Low-dose Rifaximin in the Treatment of Covert Hepatic Encephalopathy

NCT ID: NCT03077217

Last Updated: 2021-07-01

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

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-05-01

Study Completion Date

2020-05-31

Brief Summary

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Several studies have been showed that rifaximin can improve cognitive functions, driving simulator performance and health-related quality of life in patients with minimal hepatic encephalopathy. The aim of this prospective randomized open controlled study was to evaluate the efficacy and safety of rifaximin at different doses for the treatment of covert hepatic encephalopathy.

Detailed Description

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Conditions

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Covert Hepatic Encephalopathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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the high-dose rifaximin

The high-dose rifaximin group was given rifaximin 1200 mg/day for 8 weeks.

Group Type ACTIVE_COMPARATOR

Rifaximin

Intervention Type DRUG

The investigators use low-dose rifaximin for the treatment of patients with covert hepatic encephalopathy

the low-dose rifaximinl group

The low-dose rifaximin group was given rifaximin 800 mg/day for 8 weeks.

Group Type ACTIVE_COMPARATOR

Rifaximin

Intervention Type DRUG

The investigators use low-dose rifaximin for the treatment of patients with covert hepatic encephalopathy

the control group

The control group didn't receive rifaximin treatment

Group Type PLACEBO_COMPARATOR

Rifaximin

Intervention Type DRUG

The investigators use low-dose rifaximin for the treatment of patients with covert hepatic encephalopathy

Interventions

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Rifaximin

The investigators use low-dose rifaximin for the treatment of patients with covert hepatic encephalopathy

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients agreed to sign the informed consents
2. Patients aged 18-70 years,males or females
3. Patients who were diagnosed with occult hepatic encephalopathy by PHES and Stroop tests

Exclusion Criteria

1. Allergy to rifamycin/rifamutin/rifampin/rifapentine
2. Current or recent (\<3 month) use of alcohol or can't stop drinking during the study period
3. Use of antibiotics within last 6 weeks
4. Use of lactulose/lactitol, probiotics, L-ornithine-L-aspart,zinc,metronidazole, neomycin, or rifaximin within last 6 weeks
5. Infection or gastrointestinal hemorrhage within last 6 weeks
6. Use of psychoactive drugs within last 6 weeks
7. Occurred overt hepatic encephalopathy within last 3 months
8. history of portosystemic shunt surgery or transjugular intrahepatic portosystemic shunt
9. Poor vision, color blindness or motor defects that interfere with the performance of psychometric tests
10. Other non-controllable neurological or psychiatric problems which may affect cognitive function such as Alzheimer's disease, Parkinson's disease or schizophrenia
11. Conformed or highly suspicious diagnosis of liver malignant tumors
12. Human immunodeficiency virus (HIV) infection
13. Uncontrolled hypertension, diabetes or other serious cardiac and pulmonary diseases
14. White blood cell count\<1×10\^9/L
15. Pregnancy and breastfeeding
16. Participated in other drug clinical trials within 3 months
17. The researchers thought it was not suitable for this clinical trial
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Changzheng Hospital

OTHER

Sponsor Role lead

Responsible Party

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Wei-Fen Xie

Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Shanghai changzheng Hospital

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

References

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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)

Other Identifiers

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CZH0010

Identifier Type: -

Identifier Source: org_study_id

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