Poop pills may stop brain fog in liver patients
NCT ID NCT07454408
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a fecal microbiota transplant (FMT) from healthy donors can prevent severe confusion (hepatic encephalopathy) in 40 patients who still get episodes despite standard drugs after a liver shunt procedure (TIPS). Participants receive either FMT or a placebo, and researchers track safety, recurrence rates, and quality of life. The goal is to find a new option for those not helped by current treatments.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Mar 2026
An estimate. Start dates often move.
- Expected to finish
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Jun 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Aged between 18 and 75 years old * Patients who have experienced esophageal-gastric variceal bleeding or recurrent refractory ascites and meet the inclusion criteria, and for whom conservative treatment has failed, are planned to undergo elective TIPS surgery * Patients with recurrent hepatic encephalopathy (HE) after transjugular intrahepatic portosystemic shunt (TIPS), despite treatment with lactulose and rifaximin (at least 2 episodes of West Haven grade ≥2 HE within 6 months under lactulose and rifaximin intervention) * Provided written informed consent from the patient Exclusion Criteria: * Malignant tumors of the liver, gastrointestinal tract or other systems * Uncontrolled severe active infection (\>grade 2) or sepsis * Spontaneous bacterial peritonitis * Complicated with severe cardiac, renal or pulmonary insufficiency * Other neuropsychiatric diseases, including dementia * Budd-Chiari syndrome * Alcohol dependence or use of psychotropic drugs (benzodiazepines, opioids, etc.) * History of gastrointestinal surgery (e.g., colectomy) within 3 months before enrollment * Pregnant or lactating subjects * Poor compliance judged by the investigator * Model for End-Stage Liver Disease (MELD) score \>17 * Tumor, immunodeficiency, or receiving immunosuppressive therapy within 3 months before enrollment * Patients who have used other prebiotics, probiotics or fecal microbiota transplantation (FMT) before enrollment
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Xi'an International Medical Center Hospital
Xi’an, Shanxi, 710100, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Gut bacteria in a capsule: a new attempt to calm a brain complication of cirrhosis
- Could common heartburn drugs raise brain risk after liver shunt?
- Can a smaller stent tame brain fog after liver shunt surgery?
- Can everyday drugs shield the liver from Cirrhosis's worst threats?
- Heart scans could flag Who's at risk after liver shunt