Rifaximin SSD in Dementia Trial

NCT ID: NCT06718686

Last Updated: 2024-12-31

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

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-30

Study Completion Date

2026-05-31

Brief Summary

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Using a new formulation of rifaximin, a non-absorbable antibiotic, to test if it can affect microbes in the gut of patients with dementia favorably.

Detailed Description

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Hypothesis: Rifaximin SSD therapy is safe and well tolerated in patients with AD and VaD with beneficial changes in systemic inflammation and systemic biomarkers of dementia due to improvement in microbiota function compared to placebo-related changes in a single-blind, placebo-controlled Phase 1b/2a trial .

Overall Objective: In a single blind placebo-controlled trial in patients with Alzheimer's or vascular dementia, to determine the effect of rifaximin SSD compared to placebo on gut microbial structure and function, cognitive and daily function, and caregiver burden.

Conditions

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Dementia Alzheimer Type Dementia Associated With Cerebrovascular Disease

Keywords

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dementia rifaximin gut-brain Alzheimer's vascular dementia

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Placebo

Patients will be given placebo and actual drug sequentially with the order hidden

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Placebo drug

Rifaximin SSD 40mg IR BID

Patients will be given placebo and actual drug sequentially with the order hidden

Group Type EXPERIMENTAL

Rifaximin SSD 40 mg IR tablet

Intervention Type DRUG

Drug therapy vs placebo

Interventions

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Rifaximin SSD 40 mg IR tablet

Drug therapy vs placebo

Intervention Type DRUG

Placebo

Placebo drug

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Probable Alzheimer's Disease (AD) or Vascular Dementia (VaD) mild or moderate based on Clinical Dementia Rating Scale.
* Males and Females Age ≥ 65 years
* Community living with availability of caregiver to accompany participant to study visits and to participate in the study.
* Able to consent or legal guardian who can consent (with participant assent).
* Legally authorized representative (LAR) and caregiver for the study is the same individual.
* Fluency (both participant and caregiver) in written and spoken English to participate in study visits.

Exclusion Criteria

* Dementia not due to AD or VaD
* Clinically significant agitation or aggression (requiring treatment with antipsychotic medication)
* Delusions and/or hallucinations
* Severe psychopathology including major depression
* Unstable, severe, or poorly controlled medical conditions evident from physical examination or clinical history
* Visual and/or hearing disorder that prevents completion of neuropsychologic evaluations.
* Diarrhea
* Hypersensitivity to rifaximin, components of rifaximin,
* and any rifamycin antimicrobial agent
* Antibiotic use in the prior 6 months
* Taking medications that interact with Rifaximin. P-glycoprotein (P-gp) inhibitor treatment is permitted as long as the use of P-gp inhibitors is discussed with the investigator.
* History of alcohol and/or drug abuse
* Participation in another investigational drug trial in the last 30 days
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bausch Health Americas, Inc.

INDUSTRY

Sponsor Role collaborator

Jasmohan Bajaj

FED

Sponsor Role lead

Responsible Party

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Jasmohan Bajaj

Staff Physician

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Jasmohan Bajaj

Role: PRINCIPAL_INVESTIGATOR

Richmond VA Medical Center

Locations

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Richmond VA Medical Center

Richmond, Virginia, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jasmohan S Bajaj, MD

Role: CONTACT

Phone: 804-675-5802

Email: [email protected]

Haley Obolewicz, RN

Role: CONTACT

Phone: 804-675-5705

Email: [email protected]

Facility Contacts

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Haley Obolewicz, RN

Role: primary

Other Identifiers

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1817324

Identifier Type: -

Identifier Source: org_study_id