Trial Outcomes & Findings for Rifaximin for the Treatment of Persistent Symptoms in Patients With Celiac Disease (NCT NCT01137955)

NCT ID: NCT01137955

Last Updated: 2022-06-29

Results Overview

Validated seven point questionnaire that assesses gastrointestinal symptoms for five symptom areas, including abdominal pain, reflux, indigestion, diarrhea, and constipation. Individual scores are calculated for each symptom area and the mean of the scores is used to derive an overall GSRS score. Scores range from 0-7, with higher scores indicating gastrointestinal discomfort.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

50 participants

Primary outcome timeframe

Baseline (week 0)

Results posted on

2022-06-29

Participant Flow

Recruited from Celiac Disease Center.

Fifty participants were enrolled and 41 participants completed the trial.

Participant milestones

Participant milestones
Measure
Rifaximin
Antibiotic ( 25 subjects) 400 mg capsules of Rifaximin 3 times a day for 10 days.
Placebo
Inert capsules ( 25 Subjects) Placebo capsules 3 times a day for 10 days.
Overall Study
STARTED
25
25
Overall Study
COMPLETED
20
21
Overall Study
NOT COMPLETED
5
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Rifaximin
Antibiotic ( 25 subjects) 400 mg capsules of Rifaximin 3 times a day for 10 days.
Placebo
Inert capsules ( 25 Subjects) Placebo capsules 3 times a day for 10 days.
Overall Study
Withdrawal by Subject
5
4

Baseline Characteristics

Rifaximin for the Treatment of Persistent Symptoms in Patients With Celiac Disease

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rifaximin
n=25 Participants
Antibiotic ( 25 subjects) 400 mg capsules of Rifaximin 3 times a day for 10 days.
Placebo
n=25 Participants
Inert capsules ( 25 Subjects) Placebo capsules 3 times a day for 10 days.
Total
n=50 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Age, Categorical
Between 18 and 65 years
23 Participants
n=93 Participants
23 Participants
n=4 Participants
46 Participants
n=27 Participants
Age, Categorical
>=65 years
2 Participants
n=93 Participants
2 Participants
n=4 Participants
4 Participants
n=27 Participants
Age, Continuous
41.9 years
STANDARD_DEVIATION 14.6 • n=93 Participants
43.4 years
STANDARD_DEVIATION 14.0 • n=4 Participants
42.7 years
STANDARD_DEVIATION 14 • n=27 Participants
Sex: Female, Male
Female
17 Participants
n=93 Participants
17 Participants
n=4 Participants
34 Participants
n=27 Participants
Sex: Female, Male
Male
8 Participants
n=93 Participants
8 Participants
n=4 Participants
16 Participants
n=27 Participants
Region of Enrollment
United States
25 participants
n=93 Participants
25 participants
n=4 Participants
50 participants
n=27 Participants

PRIMARY outcome

Timeframe: Baseline (week 0)

Validated seven point questionnaire that assesses gastrointestinal symptoms for five symptom areas, including abdominal pain, reflux, indigestion, diarrhea, and constipation. Individual scores are calculated for each symptom area and the mean of the scores is used to derive an overall GSRS score. Scores range from 0-7, with higher scores indicating gastrointestinal discomfort.

Outcome measures

Outcome measures
Measure
Rifaximin
n=20 Participants
400 mg capsules of Rifaximin 3 times a day for 10 days.
Placebo
n=21 Participants
Placebo capsules 3 times a day for 10 days.
Baseline Gastrointestinal Symptom Rating Scale (GSRS) Score
2.7 Score on a scale
Standard Deviation 1.1
2.8 Score on a scale
Standard Deviation 0.9

PRIMARY outcome

Timeframe: Week 2

Validated seven point questionnaire that assesses gastrointestinal symptoms for five symptom areas, including abdominal pain, reflux, indigestion, diarrhea, and constipation. Individual scores are calculated for each symptom area and the mean of the scores is used to derive an overall GSRS score. Scores range from 0-7, with higher scores indicating gastrointestinal discomfort.

Outcome measures

Outcome measures
Measure
Rifaximin
n=20 Participants
400 mg capsules of Rifaximin 3 times a day for 10 days.
Placebo
n=21 Participants
Placebo capsules 3 times a day for 10 days.
Week 2 Gastrointestinal Symptom Rating Scale (GSRS) Score
2.3 score on a scale
Standard Deviation 0.6
2.4 score on a scale
Standard Deviation 0.6

PRIMARY outcome

Timeframe: Week 12

Validated seven point questionnaire that assesses gastrointestinal symptoms for five symptom areas, including abdominal pain, reflux, indigestion, diarrhea, and constipation. Individual scores are calculated for each symptom area and the mean of the scores is used to derive an overall GSRS score. Scores range from 0-7, with higher scores indicating gastrointestinal discomfort.

Outcome measures

Outcome measures
Measure
Rifaximin
n=20 Participants
400 mg capsules of Rifaximin 3 times a day for 10 days.
Placebo
n=21 Participants
Placebo capsules 3 times a day for 10 days.
Week 12 Gastrointestinal Symptom Rating Scale (GSRS) Score
2.5 score on a scale
Standard Deviation 0.8
2.5 score on a scale
Standard Deviation 0.8

SECONDARY outcome

Timeframe: Up to 12 weeks

A breath test measures for small intestine bacterial overgrowth (SIBO). The breath test measures the amount of hydrogen exhaled after drinking a sugar (lactulose) solution. An abnormal breath test is defined as: 1) a rise in hydrogen of ≥20 parts per million (ppm) within 100 minutes, or 2) two peaks ≥20 ppm over baseline.

Outcome measures

Outcome measures
Measure
Rifaximin
n=20 Participants
400 mg capsules of Rifaximin 3 times a day for 10 days.
Placebo
n=21 Participants
Placebo capsules 3 times a day for 10 days.
Percentage of Participants With Abnormal Breath Test
12 Percent of Participants
20 Percent of Participants

Adverse Events

Rifaximin

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Peter Green

Celiac Disease Center at Columbia University

Phone: (212) 305-5590

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place