Evidence map›Paper›PMID 39747680›Full record

Trial reportNature medicine2025

Multi-omic profiling a defined bacterial consortium for treatment of recurrent Clostridioides difficile infection.

Rajita Menon, Shakti K Bhattarai, Emily Crossette, Amanda L Prince, Bernat Olle, Jeffrey L Silber, Vanni Bucci, Jeremiah Faith, Jason M Norman

Abstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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.

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

22 citing papers in PubMed.

  1. Trial
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  5. Review
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  7. Article
  8. Review
  9. Gut microbiota in health and disease.Molecular biomedicine · 2026
    Review
  10. Article
  11. Harnessing the microbiome for cancer therapy.Nature reviews. Microbiology · 2026
    Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Article
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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.

Rajita MenonVedanta Biosciences, Inc., Cambridge, MA, USA. rmenon@vedantabio.com.ORCID 0000-0002-4767-0971
Shakti K BhattaraiProgram in Microbiome Dynamics, Department of Microbiology, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Emily CrossetteVedanta Biosciences, Inc., Cambridge, MA, USA.ORCID 0000-0003-3645-2909
Amanda L PrinceVedanta Biosciences, Inc., Cambridge, MA, USA.
Bernat OlleVedanta Biosciences, Inc., Cambridge, MA, USA.
Jeffrey L SilberVedanta Biosciences, Inc., Cambridge, MA, USA.
Vanni BucciProgram in Microbiome Dynamics, Department of Microbiology, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Jeremiah FaithIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Jason M NormanVedanta Biosciences, Inc., Cambridge, MA, USA. jnorman@vedantabio.com.ORCID 0000-0001-5049-8415

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Donor-derived fecal microbiota treatments are efficacious in preventing recurrent Clostridioides difficile infection (rCDI), but they have inherently variable quality attributes, are difficult to scale and harbor the risk of pathogen transfer. In contrast, VE303 is a defined consortium of eight purified, clonal bacterial strains developed for prevention of rCDI. In the phase 2 CONSORTIUM study, high-dose VE303 was well tolerated and reduced the odds of rCDI by more than 80% compared to placebo. VE303 organisms robustly colonized the gut in the high-dose group and were among the top taxa associated with non-recurrence. Multi-omic modeling identified antibiotic history, baseline stool metabolites and serum cytokines as predictors of both on-study CDI recurrence and VE303 colonization. VE303 potentiated early recovery of the host microbiome and metabolites with increases in short-chain fatty acids, secondary bile acids and bile salt hydrolase genes after antibiotic treatment for CDI, which is considered important to prevent CDI recurrences. These results support the idea that VE303 promotes efficacy in rCDI through multiple mechanisms.

Indexed as

Clostridioides difficileClostridium InfectionsFecal Microbiota TransplantationMicrobial ConsortiaAdultAnti-Bacterial AgentsBile Acids and SaltsFecesFemaleGastrointestinal MicrobiomeHumansMaleMiddle AgedMultiomicsRecurrenceAnti-Bacterial AgentsBile Acids and Salts

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.