PMID- 30319644 OWN - NLM STAT- MEDLINE DCOM- 20191009 LR - 20191010 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 9 DP - 2018 TI - Treating Steroid Refractory Intestinal Acute Graft-vs.-Host Disease With Fecal Microbiota Transplantation: A Pilot Study. PG - 2195 LID - 10.3389/fimmu.2018.02195 [doi] LID - 2195 AB - Patients with steroid refractory gastrointestinal (GI) tract graft- vs.-host disease (GvHD) face a poor prognosis and limited therapeutic options. To accurately assess the efficacy and safety of fecal microbiota transplantation (FMT) in treating steroid refractory GI tract GvHD, we conducted a pilot study involving eight patients. Having received FMTs, all patients' clinical symptoms relieved, bacteria enriched, and microbiota composition reconstructed. Compared to those who did not receive FMT, these eight patients achieved a higher progression-free survival. FMT can serve as a therapeutic option for GI tract aGVHD, but its effectiveness and safety need further evaluations. Clinical Trial Registration: NCT03148743. FAU - Qi, Xiaofei AU - Qi X AD - Department of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Li, Xuewei AU - Li X AD - Department of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Zhao, Ye AU - Zhao Y AD - Department of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Wu, Xiaojin AU - Wu X AD - Department of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Chen, Feng AU - Chen F AD - Department of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Ma, Xiao AU - Ma X AD - Department of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Zhang, Faming AU - Zhang F AD - Medical Center for Digestive Diseases, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China. FAU - Wu, Depei AU - Wu D AD - Department of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China. LA - eng SI - ClinicalTrials.gov/NCT03148743 PT - Journal Article PT - Observational Study DEP - 20180925 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Glucocorticoids) SB - IM MH - Acute Disease/therapy MH - Adult MH - Drug Resistance MH - *Fecal Microbiota Transplantation MH - Feces/microbiology MH - Female MH - Glucocorticoids/*pharmacology/therapeutic use MH - Graft vs Host Disease/immunology/mortality/*therapy MH - Hematologic Neoplasms/therapy MH - Hematopoietic Stem Cell Transplantation/*adverse effects MH - Humans MH - Intestinal Diseases/immunology/mortality/*therapy MH - Intestines/immunology/microbiology MH - Male MH - Middle Aged MH - Pilot Projects MH - Progression-Free Survival MH - Prospective Studies MH - Young Adult PMC - PMC6167440 OTO - NOTNLM OT - a pilot study OT - diarrhea OT - fecal microbiota transplantations OT - graft-vs.-host disease OT - refractory gastrointestinal EDAT- 2018/10/16 06:00 MHDA- 2019/10/11 06:00 PMCR- 2018/01/01 CRDT- 2018/10/16 06:00 PHST- 2018/04/10 00:00 [received] PHST- 2018/09/05 00:00 [accepted] PHST- 2018/10/16 06:00 [entrez] PHST- 2018/10/16 06:00 [pubmed] PHST- 2019/10/11 06:00 [medline] PHST- 2018/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2018.02195 [doi] PST - epublish SO - Front Immunol. 2018 Sep 25;9:2195. doi: 10.3389/fimmu.2018.02195. eCollection 2018.