FMT Performance Prediction Test for GVHD Patient Selection
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Solution Overview
Problem
Current treatments for GVHD, particularly steroid-refractory cases, lack effective methods to predict which patients will benefit from fecal microbiota transplant (FMT) and require additional conditioning treatments, leading to inefficiencies and potential harm in administering FMT to unsuitable patients.
Innovation Solution
A method to assess the abundance of specific bacteria in gastrointestinal samples, calculating a score to determine if a patient can benefit from FMT without prior conditioning, using categories like Firmicutes and Bacteroidetes phyla, and employing conditioning treatments like non-absorbable antibiotics or osmotic laxatives to prepare the microbiota for FMT.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If FMT is administered to all GVHD patients without selection, then more patients may potentially benefit, but resources are wasted on patients who will not respond and treatment effectiveness is reduced
Solution Approach 1:
The patent applies preliminary action by performing microbiota assessment and predicting FMT response before administering the treatment. The method evaluates baseline microbiota composition and identifies patients likely to respond to FMT, allowing clinicians to select appropriate candidates in advance and avoid wasting resources on patients who would not benefit from the treatment.
2Reliability
If conditioning treatments are given to all patients before FMT, then engraftment success may improve, but treatment time and cost increase for patients who would succeed without conditioning
Solution Approach 1:
The patent applies local quality by providing conditioning treatments selectively to specific patient subgroups based on their microbiota profile. Rather than treating all patients uniformly, the method identifies which patients have microbiota characteristics that would benefit from conditioning (such as those with severe dysbiosis or low baseline diversity) and applies conditioning only to them, while allowing patients with favorable baseline microbiota to proceed directly to FMT.
3Measurement precision
If FMT is delayed for microbiota assessment and conditioning, then treatment precision improves, but time to treatment increases for patients needing urgent intervention
Solution Approach 1:
The patent applies segmentation by dividing the patient population into distinct groups based on their microbiota characteristics and predicted FMT response. The method segments patients into those likely to respond to FMT and those unlikely to respond, and further segments the responsive group into those who need conditioning and those who can proceed directly to FMT. This segmentation enables rapid decision-making and streamlined treatment pathways for each subgroup.
Data Source
AI summary
The present disclosure relates to a method for assessing whether a GVHD subject in need of a complementation with live microorganisms can benefit from said complementation, by analysing the subject’s microbiota and/or host parameters. Treatments for improving the status of patients identified as poor microbiotherapy responders are also provided, as well as materials and kits for performing the method according to the invention.


