Stool microsampling,
made effortless.

Stool, collected at home into a stabilising buffer that fixes the sample the moment it is taken: gut microbiome sequencing, faecal immunochemical testing for colorectal screening and calprotectin for gut inflammation, with no mess, no cold chain and the chain of custody intact from the bathroom to the bench.

OMNIgene·GUT stool collection tube by DNA Genotek, on the Humans Nexus microsampling platform
Defined

What is stool
microsampling?

Stool microsampling is the collection of a small, standardised amount of stool by the patient, at home or at the point of care, with a hygienic device into a buffer that stabilises it at the moment of collection, and its return to an accredited laboratory under documented chain of custody. For stool, micro means a controlled input, milligrams to a gram into a defined volume of stabiliser, not literal microlitres: the microsampling model applied to the gut. The buffer preserves microbial DNA and faecal biomarkers at room temperature, so the sample ships without refrigeration. The industry also calls it stool self-collection, at-home stool sampling or, for sequencing, microbiome sample collection.

The devices

Two devices, two questions.

Two stool devices sit on the platform, chosen for different questions. OMNIgene·GUT, by DNA Genotek, stabilises a spatula of stool in a nucleic-acid buffer the moment the tube closes, CE-IVD marked, for 16S and shotgun microbiome sequencing and gastrointestinal work. OmicSnap, by Immundiagnostik, collects a fixed, defined mass into a prefilled stabiliser tube, so the input to a quantitative microbiome analysis is the same every time, with no variable scoop. Humans Nexus curates and supplies both and assembles the regulated kit around them; DNA Genotek and Immundiagnostik are the manufacturers.

OMNIgene·GUT, for sequencingAmbient-stabilised stool in a nucleic-acid buffer, CE-IVD marked, for 16S and shotgun microbiome sequencing and gastrointestinal work. OMNIgene·GUT →
OmicSnap, for a defined massA fixed amount of stool into a prefilled stabiliser tube, the standardised input for quantitative microbiome analysis. OmicSnap →

All DNA Genotek devices on the platform →   The microbiome kit →

How it works

From collection to lab.

01Collect

A hygienic scoop into the OMNIgene·GUT tube, or a defined mass into the OmicSnap tube, and the stabilising buffer fixes the sample as the cap closes. For FIT, the laboratory’s sampling bottle travels in the same pack. Clean, contained, under a minute.

02Seal & return

Sealed and ID-matched, the kit returns by standard tracked courier at ambient temperature: the buffer protects the sample, so there is no cold chain to pay for or to break.

03Result

The laboratory accessions the sample under the same chain of custody, and the result returns through the platform into your system.

What it measures

A validated panel.

MicrobiomeGut microbiome by 16S and shotgun metagenomic sequencing, quantitative profiling from a defined input
Colorectal screeningFaecal immunochemical test, FIT, for occult blood in organised screening programmes
Gut inflammationFaecal calprotectin and other inflammation markers for IBD monitoring

Stool metabolomics runs on the same ambient route: an ambient-temperature stabiliser recovered 94.5% of the metabolites seen in flash-frozen aliquots. The evidence →

Why this matrix

Why it works now.

The barrier to stool microsampling was never the science; it was the experience and the cold chain. A stabilising buffer removes both: the sample is clean to collect, ships at room temperature and keeps the microbial community as it was in the body, which flash-freezing did at far greater cost. A defined input removes a third barrier, because microbial load varies up to tenfold between healthy people and a variable scoop makes relative abundances hard to compare. Together they turn one-off diagnostics into longitudinal gut-health tracking, and they make population-scale colorectal screening logistically simple: in randomised trials, mailing the stool test more than doubled screening completion against usual care.

The evidence

What the record shows.

Each figure below belongs to the study that produced it. Where a paper’s abstract does not name the collection device, none is named here.

