Trial Outcomes & Findings for Efficacy, Safety, And Pharmacokinetics Of Rifaximin In Subjects With Severe Hepatic Impairment And Hepatic Encephalopathy (NCT NCT01846663)

NCT ID: NCT01846663

Last Updated: 2024-01-09

Results Overview

Recruitment status

TERMINATED

Study phase

PHASE4

Target enrollment

6 participants

Primary outcome timeframe

6 Months

Results posted on

2024-01-09

Participant Flow

Participant milestones

Participant milestones
Measure
Rifaximin
Rifaximin, oral, 550 mg BID, 6 months of treatment Rifaximin: Rifaximin, oral, 550 mg BID, 6 months treatment
Placebo
Placebo, oral, 0 mg BID, 6 months of treatment Placebo: Placebo, oral, 0 mg BID, 6 months of treatment
Overall Study
STARTED
3
3
Overall Study
COMPLETED
0
1
Overall Study
NOT COMPLETED
3
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Rifaximin
Rifaximin, oral, 550 mg BID, 6 months of treatment Rifaximin: Rifaximin, oral, 550 mg BID, 6 months treatment
Placebo
Placebo, oral, 0 mg BID, 6 months of treatment Placebo: Placebo, oral, 0 mg BID, 6 months of treatment
Overall Study
Hepatic encephalopathy breakthrough
1
0
Overall Study
Withdrawal by Subject
1
0
Overall Study
Adverse Event
1
2

Baseline Characteristics

Efficacy, Safety, And Pharmacokinetics Of Rifaximin In Subjects With Severe Hepatic Impairment And Hepatic Encephalopathy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rifaximin
n=3 Participants
Rifaximin, oral, 550 mg BID, 6 months of treatment Rifaximin: Rifaximin, oral, 550 mg BID, 6 months treatment
Placebo
n=3 Participants
Placebo, oral, 0 mg BID, 6 months of treatment Placebo: Placebo, oral, 0 mg BID, 6 months of treatment
Total
n=6 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
2 Participants
n=7 Participants
5 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 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
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 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
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
3 Participants
n=7 Participants
3 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
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 Months

Outcome measures

Outcome measures
Measure
Rifaximin
n=3 Participants
Rifaximin, oral, 550 mg BID, 6 months of treatment Rifaximin: Rifaximin, oral, 550 mg BID, 6 months treatment
Placebo
n=3 Participants
Placebo, oral, 0 mg BID, 6 months of treatment Placebo: Placebo, oral, 0 mg BID, 6 months of treatment
Proportion of Participants With Hepatic Encephalopathy (HE) Breakthrough Episode
1 Participants
1 Participants

SECONDARY outcome

Timeframe: 6 Months

Outcome measures

Outcome measures
Measure
Rifaximin
n=3 Participants
Rifaximin, oral, 550 mg BID, 6 months of treatment Rifaximin: Rifaximin, oral, 550 mg BID, 6 months treatment
Placebo
n=3 Participants
Placebo, oral, 0 mg BID, 6 months of treatment Placebo: Placebo, oral, 0 mg BID, 6 months of treatment
Proportion of Participants With HE-related Hospitalization
1 Participants
1 Participants

