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Fecal microbiota transplantation (FMT) from Sheba Medical Center is an investigational microbial therapy being evaluated for the treatment of metastatic melanoma, particularly in patients who have failed anti-PD-1 therapy. The procedure involves the transfer of gut microbiota from donor patients who achieved a durable complete response to immunotherapy into refractory patients. The rationale is to modulate the recipient's gut microbiome to overcome resistance to immune checkpoint inhibitors like nivolumab and ipilimumab. In clinical studies, the FMT is administered via a single colonoscopy followed by oral maintenance capsules. It is often studied as part of a combination regimen that may include checkpoint inhibitors or tumor-infiltrating lymphocyte (TIL) therapy.
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