CI

At a glance

ClinicalIndex Comparison Record
Phase 2Recruiting· 48 target
Drug / intervention
Fecal microbiota transfer +4 moredrug
Likely dose
Fecal microbiota transfer 50 gfrom record
Key inclusion· 6
  • Age 18 years or older
  • Confirmed radiologic or histological diagnosis of HCC
  • Disease not amenable to resection, liver transplantation or loco-regionary therapy
  • Eligible for therapy with Atezolizumab / Bevacizumab according to standard of care
Key exclusion· 20
  • Use of immunosuppressive medication within 6 months prior to first dose
  • Active or prior documented autoimmune or inflammatory disorders
  • Prior exposure to immune-mediated therapy including anti-CTLA-4, anti-PD-1, anti-PD-L1, and anti-VEGF antibodies
  • Known to have tested positive for HIV infection

Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.

Search/NCT05690048
NCT05690048Phase 2RecruitingOn TrackUpdated 10mo ago

Fecal Microbiota Transfer in Liver Cancer to Overcome Resistance to Atezolizumab/Bevacizumab (FLORA)

Michael Dill·interventional·Posted Jan 19, 2023·Updated Aug 6, 2025

In Brief

A Phase 2 clinical trial evaluating Fecal microbiota transfer, Vancomycin Oral Capsule, and 3 other interventions for Immunotherapy and HCC - Hepatocellular Carcinoma. Currently recruiting, targeting 48 participants across 7 sites.

Detailed Summary

The interventional, randomized, placebo-controlled, double-blind phase II-trial FLORA will assess safety and immunogenicity of fecal microbiota transfer in combination with standard of care immunotherapy in advanced hepatocellular carcinoma (HCC) in a parallel group design. Subjects will be randomized 2:1 into either the FMT or placebo group.

Study Details

Timeline

Phase 2Recruiting
202320242025202620272028
First PostedJan 19, 2023
Enrollment StartJul 16, 2025
Primary CompletionMar 1, 2028
TodayJul 2, 2026
Enrollment to primary: 2.6 yearsPosted 3.5 years agoPrimary completion in 1.7 years

Interventions

Fecal microbiota transferdrug

FMT via capsule (50 g of fecal matter) on day 0 and day 21.

Vancomycin Oral Capsuledrug

Vancomycin orally (250 mg 4xd, day -3 to 0).

Atezolizumab + Bevacizumabdrug

Atezolizumab 1200mg i.v. \& Bevacizumab 15mg/kg body weight i.v. (A/B) as standard of care (SOC).

Placebo Vancomycin Oral Capsuledrug

Placebo Vancomycin orally (4xd, day -3 to 0).

Placebo Fecal microbiota transferdrug

Placebo Fecal microbiota transfer (FMT) via capsule on day 0 and day 21.