Trial Outcomes & Findings for Efficacy and Safety of CB-01-11 200mg Tablets in Infectious Diarrhoea (NCT NCT03447821)

NCT ID: NCT03447821

Last Updated: 2020-02-18

Results Overview

The safety and preliminary efficacy data of the three doses of the new rifamycin SV formulation tested based upon the time elapsed from the ingestion of the 1st dose of study medication to the passage of the last unformed stool (TLUS)

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

40 participants

Primary outcome timeframe

Up to 7 days

Results posted on

2020-02-18

Participant Flow

Participant milestones

Participant milestones
Measure
400 mg Rifamycin SV Dosage
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Four of the six daily tablet taken in this group were placebos. 400 mg Rifamycin SV dosage
800 mg Rifamycin SV Dosage
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Two of the six daily tablet taken in this group were placebos. 800 mg Rifamycin SV dosage
1200 mg Rifamycin SV Dosage
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. None of the six daily tablet taken in this group were placebos. 1200 mg Rifamycin SV dosage
Overall Study
STARTED
14
13
13
Overall Study
COMPLETED
13
12
12
Overall Study
NOT COMPLETED
1
1
1

Reasons for withdrawal

Reasons for withdrawal
Measure
400 mg Rifamycin SV Dosage
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Four of the six daily tablet taken in this group were placebos. 400 mg Rifamycin SV dosage
800 mg Rifamycin SV Dosage
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Two of the six daily tablet taken in this group were placebos. 800 mg Rifamycin SV dosage
1200 mg Rifamycin SV Dosage
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. None of the six daily tablet taken in this group were placebos. 1200 mg Rifamycin SV dosage
Overall Study
Withdrawal by Subject
1
1
0
Overall Study
Lost to Follow-up
0
0
1

Baseline Characteristics

Efficacy and Safety of CB-01-11 200mg Tablets in Infectious Diarrhoea

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
400 mg Rifamycin SV Dosage
n=13 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Four of the six daily tablet taken in this group were placebos. 400 mg Rifamycin SV dosage
800 mg Rifamycin SV Dosage
n=12 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Two of the six daily tablet taken in this group were placebos. 800 mg Rifamycin SV dosage
1200 mg Rifamycin SV Dosage
n=12 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. None of the six daily tablet taken in this group were placebos. 1200 mg Rifamycin SV dosage
Total
n=37 Participants
Total of all reporting groups
Age, Continuous
39.5 years
STANDARD_DEVIATION 12.1 • n=5 Participants
37.3 years
STANDARD_DEVIATION 15.9 • n=7 Participants
41.9 years
STANDARD_DEVIATION 12.7 • n=5 Participants
39.6 years
STANDARD_DEVIATION 13.4 • n=4 Participants
Sex: Female, Male
Female
6 Participants
n=5 Participants
8 Participants
n=7 Participants
7 Participants
n=5 Participants
21 Participants
n=4 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
16 Participants
n=4 Participants
Height (cm)
165.2 cm
STANDARD_DEVIATION 9.8 • n=5 Participants
160.8 cm
STANDARD_DEVIATION 9.7 • n=7 Participants
159.1 cm
STANDARD_DEVIATION 6.2 • n=5 Participants
161.8 cm
STANDARD_DEVIATION 8.9 • n=4 Participants
Weight (kg)
72.3 kg
STANDARD_DEVIATION 16.7 • n=5 Participants
72.9 kg
STANDARD_DEVIATION 17 • n=7 Participants
70.3 kg
STANDARD_DEVIATION 11.8 • n=5 Participants
71.8 kg
STANDARD_DEVIATION 15 • n=4 Participants
Axillary Temperature (°C)
36.8 Degrees Celsius
STANDARD_DEVIATION 0.5 • n=5 Participants
36.8 Degrees Celsius
STANDARD_DEVIATION 0.4 • n=7 Participants
36.7 Degrees Celsius
STANDARD_DEVIATION 0.4 • n=5 Participants
36.8 Degrees Celsius
STANDARD_DEVIATION 0.4 • n=4 Participants

PRIMARY outcome

Timeframe: Up to 7 days

Population: Intent to Treat

The safety and preliminary efficacy data of the three doses of the new rifamycin SV formulation tested based upon the time elapsed from the ingestion of the 1st dose of study medication to the passage of the last unformed stool (TLUS)

