Can a stool transplant soothe an inflamed pouch?
NCT ID NCT05829109
First seen Aug 17, 2026 · Last updated Aug 17, 2026
Summary
This trial tests whether fecal microbiota transplant (FMT) — transferring stool from a healthy donor pouch into an inflamed one — can safely ease chronic pouchitis, a complication after ulcerative colitis surgery. Participants first take antibiotics and a bowel prep, then receive two FMT enemas a week apart. The study tracks safety and whether patients achieve clinical remission and endoscopic improvement by week 8.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- Fecal microbiota transplant (FMT) via enema, preceded by antibiotics and bowel prep
- What this could lead to
- If successful, this could offer a new way to treat chronic pouchitis by restoring a healthy gut microbiome, potentially reducing the need for long-term antibiotics.
- What could go wrong
- This is a very early, small trial (16 people), so results may not apply broadly. Risks include infection or reactions from the transplant, and the procedure may not work.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Icahn School of Medicine at Mount Sinai
RECRUITINGNew York, New York, 10029, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Sound waves vs. scope: a gentler way to spot pouch inflammation?
- Can a stool transplant calm an inflamed pouch?
- Can a common antibiotic stop pouchitis from coming back?
- New combo tackles stubborn gut inflammation after colitis surgery
- Stem cell shot for pouchitis fails to launch
- New drug aims to stop pouchitis before it starts