Evidence map›Paper›PMID 39862395›Full record

Trial reportInflammatory bowel diseases2025

Safety and Efficacy of Fecal Microbiota, Live-jslm (REBYOTA®), for the Prevention of Recurrent Clostridioides difficile Infection in Participants With Inflammatory Bowel Disease in PUNCH CD3-OLS.

Jessica R Allegretti, Paul Feuerstadt, Whitfield L Knapple, Robert Orenstein, Philippe Pinton, Alexander Sheh, Sahil Khanna

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Inflammatory bowel diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03931941 (A Phase 3 Open-Label Clinical Study to Evaluate the Safety and Tolerability of Rebiotix RBX2660), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

NCT03931941 phase3completednot on this map

A Phase 3 Open-Label Clinical Study to Evaluate the Safety and Tolerability of Rebiotix RBX2660 (Microbiota Suspension) in Subjects With Recurrent Clostridium Difficile Infection

TypeinterventionalSponsorRebiotix Inc.Ran2019 to 2023Enrolled793ConditionsClostridium Difficile Infection, Infection, Communicable DiseasesArmsRBX2660
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Evaluation of fecal microbiota, live (RBL) for the prevention of recurrentJournal of the Canadian Association of Gastroenterology · 2026
    Article
  3. Review
  4. Review
  5. Newer Therapeutics to Selectively KillInfectious disease reports · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Biomedicines · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Mechanisms ofFrontiers in cellular and infection microbiology · 2025
    Review
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

7 authors.

Jessica R AllegrettiDivision of Gastroenterology, Hepatology and Endoscopy, Department of Medicine, Brigham & Women's Hospital, Boston, MA, USA.ORCID 0000-0003-3585-2425
Paul FeuerstadtDivision of Digestive Disease, Yale University School of Medicine, New Haven, CT, USA.ORCID 0000-0002-7643-9576
Whitfield L KnappleArkansas Gastroenterology, North Little Rock, AR, USA.
Robert OrensteinDivision of Infectious Diseases, Department of Internal Medicine, Mayo Clinic, Phoenix, AZ, USA.
Philippe PintonGlobal Research and Medical, Ferring Pharmaceuticals A/S, Kastrup, Denmark.
Alexander ShehFerring Pharmaceuticals, Inc., Roseville, MN, USA.
Sahil KhannaDepartment of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.

Funding

Ferring Pharmaceuticals
6 · The paper itself

Abstract

backgroundFecal microbiota, live-jslm (RBL; REBYOTA®), is the first single-dose, broad consortia, microbiota-based live biotherapeutic approved by the US Food and Drug Administration to prevent recurrent Clostridioides difficile infection (rCDI) in adults following standard-of-care antimicrobials. Inflammatory bowel disease (IBD) is a common risk factor for rCDI, yet patients with IBD are often excluded from prospective trials. This subgroup analysis of PUNCH CD3-OLS (NCT03931941) evaluated the safety and efficacy of RBL in participants with rCDI and IBD.

methodsParticipants with IBD (ulcerative colitis [UC], Crohn's disease [CD], or unspecified) who had rCDI were included. Treatment-emergent adverse event (TEAE) data were collected for up to 6 months following RBL administration. Efficacy outcomes included treatment success at 8 weeks and sustained clinical response at 6 months.

resultsOverall, 793 participants were enrolled, and 697 received RBL; 74 had IBD (UC: n = 45; CD: n = 25; unspecified IBD: n = 4). TEAEs within 8 weeks of administration were reported by 45.9% and 47.5% of participants with and without IBD, respectively; most were mild or moderate gastrointestinal symptoms. Serious TEAEs within 8 weeks of administration were reported by 1.4% and 4.2% of participants with and without IBD, respectively. The treatment success rate at 8 weeks was 78.9%, and the sustained clinical response rate at 6 months was 91.1% in participants with IBD, similar to rates in participants without IBD (73.2% and 91.0%, respectively).

conclusionsThe results of this subgroup analysis of PUNCH CD3-OLS suggest RBL is safe and efficacious in patients with IBD.

Indexed as

Clostridioides difficileClostridium InfectionsFecal Microbiota TransplantationFecesInflammatory Bowel DiseasesAdultFemaleGastrointestinal MicrobiomeHumansMaleMiddle AgedProspective StudiesRecurrenceSecondary PreventionTreatment OutcomeYoung AdultC. difficileCrohn’s diseasemicrobiota restorationRBX2660ulcerative colitis

Identifiers

PMID39862395
PMCPMC12342783

What OpenQuestion holds

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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.