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Fecal microbiota transplantation (FMT) is an investigational biologic therapy consisting of fecal microbiota from healthy, screened donors. It was developed by the VA Office of Research and Development to prevent recurrent Clostridioides difficile infection (CDI). Administered as oral capsules, the therapy aims to restore a healthy gut microbiome. A Phase 2/3 randomized, double-blind, placebo-controlled trial called MATCH (CSP #2004) evaluated its efficacy in veterans. The study was stopped early due to futility, as it did not demonstrate a significant difference in reducing CDI recurrence or death at 56 days compared to placebo. [2, 5, 6] While not effective in this trial, the therapy was found to be safe and well-tolerated. [2]
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