Stabilised equals fresh-frozen17 stem-cell-transplant patients, each stool split between fresh-frozen and chemically stabilised aliquots: relative abundances comparable on 16S and shotgun sequencing, within-sample diversity not different (Shannon P 0.68 and 0.89) and between-sample variation equivalent (Scientific Reports, 2019).
Metabolomics without the freezer16 infants, 64 aliquots: 1,126 metabolites detected in flash-frozen stool against 1,107 in DNA Genotek’s OMNImet·GUT at ambient temperature, 1,064 shared, a median Spearman correlation of 0.785, and samples that clustered by infant rather than by storage (BMC Microbiology, 2021).
Counts, not ratiosFaecal microbial load varies up to tenfold between healthy people, so relative profiling can misread the direction of change; quantitative profiling needs cells per gram, which starts with a defined input (Nature, 2017).
Self-collection at home worksOf 77 women mailed a self-collection package for a gut-microbiome study, 59 returned specimens and questionnaire, 77%; recruitment needed personal, well-timed follow-up (BMC Research Notes, 2014).
FIT, measuredAcross 19 studies, the faecal immunochemical test’s pooled sensitivity for colorectal cancer was 0.79 and its specificity 0.94; a single sample performed like several, and performance is set by the positivity cut-off (Annals of Internal Medicine, 2014).
Mailed kits move participation73 randomised trials, 366,766 patients: mailed stool-test outreach more than doubled screening completion, risk ratio 2.26, 22 percentage points over usual care (JAMA Internal Medicine, 2018).

Each assay is validated on the stabilised sample by the laboratory before it is reported. The full reading list follows below.

Clinical-grade by design

Sealed. Tracked.
Ambient-stable.

The stabilising buffer fixes microbial DNA and faecal biomarkers at ambient temperature the moment the cap closes; OMNIgene·GUT is CE-IVD marked and OmicSnap is CE-marked by its manufacturer. Every kit is ID-matched and sealed, its UDI bound to a chain of custody at activation and tracked by courier scan to accessioning, with no temperature excursion to log because there is no cold chain. Each assay is validated on the stabilised sample by the laboratory before it is reported.

The kit

What’s in the box.

Stool | Cell

  • OMNIgene·GUT or OmicSnap device, stabilising buffer in the tube
  • Hygienic scoop and collection aid
  • ID-matched, tamper-evident seal
  • Tracked ambient return packaging
  • Guided collection in Flow, step by step
The microbiome kit →   All kits →
Who it’s for

Whoever runs the test.

LaboratoriesScale microbiome sequencing and FIT screening
Pharma & CROMicrobiome endpoints in decentralised clinical trials
Digital healthRun gut-health programmes end to end
Public healthColorectal screening at population scale

Infrastructure for healthcare and life sciences. Our partners reach the patient, and we never sell directly.

Good to know.

Does the sample need refrigeration?

No. The stabilising buffer preserves microbial DNA and faecal biomarkers at room temperature, so the sample ships by standard tracked return with no cold chain.

Is stool microsampling suitable for colorectal cancer screening?

Yes, with the faecal immunochemical test, FIT, inside an organised screening pathway: the laboratory’s FIT bottle travels in the pack under the same chain of custody. Across 19 studies FIT’s pooled sensitivity for colorectal cancer was 0.79 and its specificity 0.94, and a single sample performed like several.

What can stool microsampling measure?

The gut microbiome by 16S and shotgun metagenomics, faecal occult blood by FIT, inflammation markers such as calprotectin, and stool metabolomics on an ambient-stabilised sample.

Which stool collection device do you use?

OMNIgene·GUT by DNA Genotek for microbiome sequencing and gastrointestinal work, and OmicSnap by Immundiagnostik where a defined mass is the point, both curated and supplied by Humans Nexus and assembled into the regulated kit.

Does a stabilised sample match a frozen one?

For sequencing, yes: stool stabilised at room temperature and frozen later gave 16S and shotgun profiles statistically indistinguishable from fresh-frozen aliquots of the same specimen. For metabolomics, an ambient stabiliser recovered 94.5% of the metabolites seen in flash-frozen stool, with strong agreement in their abundances.

Why does the amount of stool matter?

