This study investigates Faecal microbiota transplantation (FMT) in prevention of recurrent urinary tract infections (UTIs) caused either by sensitive E. coli or ESBL-E. coli.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
100
Feacal microbial transplantation (FMT)
Transplantation with coloured 0,9% NaCl-solution
Meilahti Vaccine Research Center, Helsinki University Central Hospital
Helsinki, Finland
RECRUITINGmean number of UTI episodes after FMT among patients with recurrent UTI
Time frame: 12 months
proportion of participants with UTI after FMT among patients with recurrent UTI
Time frame: 12 months
mean number of UTI episodes caused by sensitive E. colis after FMT among patients with recent non-ESBL/MDR UTIs
Time frame: 12 months
proportion of participants with UTIs caused by sensitive E. colis after FMT among patients with recent non-ESBL/MDR UTIs
Time frame: 12 months
mean number of UTI episodes caused by ESBL/MDR E. colis after FMT among patients with recent ESBL/MDR UTIs
Time frame: 12 months
proportion of participants with UTIs caused by ESBL/MDR E. colis after FMT among patients with recent ESBL/MDR UTIs
Time frame: 12 months
identifying groups of bacteria associated with smaller number of UTI episodes after FMT
Time frame: 12 months
the duration of successful prevention by FMT
Time frame: 1-5 years
proportion of participants with recurrent UTI and concurrent intestinal MDR colonisation with the same strain
Time frame: 12 months
proportion of participants with intestinal ESBL/MDR eradicated after FMT
Time frame: 1-12 months
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confirm whether the uropathogen are identical before and after FMT
evaluated by antimicrobial sensitivity profile and whole-genome sequencing
Time frame: 12 months
number of antibiotic courses received by FMT versus placebo recipients
Time frame: 12 months
proportion of participants with gastrointestinal symptoms assessed by GSRS scores before and after FMT
Gastrointestinal symptom rating scale -questionnaire with 15 items on a 7-level Likert scale (1-7), higher scores for more intense symptoms during the past week
Time frame: 1-12 months
proportion of participants with mild to severe depression assessed by BDI scores before and after FMT
Beck's Depression Inventory: 21-question multiple-choice self-report inventory, higher scores for more severe depression
Time frame: 1-12 months
mean number of health-related quality of life (HRQoL) scores assessed by 15D before and after FMT
Quality of life -questionnaire (15D): a generic, comprehensive (15-dimensional), self-administered questionnaire, lower scores for better HRQoL
Time frame: 1-12 months
description of groups of bacteria in faecal and urine microbiome before and after FMT
Time frame: 12 months
human urine and serum metabolic profiles before and after FMT
assessed by a 1H-Nuclear Magnetic Resonance-based metabolomic approach
Time frame: 12 months