One Year Study of Rifaximin Delayed Release (DR) Tablets in Crohn's Disease

NCT ID: NCT02240121

Last Updated: 2019-09-10

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-08-21

Study Completion Date

2017-08-16

Brief Summary

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The primary objective is to determine the efficacy of rifaximin DR also referred to as Extended Intestinal Release (EIR) tablets vs. placebo for the induction of clinical remission and endoscopic response following 16 weeks of treatment in participants presenting with active moderate Crohn's disease. A key secondary objective is to evaluate clinical and endoscopic remission following an additional 36 weeks of treatment.

Detailed Description

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RECD3125 is a double-blind, placebo-controlled, parallel-group, multicenter, multiregional, 52-week study to assess the efficacy and safety of rifaximin DR tablets for the induction of clinical remission and endoscopic response at 16 weeks followed by clinical and endoscopic remission after 52 weeks of continuous therapy in participants with active moderate Crohn's disease.

Participants will be randomized in a 1:1 allocation to rifaximin or placebo at the beginning of the treatment period and will maintain treatment assignment throughout the duration of the study. Ileocolonoscopy will be performed on all participants at baseline, between Weeks 16 and 17 (end of the Induction Phase), and following completion of the 36-week Long Term Treatment Phase (Week 52).

Conditions

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Crohn's Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Rifaximin EIR 800 mg

Participants will receive rifaximin EIR 400 milligrams (mg) tablets orally twice daily for 52 weeks.

Group Type EXPERIMENTAL

Rifaximin EIR

Intervention Type DRUG

Rifaximin EIR tablets will be administered per the dose and schedule specified in the arm.

Placebo

Participants will receive placebo matching to rifaximin EIR tablets orally twice daily for 52 weeks.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo matching to rifaximin EIR tablets will be administered per the dose and schedule specified in the arm.

Interventions

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Rifaximin EIR

Rifaximin EIR tablets will be administered per the dose and schedule specified in the arm.

Intervention Type DRUG

Placebo

Placebo matching to rifaximin EIR tablets will be administered per the dose and schedule specified in the arm.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Moderate, non-fistulizing Crohn's disease in the ileum and/or colon prior to randomization; and a SES-CD score of ≥7 (confirmed by centralized endoscopy reading).
* During the screening period, the participant will need to have certain average daily scores for abdominal pain and average number of liquid/very soft stools.

Exclusion Criteria

* Pregnant or lactating females. Females of childbearing (reproductive) potential must have a negative serum pregnancy test at screening and agree to use a highly effective method(s) of contraception throughout their participation in the study. Diagnosis of ulcerative or indeterminate colitis.
* Diagnosis of Celiac Disease.
* Bowel surgery within 12 weeks prior to screening and/or has surgery planned or deemed likely for Crohn's disease during the study period.
* Presence of an ileostomy or colostomy.
* Known fixed symptomatic stenosis/stricture of the small or large bowel.
* Had more than one segmental colonic resection.
* Had more than 3 small bowel resections or symptoms associated with short bowel syndrome.
* Current evidence of peritonitis.
* History or evidence of colonic mucosal dysplasia.
* History or evidence of adenomatous colonic polyps that have not been removed.
* Unwilling to be tapered off corticosteroids by Week 8 or the participant is known by the Investigator to be steroid-dependent.
* Has used a biologic within 12 weeks of randomization.
* Used cyclosporine, tacrolimus, sirolimus, mycophenolate mofetil, or similar drugs within 8 weeks prior to randomization.
* Had rectal administration of 5-aminosalicylic acid (5-ASA) or corticosteroid enemas/foams/ suppositories within 2 weeks prior to screening visit.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Salix Pharmaceuticals, Inc. a division of Bausch Health US, LLC

UNKNOWN

Sponsor Role collaborator

Bausch Health Americas, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lindsey Mathew

Role: STUDY_DIRECTOR

Bausch Health Americas, Inc.

Locations

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Scottsdale, Arizona, United States

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Tucson, Arizona, United States

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Tucson, Arizona, United States

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Little Rock, Arkansas, United States

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Little Rock, Arkansas, United States

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North Little Rock, Arkansas, United States

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Bakersfield, California, United States

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Los Angeles, California, United States

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Mission Hills, California, United States

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Orange, California, United States

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San Carlos, California, United States

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Torrance, California, United States

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Denver, Colorado, United States

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Bristol, Connecticut, United States

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Danbury, Connecticut, United States

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Boynton Beach, Florida, United States

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Coral Springs, Florida, United States

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Hialeah, Florida, United States

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Homestead, Florida, United States

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Largo, Florida, United States

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Miami, Florida, United States

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Orlando, Florida, United States

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Orlando, Florida, United States

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Orlando, Florida, United States

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Plant City, Florida, United States

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Winter Haven, Florida, United States

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Winter Park, Florida, United States

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Atlanta, Georgia, United States

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Columbus, Georgia, United States

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Urbana, Illinois, United States

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Evansville, Indiana, United States

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Indianapolis, Indiana, United States

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Pratt, Kansas, United States

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Madisonville, Kentucky, United States

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Chevy Chase, Maryland, United States

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Towson, Maryland, United States

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Marlborough, Massachusetts, United States

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Ann Arbor, Michigan, United States

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Chesterfield, Michigan, United States

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Troy, Michigan, United States

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Jackson, Mississippi, United States

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Mexico, Missouri, United States

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Reno, Nevada, United States

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Marlton, New Jersey, United States

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Teaneck, New Jersey, United States

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Brooklyn, New York, United States

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Flushing, New York, United States

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Great Neck, New York, United States

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New York, New York, United States

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Poughkeepsie, New York, United States

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Chapel Hill, North Carolina, United States

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Jacksonville, North Carolina, United States

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Kinston, North Carolina, United States

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Raleigh, North Carolina, United States

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Salisbury, North Carolina, United States

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Mentor, Ohio, United States

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Oklahoma City, Oklahoma, United States

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Sayre, Pennsylvania, United States

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Charleston, South Carolina, United States

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Greenville, South Carolina, United States

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Orangeburg, South Carolina, United States

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Sioux Falls, South Dakota, United States

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Kingsport, Tennessee, United States

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Nashville, Tennessee, United States

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Arlington, Texas, United States

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Fort Worth, Texas, United States

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Pasadena, Texas, United States

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Southlake, Texas, United States

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Clinton, Utah, United States

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Leesburg, Virginia, United States

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Bellevue, Washington, United States

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Madison, Wisconsin, United States

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Countries

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United States

Provided Documents

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Document Type: Statistical Analysis Plan

View Document

Document Type: Study Protocol

View Document

Other Identifiers

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RECD3125

Identifier Type: -

Identifier Source: org_study_id

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