Rifaximin in Patients With Gastroesophageal Variceal Bleeding
RFXM
Efficacy of Rafiximin in Patients With Cirrhotic Gastroesophageal Variceal Hemorrhage: A Single-center Pilot Study
1 other identifier
interventional
80
1 country
1
Brief Summary
The purpose of the study is to evaluate the safety and efficacy of Rifaximin in the treatment of cirrhotic gastroesophageal variceal bleeding.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 2016
1 active site
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
Study Start
First participant enrolled
November 25, 2016
CompletedFirst Submitted
Initial submission to the registry
December 10, 2016
CompletedFirst Posted
Study publicly available on registry
December 13, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 22, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
February 28, 2018
CompletedMay 11, 2018
May 1, 2018
1.1 years
December 10, 2016
May 4, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Incidence of all clinical adverse events
The occurrence of rebleeding, ascites fluid infection, hepatorenal syndrome, hepatopulmonary syndrome, portal vein thrombosis, or death in 8 weeks
8 weeks
Secondary Outcomes (3)
Changes of portal vein thrombosis
2 months
Changes of intestinal flora
2 months
The changes of serum level of cytokines
8 weeks
Study Arms (2)
Rifaximin Treatment Group
EXPERIMENTALRifaximin 400mg bid for 2 months,
Control Group
NO INTERVENTIONReceive routine endoscopic treatment without having rifaximin for 2 months
Interventions
Patients receive Rifaximin 400mg bid for 2 months
Eligibility Criteria
You may qualify if:
- y.o. ≤age≤75 y.o.;
- Cirrhotic gastroesophageal variceal bleeding underwent endoscopic treatment (include esophageal varices ligation, endoscopic injection sclerosis and gastric N- butyl-cyanoacrylate injection).
You may not qualify if:
- age \<18 y.o. or age \> 75 y.o.;
- Never had the variceal bleeding episode before;
- Do not have endoscopic treatment;
- Combined with other malignant tumors (not exclude patients with hepatocellular carcinoma who don't need treatment at the moment);
- Known infection after endoscopic treatment (Fever, microbial cultures positive, et al.)
- Massive ascites or combined with other high-risk factors that require prophylaxis use of antibiotics.
- Acute variceal bleeding within 5 days.
- Refuse to participate
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
180 Fenglin Road
Shanghai, Shanghai Municipality, 200032, China
Related Publications (2)
Huang XQ, Ai YJ, Li F, Ye ST, Wang JH, Zhang R, Zhang W, Zhu YL, Chen SY. Impact of rifaximin on cirrhosis complications and gastric microbiota in patients with gastroesophageal variceal bleeding: A pilot randomized controlled trial. J Dig Dis. 2024 Aug;25(8):504-516. doi: 10.1111/1751-2980.13314.
PMID: 39443081DERIVEDZacharias 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.
PMID: 37467180DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Shiyao CHEN, M.D.
Zhongshan Hospital, Fudan University, Shanghai
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
December 10, 2016
First Posted
December 13, 2016
Study Start
November 25, 2016
Primary Completion
December 22, 2017
Study Completion
February 28, 2018
Last Updated
May 11, 2018
Record last verified: 2018-05