Evidence map›Paper›PMID 34931478›Full record

ArticleImmunity, inflammation and disease2022

Clinical efficacy of fecal microbial transplantation treatment in adults with moderate-to-severe atopic dermatitis.

Jacob Mashiah, Tal Karady, Naomi Fliss-Isakov, Eli Sprecher, Dan Slodownik, Ofir Artzi, Liat Samuelov, Eran Ellenbogen, Anastasia Godneva, Eran Segal and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Immunity, inflammation and disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06096857 (A Phase 2b, Double-Blind, Randomized, Placebo-Controlled Trial of Cardamom and Topical Roseomonas in Atopic Dermatitis), which is not on this map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
10.1field-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.

NCT06096857 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

A Phase 2b, Double-Blind, Randomized, Placebo-Controlled Trial of Cardamom and Topical Roseomonas in Atopic Dermatitis

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2024 to 2027Enrolled120ConditionsAtopic Dermatitis, EczemaArmsRoseomonas mucosa (RSM2015) and Cardamom seeds, Placebo (sucrose)
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
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  11. ButyrylatedActa pharmaceutica Sinica. B · 2025
    Article
  12. Review
  13. Gut-skin axis: Emerging insights for gastroenterologists-a narrative review.World journal of gastrointestinal pathophysiology · 2025
    Review
  14. Review
  15. The skin microbiome in dermatologic disease.Journal of the American Academy of Dermatology · 2025
    Review
  16. Fecal microbiota transplantation in allergic diseases.World journal of methodology · 2025
    Review
  17. Review
  18. Review
  19. Gut-X axis.iMeta · 2025
    Review
  20. Article
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

11 authors at 2 institutions in 1 country.

Jacob MashiahDivision of Dermatology and Venereology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.ORCID 0000-0002-9417-2932
Tal KaradyDepartment of Computer Science and Applied Mathematics, Weizamnn Institute of Science, Rehovot, Israel.
Naomi Fliss-IsakovDepartment of Gastroenterology and Liver Diseases, Tel Aviv Medical Center, Tel Aviv, Israel.
Eli SprecherDivision of Dermatology and Venereology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.
Dan SlodownikDivision of Dermatology and Venereology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.
Ofir ArtziDivision of Dermatology and Venereology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.
Liat SamuelovDivision of Dermatology and Venereology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.
Eran EllenbogenDivision of Dermatology and Venereology, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel.
Anastasia GodnevaDepartment of Computer Science and Applied Mathematics, Weizamnn Institute of Science, Rehovot, Israel.
Eran SegalDepartment of Computer Science and Applied Mathematics, Weizamnn Institute of Science, Rehovot, Israel.
Nitsan MaharshakSackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Tel Aviv University · ILWeizmann Institute of Science · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD) is a remitting relapsing chronic eczematous pruritic disease. Several studies suggest that gut microbiota may influence AD by immune system regulation.

methodsWe performed the first in-human efficacy and safety assessment of fecal microbiota transplantation (FMT) for AD adult patients. All patients received 2 placebo transplantations followed by 4 FMTs each 2 weeks apart. AD severity and fecal microbiome profile were evaluated by the Scoring Atopic Dermatitis Score (SCORAD), the weekly frequency of topical corticosteroids usage, and gut microbiota metagenomic analysis, at the study beginning, before every FMT, and 1-8 months after the last FMT.

resultsNine patients completed the study protocol. There was no significant change in the SCORAD score following the two placebo transplants. The average SCORAD score significantly decreased from baseline at Weeks 4-12 (before and 2 weeks after 4 times of FMT) (59.2 ± 34.9%, Wilcoxon p = .011), 50% and 75% decrease was achieved by 7 (77%) and 4 (44%) patients, respectively. At Week 18 (8 weeks after the last FMT) the average SCORAD score decreased from baseline at Week 4 (85.5 ± 8.4%, Wilcoxon p = .018), 50% and 75% decrease was achieved by 7 (77%) and 6 (66.7%) patients respectively. Weekly topical corticosteroids usage was diminished during the study and follow-up period as well. Two patients had a quick relapse and were switched to a different treatment. Two patients developed exacerbations alleviated after an additional fifth FMT. Metagenomic analysis of the fecal microbiota of patients and donors showed bacterial strains transmission from donors to patients. No adverse events were recorded during the study and follow-up period.

conclusionsFMT may be a safe and effective therapeutic intervention for AD patients, associated with transfer of specific microbial species from the donors to the patients. Further studies are required to reconfirm these results.

Indexed as

Dermatitis, AtopicGastrointestinal MicrobiomeAdultFecal Microbiota TransplantationFecesHumansTreatment Outcomeatopic dermatitisfecal microbial transplantation

Identifiers

PMID34931478
PMCPMC8926506
OpenAlexW4200445623

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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.