Because microbial load varies up to tenfold between healthy people. A variable scoop makes relative abundances hard to compare across samples and over time; a defined mass into a defined volume of stabiliser, which is what OmicSnap fixes, is what makes counts comparable.

Is the collection hygienic?

Yes. A hygienic scoop or collection aid delivers a small amount into a sealed, buffered tube, so nothing is handled twice and nothing leaks in transit.

Can a child’s stool be collected at home?

Yes. In a 2021 study stool was taken from infants’ nappies straight into an ambient stabiliser and matched flash-frozen aliquots. A parent collects, guided step by step in Flow, and the kit returns the same way. Pediatric microsampling →

OpenSampling Library by Humans Nexus

Library Stool microsampling

Every paper read and summarised in our own words, each on a page of its own in the OpenSampling Library.

Newest

  1. Detection of Cryptosporidium hominis by clinical metagenomics in stool samples from an outbreak of diarrhoea among British military personnel in Kenya

    BMJ military health · 2026 · Paywalled

    A study limited by sample size found OMNIgene GUT tubes preserved Cryptosporidium DNA better than DNA Shield and FTA cards after year-long ambient storage. qPCR detected DNA in 23/24 OMNIgene, 21/24 DNA Shield, and 17/20 FTA samples, while metagenomics

    Read in the Library
  2. Gut Microbial Variations Associated With Proton Pump Inhibitor Use in the Boston Puerto Rican Health Study

    Pharmacology research & perspectives · 2026 · Open access

    Analysis of self-collected stool samples from 309 participants demonstrated that proton pump inhibitor use is significantly associated with an enrichment of Streptococcus species in the gut. This confirms the suitability of decentralised self-sampling for

    Read in the Library
  3. Perioperative Antibiotic Prophylaxis in Cesarean Section and the Maternal Gut Microbiome: Protocol for a Remote Observational Cohort Study

    JMIR research protocols · 2026 · Open access

    The study demonstrated the feasibility of a fully decentralised design by successfully recruiting 37 participants and completing follow-up for

    Read in the Library
  4. Stool and vaginal microbiome profiles patterns among Black and White endometrial cancer survivors: A pilot study in North Carolina

    PloS one · 2026 · Open access

    This pilot study found that mailing self-collection kits to endometrial cancer survivors was feasible and acceptable, whilst also observing that chemotherapy or

    Read in the Library
  5. Integrating Microsampling in Human Biomonitoring: Methodologies, Regulatory Frameworks, and Case Study Insights

    Critical reviews in analytical chemistry · 2026 · Paywalled

    This review establishes that microsampling across blood, saliva, urine and stool matrices offers validated workflows and regulatory recognition for human biomonitoring comparable to conventional methods. It finds that these decentralised approaches enhance participant

    Read in the Library
  6. Associations of self-reported and actigraphic sleep with gut microbiome composition and diversity among older adults

    Sleep · 2026 · Paywalled

    Self-reported insomnia and excessive sleepiness were associated with depletion of Eubacterium sp. CAG:251, whereas higher actigraphy-measured sleep efficiency increased its prevalence and longer wake after sleep onset reduced it. These findings suggest that subjective and objective sleep disturbances converge on specific gut

    Read in the Library

All 108 in the OpenSampling Library

Microbiome

  1. Detection of Cryptosporidium hominis by clinical metagenomics in stool samples from an outbreak of diarrhoea among British military personnel in Kenya

    BMJ military health · 2026 · Paywalled

    A study limited by sample size found OMNIgene GUT tubes preserved Cryptosporidium DNA better than DNA Shield and FTA cards after year-long ambient storage. qPCR detected DNA in 23/24 OMNIgene, 21/24 DNA Shield, and 17/20 FTA samples, while metagenomics

    Read in the Library
  2. Gut Microbial Variations Associated With Proton Pump Inhibitor Use in the Boston Puerto Rican Health Study

