Evidence map›Paper›PMID 40859356›Full record

Trial reportBMC medicine2025

Fecal microbiota transplantation for refractory chronic graft-versus-host disease after allogeneic hematopoietic cell transplantation: a pilot open-label, non-placebo-controlled study.

Kaibo Yang, Jing Du, Fen Huang, Yutian Si, Yingying Gu, Na Xu, Zhiping Fan, Rongtao Xue, Pu Wang, Xiang Yao and 8 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06938165 (The Safety and Efficacy of Fecal Microbiota Transplant for Steroid-refractory Graft-versus-host Disease), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT06938165 nacompletednot on this map

The Safety and Efficacy of Fecal Microbiota Transplant for Steroid-refractory Graft-versus-host Disease

TypeinterventionalSponsorNanfang Hospital, Southern Medical UniversityRan2020 to 2024Enrolled46ConditionsGVHDArmsFecal Microbiota Transplant (FMT)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Review
  3. The Role of Gut Microbiota in Acute Myeloid Leukemia.Journal of clinical medicine · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. 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

18 authors.

Kaibo Yang *Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Jing Du *Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Fen Huang *Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Yutian Si *Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Yingying GuDepartment of Pathology, First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, Guangdong, China.
Na XuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Zhiping FanDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Rongtao XueDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Pu WangDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Xiang YaoDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Hui LiuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Xiaofang LiDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Jun XuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Zhixiang WangDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Jing SunDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Ye ChenDepartment of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Li XuanDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China. 356135708@qq.com.
Qifa LiuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China. liuqifa628@163.com.

Funding

China Postdoctoral Science Foundation 2023M741581, 2024T170387, GZC20231061GuangDong Basic and Applied Basic Research Foundation 2025A1515010737Major Program of National Natural Science Foundation of China 82293634, 82170213, 82370216National Key Research and the Development Program of China 2022YFA1105003, 2022YFC2502600-5Open Research Funds of the State Key Laboratory of Ophthalmology 2023KF04
6 · The paper itself

Abstract

backgroundDysbiosis of the intestinal microbiota plays a crucial role in the initiation and development of graft-versus-host disease (GVHD). Fecal microbiota transplantation (FMT) has been reported to be effective for refractory acute GVHD; however, whether FMT is effective for refractory chronic GVHD (cGVHD) remains unknown.

methodsTo investigate the efficacy and safety of FMT for refractory cGVHD and the underlying mechanism, 12 patients with refractory cGVHD received FMT via colonoscopy, and the response was evaluated at 12 weeks after FMT.

resultsAmong the 12 patients who underwent FMT, 1 patient achieved a complete response, and 5 patients achieved a partial response. Patients with refractory cGVHD presented lower α diversity and higher abundance of Escherichia-Shigella and Enterobacteriaceae. FMT increased gut microbial diversity, increased the abundance of short-chain fatty acid (SCFA)-producing bacteria, and decreased the abundance of Escherichia-Shigella and Enterobacteriaceae in responder patients. Moreover, it increased SCFA levels in fecal samples from the responder group and promoted the expansion of peripheral CD4

conclusionsThe results of the present study suggest that FMT is feasible and deserves further investigation for use in patients with refractory cGVHD.

trial registrationClinicalTrials.gov (NCT06938165).

Indexed as

Fecal Microbiota TransplantationGraft vs Host DiseaseHematopoietic Stem Cell TransplantationAdultChronic DiseaseFecesFemaleGastrointestinal MicrobiomeHumansMaleMiddle AgedPilot ProjectsTransplantation, HomologousTreatment OutcomeYoung Adult16S rRNA sequencingAllogeneic hematopoietic cell transplantationFecal microbiota transplantationGraft-versus-host diseaseShort-chain fatty acid

Identifiers

PMID40859356
PMCPMC12382082

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.