Dose-ranging Study of Rifaximin Soluble Solid Dispersion (SSD) Tablets for the Prevention of Complications of Early Decompensated Liver Cirrhosis

NCT ID: NCT01904409

Last Updated: 2019-10-23

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

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

420 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2015-07-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

The primary objective of this study is to assess the efficacy of rifaximin SSD versus placebo in preventing complications of liver cirrhosis, such as all-cause mortality (death due to all causes) or hospitalization, in subjects with early decompensated liver cirrhosis.

Rifaximin, a non-systemic antibacterial agent, is currently marketed as a 550 mg tablet for the reduction in risk of recurrent overt hepatic encephalopathy, a complication of liver cirrhosis. The rifaximin SSD tablet was formulated to maximize the efficacy of rifaximin.

Subjects will receive 1 of 5 doses of rifaximin SSD tablets or placebo tablets every day for 24 weeks.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Liver Cirrhosis

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Placebo

Placebo tablets once daily.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Rifaximin SSD 40 mg IR tablet

Rifaximin soluble solid dispersion (SSD) 40 mg immediate release (IR) tablet once daily.

Group Type EXPERIMENTAL

Rifaximin SSD 40 mg IR tablet

Intervention Type DRUG

Rifaximin SSD 80 mg IR tablet

Rifaximin soluble solid dispersion (SSD) 80 mg immediate release (IR) tablet once daily.

Group Type EXPERIMENTAL

Rifaximin SSD 80 mg IR tablet

Intervention Type DRUG

Rifaximin SSD 40 mg SER tablet

Rifaximin soluble solid dispersion (SSD) 40 mg sustained extended release (SER) tablet once daily.

Group Type EXPERIMENTAL

Rifaximin SSD 40 mg SER tablet

Intervention Type DRUG

Rifaximin SSD 80 mg SER tablet

Rifaximin soluble solid dispersion (SSD) 80 mg sustained extended release(SER) tablet once daily.

Group Type EXPERIMENTAL

Rifaximin SSD 80 mg SER tablet

Intervention Type DRUG

Rifaximin SSD 80mgIR/80mgSER tablet

Rifaximin soluble solid dispersion (SSD) 80 mg immediate release (IR) tablet + rifaximin SSD 80 mg sustained extended release (SER) tablet once daily.

Group Type EXPERIMENTAL

Rifaximin SSD 80mgIR/80mgSER tablet

Intervention Type DRUG

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Placebo

Intervention Type DRUG

Rifaximin SSD 40 mg IR tablet

Intervention Type DRUG

Rifaximin SSD 80 mg IR tablet

Intervention Type DRUG

Rifaximin SSD 40 mg SER tablet

Intervention Type DRUG

Rifaximin SSD 80 mg SER tablet

Intervention Type DRUG

Rifaximin SSD 80mgIR/80mgSER tablet

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

Rifaximin Rifaximin Rifaximin Rifaximin Rifaximin

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Diagnosis of liver cirrhosis and documented ascites.
* Model End Stage Liver Disease (MELD) score of at least 12, MELD Na of at least 12, or Child-Pugh B (score of 7 - 9).
* If applicable, has a close family or other personal contacts who can provide continuing oversight to the patient and will be available to the patient during the conduct of the trial.
* If female of childbearing potential, have a negative serum pregnancy test at study start and agree to use an acceptable method of contraception during the study.

Exclusion Criteria

* History of a major psychiatric disorder including uncontrolled major depression or controlled or uncontrolled psychoses within the past 24 months prior to study start.
* History of alcohol abuse or substance abuse within the past 3 months prior to study start.
* Documented cholestatic liver disease such as primary sclerosing cholangitis.
* Had prophylactic variceal banding within 2 weeks or is scheduled to undergo prophylactic banding during the study.
* Diagnosed with an infection for which the patient is currently taking oral or parenteral antibiotics.
* Significant hypovolemia, or any electrolyte abnormality that can affect mental function (eg, serum sodium \< 125 mEq/L, serum calcium \> 10 mg/dL).
* Severe hypokalemia, defined as serum potassium concentration \< 2.5 mEq/L.
* Anemic, defined as hemoglobin concentration ≤ 8 g/dL.
* Renal insufficiency with a creatinine of ≥ 1.5 mg/dL.
* Presence of intestinal obstruction or inflammatory bowel disease.
* Uncontrolled Type 1 or Type 2 diabetes.
* History of seizure disorders.
* Unstable cardiovascular or pulmonary disease, categorized by a worsening in the disease condition that requires a change in treatment or medical care within 30 days of study start.
* Active malignancy within the last 5 years (exceptions: basal cell carcinomas of the skin, or if female, in situ cervical carcinoma that has been surgically excised).
* Has hepatocellular carcinoma.
* Known human immunodeficiency virus, varicella, herpes zoster, or other severe viral infection within 6 weeks of study start.
* Positive stool test for Yersinia enterocolitica, Campylobacter jejuni, Salmonella, Shigella, ovum and parasites, and/or Clostridium difficile (C. difficile); determined during the screening period prior to study start.
* History of tuberculosis infection and/or has received treatment for a tuberculosis infection.
* History of hypersensitivity to rifaximin, rifampin, rifamycin antimicrobial agents, or any of the components of rifaximin soluble solid dispersion.
* Used any investigational product or device, or participated in another research study within 30 days prior to study start.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Bausch Health Americas, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

James Joffrion

Role: STUDY_DIRECTOR

Bausch Health Americas, Inc.

