NCT02920242

Brief Summary

This study compared safety and efficacy of a generic rifaximin tablet to the reference listed drug in the treatment of travelers' diarrhea. Additionally both the generic and reference formulations were tested for superiority against a placebo tablet. It was planned that 450 patients would be enrolled, but only 28 patients were randomized. Of these, 1 patient discontinued due to failure to meet the inclusion/exclusion criteria. The remaining 27 patients received study drug and 25 patients completed the study. The study was terminated due to slow enrolment. The final analysis included only safety analysis in the Safety population, due to the low number of randomized patients. No efficacy analysis was performed.

Trial Health

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Trial Health Score

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

Enrollment
28

participants targeted

Target at below P25 for phase_3

Timeline
Completed

Started Dec 2016

Shorter than P25 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

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

September 29, 2016

Completed
1 day until next milestone

First Posted

Study publicly available on registry

September 30, 2016

Completed
3 months until next milestone

Study Start

First participant enrolled

December 15, 2016

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 23, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 23, 2017

Completed
1.8 years until next milestone

Results Posted

Study results publicly available

March 25, 2019

Completed
Last Updated

March 25, 2019

Status Verified

December 1, 2018

Enrollment Period

5 months

First QC Date

September 29, 2016

Results QC Date

April 27, 2018

Last Update Submit

December 20, 2018

Conditions

Keywords

Travelersdiarrhearifaximinequivalence

Outcome Measures

Primary Outcomes (1)

  • Clinical Cure Rate

    Clinical cure was defined as either no stools or only formed stools within a 48 hour period and no fever, with or without other enteric symptoms, OR no watery stools or no more than two soft stools passed within a 24 hour period with no fever and no other enteric symptoms except for mild excess gas/flatulence.

    study day 5 +/- 1 day

Secondary Outcomes (6)

  • Time to Last Unformed Stool

    within 5 study days

  • Proportion of Patients With Clinical Failure

    within 5 study days

  • Proportion of Patients With Improvement of Diarrheal Syndrome

    within 5 study days

  • Number of Unformed Stools

    within 5 study days

  • The Presence or Absence and Severity of Signs and Symptoms of Enteric Infection

    within 5 study days

  • +1 more secondary outcomes

Study Arms (3)

Rifaximin

EXPERIMENTAL

Patients received Rifaximin 200 mg tablet 3 times per day for 3 days.

Drug: Rifaximin (Sandoz GmbH) tablet

Xifaxan

ACTIVE COMPARATOR

Patients received Xifaxan 200 mg tablet 3 times per day for 3 days.

Drug: Rifaximin (Xifaxan)

Placebo

PLACEBO COMPARATOR

Patients received placebo tablet 3 times per day for 3 days.

Drug: Placebo

Interventions

200 mg tablet administered orally.

Rifaximin

200 mg tablet administered orally

Also known as: Xifaxan®
Xifaxan

Matching Placebo tablet administered orally

Placebo

Eligibility Criteria

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

You may qualify if:

  • Patient is able to read and understood the language of the Informed Consent Form and Patient Information.
  • International travelers with a duration of stay in host country long enough to attend schedules visits.
  • Affected by naturally acquired acute diarrhea, defined as the passage of at least 3 unformed stools within 24 hours immediately preceding randomization preceding randomization

You may not qualify if:

  • Hypersensitivity to rifaximin or any of the rifamycin antimicrobial agents or to any of the excipients of the study drug.
  • Pregnant, breast feeding or planning pregnancy
  • Acute diarrhea for \> 72 hours immediately prior to randomization.
  • Presence of fever (≥ 100 °F/37.8°C) or hematochezia (blood in stool, noted visually) or clinical findings suggesting moderate or severe dehydration.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Sandoz Investigative Site

Mexico City, Mexico

Location

MeSH Terms

Conditions

Diarrhea

Interventions

RifaximinTablets

Condition Hierarchy (Ancestors)

Signs and Symptoms, DigestiveSigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

RifamycinsHeterocyclic Compounds, 4 or More RingsHeterocyclic Compounds, Fused-RingHeterocyclic CompoundsLactams, MacrocyclicMacrocyclic CompoundsPolycyclic CompoundsDosage FormsPharmaceutical Preparations

Results Point of Contact

Title
Study Director
Organization
Novartis Pharmaceuticals

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 29, 2016

First Posted

September 30, 2016

Study Start

December 15, 2016

Primary Completion

May 23, 2017

Study Completion

May 23, 2017

Last Updated

March 25, 2019

Results First Posted

March 25, 2019

Record last verified: 2018-12

Locations