    Pharmacology research & perspectives · 2026 · Open access

    Analysis of self-collected stool samples from 309 participants demonstrated that proton pump inhibitor use is significantly associated with an enrichment of Streptococcus species in the gut. This confirms the suitability of decentralised self-sampling for

    Read in the Library
  3. Perioperative Antibiotic Prophylaxis in Cesarean Section and the Maternal Gut Microbiome: Protocol for a Remote Observational Cohort Study

    JMIR research protocols · 2026 · Open access

    The study demonstrated the feasibility of a fully decentralised design by successfully recruiting 37 participants and completing follow-up for

    Read in the Library
  4. Stool and vaginal microbiome profiles patterns among Black and White endometrial cancer survivors: A pilot study in North Carolina

    PloS one · 2026 · Open access

    This pilot study found that mailing self-collection kits to endometrial cancer survivors was feasible and acceptable, whilst also observing that chemotherapy or

    Read in the Library
  5. Associations of self-reported and actigraphic sleep with gut microbiome composition and diversity among older adults

    Sleep · 2026 · Paywalled

    Self-reported insomnia and excessive sleepiness were associated with depletion of Eubacterium sp. CAG:251, whereas higher actigraphy-measured sleep efficiency increased its prevalence and longer wake after sleep onset reduced it. These findings suggest that subjective and objective sleep disturbances converge on specific gut

    Read in the Library
  6. Associations between the gut microbiome and diet, body composition, and glycemic profiles: a cross-sectional post-hoc analysis of the Personal Diet Study

    Frontiers in nutrition · 2026 · Open access

    In adults with prediabetes and obesity, gut microbiome diversity correlated with body composition but not with continuous glucose monitoring-derived glycaemic variability. Dietary composition showed the strongest microbiome associations, suggesting that

    Read in the Library

All 83 in the OpenSampling Library

Ambient stabilisation

  1. Detection of Cryptosporidium hominis by clinical metagenomics in stool samples from an outbreak of diarrhoea among British military personnel in Kenya

    BMJ military health · 2026 · Paywalled

    A study limited by sample size found OMNIgene GUT tubes preserved Cryptosporidium DNA better than DNA Shield and FTA cards after year-long ambient storage. qPCR detected DNA in 23/24 OMNIgene, 21/24 DNA Shield, and 17/20 FTA samples, while metagenomics

    Read in the Library
  2. Perioperative Antibiotic Prophylaxis in Cesarean Section and the Maternal Gut Microbiome: Protocol for a Remote Observational Cohort Study

    JMIR research protocols · 2026 · Open access

    The study demonstrated the feasibility of a fully decentralised design by successfully recruiting 37 participants and completing follow-up for

    Read in the Library
  3. Prospective evaluation of different faecal preservation media for travellers' diarrhoea diagnostic application with multiplex PCR BioFire FilmArray in resource-limited settings

    Journal of medical microbiology · 2025 · Open access

    In a field cohort of 60 adults with diarrhoea, OMNIgene 200 and DNA/RNA shield maintained high sensitivity and concordance with fresh samples for most pathogens, while FTA cards showed low sensitivity for STEC and poor specificity for Campylobacter. This supports the use of stabilised stool media for

    Read in the Library
  4. Stabilized and unstabilized sampling methods result in differential fecal 16S rRNA microbial sequencing results

    PloS one · 2025 · Open access

    Taxonomic and diversity profiles differed between unstabilised swabs and stabilised OmniGene kits, with transport time disproportionately affecting swab samples; the collection method had a greater impact on taxa and

    Read in the Library
  5. Association of Gut Dysbiosis with Disease Phenotype and Treatment in Systemic Lupus Erythematosus

    Medical sciences · 2025 · Open access

    The study found significant gut microbiota alterations in systemic lupus erythematosus patients, with different beta diversity, p=0.001, and shifts in phyla abundance compared to controls. Specific microbial profiles were associated with clinical subgroups, though the

    Read in the Library
  6. Field expedient stool collection methods for gut microbiome analysis in deployed military environments

    mSphere · 2025 · Open access

    This study compared OMNIgene Gut tubes and FTA cards for stool collection in a deployed setting, finding that OMNIgene yielded higher nucleic acid concentrations while both methods detected the majority of microbial genera. The authors conclude that distinct microbial abundance profiles between