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Salix Investigative Site

Birmingham, Alabama, United States

Site Status

Salix Investigative Site

Dothan, Alabama, United States

Site Status

Salix Investigative Site

Mobile, Alabama, United States

Site Status

Salix Investigative Site

Tucson, Arizona, United States

Site Status

Salix Investigational Site

Artesia, California, United States

Site Status

Salix Investigational Site

Bakersfield, California, United States

Site Status

Salix Investigational Site

Chula Vista, California, United States

Site Status

Salix Investigational Site

Coronado, California, United States

Site Status

Salix Investigational Site

Costa Mesa, California, United States

Site Status

Salix Investigative Site

Fresno, California, United States

Site Status

Salix Investigational Site

La Jolla, California, United States

Site Status

Salix Investigative Site

Los Angeles, California, United States

Site Status

Salix Investigational Site

Monterey, California, United States

Site Status

Salix Investigational Site

Riverside, California, United States

Site Status

Salix Investigational Site

San Diego, California, United States

Site Status

Salix Investigational Site

Ventura, California, United States

Site Status

Salix Investigational Site

Englewood, Colorado, United States

Site Status

Salix Investigational Site

Littleton, Colorado, United States

Site Status

Salix Investigational Site

Bristol, Connecticut, United States

Site Status

Salix Investigational Site

New Haven, Connecticut, United States

Site Status

Salix Investigational Site

Waterbury, Connecticut, United States

Site Status

Salix Investigational Site

Coral Gables, Florida, United States

Site Status

Salix Investigational Site

Gainesville, Florida, United States

Site Status

Salix Investigative Site

Hialeah, Florida, United States

Site Status

Salix Investigational Site

Hialeah, Florida, United States

Site Status

Salix Investigational Site

Hollywood, Florida, United States

Site Status

Salix Investigative Site

Inverness, Florida, United States

Site Status

Salix Investigational Site

Lake Worth, Florida, United States

Site Status

Salix Investigative Site

Largo, Florida, United States

Site Status

Salix Investigative Site

Maitland, Florida, United States

Site Status

Salix Investigational Site

Miami, Florida, United States

Site Status

Salix Investigational Site

Miami, Florida, United States

Site Status

Salix Investigational Site

Miami, Florida, United States

Site Status

Salix Investigational Site

Miami Springs, Florida, United States

Site Status

Salix Investigational Site

New Port Richey, Florida, United States

Site Status

Salix Investigative Site

Orlando, Florida, United States

Site Status

Salix Investigational Site

Pembroke Pines, Florida, United States

Site Status

Salix Investigational Site

Port Orange, Florida, United States

Site Status

Salix Investigational Site

Saint Cloud, Florida, United States

Site Status

Salix Investigational Site

Tamarac, Florida, United States

Site Status

Salix Investigational Site

Atlanta, Georgia, United States

Site Status

Salix Investigative Site

Atlanta, Georgia, United States

Site Status

Salix Investigative Site

Decatur, Georgia, United States

Site Status

Salix Investigational Site

Macon, Georgia, United States

Site Status

Salix Investigative Site

Chicago, Illinois, United States

Site Status

Salix Investigative Site

Maywood, Illinois, United States

Site Status

Salix Investigational Site

Evansville, Indiana, United States

Site Status

Salix Investigational Site

Indianapolis, Indiana, United States

Site Status

Salix Investigative Site

Iowa City, Iowa, United States

Site Status

Salix Investigational Site

Bowling Green, Kentucky, United States

Site Status

Salix Investigational Site

Bastrop, Louisiana, United States

Site Status

Salix Investigational Site

Monroe, Louisiana, United States

Site Status

Salix Investigational Site

New Orleans, Louisiana, United States

Site Status

Salix Investigational Site

Shreveport, Louisiana, United States

Site Status

Salix Investigational Site

Annapolis, Maryland, United States

Site Status

Salix Investigational Site

Baltimore, Maryland, United States

Site Status

Salix Investigational Site

Baltimore, Maryland, United States

Site Status

Salix Investigational Site

Chevy Chase, Maryland, United States

Site Status

Salix Investigational Site

Hagerstown, Maryland, United States

Site Status

Salix Investigational Site

Boston, Massachusetts, United States

Site Status

Salix Investigational Site

Boston, Massachusetts, United States

Site Status

Salix Investigational Site

Brockton, Massachusetts, United States

Site Status

Salix Investigational Site

Springfield, Massachusetts, United States

Site Status

Salix Investigative Site

Chesterfield, Michigan, United States

Site Status

Salix Investigational Site

Wyoming, Michigan, United States

Site Status

Salix Investigational Site

Minneapolis, Minnesota, United States

