Evidence map›Paper›PMID 34150673›Full record

ArticleFrontiers in cellular and infection microbiology2021

How to Apply FMT More Effectively, Conveniently and Flexible - A Comparison of FMT Methods.

Adorján Varga, Béla Kocsis, Dávid Sipos, Péter Kása, Szabolcs Vigvári, Szilárd Pál, Fanni Dembrovszky, Kornélia Farkas, Zoltán Péterfi

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in cellular and infection microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04960306 (Fecal Filtrate Versus Conventional Microbiota Transplantation in the Treatment of Multiple Recurrent Clostridioides Difficile Infection), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04960306 phase3unknown statusnot on this mapstarted 2023, after this paper: background citation

Fecal Filtrate Versus Conventional Microbiota Transplantation in the Treatment of Multiple Recurrent Clostridioides Difficile Infection (FILTRATE): A Protocol of a Randomized, Controlled Trial

TypeinterventionalSponsorUniversity of PecsRan2023 to 2025Enrolled238ConditionsClostridium Difficile Infection, Recurrent Clostridium Difficile InfectionArmsFecal filtrate transplantation, Conventional fecal microbiota transplantation
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Alternative treatment of recurrentFrontiers in microbiology · 2024
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  15. Encapsulation protocol for fecal microbiota transplantation.Frontiers in cellular and infection microbiology · 2024
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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

9 authors.

Adorján VargaDepartment of Medical Microbiology and Immunology, University of Pécs Clinical Centre, Pécs, Hungary.
Béla KocsisDepartment of Medical Microbiology and Immunology, University of Pécs Clinical Centre, Pécs, Hungary.
Dávid Sipos1stDepartment of Internal Medicine - Department of Infectology, University of Pécs Clinical Centre, Pécs, Hungary.
Péter KásaInstitute of Pharmaceutical Technology and Biopharmacy, University of Pécs Faculty of Pharmacy, Pécs, Hungary.
Szabolcs Vigvári1stDepartment of Internal Medicine - Department of Infectology, University of Pécs Clinical Centre, Pécs, Hungary.
Szilárd PálInstitute of Pharmaceutical Technology and Biopharmacy, University of Pécs Faculty of Pharmacy, Pécs, Hungary.
Fanni DembrovszkyInstitute for Translational Medicine, University of Pécs Medical School, Pécs, Hungary.
Kornélia FarkasInstitute of Bioanalysis, University of Pécs Medical School, Pécs, Hungary.
Zoltán Péterfi1stDepartment of Internal Medicine - Department of Infectology, University of Pécs Clinical Centre, Pécs, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Metronidazol and vancomycin were long the two best options against Methods: Instead of using nasoenteric tubes or colonoscopy, we place frozen or lyophilised stool in non-coated, size "00", hard gelatine capsules or enterosolvent, size "0" capsules. Results: We found that non-coated, size "00", hard gelatine capsules are appropriate for conducting FMT. Capsules containing lyophilised supernatant with a low number of bacteria have been proven to be non-inferior to other FMT modalities. The primary cure rate in the supernatant group was 93.75%, and 66.67% in the sediment group. The overall cure rate was 82.14%. Depending on the protocol, 4-7 capsules are sufficient per patient. Capsules can be stored for up to one year at -20°C. Conclusions: FMT is a feasible alternative to antibiotic treatments in CDI. Our method makes the process flexible and less inconvenient to patients. Long storage time allows a consistent supply of capsules, while small volume and formulation make the procedure tolerable.

Indexed as

Clostridioides difficileClostridium InfectionsMicrobiotaFecal Microbiota TransplantationHumansRecurrenceTreatment OutcomecapsulesClostridioides difficile infectionfaecal microbiota transplantfaecal sedimentfaecal supernatantlyophilisationrecurrence

Identifiers

PMID34150673
PMCPMC8213398

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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.