    Read in the Library

All 37 in the OpenSampling Library

Colorectal screening

  1. Integrating Microsampling in Human Biomonitoring: Methodologies, Regulatory Frameworks, and Case Study Insights

    Critical reviews in analytical chemistry · 2026 · Paywalled

    This review establishes that microsampling across blood, saliva, urine and stool matrices offers validated workflows and regulatory recognition for human biomonitoring comparable to conventional methods. It finds that these decentralised approaches enhance participant

    Read in the Library
  2. Comparing the Metagenomic Performance of Stools Collected from Custom Cards and 95% Ethanol in Epidemiologic Studies

    Cancer epidemiology, biomarkers & prevention · 2025 · Paywalled

    This study found that stool samples self-collected on cards showed high correlation and agreement with ethanol-fixed samples for metagenomic sequencing, with negligible differences in microbial diversity. The results support the use of stool cards as a cost-effective alternative for decentralised

    Read in the Library
  3. Self-sampling tools to increase cancer screening among underserved patients: a pilot randomized controlled trial

    JNCI cancer spectrum · 2024 · Open access

    A pilot RCT found home self-sampling tools substantially increased screening uptake for colorectal cancer, 75% vs 13%, and cervical cancer, 79% vs 8%, versus standard reminders among underserved patients, with abnormal findings in a quarter of returned tests. The study was limited by small

    Read in the Library
  4. Associations between the Gut Microbiota, Race, and Ethnicity of Patients with Colorectal Cancer: A Pilot and Feasibility Study

    Cancers · 2023 · Open access

    Home stool collection proved feasible in a diverse colorectal cancer cohort, with 18 of 30 recruited patients (63%) returning samples. Gut microbiome composition associated significantly with race and ethnicity: Fusobacteriota, a phylum linked to

    Read in the Library
  5. Cross-sectional adherence with the multi-target stool DNA test for colorectal cancer screening in a medicaid population

    Preventive medicine reports · 2022 · Open access

    A retrospective analysis of laboratory data found that adherence to a home-collected multi-target stool DNA test was 51.3% among Medicaid enrollees, 54.6% in Managed-Medicaid and 38.9% in Fee-For-Service. This shows that navigation-supported stool self-collection is a viable patient-centric

    Read in the Library
  6. "CUIDARAS " : A Nominal and Personalized Health Care Model. Effectiveness of a Massive Screening for Colorectal Cancer Detection at Community level

    The Gulf journal of oncology · 2022 · Paywalled

    The study demonstrated that a decentralised healthcare model using self-collected blood in stool tests achieved high adherence and early detection rates for colorectal cancer. It also showed a favourable cost-benefit ratio

    Read in the Library

All 11 in the OpenSampling Library

Standardised input

  1. Toward a human whole-stool reference material for metabolomic and metagenomic gut-microbiome measurements

    Metabolomics · 2020 · Open access

    A multi-institution workshop made the case for a characterised whole-stool reference material so microbiome measurements can be standardised

    Read in the Library
  2. Impact of sampling regions and storage methods on fecal gut microbiome and metabolome profiles

    mSphere · 2020 · Open access

    A study of three children found that the region of stool sampled did not change microbial alpha diversity, while 22 of 176 metabolites varied; homogenising the stool mattered for metabolomics and short room-temperature storage had little

    Read in the Library
  3. Quantitative microbiome profiling links gut community variation to microbial load

    Nature · 2017 · Paywalled

    Expressing taxa as cells per gram of stool showed faecal microbial load varies ~10-fold between healthy people and drives apparent compositional differences:

    Read in the Library

All 3 in the OpenSampling Library

These citations describe the published evidence for the collection formats and devices, not claims about specific Humans Nexus assays, which are validated per analyte and per laboratory.

Put stool on the platform.

Talk to us about adding stool collection to your programme.