Evidence map›Paper›PMID 32300746›Full record

ArticleEClinicalMedicine2020

Results from the first English stool bank using faecal microbiota transplant as a medicinal product for the treatment of

V L McCune, M N Quraishi, S Manzoor, C E Moran, K Banavathi, H Steed, D C O Massey, G R Trafford, T H Iqbal, P M Hawkey

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.5field-weighted citation impact, top 22% 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

12 citing papers in PubMed, 27 citations in OpenAlex.

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  10. Faecal microbiota transplantation forUnited European gastroenterology journal · 2020
    Observational
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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

10 authors at 8 institutions in 2 countries.

V L McCunePublic Health England, Public Health Laboratory Birmingham, University Hospitals Birmingham NHS Foundation Trust, Heartlands Hospital, Bordesley Green East, Birmingham B5 9SS, England.
M N QuraishiMicrobiome Treatment Centre, IBR West Link Level 2, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, West Midlands B15 2TT, England.
S ManzoorMicrobiome Treatment Centre, IBR West Link Level 2, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, West Midlands B15 2TT, England.
C E MoranDirectorate of Infectious Diseases, University Hospitals Birmingham NHS Foundation Trust, Heartlands Hospital, Bordesley Green East, Birmingham B5 9SS, England.
K BanavathiDepartment of Microbiology, University Hospitals of North Midlands, Stoke-on-Trent ST4 6QG, England.
H SteedDepartment of Gastroenterology, The Royal Wolverhampton NHS Trust, New cross Hospital, Wolverhampton WV10 0QP, England.
D C O MasseyDepartment of Gastroenterology, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, England.
G R TraffordDepartment of Microbiology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, CV2 2DX CV2 2 DX University Hospital, Clifford Bridge Road, Coventry CV2 2DX, England.
T H IqbalMicrobiome Treatment Centre, IBR West Link Level 2, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, West Midlands B15 2TT, England.
P M HawkeyInstitute of Microbiology and Infection, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TH, England.
Heartlands Hospital · GBUniversity of Birmingham · GBCambridge University Hospitals NHS Foundation Trust · GBCzech Academy of Sciences, Institute of Microbiology · CZThe Royal Wolverhampton NHS Trust · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity Hospitals Coventry and Warwickshire NHS Trust · GBUniversity Hospitals of North Midlands NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFaecal Microbiota Transplant (FMT) has improved outcomes for the treatment of

methodsAnonymous unrelated healthy donors, screened via health assessment and microbiological testing donated stool. In aerobic conditions FMT aliquots were prepared for immediate use or frozen storage, following a production framework developed to comply with Good Manufacturing Practice. Outcome measures were clinical response to FMT defined as resolution of diarrhoea within seven days and clinical cure defined as response without diarrhoea recurrence at 90 days.

findingsClinical response was 83·9% (95% CI 76·0%-90·0%) after one treatment. Clinical cure was 78·2% (95% CI 67·4%-89·0%) across the cohort. Refractory cases appeared to have a lower initial clinical response rate compared to recurrent cases, however at day 90 there were no differences observed between these groups.

interpretationThe methodology developed here enabled successful licencing of FMT by The Medicines and Healthcare products Regulatory Agency as a medicinal product. This has widened the availability of FMT in the National Health Service via a stool bank and can be applied in other centres across the world to improve access to safe and quality assured treatments.

Identifiers

PMID32300746
PMCPMC7152830
OpenAlexW3012023185

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.