NCT01037959

Brief Summary

Patients with advanced cirrhosis have abnormal translocation of Gram-negative bacteria across the intestinal barrier and subsequent systemic inflammatory response. We hypothesized that this translocation may worsen the underlying liver disease. Thus, the aim of this trial was to assess the effects of the oral administration of norfloxacin (an antibiotic that suppresses intestinal Gram-negative bacteria) on the development of complications of cirrhosis.

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
291

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Apr 2010

Longer than P75 for phase_3

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 21, 2009

Completed
2 days until next milestone

First Posted

Study publicly available on registry

December 23, 2009

Completed
3 months until next milestone

Study Start

First participant enrolled

April 1, 2010

Completed
4.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2014

Completed
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2015

Completed
Last Updated

December 9, 2015

Status Verified

November 1, 2015

Enrollment Period

4.6 years

First QC Date

December 21, 2009

Last Update Submit

December 8, 2015

Conditions

Keywords

severe cirrhosisPatients with severe cirrhosis

Outcome Measures

Primary Outcomes (1)

  • Survival rate

    6 months

Secondary Outcomes (3)

  • Survival rate

    12-month follow-up

  • Number of patient with liver transplantation

    12 months

  • Complications : bacterial infection, renal insufficiency, hepatic encephalopathy, gastrointestinal bleeding

    12 months

Study Arms (2)

Norfloxacin

ACTIVE COMPARATOR

Patients with severe cirrhosis treated with norfloxacin

Drug: Norfloxacin

Placebo

PLACEBO COMPARATOR

Patients with severe cirrhosis treated with placebo

Drug: Placebo

Interventions

400 mg/day (per os) for 6 months

Norfloxacin

1 pill/day (per os) for 6 months

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age \> 18 years,
  • Liver failure as defined by a Child-Pugh score ≥ 10 points,
  • Accept to participate,
  • Have health insurance.

You may not qualify if:

  • Pregnancy,
  • Allergy to quinolones,
  • Hepatocellular carcinoma, and
  • HIV infection.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Assisatnce publique Hoptitaux de Paris

Clichy, 92110, France

Location

Related Publications (1)

  • Moreau R, Elkrief L, Bureau C, Perarnau JM, Thevenot T, Saliba F, Louvet A, Nahon P, Lannes A, Anty R, Hillaire S, Pasquet B, Ozenne V, Rudler M, Ollivier-Hourmand I, Robic MA, d'Alteroche L, Di Martino V, Ripault MP, Pauwels A, Grange JD, Carbonell N, Bronowicki JP, Payance A, Rautou PE, Valla D, Gault N, Lebrec D; NORFLOCIR Trial Investigators. Effects of Long-term Norfloxacin Therapy in Patients With Advanced Cirrhosis. Gastroenterology. 2018 Dec;155(6):1816-1827.e9. doi: 10.1053/j.gastro.2018.08.026. Epub 2018 Aug 23.

MeSH Terms

Conditions

Fibrosis

Interventions

Norfloxacin

Condition Hierarchy (Ancestors)

Pathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Fluoroquinolones4-QuinolonesQuinolonesQuinolinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingHeterocyclic Compounds

Study Officials

  • MOREAU RICHARD

    APHP

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 21, 2009

First Posted

December 23, 2009

Study Start

April 1, 2010

Primary Completion

November 1, 2014

Study Completion

November 1, 2015

Last Updated

December 9, 2015

Record last verified: 2015-11

Locations