Rifaximin Therapy in Chronic Kidney Disease

NCT ID: NCT02342639

Last Updated: 2021-11-05

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-06-30

Study Completion Date

2019-03-01

Brief Summary

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The purpose of this study is to determine if Rifaximin decreases serum and urine levels of bacterial byproducts and inflammatory markers in patients with chronic kidney disease and to evaluate changes in the bacterial content of the stool from these individuals.

Detailed Description

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Conditions

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Chronic Kidney Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Rifaximin

Participants will receive a 10-day course of Rifaximin.

Group Type EXPERIMENTAL

Rifaximin

Intervention Type DRUG

550mg pills

Placebo

Participants will receive a 10-day course of placebo.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo pill

Interventions

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Rifaximin

550mg pills

Intervention Type DRUG

Placebo

Placebo pill

Intervention Type DRUG

Other Intervention Names

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XIFAXAN®

Eligibility Criteria

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Inclusion Criteria

* Chronic kidney disease with eGFR ≤ 39 ml/min/1.73m2

Exclusion Criteria

* Patients with normal renal function or those with less advanced kidney disease
* Inability or unwillingness to provide consent
* Patients undergoing hemodialysis or peritoneal dialysis therapy or those who have undergone organ transplant
* Patients who may be pregnant
* Hemodynamically unstable patients
* Patients with liver failure, pancreatic insufficiency, or inflammatory bowel disease
* Patients with ongoing or recent infection and those with history of C-diff infection
* Patients with abnormal bowel structure secondary to surgical or anatomic variations
* Patients on certain medications including immunosuppressants, antidiarrheal agents, bile acid sequestrants and current or recent (within the last 3 months) use of antibiotics
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Jason Stubbs, MD

OTHER

Sponsor Role lead

Responsible Party

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Jason Stubbs, MD

Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jason Stubbs, MD

Role: PRINCIPAL_INVESTIGATOR

University of Kansas Medical Center

Locations

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University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status

Countries

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United States

References

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Kimber C, Zhang S, Johnson C, West RE 3rd, Prokopienko AJ, Mahnken JD, Yu AS, Hoofnagle AN, Ir D, Robertson CE, Miyazaki M, Chonchol M, Jovanovich A, Kestenbaum B, Frank DN, Nolin TD, Stubbs JR. Randomized, Placebo-Controlled Trial of Rifaximin Therapy for Lowering Gut-Derived Cardiovascular Toxins and Inflammation in CKD. Kidney360. 2020 Nov;1(11):1206-1216. doi: 10.34067/kid.0003942020. Epub 2020 Nov 25.

Reference Type DERIVED
PMID: 34322673 (View on PubMed)

Provided Documents

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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form

View Document

Other Identifiers

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STUDY00001638

Identifier Type: -

Identifier Source: org_study_id