Outcome measures

Outcome measures
Measure
400 mg Rifamycin SV Dosage
n=13 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Four of the six daily tablet taken in this group were placebos. 400 mg Rifamycin SV dosage
800 mg Rifamycin SV Dosage
n=12 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Two of the six daily tablet taken in this group were placebos. 800 mg Rifamycin SV dosage
1200 mg Rifamycin SV Dosage
n=12 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. None of the six daily tablet taken in this group were placebos. 1200 mg Rifamycin SV dosage
Time to Last Unformed Stool (TLUS)
59.3 hours
Standard Deviation 12.1
51.4 hours
Standard Deviation 12.3
57.4 hours
Standard Deviation 13.1

SECONDARY outcome

Timeframe: 48 hours

Population: Intent to treat

The evaluation of improvement in diarrhoea during a 48 hour interval is defined as a \>50% reduction of bowel movements versus the baseline value

Outcome measures

Outcome measures
Measure
400 mg Rifamycin SV Dosage
n=13 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Four of the six daily tablet taken in this group were placebos. 400 mg Rifamycin SV dosage
800 mg Rifamycin SV Dosage
n=12 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Two of the six daily tablet taken in this group were placebos. 800 mg Rifamycin SV dosage
1200 mg Rifamycin SV Dosage
n=12 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. None of the six daily tablet taken in this group were placebos. 1200 mg Rifamycin SV dosage
The Number of Patients Showing Improvement in Diarrhoea During a 48h Interval
Showed improvement within 48 hrs
4 Participants
9 Participants
6 Participants
The Number of Patients Showing Improvement in Diarrhoea During a 48h Interval
Showed no improvement within 48 hrs
9 Participants
3 Participants
6 Participants

SECONDARY outcome

Timeframe: 192 hours

Population: ITT

The number of unformed stools passed per 24-h interval, after dosing

Outcome measures

Outcome measures
Measure
400 mg Rifamycin SV Dosage
n=13 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Four of the six daily tablet taken in this group were placebos. 400 mg Rifamycin SV dosage
800 mg Rifamycin SV Dosage
n=12 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Two of the six daily tablet taken in this group were placebos. 800 mg Rifamycin SV dosage
1200 mg Rifamycin SV Dosage
n=11 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. None of the six daily tablet taken in this group were placebos. 1200 mg Rifamycin SV dosage
The Number of Unformed Stools Passed Per 24-h Interval
144-168 h
3 Unformed stools
Standard Deviation 0
1 Unformed stools
Standard Deviation 0
1 Unformed stools
Standard Deviation 0
The Number of Unformed Stools Passed Per 24-h Interval
0-24 h
5.23 Unformed stools
Standard Deviation 2.74
4.67 Unformed stools
Standard Deviation 3.17
4.73 Unformed stools
Standard Deviation 3.41
The Number of Unformed Stools Passed Per 24-h Interval
24-48 h
2.15 Unformed stools
Standard Deviation 1.95
1.5 Unformed stools
Standard Deviation 1.57
2.64 Unformed stools
Standard Deviation 2.66
The Number of Unformed Stools Passed Per 24-h Interval
48-72 h
2.09 Unformed stools
Standard Deviation 1.64
1.29 Unformed stools
Standard Deviation 1.6
1.7 Unformed stools
Standard Deviation 1.95
The Number of Unformed Stools Passed Per 24-h Interval
72-96 h
1.5 Unformed stools
Standard Deviation 1.29
1.67 Unformed stools
Standard Deviation 2.08
1.8 Unformed stools
Standard Deviation 2.05
The Number of Unformed Stools Passed Per 24-h Interval
96-120 h
1.5 Unformed stools
Standard Deviation 0.71
1.5 Unformed stools
Standard Deviation 2.12
0.75 Unformed stools
Standard Deviation 0.96
The Number of Unformed Stools Passed Per 24-h Interval
120-144 h
3 Unformed stools
Standard Deviation 0
0.5 Unformed stools
Standard Deviation 0.71
1 Unformed stools
Standard Deviation 0
The Number of Unformed Stools Passed Per 24-h Interval
168-192 h
0 Unformed stools
Standard Deviation 0
1 Unformed stools
Standard Deviation 0
1 Unformed stools
Standard Deviation 0

SECONDARY outcome

Timeframe: 48 hours

Population: intent to treat

The patient having must meet all of the following criteria in order to be classified as "well": 48 hours with no unformed stools with a maximum of two soft stools and no clinical symptoms of infectious diarrhoea.

