Compositions for fecal floral transplantation and methods for making and using them and devices for delivering them
In alternative embodiments, the invention provides compositions, e.g., formulations, used for gastric, gastrointestinal and/or colonic treatments or lavage, e.g., orthostatic lavage, e.g., for inducing the purgation (e.g., cleansing) of a gastrointestinal (GI) tract, including a colon; and methods for making and using them. In alternative embodiments, compositions and methods of the invention are used for the stabilization, amelioration, treatment and/or prevention of constipation, for the treatment of abdominal pain, particularly non-specific abdominal pain, and diarrhea, including diarrhea caused by a drug side effect, a psychological condition, a disease or a condition such as Crohn's Disease, a poison, a toxin or an infection, e.g., a toxin-mediated traveler's diarrhea, or C. difficile or the pseudo-membranous colitis associated with this infection. In alternative embodiments, the invention provides pharmaceuticals and products (articles) of manufacture for delivering these compositions and formulations to an individual, e.g., a human or an animal. The invention also provides devices for delivering a fecal material to a patient.
1. A pharmaceutical composition comprising an added cryoprotectant and extracted stool bacterial material without fiber.
2. The pharmaceutical composition of claim 1 , wherein said composition further comprises an antioxidant.
3. The pharmaceutical composition of claim 1 , wherein said stool composition further comprises cysteine.
4. A filtered and homogenized stool composition comprising the substantially entire microbiota of a stool and an added antioxidant, wherein said stool composition is free of rough particulate matter of said stool.
5. The filtered and homogenized stool composition of claim 4 , wherein said antioxidant comprises cysteine.
6. The filtered and homogenized stool composition of claim 4 , wherein said stool composition further comprises a cryoprotectant.
7. The filtered and homogenized stool composition of claim 6 , wherein said cryoprotectant comprises trehalose.
8. The filtered and homogenized stool composition of claim 7 , wherein said antioxidant comprises cysteine.
9. The filtered and homogenized stool composition of claim 8 , wherein said stool composition is in a lyophilized form.
10. The filtered and homogenized stool composition of claim 4 , wherein said stool composition is in a lyophilized form.
11. A capsule adapted for intestinal delivery comprising a filtered and homogenized stool composition comprising the substantially entire microbiota of a stool and free of rough particulate matter of said stool.
12. The capsule adapted for intestinal delivery of claim 11 , wherein said stool composition comprises an oxygen scavenging material.
13. The capsule adapted for intestinal delivery of claim 11 , wherein said stool composition is free of non-living fecal matter.
14. The capsule adapted for intestinal delivery of claim 11 , wherein said stool composition further comprises a cryoprotectant.
15. The capsule adapted for intestinal delivery of claim 11 , wherein said stool composition further comprises glycerol, skim milk, erythritol, arabitol, sorbitol, glucose, or fructose.
16. The capsule adapted for intestinal delivery of claim 11 , wherein said stool composition further comprises polyethylene glycol.
17. The capsule adapted for intestinal delivery of claim 11 , wherein said stool composition further comprises a Bacteroides species, a Firmicutes species, Bacillus thuringiensis , or any combination thereof, from a culture.
18. The capsule adapted for intestinal delivery of claim 11 , wherein said stool composition is in a liquid, frozen, spray-dried, lyophilized, or powder form.
19. The capsule adapted for intestinal delivery of claim 11 , wherein said stool composition is in a liquid form.
20. The capsule adapted for intestinal delivery of claim 11 , wherein said stool composition is in a lyophilized form.
21. The capsule adapted for intestinal delivery of claim 11 , wherein said stool composition is formulated with or is mixed with a saline, a defoaming agent, a surfactant agent, a lubricant, an acid neutralizer, a marker, a cell marker, a drug, an antibiotic, a contrast agent, a dispersal agent, a buffer or a buffering agent, a sweetening agent, a debittering agent, a flavoring agent, a pH stabilizer, an acidifying agent, a preservative, a desweetening agent, coloring agent, at least one vitamin, mineral supplement, a dietary supplement, a prebiotic nutrient or any combination thereof.
22. The capsule adapted for intestinal delivery of claim 11 , wherein said stool composition is capable of restoring a patient's colonic flora and ameliorating, stabilizing, or treating a dysfunctional bowel.
23. The capsule adapted for intestinal delivery of claim 11 , wherein said stool composition is encapsulated as an enteric-coated capsule.
24. The capsule adapted for intestinal delivery of claim 23 , wherein said enteric-coated capsule is a graded release capsule.