Evidence map›Paper›PMID 32279172›Full record

Trial reportDigestive diseases and sciences2021

Fecal Microbiota Transplantation in Hepatitis B e Antigen-Positive Chronic Hepatitis B Patients: A Pilot Study.

Ashish Chauhan, Ramesh Kumar, Sanchit Sharma, Mousumi Mahanta, Sudheer K Vayuuru, Baibaswata Nayak, Sonu Kumar, Shalimar

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Digestive diseases and sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 15% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 2 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
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  5. Review
  6. Short-chain Fatty Acids and Bile Acids Signaling in Chronic Hepatitis B.Journal of clinical and translational hepatology · 2026
    Review
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  9. Review
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  11. Article
  12. Review
  13. Review
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  15. Article
  16. [Expert consensus on the clinical application of gut microbiota transplant therapy in chronic liver disease (version 2025)].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Article
  17. 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 1 institution in 1 country.

Ashish ChauhanDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, Room No 127, 1st Floor, New Delhi, 110029, India.
Ramesh KumarDepartment of Gastroenterology, All India Institute of Medical Sciences, Patna, India.
Sanchit SharmaDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, Room No 127, 1st Floor, New Delhi, 110029, India.
Mousumi MahantaDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, Room No 127, 1st Floor, New Delhi, 110029, India.
Sudheer K VayuuruDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, Room No 127, 1st Floor, New Delhi, 110029, India.
Baibaswata NayakDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, Room No 127, 1st Floor, New Delhi, 110029, India.
Sonu KumarDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, Room No 127, 1st Floor, New Delhi, 110029, India.
ShalimarDepartment of Gastroenterology and Human Nutrition Unit, All India Institute of Medical Sciences, Room No 127, 1st Floor, New Delhi, 110029, India. drshalimar@gmail.com.
All India Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntestinal flora plays a critical role in immunity against hepatitis B virus (HBV). Fecal Microbiota Transplantation (FMT) may be a potential immunomodulatory therapy in patients with chronic hepatitis B (CHB).

aimWe aimed to study role of FMT in hepatitis B e antigen (HBeAg)-positive CHB patients in terms of its effect on HBeAg, HBsAg, and HBV DNA.

methodsHBeAg-positive patients despite being on antiviral treatment for > 1 year were given six cycles of FMT via gastroscope (nasoduodenal route) at 4 weekly intervals along with antiviral therapy. Twelve out of 14 included patients in FMT arm completed six cycles. Another 15 HBeAg-positive patients who were on oral antivirals for > 1 year were taken as control-antiviral therapy (AVT) arm. Per-protocol analysis was done.

resultsThe median (interquartile range) age in the FMT and AVT arm were 29 (25-35) and 29(24-38), respectively (P = 0.794). The median (interquartile range) duration of AVT prior to inclusion in the study was 80 (52-104) and 76 (52-114) months in FMT and AVT arm, respectively (P = 0.884). In the FMT arm, 16.7% (2/12) patients had HBeAg clearance in comparison to none in the AVT arm (P = 0.188). None of the patients in either arm had HBsAg loss. The FMT was tolerated well, 42.8% (6/14) patients reported one or more minor adverse events.

conclusionsIn this non-randomized pilot study, FMT appears to be safe and potentially effective in terms of viral suppression and HBeAg clearance in patients with HBeAg-positive CHB. Further randomized controlled trials are needed in order to obtain robust conclusions.

Indexed as

AdultAntiviral AgentsDNA, ViralFecal Microbiota TransplantationFemaleHepatitis B, ChronicHepatitis B e AntigensHepatitis B Surface AntigensHepatitis B virusHumansMalePilot ProjectsTreatment OutcomeYoung AdultAntiviral AgentsDNA, ViralHepatitis B e AntigensHepatitis B Surface AntigensBacteriaDysbiosisFungiMicrobiomeVirus

Identifiers

PMID32279172
OpenAlexW3016203278

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.