Evidence map›Paper›PMID 31662862›Full record

ArticleUnited European gastroenterology journal2019

A network meta-analysis of randomized controlled trials exploring the role of fecal microbiota transplantation in recurrent

Theodore Rokkas, Javier P Gisbert, Antonio Gasbarrini, Georgina L Hold, Herbert Tilg, Peter Malfertheiner, Francis Megraud, Colm O'Morain

Registry-linked trialOpen access · bronzeAbstract readComparative StudyNetwork Meta-Analysis
In one paragraph

Article in United European gastroenterology journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06156956 (Fecal Microbiota Transplantation to Eradicate Antibiotic-resistance Bacteria From the Gastrointestinal Tract of Patients at High Risk of Infection and/or to Cut Off the Spread of Bacteria With Dangerous Mechanisms of Antibiotic Resistance), which is not on this map. Cited by 33 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 5 pooled it
3.9field-weighted citation impact, top 6% 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.

NCT06156956 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Fecal Microbiota Transplantation to Eradicate Antibiotic-resistance Bacteria From the Gastrointestinal Tract of Patients at High Risk of Infection and/or to Cut Off the Spread of Bacteria With Dangerous Mechanisms of Antibiotic Resistance

TypeinterventionalSponsorHuman Biome Institute S.A.Ran2023 to 2025Enrolled200ConditionsDrug Resistance, Bacterial, Antimicrobial Drug ResistanceArmsFecal Microbiota Transplantation
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 5 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
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  8. Comparative effectiveness of different therapies forThe Lancet regional health. Europe · 2025
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  9. Review
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  11. Therapeutics involved in managing initial and recurrentWorld journal of gastrointestinal pharmacology and therapeutics · 2024
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  12. Article
  13. Pathogens (Basel, Switzerland) · 2024
    Review
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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

8 authors at 8 institutions in 9 countries.

Theodore RokkasGastroenterology Clinic, Henry Dunant Hospital, Athens, Greece.
Javier P GisbertGastroenterology Unit, Hospital Universitario de La Princesa, Instituto de Investigación Sanitaria Princesa (IIS-IP), Universidad Autónoma de Madrid, Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBEREHD), Madrid, Spain.
Antonio GasbarriniDepartment of Internal Medicine, Catholic University of the Sacred Heart, Rome, Italy.
Georgina L HoldMicrobiome Research Centre, St George & Sutherland Clinical School, UNSW Medicine, UNSW Sydney, Kogarah, Australia.
Herbert TilgMedical University Innsbruck, Department of Gastroenterology, Hepatology, Endocrinology & Metabolism, Innsbruck, Austria.
Peter MalfertheinerOtto-von-Guericke-Universität Magedeburg, Medizinische Fakultät Zentrum für Innere Medizin\Klinik für Gastroenterologie, Hepatologie und Infektiologie, Magdeburg, Germany.
Francis MegraudLaboratoire de Bactériologie, Hôpital Pellegrin, Bordeaux, France.
Colm O'MorainDepartment of Gastroenterology, Meath/Adelaide Hospital, Dublin, Ireland.
Henry Dunant Hospital · GRHôpital Pellegrin · FRHospital Universitario de La Princesa · ESInnsbruck Medical University · ATOtto-von-Guericke-Universität Magdeburg · DESutherland Hospital · AUTallaght University Hospital · IEUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Recurrence remains a challenge in Objective: In this NWM we assessed the comparative effectiveness of various therapies for rCDI to examine the efficacy rank order and determine the optimum therapeutic approach. Methods: A Bayesian network meta-analysis was performed to investigate the efficacy rank order of rCDI interventions. Results: Six eligible RCTs were entered into an NWM. They included 348 rCDI patients, in whom seven therapeutic interventions were used, i.e. donor fecal microbiota transplantation (DFMT), vancomycin, fidaxomicin, vancomycin + DFMT, vancomycin + bowel lavage, autologous FMT and placebo. DFMT showed the highest efficacy in comparison with vancomycin [odds ratio (95% credible interval), 20.02 (7.05-70.03)] and fidaxomicin (22.01 (4.38-109.63)). Conclusion: This NWM showed that DFMT is the optimum therapeutic approach for rCDI, as it was the most efficacious among various therapeutic interventions, particularly in comparison with commonly used antibiotics such as vancomycin or fidaxomicin.

Indexed as

Anti-Bacterial AgentsClostridioides difficileClostridium InfectionsCombined Modality TherapyFecal Microbiota TransplantationFemaleFidaxomicinHumansMiddle AgedPlacebosRandomized Controlled Trials as TopicRecurrenceTreatment OutcomeVancomycinAnti-Bacterial AgentsFidaxomicinPlacebosVancomycinFecal microbiota transplantationnetwork meta-analysisrecurrent Clostridium difficile infectiontreatment

Identifiers

PMID31662862
PMCPMC6794697
OpenAlexW2947278650

What OpenQuestion holds

Textmetadata
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.