Evidence map›Paper›PMID 40784972›Full record

ArticleInfectious diseases and therapy2025

Safety and Efficacy of Fecal Microbiota, Live-jslm to Prevent Recurrent Clostridioides difficile Infection in Participants With Irritable Bowel Syndrome.

Olga C Aroniadis, Beth Guthmueller, Kaitlin Dehlin, Shivam Srivastava, Paul Feuerstadt, Anthony Lembo, Horst C Weber

Registry-linked trialAbstract read
In one paragraph

Article in Infectious diseases and therapy, 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Review
  2. 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

7 authors.

Olga C AroniadisDivision of Gastroenterology and Hepatology, Renaissance School of Medicine, Stony Brook University, 101 Nicolls Road HSC T17-060, Stony Brook, NY, 11794-8173, USA. olga.aroniadis@stonybrookmedicine.edu.ORCID http://orcid.org/0000-0001-6501-0769
Beth GuthmuellerFerring Pharmaceuticals, Inc., 100 Interpace Parkway, Parsippany, NJ, 07054, USA.
Kaitlin DehlinFerring Pharmaceuticals, Inc., 100 Interpace Parkway, Parsippany, NJ, 07054, USA.
Shivam SrivastavaFerring Pharmaceuticals A/S, Amager Strandvej 405 Kastrup, 2770, Copenhagen, Denmark.
Paul FeuerstadtPACT Gastroenterology Center, Yale School of Medicine, 333 Cedar St, New Haven, CT, 06510, USA.
Anthony LemboDigestive Disease Institute, Cleveland Clinic, Mail Code A30, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Horst C WeberBoston University Chobanian & Avedisian School of Medicine, 650 Albany St, Boston, MA, 02118, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe safety and efficacy of microbiota-based products in patients with irritable bowel syndrome (IBS) and recurrent Clostridioides difficile infection (rCDI) has not been studied. Fecal microbiota, live-jslm (RBL; REBYOTA

methodsParticipants aged ≥ 18 years with a diagnosis of rCDI and who completed SOC antibiotic treatment were enrolled in this study. The primary endpoint of PUNCH CD3-OLS was the number of participants with RBL- or administration-related treatment-emergent adverse events (TEAEs). Secondary endpoints included treatment success at 8 weeks and sustained clinical response at 6 months. In this subgroup analysis, ongoing IBS was confirmed based on medical record documentation at the time of RBL administration.

resultsAmong the 697 RBL recipients, 90 had comorbid IBS. After RBL administration, 52 participants with IBS (57.8%) and 278 participants without IBS (45.8%) experienced TEAEs through 8 weeks. Most TEAEs were mild (22.2% with IBS, 20.1% without IBS) or moderate (26.7% with IBS, 18.8% without IBS). Serious TEAEs were reported by 1 participant with IBS (pneumonia reported to be unrelated to RBL) and 26 participants without IBS [most of which were related to preexisting conditions (3.1%)]. Among all participants, 68.9% with IBS and 75.6% without IBS had absence of CDI diarrhea through 8 weeks after RBL administration. Of the participants with treatment success, 82.3% with IBS and 92.2% without IBS had sustained clinical response through 6 months.

conclusionRBL is a safe and efficacious option to prevent CDI recurrence in patients with concurrent IBS.

trial registrationClinicalTrials.gov identifier, NCT03931941.

Indexed as

CDIClostridioides difficileIrritable bowel syndromeMicrobiota-based productRBX2660

Identifiers

PMID40784972
PMCPMC12425869

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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.