Site Status

Salix Investigative Site

Tupelo, Mississippi, United States

Site Status

Salix Investigational Site

Kansas City, Missouri, United States

Site Status

Salix Investigative Site

St Louis, Missouri, United States

Site Status

Salix Investigational Site

Marlton, New Jersey, United States

Site Status

Salix Investigational Site

New Brunswick, New Jersey, United States

Site Status

Salix Investigative Site

Brooklyn, New York, United States

Site Status

Salix Investigational Site

Flushing, New York, United States

Site Status

Salix Investigational Site

New York, New York, United States

Site Status

Salix Investigational Site

New York, New York, United States

Site Status

Salix Investigational Site

Rochester, New York, United States

Site Status

Salix Investigative Site

The Bronx, New York, United States

Site Status

Salix Investigational Site

Asheville, North Carolina, United States

Site Status

Salix Investigational Site

Chapel Hill, North Carolina, United States

Site Status

Salix Investigative Site

Charlotte, North Carolina, United States

Site Status

Salix Investigational Site

Charlotte, North Carolina, United States

Site Status

Salix Investigational Site

Fayetteville, North Carolina, United States

Site Status

Salix Investigational Site

Wilmington, North Carolina, United States

Site Status

Salix Investigational Site

Winston-Salem, North Carolina, United States

Site Status

Salix Investigative Site

Cincinnati, Ohio, United States

Site Status

Salix Investigational Site

Cincinnati, Ohio, United States

Site Status

Salix Investigational Site

Cleveland, Ohio, United States

Site Status

Salix Investigative Site

Dayton, Ohio, United States

Site Status

Salix Investigational Site

Mentor, Ohio, United States

Site Status

Salix Investigational Site

Portland, Oregon, United States

Site Status

Salix Investigative Site

Bristol, Tennessee, United States

Site Status

Salix Investigational Site

Chattanooga, Tennessee, United States

Site Status

Salix Investigational Site

Nashville, Tennessee, United States

Site Status

Salix Investigational Site

Nashville, Tennessee, United States

Site Status

Salix Investigative Site

Arlington, Texas, United States

Site Status

Salix Investigational Site

Austin, Texas, United States

Site Status

Salix Investigational Site

Dallas, Texas, United States

Site Status

Salix Investigational Site

Dallas, Texas, United States

Site Status

Salix Investigative Site

Dallas, Texas, United States

Site Status

Salix Investigational Site

Fort Worth, Texas, United States

Site Status

Salix Investigational Site

Houston, Texas, United States

Site Status

Salix Investigational Site

Houston, Texas, United States

Site Status

Salix Investigational Site

Houston, Texas, United States

Site Status

Salix Investigational Site

San Antonio, Texas, United States

Site Status

Salix Investigational Site

San Antonio, Texas, United States

Site Status

Salix Investigational Site

Bountiful, Utah, United States

Site Status

Salix Investigative Site

Salt Lake City, Utah, United States

Site Status

Salix Investigational Site

Charlottesville, Virginia, United States

Site Status

Salix Investigative Site

Norfolk, Virginia, United States

Site Status

Salix Investigative Site

Richmond, Virginia, United States

Site Status

Salix Investigational Site

Richmond, Virginia, United States

Site Status

Salix Investigative Site

Richland, Washington, United States

Site Status

Salix Investigative Site

Seattle, Washington, United States

Site Status

Salix Investigative Site

Krasnogorsk, , Russia

Site Status

Salix Investigative Site

Moscow, , Russia

Site Status

Salix Investigative Site

Novosibirsk, , Russia

Site Status

Salix Investigative Site

Saint Petersburg, , Russia

Site Status

Salix Investigative Site

Samara, , Russia

Site Status

Salix Investigative Site

Smolensk, , Russia

Site Status

Salix Investigative Site

Stavropol, , Russia

Site Status

Countries

Review the countries where the study has at least one active or historical site.

United States Russia

References

Explore related publications, articles, or registry entries linked to this study.

Zacharias HD, Kamel F, Tan J, Kimer N, Gluud LL, Morgan MY. Rifaximin for prevention and treatment of hepatic encephalopathy in people with cirrhosis. Cochrane Database Syst Rev. 2023 Jul 19;7(7):CD011585. doi: 10.1002/14651858.CD011585.pub2.

Reference Type DERIVED
PMID: 37467180 (View on PubMed)

Bajaj JS, Hassanein TI, Pyrsopoulos NT, Sanyal AJ, Rahimi RS, Heimanson Z, Israel RJ, Rockey DC. Dosing of Rifaximin Soluble Solid Dispersion Tablets in Adults With Cirrhosis: 2 Randomized, Placebo-controlled Trials. Clin Gastroenterol Hepatol. 2023 Mar;21(3):723-731.e9. doi: 10.1016/j.cgh.2022.05.042. Epub 2022 Jun 22.

Reference Type DERIVED
PMID: 35750249 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

RNLC2131

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Rifaximin SSD in Dementia Trial
NCT06718686 RECRUITING PHASE1/PHASE2