Adverse Events

Rifaximin

Serious events: 3 serious events
Other events: 2 other events
Deaths: 2 deaths

Placebo

Serious events: 1 serious events
Other events: 3 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Rifaximin
n=3 participants at risk
Rifaximin, oral, 550 mg BID, 6 months of treatment Rifaximin: Rifaximin, oral, 550 mg BID, 6 months treatment
Placebo
n=3 participants at risk
Placebo, oral, 0 mg BID, 6 months of treatment Placebo: Placebo, oral, 0 mg BID, 6 months of treatment
Hepatobiliary disorders
Hepatic cirrhosis
66.7%
2/3 • Number of events 2 • Up to 6 months
0.00%
0/3 • Up to 6 months
Respiratory, thoracic and mediastinal disorders
Epistaxis
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Respiratory, thoracic and mediastinal disorders
Respiratory failure
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Renal and urinary disorders
Renal failure acute
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Infections and infestations
Septic shock
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Infections and infestations
Sepsis
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Gastrointestinal disorders
Ascites
33.3%
1/3 • Number of events 1 • Up to 6 months
33.3%
1/3 • Number of events 1 • Up to 6 months
Infections and infestations
Bronchitis
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Nervous system disorders
Hepatic encephalopathy
33.3%
1/3 • Number of events 1 • Up to 6 months
33.3%
1/3 • Number of events 1 • Up to 6 months
Hepatobiliary disorders
Hepatorenal syndrome
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Hepatobiliary disorders
Non-alcoholic steatohepatitis
0.00%
0/3 • Up to 6 months
33.3%
1/3 • Number of events 1 • Up to 6 months
Infections and infestations
Urinary tract infection
0.00%
0/3 • Up to 6 months
33.3%
1/3 • Number of events 1 • Up to 6 months
Hepatobiliary disorders
Liver disorder
0.00%
0/3 • Up to 6 months
33.3%
1/3 • Number of events 1 • Up to 6 months
Infections and infestations
Peritonitis bacterial
0.00%
0/3 • Up to 6 months
33.3%
1/3 • Number of events 1 • Up to 6 months

Other adverse events

Other adverse events
Measure
Rifaximin
n=3 participants at risk
Rifaximin, oral, 550 mg BID, 6 months of treatment Rifaximin: Rifaximin, oral, 550 mg BID, 6 months treatment
Placebo
n=3 participants at risk
Placebo, oral, 0 mg BID, 6 months of treatment Placebo: Placebo, oral, 0 mg BID, 6 months of treatment
Gastrointestinal disorders
Abdominal pain
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Investigations
Ammonia increased
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Blood and lymphatic system disorders
Anemia
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Nervous system disorders
Anosmia
0.00%
0/3 • Up to 6 months
33.3%
1/3 • Number of events 1 • Up to 6 months
Nervous system disorders
Disturbance in attention
0.00%
0/3 • Up to 6 months
33.3%
1/3 • Up to 6 months
Nervous system disorders
Dysesthesia
0.00%
0/3 • Up to 6 months
33.3%
1/3 • Number of events 2 • Up to 6 months
Nervous system disorders
Dysgeusia
0.00%
0/3 • Up to 6 months
33.3%
1/3 • Number of events 1 • Up to 6 months
Metabolism and nutrition disorders
Dyslipidemia
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Infections and infestations
Escherichia infection
0.00%
0/3 • Up to 6 months
33.3%
1/3 • Number of events 1 • Up to 6 months
General disorders
Fatigue
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Metabolism and nutrition disorders
Hyperkalemia
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Metabolism and nutrition disorders
Hypokalemia
33.3%
1/3 • Number of events 1 • Up to 6 months
33.3%
1/3 • Number of events 1 • Up to 6 months
Metabolism and nutrition disorders
Hypomagnesemia
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
General disorders
Hypothermia
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Psychiatric disorders
Insomnia
0.00%
0/3 • Up to 6 months
33.3%
1/3 • Up to 6 months
Investigations
International normalized ratio increased
0.00%
0/3 • Up to 6 months
33.3%
1/3 • Number of events 1 • Up to 6 months
Musculoskeletal and connective tissue disorders
Musculoskeletal stiffness
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Gastrointestinal disorders
Nausea
0.00%
0/3 • Up to 6 months
33.3%
1/3 • Up to 6 months
General disorders
Edema peripheral
33.3%
1/3 • Number of events 1 • Up to 6 months
0.00%
0/3 • Up to 6 months
Investigations
Prothrombin time prolonged
0.00%
0/3 • Up to 6 months
33.3%
1/3 • Number of events 1 • Up to 6 months
Nervous system disorders
Tremor
0.00%
0/3 • Up to 6 months
33.3%
1/3 • Number of events 1 • Up to 6 months

Additional Information

Study Director

Bausch Health Americas, Inc

Phone: 7072851528

Results disclosure agreements

  • Principal investigator is a sponsor employee Contact sponsor for details.
  • Publication restrictions are in place

Restriction type: OTHER