Evidence map›Paper›PMID 40216789›Full record

Trial reportNature communications2025

Detecting microbial engraftment after FMT using placebo sequencing and culture enriched metagenomics to sort signals from noise.

Shahrokh Shekarriz, Jake C Szamosi, Fiona J Whelan, Jennifer T Lau, Josie Libertucci, Laura Rossi, Michelle E Fontes, Melanie Wolfe, Christine H Lee, Paul Moayyedi and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01545908 (A Randomized Controlled Trial of Fecal Biotherapy for the Induction of Remission in Active Ulcerative Colitis), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT01545908 phase2completednot on this map

A Randomized Controlled Trial of Fecal Biotherapy for the Induction of Remission in Active Ulcerative Colitis

TypeinterventionalSponsorHamilton Health Sciences CorporationRan2012 to 2014Enrolled130ConditionsUlcerative ColitisArmsFecal transplant, Placebo enema
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Article
  6. 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

11 authors.

Shahrokh ShekarrizDepartment of Medicine, McMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0001-8773-3693
Jake C SzamosiDepartment of Medicine, McMaster University, Hamilton, ON, Canada.ORCID http://orcid.org/0000-0003-2106-0072
Fiona J WhelanSchool of Biological Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, UK.ORCID http://orcid.org/0000-0001-9165-4859
Jennifer T LauFarncombe Family Digestive Health Research, Institute McMaster University, Hamilton, ON, Canada.
Josie LibertucciFarncombe Family Digestive Health Research, Institute McMaster University, Hamilton, ON, Canada.
Laura RossiDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Michelle E FontesDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Melanie WolfeDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Christine H LeeDepartment of Pathology and Laboratory Medicine, The University of British Columbia, Vancouver, BC, Canada.
Paul MoayyediDepartment of Medicine, McMaster University, Hamilton, ON, Canada.
Michael G SuretteDepartment of Medicine, McMaster University, Hamilton, ON, Canada. surette@mcmaster.ca.ORCID http://orcid.org/0000-0003-0086-4995

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fecal microbiota transplantation (FMT) has shown efficacy for the treatment of ulcerative colitis but with variable response between patients and trials. The mechanisms underlying FMT's therapeutic effects remains poorly understood but is generally assumed to involve engraftment of donor microbiota into the recipient's microbiome. Reports of microbial engraftment following FMT have been inconsistent between studies. Here, we investigate microbial engraftment in a previous randomized controlled trial (NCT01545908), in which FMT was sourced from a single donor, using amplicon-based profiling, shotgun metagenomics, and culture-enriched metagenomics. Placebo samples were included to estimate engraftment noise, and a significant level of false-positive engraftment was observed which confounds the prediction of true engraftment. We show that analyzing engraftment across multiple patients from a single donor enhances the accuracy of detection. We identified a unique set of genes engrafted in responders to FMT which supports strain displacement as the primary mechanism of engraftment in our cohort.

Indexed as

Colitis, UlcerativeFecal Microbiota TransplantationGastrointestinal MicrobiomeMetagenomicsAdultFecesFemaleHumansMaleMiddle AgedPlacebosPlacebos

Identifiers

PMID40216789
PMCPMC11992129

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.