Table 2.
Disease | Preparation of inocula | Capsule materials | Dose and # of patients | Storage | Reference |
---|---|---|---|---|---|
rCDI | Single-donor fecal slurry was concentrated by centrifugation and resuspended (1:10) in saline with 10% glycerol added as a bacterial cryoprotectant. | Encapsulated using commercially available acid-resistant hypromellose capsules (DRcaps, Capsugel–acid resistant). Inocula added to size 0 capsules (650 µl) were closed and then secondarily sealed in size 00 capsules. |
15 capsules administered on two consecutive days. | Capsules were frozen and stored at −80°C. | (Youngster et al., 2014a) |
rCDI | Single-donor sample mixed in 200 cc of 0.9% normal saline and filtered using a stomacher bag to produce 180 cc of fecal slurry. The slurry was mixed with 20 cc of 100% glycerol (10% final conc.). | Encapsulated using No. 1 gelatin capsules (1889-02; Medisca) then secondarily sealed with No. 0 (2009-02; Medisca) and No. 00 (1109-02; Medisca) capsules. Gelatin capsules used were not acid resistant. | Single dose of 40 capsules (360 ml of fecal microbiota total). | Capsules were flash frozen at −55°C on dry ice and stored at −70°C. | (Kao et al., 2017) |
rCDI | 100 grams of stool/donor donation were processed within 4 h of passage by mixing a 1:5 dilution in 500 ml of sterile 0.85% NaCl containing glycerol followed by filtering twice through double-layered woven gauze prior to lyophilization. | Encapsulated using 00-size acid-resistant capsules. | 2 doses of 100 g of fecal microbiota each. 24 hours apart. | Capsules were stored at 4°C. | (Jiang et al., 2018) |
IBS | 12 g of fresh donor stool was frozen with 30% glycerol prior to encapsulation. | Double encapsulated using Capsugel DRcaps size 0 and 00. | 25 capsules every morning for 12 days. Each daily dose contained 12 g frozen fecal material. | Capsules were frozen at −20°C and stored at 5°C. | (Halkjær et al., 2018) |
SIBO | 250 ml of sterile normal saline was added to 100–150 g of fecal matter for homogenization. After the slurry was filtered, trehalose, a cryopreservant, was added for lyophilization. The final bacterial concentration was 60 mg/ml. | Encapsulated using enteric-soluble capsules of 0.9 g/grain. | 16 capsules once a week for 4 weeks. | Capsules were frozen and stored at -80°C. | (Xu et al., 2021) |
Obese adults with mild to moderate insulin resistance | Fecal samples were suspended in saline and sieved. The slurry was then resuspended in saline at one-tenth the volume of the initial sample with 10% glycerol for freezing. | Encapsulated using size 0 capsules (650 µl), which were closed and then secondarily sealed in size 00 capsules. | 15 capsules (for two consecutive days, then 15 capsules once a week for the following 5 weeks. Each capsule contained approximately 1.6 g; frozen fecal material. | Capsules were frozen and stored at -80°C. | (Yu et al., 2020) |
Obese adults without diabetes, metabolic syndrome, or steatohepatitis | FMT preparation was performed using OpenBiome’s microbiota services. Donor stool was frozen with glycerol and glycerol before being encapsulated. | Double encapsulated in size 00 capsules with a gelatin interior capsule and an acid-resistant exterior capsule. | 30 capsules were given as induction dose with maintenance dose of 12 capsules at weeks 4 and 8. | Capsules were stored at -20°C. | (Allegretti et al., 2020) |
Obese and/or dyslipidemic adults | Fecal samples were suspended in saline and sieved. The slurry was then resuspended in saline at one-tenth the volume of the initial sample and frozen with 10% glycerol. | Encapsulated using size 0 capsules (650 µl), which were closed and then secondarily sealed in size 00 capsules. | 10 capsules containing 1 g fecal microbiota material each were administered on ten occasions over a 6-month period (100 capsules total). | Capsules were frozen and stored at -80°C. | (Rinott et al., 2021) |
Obese adolescents | Each capsule contained 0.25 g of fresh fecal matter pooled from four donors. The donor stool was then mixed with 0.5 ml of a cryoprotective saline solution (0.9% NaCl, 15% glycerol) and frozen. | Double encapsulated acid-resistant DRcaps™. | 28 capsules over two consecutive days. Each capsule contained 0.25 g of microbiota. | Capsules were frozen and stored at -80°C. | (Wilson et al., 2021) |
HIV | FMT preparation was performed using OpenBiome’s microbiota services. Donor stool was frozen with glycerol and glycerol before encapsulated. | Double encapsulated in size 00 capsules with a gelatin interior capsule and an acid-resistant exterior capsule. | 10 capsules were given in the first dose followed by 5 capsules weekly for seven weeks. (45 capsules containing 30 g of stool total was given over eight weeks.). | Capsules were stored at -20°C. | (Serrano-Villar et al., 2021) |