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NCT Number: NCT06844708

CMTS0929 for Inflammatory Bowel Disease

This is a prospective, open-label, single-arm study to explore the safety and the efficacy of China Microbiota Transplantation System 0929 (CMTS0929) for patients with inflammatory bowel disease (IBD).

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Early Phase 1

Primary location

Medical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, China

Location contact

Faming Zhang, PhD

CONTACT

[email protected]

086-025-58509883

About this study

At least 12 subjects who meet all the inclusion criteria but do not meet any exclusion criteria will be enrolled in this study. Data of demographic characteristics and clinical data will be collected. After treatment, they will enter the follow-up period for safety and efficacy evaluation.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Subjects must meet all of the following inclusion criteria to enter the study:

  • Patients diagnosed with inflammatory bowel disease (IBD) based on typical clinical symptoms, endoscopic findings, and histological criteria.
  • Aged between 18 and 75 years old, regardless of gender.
  • No history of using antibiotics, prebiotics, or probiotics within at least the past month.
  • Patients who can fully understand the content of the informed consent form for this trial and voluntarily sign the written informed consent.
  • Patients willing to undergo subsequent follow - up and comply with other requirements of the protocol.

Exclusion criteria

Subjects meeting any of the following exclusion criteria must be excluded from the study:

  • Women who are pregnant or plan to become pregnant during the trial.
  • Patients who have any doubts about this technology or have a history of other risks.
  • Patients in the terminal stage of the disease or who may die during the study.
  • Patients with a history of antibiotic use within three months before transplantation or who have participated in other clinical trials.
  • Patients who have participated in any other microbiota - based therapies before enrollment.
  • Patients with positive antibodies for hepatitis B, tuberculosis, syphilis, or HIV, or those in the acute phase of any infectious disease.
  • Patients with cardiac function at grade III or higher, elevated transaminases more than twice the upper limit of the normal range, or renal insufficiency (glomerular filtration rate (GFR) less than 60 ml/min).
  • Patients with a fever of over 38 °C or clinically obvious active infections that may affect this trial.
  • Patients with severe anemia (hemoglobin < 60 g/L), granulocytopenia (absolute neutrophil count < 1.5×10⁹/L), or prolonged prothrombin time (PT) by more than 1.5 seconds.
  • Patients with obvious cardiovascular and cerebrovascular abnormalities (such as tachycardia or uncontrolled atrial fibrillation, acute coronary syndrome, stroke, or recurrent transient ischemic attacks (TIAs)); a history of arrhythmia (multifocal ventricular premature beats, bigeminy, trigeminy, congenital long QT syndrome), or patients with heart diseases that, in the judgment of the researcher, increase the risk of ventricular arrhythmia.
  • Situations identified by the researcher during the trial that may affect the patient's compliance and/or the completion of trial - related procedures, or clinical contraindications related to the pre - trial.
  • Patients who have undergone abdominal organ surgery within three months before treatment, patients less than 6 weeks after major organ surgery, or patients with poor wound healing after surgery.
  • Patients with gastrointestinal obstructive diseases, tumors, or hepatic or renal insufficiency.
  • Pregnant or lactating women, or women with the intention of becoming pregnant.
  • Patients suspected or confirmed to be drug users, or those with a history of immunodeficiency (such as positive HIV antibodies or currently receiving immunosuppressive therapy).
  • Patients with known major active infections, or those with major disorders in blood, renal, metabolic, gastrointestinal, or endocrine functions as judged by the researcher.
  • Other situations deemed unsuitable for enrollment by the researcher.

Treatment and study plan

CMTS0929

Biological

China Microbiota Transplantation System 0929 (CMTS0929) is defined as suspension from washed microbiota.

Primary outcomes

  1. The efficacy of China Microbiota Transplantation System 0929 (CMTS0929)

    Time frame: Four-week

    Partial Mayo scale for Ulcerative Colitis (UC), the minimum score is 0, the score ≤2 and no single sub-score was >1 is clinical remission, 3-5 as mild activity, 6-10 as moderate activity, 11-12 as severe activity.

  2. The efficacy of China Microbiota Transplantation System 0929 (CMTS0929)

    Time frame: Four-week

    Crohn disease activity index (CDAI) for Crohn's disease (CD), the minimum value is 0, ≤ 4 is remission,5-7 is mild,8-16 is moderate, > 16 is severe, higher scores mean a worse outcome.

Secondary outcomes

  1. The changes in endoscopic score

    Time frame: Three-month, Six-month

  2. The change in hematochezia compared with baseline

    Time frame: One-week, Four-week, Twelve-week, Six-month

    Hematochezia can be evaluated by Fecal occult blood test (FOBT) and the record of gross blood stool. The frenquence of hematochezia should be recorded.

  3. The change in frequency of defecation compared with baseline

    Time frame: One-week, Four-week, Twelve-week, Six-month

    The frequency of defecation per day should be recorded.

  4. The change in abdominal pain compared with baseline

    Time frame: One-week, Four-week, Twelve-week, Six-month

    The abdominal pain should be recorded, such as 0 for none, 1 for mild, 2 for moderate, 3 for severe, 4 for very severe.

  5. The incidence of IBD-related complications

    Time frame: One-week, Four-week, Twelve-week, Six-month

    Intestinal perforation, massive gastrointestinal bleeding, megacolon, malignancies associated with colorectal cancer or small intestine cancer

  6. The rate of surgical intervention

    Time frame: Six-month

  7. The safety of CMTS0929

    Time frame: Immediately, One-week, Two-week, Four-week, Three-month, Six-month

    The incidence of treatment-related adverse events (AE) assessed by CTCAE, Version 5.0: The severity of AE was graded as mild (grade 1), moderate (grade 2), severe/disabling (grade 3), life threatening (grade 4), and death (grade 5). All AE were divided in definitely, probably and possibly related to treatment. The treatment-related AE we focused on included microbiota-related AEs (e.g., infection, diarrhea, abdominal pain, etc.) and route of delivery related AEs (e.g., nausea, vomiting, etc.)

Study contacts

Contact information is provided by the study sponsor or research team.

Bota Cui, MD

CONTACT

[email protected]

086-025-58509884

Faming Zhang, PhD

CONTACT

[email protected]

086-025-58509883

Sponsors and collaborators

Lead sponsor

The Second Hospital of Nanjing Medical University

Other

Registry information

Official study title

CMTS0929 for Inflammatory Bowel Disease: a Prospective, Open-label, Single-arm Clinical Study

Important dates

Study start
2025
Primary completion
2030
Study completion
2030
First posted
Feb 25, 2025
Registry last updated
Feb 25, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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