Trial Outcomes & Findings for Rifamycin SV-MMX® Tablets Versus Ciprofloxacin Capsules in Acute Traveller's Diarrhoea (NCT NCT01208922)

NCT ID: NCT01208922

Last Updated: 2019-02-27

Results Overview

Time to Last Unformed Stool (TLUS), defined as the interval in hours between the first dose of study drug and the last unformed stool passed, after which clinical cure was declared.

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

835 participants

Primary outcome timeframe

5 days

Results posted on

2019-02-27

Participant Flow

Recruited from November 2010 until January 2016

A total of 835 patients were enrolled and were randomised to one of the 2 treatment groups according to the randomisation plan. All randomised patients received at least one dose of study medication.

Participant milestones

Participant milestones
Measure
Rifamycin Group
Rifamycin SV-MMX® 200 mg tablets Rifamycin SV-MMX®: 2 Rifamycin SV-MMX® 200 mg tablets and 1 placebo to ciprofloxacin capsule, b.i.d.
Ciprofloxacin Group
Ciprofloxacin 500 mg capsules Ciprofloxacin: 1 ciprofloxacin 500 mg capsule and 2 placebos to Rifamycin SV-MMX® 200 mg tablets, b.i.d.
Overall Study
STARTED
420
415
Overall Study
COMPLETED
409
405
Overall Study
NOT COMPLETED
11
10

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Rifamycin SV-MMX® Tablets Versus Ciprofloxacin Capsules in Acute Traveller's Diarrhoea

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group A
n=420 Participants
Rifamycin SV-MMX® 200 mg tablets Rifamycin SV-MMX®: 2 Rifamycin SV-MMX® 200 mg tablets and 1 placebo to ciprofloxacin capsule, b.i.d.
Group B
n=415 Participants
Ciprofloxacin 500 mg capsules Ciprofloxacin: 1 ciprofloxacin 500 mg capsule and 2 placebos to Rifamycin SV-MMX® 200 mg tablets, b.i.d.
Total
n=835 Participants
Total of all reporting groups
Age, Continuous
40.0 years
STANDARD_DEVIATION 16.1 • n=5 Participants
40.4 years
STANDARD_DEVIATION 16.6 • n=7 Participants
40.2 years
STANDARD_DEVIATION 16.3 • n=5 Participants
Sex: Female, Male
Female
215 Participants
n=5 Participants
197 Participants
n=7 Participants
412 Participants
n=5 Participants
Sex: Female, Male
Male
205 Participants
n=5 Participants
218 Participants
n=7 Participants
423 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
75 Participants
n=5 Participants
68 Participants
n=7 Participants
143 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
White
342 Participants
n=5 Participants
344 Participants
n=7 Participants
686 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Region of Enrollment
Ecuador
1 participants
n=5 Participants
0 participants
n=7 Participants
1 participants
n=5 Participants
Region of Enrollment
Guatemala
14 participants
n=5 Participants
15 participants
n=7 Participants
29 participants
n=5 Participants
Region of Enrollment
India
405 participants
n=5 Participants
400 participants
n=7 Participants
805 participants
n=5 Participants

PRIMARY outcome

Timeframe: 5 days

Population: Efficacy results were reported for Full Analysis Set, which all randomised patients (as randomised) who received at least one dose of study medication. Patients with uncertainty as to whether they had received study medication or not (e.g., due to lost to follow-up) were included.

Time to Last Unformed Stool (TLUS), defined as the interval in hours between the first dose of study drug and the last unformed stool passed, after which clinical cure was declared.

Outcome measures

Outcome measures
Measure
Group A
n=420 Participants
Rifamycin SV-MMX® 200 mg tablets Rifamycin SV-MMX®: 2 Rifamycin SV-MMX® 200 mg tablets and 1 placebo to ciprofloxacin capsule, b.i.d.
Group B
n=415 Participants
Ciprofloxacin 500 mg capsules Ciprofloxacin: 1 ciprofloxacin 500 mg capsule and 2 placebos to Rifamycin SV-MMX® 200 mg tablets, b.i.d.
Time to Last Unformed Stool (TLUS)
44.3 hours
Interval 40.1 to 47.5
40.3 hours
Interval 33.5 to 44.8

SECONDARY outcome

Timeframe: 5 days

Clinical Cure Rate: 24-hour period with no clinical symptoms except mild flatulence, no fever, no watery stools and no more than 2 soft stools OR 48-hour period with no stools or only formed stools, and no fever, with our without symptoms of enteric infection.

