Guidance for Fecal Microbiota Transplantation Trials in Ulcerative Colitis: The Second ROME Consensus Conference.

Background Fecal microbiota transplantation (FMT) is emerging as a potential treatment modality for individuals living with inflammatory bowel disease (IBD). Despite its promise, the effectiveness of FMT for treating IBD, particularly for ulcerative colitis (UC), still requires thorough clinical inv...

Full description

Bibliographic Details
Published in:Inflammatory Bowel Diseases Vol. 31; no. 9; pp. 2408 - 2420
Main Authors: Lopetuso, Loris R, Deleu, Sara, Puca, Pierluigi, Abreu, Maria Teresa, Armuzzi, Alessandro, Barbara, Giovanni, Caprioli, Flavio, Chieng, Siew, Costello, Samuel Paul, Damiani, Andrea, Danese, Silvio, Chierico, Federica Del, D'Haens, Geert, Dotan, Iris, Facciotti, Federica, Falony, Gwen, Fantini, Massimo Claudio, Fiorino, Gionata, Gionchetti, Paolo, Godny, Lihi
Format: research tables/charts Journal Article
Published: Oxford University Press / USA Sep2025
Online Access:View this record in EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188554652&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 188554652
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10780998
        N0V
      jtl: Inflammatory Bowel Diseases
      issn: 10780998
      maglogo: N
    pubinfo:
      dt: Sep2025
      vid: 31
      iid: 9
      pid: 622
      pub: Oxford University Press / USA
    artinfo:
      ui:
        188554652
        188554652
        188554652
        10.1093/ibd/izaf013
        188554652
      ppf: 2408
      ppct: 12
      formats:
      tig:
        atl: Guidance for Fecal Microbiota Transplantation Trials in Ulcerative Colitis: The Second ROME Consensus Conference.
      aug:
        au:
          Lopetuso, Loris R
          Deleu, Sara
          Puca, Pierluigi
          Abreu, Maria Teresa
          Armuzzi, Alessandro
          Barbara, Giovanni
          Caprioli, Flavio
          Chieng, Siew
          Costello, Samuel Paul
          Damiani, Andrea
          Danese, Silvio
          Chierico, Federica Del
          D'Haens, Geert
          Dotan, Iris
          Facciotti, Federica
          Falony, Gwen
          Fantini, Massimo Claudio
          Fiorino, Gionata
          Gionchetti, Paolo
          Godny, Lihi
        affil: IBD Unit, CEMAD, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
      sug:
        subj:
          Fecal Microbiota Transplantation Standards
          Fecal Microbiota Transplantation Methods
          Colitis, Ulcerative Therapy
          Colitis, Ulcerative Microbiology
          Practice Guidelines
          Treatment Outcomes
          Human
          Funding Source
          Delphi Technique
          Clinical Trials
          Consensus
          Congresses and Conferences
          Feces Microbiology
          Microbiota Drug Effects
          Metabolomics Methods
          Transplant Donors
          Ecosystem
          Inflammatory Bowel Diseases Therapy
          Biological Therapy Methods
          Study Design
          Implementation Science
          Colonoscopy Methods
          Prediction Models
          Descriptive Statistics
          Bacterial Colonization
          Drug Resistance, Multiple
      ab: Background Fecal microbiota transplantation (FMT) is emerging as a potential treatment modality for individuals living with inflammatory bowel disease (IBD). Despite its promise, the effectiveness of FMT for treating IBD, particularly for ulcerative colitis (UC), still requires thorough clinical investigation. Notwithstanding differences in methodologies, current studies demonstrate its potential for inducing remission in UC patients. Therefore, standardized and robust randomized clinical trials (RCTs) are needed to further support its efficacy for managing UC. The aim of the second Rome Consensus Conference was to address gaps and uncertainties identified in previous research regarding FMT and to offer a robust framework for future studies applied to the treatment of UC. Methods Global experts in the field of clinical IBD, mucosal immunology, and microbiology (N  = 48) gathered to address the need for standardized clinical trials in FMT investigation. The group focused on key issues, such as stool donation, donor selection, characterization of fecal biomass, potential administration routes, as well as the process of induction, maintenance, and endpoint readouts. Results and Conclusions The consensus achieved during this conference established standardization of methods and protocols to enhance the current quality of research, with the aim of eventual implementation of FMT in managing UC and the ultimate goal of improving patient outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N