Evidence map›Paper›PMID 33106354›Full record

Trial reportGut2021

Faecal microbiota transplantation halts progression of human new-onset type 1 diabetes in a randomised controlled trial.

Pieter de Groot, Tanja Nikolic, Silvia Pellegrini, Valeria Sordi, Sultan Imangaliyev, Elena Rampanelli, Nordin Hanssen, Ilias Attaye, Guido Bakker, Gaby Duinkerken and 25 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Gut, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 208 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
208citing papers in PubMed, 7 pooled it
30.1field-weighted citation impact, top 1% 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

208 citing papers in PubMed, 7 syntheses or guidelines pooled it, 298 citations in OpenAlex.

  1. Pooled it
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  17. Fecal Microbiota Transplantation BeyondJournal of Korean medical science · 2026
    Review
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148 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors at 11 institutions in 3 countries.

Pieter de GrootDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Tanja NikolicDepartment of Internal Medicine, LUMC, Leiden, Zuid-Holland, The Netherlands.
Silvia PellegriniDiabetes Research Institute, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Valeria SordiDiabetes Research Institute, San Raffaele Scientific Institute, Milan, Italy.
Sultan ImangaliyevDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Elena RampanelliDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Nordin HanssenDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Ilias AttayeDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Guido BakkerDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Gaby DuinkerkenDepartment of Internal Medicine, LUMC, Leiden, Zuid-Holland, The Netherlands.
Antoinette JoostenDepartment of Internal Medicine, LUMC, Leiden, Zuid-Holland, The Netherlands.
Andrei ProdanDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Evgeni LevinDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Han LevelsDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Bartjan Potter van LoonInternal Medicine, OLVG Location West, Amsterdam, North Holland, The Netherlands.
Arianne van BonInternal Medicine, Rijnstate, Arnhem, Gelderland, The Netherlands.
Catherina BrouwerInternal Medicine, OLVG, Location Oost, Amsterdam, Noord-Holland, The Netherlands.
Sytze van DamInternal Medicine, OLVG, Location Oost, Amsterdam, Noord-Holland, The Netherlands.
Suat SimsekInternal Medicine, North West Hospital Group, Alkmaar, Noord-Holland, The Netherlands.
Daniel van RaalteDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Frank StamInternal Medicine, North West Hospital Group, Alkmaar, Noord-Holland, The Netherlands.
Victor GerdesDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Roel HoogmaInternal Medicine, Groene Hart Hospital, Gouda, Zuid-Holland, The Netherlands.
Martin DiekmanInternal Medicine, Deventer Hospital, Deventer, Overijssel, The Netherlands.
Martin GerdingInternal Medicine, Deventer Hospital, Deventer, Overijssel, The Netherlands.
Cees RustemeijerInternal Medicine, Hospital Amstelland, Amstelveen, North Holland, The Netherlands.
Bernadette de BakkerDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Joost HoekstraDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Aeilko ZwindermanDepartment of Epidemiology and Biostatistics, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Jacques BergmanDepartment of Gastroenterology, Academic Medical Center, Amsterdam, The Netherlands.ORCID 0000-0001-7548-6955
Frits HollemanDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands.
Lorenzo PiemontiDiabetes Research Institute, IRCCS San Raffaele Scientific Institute, Milan, Italy.ORCID 0000-0002-2172-2198
Willem De VosMicrobiology, WUR, Wageningen, The Netherlands.
Bart RoepDepartment of Internal Medicine, LUMC, Leiden, Zuid-Holland, The Netherlands.
Max NieuwdorpDepartment of Vascular Medicine, Amsterdam University Medical Centres, Amsterdam, Noord-Holland, The Netherlands m.nieuwdorp@amsterdamumc.nl.ORCID 0000-0002-1926-7659
Amsterdam University Medical Centers · NLDeventer Ziekenhuis · NLGGZ Oost Brabant · NLNoordwest Ziekenhuisgroep · NLVita-Salute San Raffaele University · ITAmsterdam UMC Location University of Amsterdam · NLCity of Hope · USGroene Hart Ziekenhuis · NLRijnstate Hospital · NLWageningen University & Research · NLZiekenhuis Amstelland · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveType 1 diabetes (T1D) is characterised by islet autoimmunity and beta cell destruction. A gut microbiota-immunological interplay is involved in the pathophysiology of T1D. We studied microbiota-mediated effects on disease progression in patients with type 1 diabetes using faecal microbiota transplantation (FMT).

designPatients with recent-onset (<6 weeks) T1D (18-30 years of age) were randomised into two groups to receive three autologous or allogenic (healthy donor) FMTs over a period of 4 months. Our primary endpoint was preservation of stimulated C peptide release assessed by mixed-meal tests during 12 months. Secondary outcome parameters were changes in glycaemic control, fasting plasma metabolites, T cell autoimmunity, small intestinal gene expression profile and intestinal microbiota composition.

resultsStimulated C peptide levels were significantly preserved in the autologous FMT group (n=10 subjects) compared with healthy donor FMT group (n=10 subjects) at 12 months. Small intestinal

conclusionFMT halts decline in endogenous insulin production in recently diagnosed patients with T1D in 12 months after disease onset. Several microbiota-derived plasma metabolites and bacterial strains were linked to preserved residual beta cell function. This study provides insight into the role of the intestinal gut microbiome in T1D. TRIAL REGISTRATION NUMBER: NTR3697.

Indexed as

AdolescentAdultC-PeptideDiabetes Mellitus, Type 1DuodenumFecal Microbiota TransplantationFemaleGastrointestinal MicrobiomeHumansInsulin-Secreting CellsMaleTransplantation, AutologousYoung AdultC-Peptidediabetes mellitus

Identifiers

PMID33106354
PMCPMC7788262
OpenAlexW3094273450

What OpenQuestion holds

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Registered trials

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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.