Study of Rifaximin in Minimal Hepatic Encephalopathy

NCT ID: NCT01069133

Last Updated: 2012-12-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-02-28

Study Completion Date

2012-12-31

Brief Summary

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Rifaximin therapy will improve brain functioning on MRI scanning and change the microbiome and metabolome.

Detailed Description

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Conditions

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Minimal Hepatic Encephalopathy

Keywords

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minimal hepatic encephalopathy cirrhosis complications

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Rifaximin

Group Type EXPERIMENTAL

Rifaximin

Intervention Type DRUG

550mg BID open-label

rifaximin

Intervention Type DRUG

550mg PO BID

Interventions

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Rifaximin

550mg BID open-label

Intervention Type DRUG

rifaximin

550mg PO BID

Intervention Type DRUG

Other Intervention Names

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xifaxan xifaxan

Eligibility Criteria

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Inclusion Criteria

* Age 18-65 years
* cirrhosis diagnosed by clinical or biopsy grounds
* Minimal hepatic encephalopathy defined by impaired performance on at least 2 of the following: number connection tests A/B, digit symbol and block design tests (NCT-A, NCT-B, DST and BDT) compared to age and education-matched controls.
* No contraindications to MRI
* TIPS (transjugular intra-hepatic porto-systemic shunt) procedure or elective surgery planned within the next 8 weeks

Exclusion Criteria

* Current therapy with lactulose, rifaximin or other treatment for hepatic encephalopathy.
* Prior episodes of overt HE
* MMSE \<25
* TIPS placement
* Unable to give informed consent.
* Contra-indications to MRI
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bausch Health Americas, Inc.

INDUSTRY

Sponsor Role collaborator

Hunter Holmes Mcguire Veteran Affairs Medical Center

FED

Sponsor Role lead

Responsible Party

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Jasmohan Bajaj

Associate Professor of Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jasmohan S Bajaj, MD, MSc

Role: PRINCIPAL_INVESTIGATOR

McGuire VA Medical Center

Locations

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Hunter Holmes McGuire VA Medical Center

Richmond, Virginia, United States

Site Status

Countries

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United States

References

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Bajaj JS, Heuman DM, Sanyal AJ, Hylemon PB, Sterling RK, Stravitz RT, Fuchs M, Ridlon JM, Daita K, Monteith P, Noble NA, White MB, Fisher A, Sikaroodi M, Rangwala H, Gillevet PM. Modulation of the metabiome by rifaximin in patients with cirrhosis and minimal hepatic encephalopathy. PLoS One. 2013;8(4):e60042. doi: 10.1371/journal.pone.0060042. Epub 2013 Apr 2.

Reference Type DERIVED
PMID: 23565181 (View on PubMed)

Other Identifiers

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BAJAJ010

Identifier Type: -

Identifier Source: org_study_id