Research Article

A Systematic Review and Meta-Analysis of Randomized Controlled Trials of Fecal Microbiota Transplantation for the Treatment of Inflammatory Bowel Disease

Table 1

Data characteristics of the included studies.

Clinical responseClinical remissionFollow-upStudyStudy typeCountryNSeverityDonorRouteFresh/frozen

dFMT: 18/38 (47%); aFMT: 6/35 (17%), at week 8dFMT: 21/38 (55%); aFMT: 8/35 (23%), at week 88 weeksCostello et al. [20]UCAustralia73Mild to moderateUnrelatedColonoscopy and enema (lower)Frozen
FMT: 9 (24%); placebo: 2 (5%) at week 7FMT: 15 (39%); placebo: 9 (24%) at week 76 weeksMoayyedi et al. [21]UCCanada75ActiveUnrelatedRetention enema (lower)Fresh or frozen
FMT: 18 (44%); placebo: 8 (20%) at week 8FMT: 22 (54%); placebo: 9 (23%) at week 88 weeksParamsothy et al. [22]UCAustralia81Mild to moderateUnrelatedColonoscopy and enema (lower)Frozen
dFMT: 6/23 (26.1%); aFMT: 8/25 (32%), at week 6; dFMT: 7/23 (30.4%); aFMT: 8/25 (32%), at week 12dFMT: 10/23 (43.5%); aFMT: 13/25 (52.0%), at week 6; dFMT: 11/23 (47.8%); aFMT: 13/25 (52%), at week 1212 weeksRossen et al. [23]UCNetherlands48Mild to moderateRelatives, partners, or volunteersNasoduodenal tube (upper)Fresh
FMT: 7/8 (87.5%); sham FMT: 4/9 (44.4%), at week 10; FMT: 4/8 (50.0%); sham FMT: 3/9 (33.3%), at week 2412 weeksSokol et al. [24]CDFrance17ActiveUnrelatedColonoscopy (lower)Fresh
FMT: 27/31 (87.1%); placebo: 20/30 (66.7%) at week 4848 weeksSood et al. [25]UCIndia61ActiveUnrelatedColonoscopy infusion and enema (lower)Fresh or frozen
FMT: 3/10 (30%); FMTP: 4/10 (40%) at week 12FMT: 7/10 (70%); FMTP: 6/10 (60%) at week 1212 weeksWei et al. [26]UCChina20Mild to moderateUnrelatedColonoscopy (lower)Fresh
Gastroscopy: 10/13 (76.9%); colonoscopy: 11/14 (78.6%) at week 2Gastroscopy: 9/13 (69.2%); colonoscopy: 9/14 (64.3%) at week 28 weeksYang et al. [27]CDChina27ActiveRelatives, partners, or volunteersGastroscopy or colonoscopy (upper or lower)Fresh
cFMT: 2/6 (33%); placebo: 0/6 (0%) at week 12cFMT: 3/6 (50%); placebo: 1/6 (17%) at week 1236 weeksCrothers et al. [28]UCUSA17Mild to moderateUnrelatedColonoscopy infusion and oral (lower and upper)Frozen and capsules
FMT: 9/10 (90%); control: 5/10 (50%) at week 86–38 monthsFang et al. [29]UCChina20ActiveUnrelatedColonoscopy (lower)Fresh
FMT: 2/17 (11.8%); FMT + UCED: 4/19 (21.1%); UCED: 6/15 (40.0%) at week 8FMT: 6/17 (35.3%); FMT + UCED: 8/19 (42.1%); UCED: 9/15 (60.0%) at week 812 weeksSarbagili Shabat et al. [30]UCIsrael51Mild to moderateUnrelatedColonoscopy and enema (lower)Frozen
FMT: 3/8 (37.5%); 5-ASA: 4/8 (50%) at week 12FMT: 5/8 (62.5%); 5-ASA: 5/8 (62.5%) at week 1212 weeksSchierová et al. [31]UCCzech republic16ActiveUnrelatedEnema (lower)Frozen
FMT: 20/30 (66.67%); control: 12/30 (40.00%) at week 43 monthsChen et al. [32]UCChina60NRUnrelatedEnema (lower)Fresh or frozen
FMT: 48/50 (96%); 5-ASA: 35/50 (70%) at week 2NRZhang et al. [33]UCChina100NRRelatives, partnersEnema (lower)NR

UC, ulcerative colitis; CD, Crohn’s disease; N, number of patients; aFMT, autologous FMT; dFMT, donor FMT; cFMT, capsules FMT; FMTP, FMT combined with pectin; FMT, fecal microbiota transplantation; 5-ASA, 5-aminosalicylic acid; UCED, ulcerative colitis exclusion diet; NR, not reported.