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D003015: Clostridium Infections

Developed by Shray Alag, The Harker School
Sections: Correlations, Clinical Trials, and HPO

Correlations computed by analyzing all clinical trials.

Navigate: Clinical Trials and HPO


Correlated Drug Terms (10)


Name (Synonyms) Correlation
drug2856 Penn Microbiome Therapy - 001 Wiki 0.71
drug1180 Degarelix Wiki 0.71
drug2858 Penn Microbiome Therapy - 003 Wiki 0.71
Name (Synonyms) Correlation
drug1189 Desidustat Wiki 0.71
drug2857 Penn Microbiome Therapy - 002 Wiki 0.71
drug1523 Fecal Microbiota Therapy (FMT) Wiki 0.71
drug315 Antibiotics Wiki 0.50
drug3502 Saline Wiki 0.22
drug3728 Standard of Care Wiki 0.11
drug2916 Placebo Wiki 0.03

Correlated MeSH Terms (3)


Name (Synonyms) Correlation
D004761 Enterocolitis, Pseudomembranous NIH 0.71
D003141 Communicable Diseases NIH 0.05
D007239 Infection NIH 0.03

Correlated HPO Terms (0)


Name (Synonyms) Correlation

Clinical Trials

Navigate: Correlations   HPO

There are 2 clinical trials


1 CSP #2004 - Microbiota or Placebo After Antimicrobial Therapy for Recurrent C. Difficile at Home (MATCH)

The purpose of this study is to determine whether Fecal Microbiota Therapy (FMT) is effective vs. placebo in the prevention of C. difficile infection recurrence.

NCT03005379
Conditions
  1. Clostridium Difficile Infection
Interventions
  1. Drug: Fecal Microbiota Therapy (FMT)
  2. Drug: Placebo
MeSH:Clostridium Infections

Primary Outcomes

Description: The primary outcome is recurrent CDI (definite or probable) or death within 56 days of randomization. Definite recurrence is defined as any of the following: The new onset of more than three loose or watery stools in 24 hours for two consecutive days Other clinical symptoms including ileus, toxic mega colon, or colectomy PLUS Laboratory confirmation of C. difficile from a stool specimen. Probable recurrence is defined as the same clinical manifestations as above, but WITHOUT laboratory confirmation of C. difficile (stool test not sent, negative result, or uninterpretable result).

Measure: Recurrent CDI (definite or probable) or death

Time: Within 56 days of randomization

Secondary Outcomes

Description: The incidence of recurrent CDI (definite or possible) or death within 6 months of randomization.

Measure: Recurrent CDI (definite or possible), or death

Time: Within 6 months of randomization

Description: The investigators will use a brief assessment of both overall and gastrointestinal health status, using a previously validated instrument.

Measure: Quality of Life

Time: 56 days from randomization

Description: The number of CDI recurrences within 6 months for a patient is the count of separate CDI recurrences from randomization to 6 months after randomization.

Measure: Number of CDI recurrences

Time: Within 6 months of randomization

Description: This is similar to probable recurrent CDI, but includes only episodes of diarrhea that test negative for C. difficile by EIA toxin test and PCR, not episodes that are not tested or are uninterpretable.

Measure: Diarrhea that is negative for C. difficile by EIA toxin test and PCR

Time: Within 56 days of randomization

Description: An assessment for non-diarrheal manifestations of CDI such as abdominal pain, urgency, and fecal incontinence will be performed.

Measure: Multiple related symptoms

Time: Within 6 months of randomization

Description: The incidence of definite recurrent CDI within 56 days of randomization. Definite recurrence is defined as any of the following: The new onset of more than three loose or watery stools in 24 hours for two consecutive days Other clinical symptoms including ileus, toxic mega colon, or colectomy PLUS Laboratory confirmation of C. difficile from a stool specimen.

Measure: Definite recurrent CDI

Time: Within 56 days of randomization

Description: The incidence of probable recurrent CDI within 56 days of randomization. Possible recurrence is defined as the same clinical manifestations as definite recurrent CDI, but WITHOUT laboratory confirmation of C. difficile (stool test not sent, negative result, or uninterpretable result).

Measure: Possible recurrent CDI

Time: Within 56 days of randomization

Description: The incidence of death within 56 days of randomization.

Measure: Death

Time: Within 56 days of randomization

Description: This is similar to possible recurrent CDI, but includes only episodes of diarrhea that test negative for C. difficile by EIA toxin test, not episodes that are not tested or are uninterpretable.

