Table 3.
Study | N | Age (y) | Disease Activity | Delivery | Frequency | Donor | Dosage | Primary endpoint | Follow up | Remission | Response |
---|---|---|---|---|---|---|---|---|---|---|---|
Landy et al., 2015 | 8 | 24–63 | Chronic antibiotic refractory Pouchetis,PDAI ≥ 7 | Nasogastric | 1 | NR | 18 g stool/30 ml saline solution) |
PDAI ≤ 4 | 4 weeks | 0% | 25% |
Nishida et al., 2019 | 3 | 24–52 | PDAI ≥ 7 | Colonoscopy | 1 | Related | NR | Reduction in total PDAI ≥ 3 at 8 weeks | 8 weeks | 0% | 33% |
Stallmach et al., 2016 | 5 | 26–40 | Chronic antibiotic refractory pouchitis, PDAI 9–14 | Jejunum via upper gastrointestinal tract endoscopy | 1–7 (3–4 weeks intervals) | Two unrelated | 75 g stool in 200 ml saline |
NR | 3 months | 80% at 4 weeks, 60% at 3 months | 100% |
Herfarth et al., 2019 | 6 | 22–60 | Chronic antibiotic refractory pouchi- tis (mPDAI≥5 and a history of ≥4 antibiotic therapies for pouchitis in the last 12 months) |
Endoscopic (eFMT) and oral encapsulated (oFMT) |
eFMT: 2; oFMT: daily for 14 days |
Unrelated | eFMT: 12 g stool in 30 ml; oFMT: 4.2 g stool |
The safety of the combined eFMT and oFMT |
16 weeks | 17% | 17% |
Selvig et al., 2020 | 19 | 18-74 | Chronic pouchitis (pouch symptoms > 4 weeks and endoscopic evaluation con- frming infamma- tion of the pouch |
Pouchoscopy | 1–2 | 12 months | 250 ml donor fecal suspen- sion (25 g stool) |
Clinical improvement at week 4. | 12 months | 0 | 9% (among patients receiving double FMT) |
PDAI, Pouchitis Disease Activity Index; FMT, fecal microbiota transplantation; eFMT, endoscopic FMT; oFMT, oral encapsulated FMT.