Evidence map›Paper›PMID 28422836›Full record

Trial reportMedicine2017

Fecal microbiota transplantation is a rescue treatment modality for refractory ulcerative colitis.

Ahmet Uygun, Kadir Ozturk, Hakan Demirci, Cem Oger, Ismail Yasar Avci, Turker Turker, Mustafa Gulsen

2 registry-linked trialsOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02575040 phase3unknown statusnot on this map

Efficacy of Fecal Microbiota Transplantation for Refractory Inflammatory Bowel Disease

TypeinterventionalSponsorSaglik Bilimleri Universitesi Gulhane Tip FakultesiRan2015 to 2020Enrolled60ConditionsUlcerative Colitis, Crohn Disease, Constipation (Excl Faecal Impaction)ArmsFecal microbiota transplantation
NCT03594487 phase1terminatednot on this mapstarted 2018, after this paper: background citation

Fecal Microbiota Transplantation (FMT) of FMP30 in Relapsing-Remitting Multiple Sclerosis: A Phase 1b Clinical Trial to Evaluate Feasibility, Safety, Tolerability and Effects on Immune Function

TypeinterventionalSponsorJeffrey GelfandRan2018 to 2024Enrolled5ConditionsRelapsing Remitting Multiple SclerosisArmsFMP30 Donor Stool, Fecal Microbiota Transplantation (FMT) of FMP30 Donor Stool, Observational Control
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. The link among microbiota, epigenetics, and disease development.Environmental science and pollution research international · 2021
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Ahmet UygunaDepartment of Gastroenterology bDepartment of Infectious Diseases and Clinical Microbiology cDepartment of Health Public and Epidemiology, Gulhane School of Medicine, Ankara, Turkey.
Kadir Ozturk
Hakan Demirci
Cem Oger
Ismail Yasar Avci
Turker Turker
Mustafa Gulsen
Gülhane Askerî Tıp Akademisi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFecal microbial transplantation (FMT) provides to replace beneficial bacteria with more favorable microbiomes in recipient with dysbiosis. The aim of the present study was to prospectively investigate the efficacy of FMT by assessing the clinical and endoscopic response in patients with ulcerative colitis (UC) who had failed anti-inflammatory and immunosuppressive therapy.

methodsIn this prospective and uncontrolled study, 30 patients with UC were included. All medications except mesalazine were stopped 4 weeks before FMT. Colonoscopy was performed both before and after FMT. To assess the efficacy of FMT, Mayo scores were calculated at week 0 and week 12. A total of 500 mL extracted fresh fecal suspension was administered into the 30 to 40 cm proximal of terminal ileum of recipients.

resultsAfter FMT, 21 of the (70%) 30 patients showed clinical response, and 13 of the 30 (43.3%) patients achieved clinical and endoscopic remission at the week 12. Nine patients (30%) were accepted as a nonresponder at the end of the week 12. There was no significant difference among donors concerning both the rate of clinical remission and clinical response. No adverse events were observed in the majority of patients during FMT and 12 weeks follow-up. Seven patients (23.3%) experienced mild adverse events such as nausea, vomiting, abdominal pain, diarrhea, and fewer after FMT.

conclusionFMT could be considered as a promising rescue treatment modality before surgery in patients with refractory UC. Besides, FMT also appears to be definitely safer and more tolerable than the immunosuppressive therapy in patients with UC (NCT02575040).

Indexed as

Fecal Microbiota TransplantationAdultAnti-Inflammatory Agents, Non-SteroidalColitis, UlcerativeColonoscopyFemaleFollow-Up StudiesHumansMaleMesalamineMiddle AgedRetreatmentSeverity of Illness IndexTreatment OutcomeYoung AdultAnti-Inflammatory Agents, Non-SteroidalMesalamine

Identifiers

PMID28422836
PMCPMC5406052
OpenAlexW2606047789

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.