Outcome measures

Outcome measures
Measure
400 mg Rifamycin SV Dosage
n=13 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Four of the six daily tablet taken in this group were placebos. 400 mg Rifamycin SV dosage
800 mg Rifamycin SV Dosage
n=12 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Two of the six daily tablet taken in this group were placebos. 800 mg Rifamycin SV dosage
1200 mg Rifamycin SV Dosage
n=11 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. None of the six daily tablet taken in this group were placebos. 1200 mg Rifamycin SV dosage
The Number of Patients Who Are Declared to be "Well"
Wellness Yes
13 Participants
10 Participants
2 Participants
The Number of Patients Who Are Declared to be "Well"
Wellness No
0 Participants
2 Participants
9 Participants

SECONDARY outcome

Timeframe: 120 hours

Population: ITT

A treatment failure is defined as clinical deterioration or worsening of symptoms or illness continuing after 120 h following the first dose.

Outcome measures

Outcome measures
Measure
400 mg Rifamycin SV Dosage
n=13 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Four of the six daily tablet taken in this group were placebos. 400 mg Rifamycin SV dosage
800 mg Rifamycin SV Dosage
n=12 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Two of the six daily tablet taken in this group were placebos. 800 mg Rifamycin SV dosage
1200 mg Rifamycin SV Dosage
n=11 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. None of the six daily tablet taken in this group were placebos. 1200 mg Rifamycin SV dosage
Number of Participants With Treatment Failure
No
12 Participants
10 Participants
9 Participants
Number of Participants With Treatment Failure
Yes
1 Participants
2 Participants
2 Participants

SECONDARY outcome

Timeframe: 24 hours

Population: ITT

Patients were considered to have recovered if fewer than three unformed stools were passed in the previous 24 hours and no symptom of enteric infection were present.

Outcome measures

Outcome measures
Measure
400 mg Rifamycin SV Dosage
n=13 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Four of the six daily tablet taken in this group were placebos. 400 mg Rifamycin SV dosage
800 mg Rifamycin SV Dosage
n=12 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Two of the six daily tablet taken in this group were placebos. 800 mg Rifamycin SV dosage
1200 mg Rifamycin SV Dosage
n=11 Participants
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. None of the six daily tablet taken in this group were placebos. 1200 mg Rifamycin SV dosage
The Number of Patients Recovered From Diarrhoea
No
1 Participants
2 Participants
2 Participants
The Number of Patients Recovered From Diarrhoea
Yes
12 Participants
10 Participants
9 Participants

Adverse Events

400 mg Rifamycin SV Dosage

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

800 mg Rifamycin SV Dosage

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

1200 mg Rifamycin SV Dosage

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
400 mg Rifamycin SV Dosage
n=13 participants at risk
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Four of the six daily tablet taken in this group were placebos. 400 mg Rifamycin SV dosage
800 mg Rifamycin SV Dosage
n=12 participants at risk
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. Two of the six daily tablet taken in this group were placebos. 800 mg Rifamycin SV dosage
1200 mg Rifamycin SV Dosage
n=12 participants at risk
Two enteric coated, modified release tablets, each containing 200 mg Rifamycin SV, taken three times daily. None of the six daily tablet taken in this group were placebos. 1200 mg Rifamycin SV dosage
Cardiac disorders
CARDIAC DISORDERS
0.00%
0/13
0.00%
0/12
8.3%
1/12 • Number of events 1
Gastrointestinal disorders
GASTROINTESTINAL DISORDERS
15.4%
2/13 • Number of events 2
25.0%
3/12 • Number of events 10
8.3%
1/12 • Number of events 2
General disorders
GENERAL DISORDERS
15.4%
2/13 • Number of events 2
0.00%
0/12
0.00%
0/12
Psychiatric disorders
PSYCHIATRIC DISORDERS
7.7%
1/13 • Number of events 1
0.00%
0/12
0.00%
0/12
Skin and subcutaneous tissue disorders
SKIN AND SUBCUTANEOUS
7.7%
1/13 • Number of events 1
0.00%
0/12
0.00%
0/12
Musculoskeletal and connective tissue disorders
MUSCULOSKELETAL
0.00%
0/13
0.00%
0/12
8.3%
1/12 • Number of events 1
Nervous system disorders
NERVOUS SYSTEM
0.00%
0/13
0.00%
0/12
25.0%
3/12 • Number of events 3

Additional Information

Richard Jones

Cosmo Technologies Ltd.

Phone: +353 18170370

Results disclosure agreements

  • Principal investigator is a sponsor employee No disclosure was to take place without written authorisation from Cosmo Technologies Ltd, except to the extent necessary to obtain informed consent from potential volunteers.
  • Publication restrictions are in place

Restriction type: OTHER