Evidence map›Paper›PMID 34089134›Full record

Observational studyDigestive diseases and sciences2022

Fecal Microbiota Transplantation Is Safe for Clostridiodies difficile Infection in Patients with Solid Tumors Undergoing Chemotherapy.

Robin B Mendelsohn, Anna Kaltsas, Stephanie King, Connie Hwang, Zain Kassam, Audrey M Abend, Elisabeth Kramer, Mini Kamboj

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Digestive diseases and sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

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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 4 institutions in 2 countries.

Robin B MendelsohnMemorial Sloan Kettering Cancer Center, 1275 York Avenue, Box 9, New York, NY, 10065, USA. mendelsr@mskcc.org.ORCID 0000-0002-5291-0191
Anna KaltsasMemorial Sloan Kettering Cancer Center, 1275 York Avenue, Box 9, New York, NY, 10065, USA.
Stephanie KingMemorial Sloan Kettering Cancer Center, 1275 York Avenue, Box 9, New York, NY, 10065, USA.
Connie HwangMemorial Sloan Kettering Cancer Center, 1275 York Avenue, Box 9, New York, NY, 10065, USA.
Zain KassamFinch Therapeutics, Suite 400, 200 Innerbelt Road, Somerville, MA, 02143, USA.
Audrey M AbendOpenBiome, Cambridge, MA, USA.
Elisabeth KramerGeisinger Medical Center, 100 N. Academy Avenue, Danville, PA, 17822, USA.
Mini KambojMemorial Sloan Kettering Cancer Center, 1275 York Avenue, Box 9, New York, NY, 10065, USA.
Memorial Sloan Kettering Cancer Center · USFinch Therapeutics (United States) · USGeisinger Medical Center · USSomerville Hospital · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundRecurrent Clostridiodies difficile infection (CDI) contributes to morbidity and mortality in cancer patients. Fecal microbiota transplantation (FMT) has been proven to be effective in treatment of recurrent CDI, but immunocompromised patients have been excluded from prospective studies due to safety concerns. The aim of this study was to investigate the safety of FMT for recurrent CDI in immunocompromised patients with solid tumor malignancy undergoing chemotherapy.

methodsThis was a single center, prospective observational study of patients at a tertiary care cancer center of 10 patients with recurrent CDI who were at least 18 years of age, with a solid tumor malignancy who had received chemotherapy within the previous 6 months. Patients received FMT either by upper endoscopy or colonoscopy and were followed for 6 months. Safety was a primary outcome measured by infections occurring within 2 weeks of FMT. Efficacy of FMT was also evaluated.

resultsNineteen patients were evaluated. On applying exclusion criteria, 10 were included in the study. One patient requested to be off study within 2 weeks and was considered a treatment failure. Seven received FMT via upper endoscopy, three via colonoscopy. There were no infectious complications from FMT. Eight patients (80%) were cured after the first FMT. All eight patients went on to restart oncologic treatment with an average of 32.5 days after FMT.

conclusionsFMT is safe and effective for recurrent CDI in solid tumor patients undergoing chemotherapy. Patients can resume oncologic treatment after FMT.

Indexed as

Clostridioides difficileClostridium InfectionsNeoplasmsFecal Microbiota TransplantationFecesHumansInfantProspective StudiesRecurrenceTreatment OutcomeCancerChemotherapyFecal microbiota transplantationRecurrent Clostridiodies difficile infection

Identifiers

PMID34089134
PMCPMC10007693
OpenAlexW3164805698

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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.