12

  3. Change in Home Systolic Blood Pressure (SBP)

    Change in Home Systolic Blood Pressure (SBP)

    Measured: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 12

  4. Change in Home Diastolic Blood Pressure (DBP)

    Change in Home Diastolic Blood Pressure (DBP), compared with baseline

    Measured: Baseline, Week 1, Week 2, Week 3, Week 4, Week 5, Week 6, Week 7, Week 8, Week 12

  5. Change in average SBP via 24-hour Ambulatory BP Monitoring

    Change in average SBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Week 4, Week 8, Week 12

  6. Change in average DBP via 24-hour Ambulatory BP Monitoring

    Change in average DBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Week 4, Week 8, Week 12

  7. Change in daytime SBP via 24-hour Ambulatory BP Monitoring

    Change in daytime SBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Week 4, Week 8, Week 12

  8. Change in daytime DBP via 24-hour Ambulatory BP Monitoring

    Change in daytime DBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Week 4, Week 8, Week 12

  9. Change in nighttime SBP via 24-hour Ambulatory BP Monitoring

    Change in nighttime SBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Week 4, Week 8, Week 12

  10. Change in nighttime DBP via 24-hour Ambulatory BP Monitoring

    Change in nighttime DBP via 24-hour Ambulatory BP Monitoring

    Measured: Baseline, Week 4, Week 8, Week 12

  11. Number of Participants with Adverse Events (AEs) as a Measure of Safety

    Number of Participants with Adverse Events (AEs) as a Measure of Safety

    Measured: All AEs over 12 weeks

  12. Changes in Intestinal Microbiota Composition Pre- and Post-intervention via Metagenomic Analysis

    Changes in Intestinal Microbiota Composition Pre- and Post-intervention (FMT or Placebo) via Metagenomic Analysis, stratified by:

    1. Randomisation
    2. Change in Office SBP

    Measured: Baseline, Week 4, Week 8, Week 12

  13. Changes in Intestinal Microbiota function revealed by KEGG pathways and KEGG Orthology (KO) Pre- and Post-intervention via Metagenomic Analysis

    Changes in Intestinal Microbiota function revealed by KEGG pathways and KEGG Orthology (KO) Pre- and Post-intervention via Metagenomic Analysis, stratified by:

    1. Randomisation
    2. Change in Office SBP

    Measured: Baseline, Week 4, Week 8, Week 12

  14. Durability of Engraftment of Donor Microbiome Following FMT

    Durability of engraftment of donor microbiome following FMT, measured by similarity comparison of intestinal microbiota composition between donor and recipient

    Measured: Baseline, Week 4, Week 8, Week 12

  15. Changes in Plasma Metabolite Composition Pre- and Post-intervention via Metabolomic Analysis

    Changes in Plasma Metabolite Composition Pre- and Post-intervention (FMT or Placebo) via Metabolomic Analysis, stratified by:

    1. Randomisation
    2. Change in Office SBP

    Measured: Baseline, Week 4, Week 8, Week 12

  16. Change in Fasting Blood Glucose Level

    Change in Fasting Blood Glucose Level

    Measured: Baseline, Week 4, Week 8, Week 12

  17. Change in blood HbA1c level

    Change in blood glycosylated hemoglobin, type A1C (HbA1c) level

    Measured: Baseline, Week 4, Week 8, Week 12

  18. Change in blood lipid level

    Change in Blood Lipid Level (Total Cholesterol, Total Triglyceride, Low Density Lipoprotein Cholesterol, High Density Lipoprotein Cholesterol)

    Measured: Baseline, Week 4, Week 8, Week 12

  19. Change in Body Mass Index

    Change in Body Mass Index

    Measured: Baseline, Week 4, Week 8, Week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Nov 2022
  2. Study start1 Jan 2023 (estimated)
  3. Primary completion1 Jun 2023 (estimated)
  4. Study completion30 Sep 2023 (estimated)

Resources

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 1
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Care provider
Enrolment
72 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05608447
Sponsor's protocol ID
2017-GZ10 (Part III)
Status last verified
Nov 2022
First submitted
1 Nov 2022
Last updated
8 Nov 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The collected data, study protocol, and SAP are planned to be shared after the study ends 2 years later (anticipated)

Publications

  • Cammarota G, Ianiro G, Tilg H, Rajilic-Stojanovic M, Kump P, Satokari R, Sokol H, Arkkila P, Pintus C, Hart A, Segal J, Aloi M, Masucci L, Molinaro A, Scaldaferri F, Gasbarrini G, Lopez-Sanroman A, Link A, de Groot P, de Vos WM, Hogenauer C, Malfertheiner P, Mattila E, Milosavljevic T, Nieuwdorp M, Sanguinetti M, Simren M, Gasbarrini A; European FMT Working Group. European consensus conference on faecal microbiota transplantation in clinical practice. Gut. 2017 Apr;66(4):569-580. doi: 10.1136/gutjnl-2016-313017. Epub 2017 Jan 13.

    PubMed 28087657
  • Li J, Zhao F, Wang Y, Chen J, Tao J, Tian G, Wu S, Liu W, Cui Q, Geng B, Zhang W, Weldon R, Auguste K, Yang L, Liu X, Chen L, Yang X, Zhu B, Cai J. Gut microbiota dysbiosis contributes to the development of hypertension. Microbiome. 2017 Feb 1;5(1):14. doi: 10.1186/s40168-016-0222-x.

    PubMed 28143587
  • Fan L, Ren J, Chen Y, Wang Y, Guo Z, Bu P, Yang J, Ma W, Zhu B, Zhao Y, Cai J. Effect of fecal microbiota transplantation on primary hypertension and the underlying mechanism of gut microbiome restoration: protocol of a randomized, blinded, placebo-controlled study. Trials. 2022 Feb 24;23(1):178. doi: 10.1186/s13063-022-06086-2.

    PubMed 35209934

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing FMT capsules in people with Hypertension, run by Chinese Academy of Medical Sciences, Fuwai Hospital at 3 sites in China.

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 3 inclusion and 15 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: status not confirmed, as of the sponsor's last update on 8 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in China. 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. Some participants in this study may receive a placebo. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Jun Jun, MD,PhD (86-010-88392165, caijun7879@126.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Office Systolic Blood Pressure (SBP) (time frame: From baseline to Week 8). 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 NCT05608447, which also lists 3 linked publications.

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 8 Nov 2022.

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