Outcome measures

Outcome measures
Measure
Group A
n=420 Participants
Rifamycin SV-MMX® 200 mg tablets Rifamycin SV-MMX®: 2 Rifamycin SV-MMX® 200 mg tablets and 1 placebo to ciprofloxacin capsule, b.i.d.
Group B
n=415 Participants
Ciprofloxacin 500 mg capsules Ciprofloxacin: 1 ciprofloxacin 500 mg capsule and 2 placebos to Rifamycin SV-MMX® 200 mg tablets, b.i.d.
Number of Patients With Clinical Cure
357 Participants
352 Participants

Adverse Events

Group A

Serious events: 0 serious events
Other events: 36 other events
Deaths: 0 deaths

Group B

Serious events: 0 serious events
Other events: 32 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Group A
n=420 participants at risk
Rifamycin SV-MMX® 200 mg tablets Rifamycin SV-MMX®: 2 Rifamycin SV-MMX® 200 mg tablets and 1 placebo to ciprofloxacin capsule, b.i.d.
Group B
n=415 participants at risk
Ciprofloxacin 500 mg capsules Ciprofloxacin: 1 ciprofloxacin 500 mg capsule and 2 placebos to Rifamycin SV-MMX® 200 mg tablets, b.i.d.
Nervous system disorders
Headache
3.1%
13/420 • Number of events 13 • An average of 1 month
Non-serious AEs were analysed as Treatment-Emergent AEs defined as all AEs with onset after treatment day 1 but not after the last day with study drug administration.
2.2%
9/415 • Number of events 9 • An average of 1 month
Non-serious AEs were analysed as Treatment-Emergent AEs defined as all AEs with onset after treatment day 1 but not after the last day with study drug administration.
Gastrointestinal disorders
Diarrhoea
1.9%
8/420 • Number of events 8 • An average of 1 month
Non-serious AEs were analysed as Treatment-Emergent AEs defined as all AEs with onset after treatment day 1 but not after the last day with study drug administration.
1.4%
6/415 • Number of events 6 • An average of 1 month
Non-serious AEs were analysed as Treatment-Emergent AEs defined as all AEs with onset after treatment day 1 but not after the last day with study drug administration.
Gastrointestinal disorders
Nausea
1.4%
6/420 • Number of events 6 • An average of 1 month
Non-serious AEs were analysed as Treatment-Emergent AEs defined as all AEs with onset after treatment day 1 but not after the last day with study drug administration.
1.4%
6/415 • Number of events 6 • An average of 1 month
Non-serious AEs were analysed as Treatment-Emergent AEs defined as all AEs with onset after treatment day 1 but not after the last day with study drug administration.
Gastrointestinal disorders
Flatulence
1.2%
5/420 • Number of events 5 • An average of 1 month
Non-serious AEs were analysed as Treatment-Emergent AEs defined as all AEs with onset after treatment day 1 but not after the last day with study drug administration.
1.4%
6/415 • Number of events 6 • An average of 1 month
Non-serious AEs were analysed as Treatment-Emergent AEs defined as all AEs with onset after treatment day 1 but not after the last day with study drug administration.
Gastrointestinal disorders
Abdominal pain
0.95%
4/420 • Number of events 4 • An average of 1 month
Non-serious AEs were analysed as Treatment-Emergent AEs defined as all AEs with onset after treatment day 1 but not after the last day with study drug administration.
1.2%
5/415 • Number of events 5 • An average of 1 month
Non-serious AEs were analysed as Treatment-Emergent AEs defined as all AEs with onset after treatment day 1 but not after the last day with study drug administration.

Additional Information

Department of Clinical Research

Dr. Falk Pharma GmbH

Phone: 0049 7611514

Results disclosure agreements

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