Measure: Diarrhea that is negative for C. difficile by EIA toxin testing but positive by PCR

Time: Within 56 days of randomization

Other Outcomes

Description: Safety outcomes to be collected include: Serious adverse events, with a focus on SAEs involving hospitalization (new or prolonged), and all-cause mortality Adverse events which may be related to FMT treatment. This includes adverse events which Site Investigators consider related/possibly related to the study treatment and all adverse events which occur within 14 days of study treatment (since an aggregate analysis of events temporally linked to treatment could show a causal relationship when compared to placebo) Infectious transmissions which are plausibly linked to FMT treatment. Development of new conditions theoretically linked to alterations in gut microbiota.

Measure: Adverse and Serious Adverse Events

Time: Within 6 months of randomization
2 A Phase II, Randomized Trial to Evaluate the Safety and Efficacy of Fecal Microbiota Transplantation Using the Penn Microbiome Therapy Products for Severe or Severe-Complicated/Fulminant Clostridium Difficile Infection

This is a randomized, open label, comparative, Phase II study to determine whether fecal microbiota transplant using Penn Microbiome Therapy products helps standard therapy to treat severe Clostridium difficile infection (C diff).

NCT03970200
Conditions
  1. Severe Clostridium Difficile Infection
  2. Severe-Complicated/Fulminant Clostridium Difficile Infection
Interventions
  1. Drug: Penn Microbiome Therapy - 001
  2. Drug: Penn Microbiome Therapy - 002
  3. Drug: Penn Microbiome Therapy - 003
  4. Drug: Antibiotics
MeSH:Infection Communicable Diseases Clostridium Infections Enterocolitis, Pseudomembranous

Primary Outcomes

Description: The outcome will be satisfied when the subject is discharged from the hospital (not to hospice or palliative care) or, while the subject remains hospitalized, when the following criteria are met for 24 hours: If radiology study or studies performed, ileus/dilation/megacolon either not noted or noted as resolved Ileus/megacolon either noted as resolved by any provider documentation or not noted WBC<15,000 cells/uL Serum creatinine decreased, unchanged, or increased by ≤0.2 mg/dL over 24 hours (if not receiving continuous renal replacement therapy (CRRT) or hemodialysis (HD)) Lactate ≤2.2 mmol/L (if measured by clinical care team) No vasopressors used (including epinephrine, norepinephrine, phenylephrine, or vasopressin) Temperature <38.5 °C and ≥35.6°C < 8 bowel movements per day and < 600 mL unformed stool (if volume recorded) Meeting fewer than 3 systemic inflammatory response syndrome (SIRS) criteria

Measure: Number of subjects with resolution of symptoms after treatment with one of the PMT suite of products.

Time: 7 Days

Secondary Outcomes

Description: All-cause mortality at 30- and 60-days following last FMT Colectomy or diverting ileostomy within 30 days after last FMT Cumulative days of hospitalization from enrollment until 30 days after FMT Cumulative days in intensive care unit from enrollment until 30 days after last FMT Bacteremia from enrollment until 30 days after last FMT Repeat hospital admission within 60 days of discharge from index hospitalization

Measure: Incidence of Treatment-Emergent Adverse Events as assessed by CTCAE V5.0

Time: 180 Days

Measure: Frequency solicited adverse events (AEs) as assessed by CTCAE V5.0

Time: 180 Days

Measure: Frequency serious adverse events (SAEs) as assessed by CTCAE V5.0

Time: 180 Days

Measure: Frequency of AEs of special interest (AESIs) as assessed by CTCAE V5.0

Time: 180 Days

HPO Nodes


HPO

Alphabetical listing of all HPO terms. Navigate: Correlations   Clinical Trials


HPO Nodes


Reports

Data processed on September 26, 2020.

An HTML report was created for each of the unique drugs, MeSH, and HPO terms associated with COVID-19 clinical trials. Each report contains a list of either the drug, the MeSH terms, or the HPO terms. All of the terms in a category are displayed on the left-hand side of the report to enable easy navigation, and the reports contain a list of correlated drugs, MeSH, and HPO terms. Further, all reports contain the details of the clinical trials in which the term is referenced. Every clinical trial report shows the mapped HPO and MeSH terms, which are also hyperlinked. Related HPO terms, with their associated genes, protein mutations, and SNPs are also referenced in the report.

Drug Reports   MeSH Reports   HPO Reports  

Interventions

4,180 reports on interventions/drugs

MeSH

691 reports on MeSH terms

HPO

263 reports on HPO terms

All Terms

Alphabetical index of all Terms

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