Poop pills could stop recurrent UTIs without antibiotics
NCT ID NCT07194941
First seen Jun 27, 2026 · Last updated Sep 17, 2026 · Updated 2 times
Summary
This completed Phase 2 trial tested fecal microbiota transfer (FMT) – a freeze-dried product made from healthy donor stool – in 40 women with recurrent urinary tract infections (UTIs). The goal was to see if FMT could prevent future UTIs by restoring healthy gut bacteria. Researchers compared two different doses and tracked how many women remained infection-free for 12 months. If effective, FMT could become a new antibiotic-free option for this common condition.
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) – a freeze-dried product made from healthy donor stool
- What this could lead to
- If it works, this could offer a new, non-antibiotic way to prevent frequent urinary tract infections in women, reducing the need for repeated antibiotics.
- What could go wrong
- This is a small Phase 2 trial with only 40 women, so results may not apply to everyone. FMT is still experimental for UTIs and carries risks like infection or allergic reaction.
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
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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40 people
The number who actually took part.
- Started
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Aug 2022
- Finished
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Feb 2025
- 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 years and older
- Sex
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Female participants only
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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: Women ≥18 years of age with UTIs (≥3 episodes in one year or ≥2 in six months) who meet at least one of the following criteria * UTIs despite having used other prophylactic strategies. * HUTI due to resistant bacteria (ESBL- or carbapenemase-producing Enterobacteriaceae, and quinolone-resistant Pseudomonas aeruginosa or Enterococcus faecium). * Allergy or previous adverse reactions to available oral antibiotics (usually beta-lactams, but could occur with other antibiotic families) for prophylaxis and/or treatment. Exclusion Criteria: * Have symptoms compatible with symptomatic UTI at the time of inclusion or be undergoing treatment for it. * Be receiving another preventive strategy for UTIs at the time of study inclusion: prophylactic antibiotics, bladder instillation with hyaluronic acid, D-mannose, or therapeutic vaccines. In the case of the latter, Version 3.0\_ March 22, 2023 13 patients who have received them must have had at least two recurrences despite their administration. * Rifaximin allergy. * Inability to understand the study and sign the informed consent form, and to collect stool and urine samples. * Pregnancy or breastfeeding * Patients with bone marrow or solid organ transplants (patients who have been transplanted for ≥ 5 years and are stable from a transplant perspective are allowed to be included). * Any clinically significant disease at the investigator's discretion, other than UTIs, that is not medically controlled at the time of study inclusion. * Patients with lithiasis or permanent catheters (patients with self-catheters are excluded).
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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
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IRyCIS - FIBIO Hospital Ramón y Cajal
Madrid, Madrid, 28034, Spain
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Texting away UTIs: could a phone platform cut unnecessary antibiotics?
- New symptom diaries aim to improve daily tracking of recurrent UTIs, especially for seniors
- Could fewer antibiotics be better for older women with urinary symptoms?
- Could a probiotic plus smart antibiotic use end the cycle of recurrent UTIs in children?
- Scientists create first tools to measure recurrent UTI burden
- Simple sugar may shield catheter users from painful infections