Review Article

Fecal Microbiota Transplantation as Therapy for Treatment of Active Ulcerative Colitis: A Systematic Review and Meta-Analysis

Table 1

Characteristics of randomized controlled trials of fecal microbiota transplantation vs. control in active ulcerative colitis.

StudyCountryNo. patients (FMT/control)SeverityDonorDelivery routeFrequencyDosagePreantibioticBowel lavageControl interventionTime of evaluationCombined clinical and endoscopic improvementClinical remissionEndoscopic remission/responseCombined clinical remission and endoscopic remission/response (FMT/control)Clinical remission (FMT/control)Endoscopic remission (FMT/control)Serious adverse events (FMT/control)

Costello
2019
Australia38/35Mild to moderate (Mayo score 3-10, with endoscopic )Healthy volunteers (pooled 3-4 donors’ stool)1 colonoscopy, 2 enemas3 times over 7 daysTotal stool weight 100 gNoYesAutologous FMTWeek 8A total , with endoscopic 12/318/64/03/2
Crothers
2018
USA7/8Mild to moderate (Mayo score: 4-10)Healthy volunteers with high stool butyrate (pooled 2 donors’ stool)Daily FMT capsulesDailyCapsule 0.375 g stool per timeYesYesPlaceboWeek 12A total , with decrease in Mayo endoscopic Decrease in Mayo endoscopic 3/02/13/00/0
Paramsothy
2017
Australia41/40Mild to moderate (Mayo score: 4-10)Healthy volunteers (pooled 3-7 donors’ stool)1 colonoscopy, 40 enemas1 colonoscopic infusion, followed by enemas 5 days per week for 8 weeks37.5 g stool per time, 150 ml infusion volumeNoYesPlaceboWeek 8A total , with all and reduction in endoscopic Mayo endoscopic 11/318/85/32/1
Rossen
2015
Netherland23/25Mild to moderate (SCCAI 4–11, with endoscopic )Healthy partners, relatives, or volunteers (single donor’s stool)2 naso-duodenal infusions2 times at week 0 and week 3500 mlYesYesAutologous FMTWeek 12, decrease in Mayo endoscopic Mayo endoscopic 7/57/82/22/2
Moayyedi
2015
Canada38/37Mild to moderate (, with )Healthy volunteers (single donor’s stool)6 retention enemasOnce per week for 6 weeks50 g, 300 mlNRNRPlaceboWeek 7A full and endoscopic Mayo endoscopic 9/215/99/33/2

NR: not reported.