NCT04026984

Brief Summary

This will be a double-blind comparative study, performed in pediatric subjects (Age 6-11) traveling to developing regions with a known high incidence of traveler's diarrhea. The subjects will be suffering from acute diarrhea for at least 12 hours, without symptoms of systemic infection.

Trial Health

35
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
142

participants targeted

Target at P75+ for phase_2

Timeline
Completed

Started Jun 2024

Shorter than P25 for phase_2

Status
unknown

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

July 12, 2019

Completed
7 days until next milestone

First Posted

Study publicly available on registry

July 19, 2019

Completed
4.9 years until next milestone

Study Start

First participant enrolled

June 1, 2024

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 1, 2025

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2025

Completed
Last Updated

January 27, 2023

Status Verified

January 1, 2023

Enrollment Period

1 year

First QC Date

July 12, 2019

Last Update Submit

January 26, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Clinical Cure

    Passage of two or fewer soft stools and no watery stools, no fever (\> 100.4 ºF or 38 ºC), and no signs or symptoms of enteric infection (other than mild excess gas/flatulence) during a 24-hour interval in the 120-hour data collection period after the first dose of study drug or Passage of no stools or only formed stools and no fever during a 48-hour interval in the 120-hour data collection period after the first dose of study drug, with or without other signs or symptoms of enteric infection.

    120 hours

Secondary Outcomes (3)

  • Time to last unformed stool (TLUS)

    120 hours

  • Microbiological Cure

    120 hours

  • Treatment Failure

    120 hours

Study Arms (2)

Rifamycin SV MMX plus ORT

EXPERIMENTAL

One tablet contains 50 mg Rifamycin SV-MMX® plus standard of care Oral Rehydration Therapy (ORT). Two 50mg tablets will be administered twice daily.

Drug: Rifamycin SV-MMX

Placebo tablets plus ORT

PLACEBO COMPARATOR

Matching placebo tablets plus standard of care Oral Rehydration Therapy (ORT)

Drug: Placebo

Interventions

2 Rifamycin SV-MMX® 50 mg tablets b.i.d. plus ORT

Also known as: Rifamycin
Rifamycin SV MMX plus ORT

Matching Placebo tablets

Placebo tablets plus ORT

Eligibility Criteria

Age6 Years - 11 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Diagnosis of acute bacterial diarrhea defined as at least 3 unformed stools within the 24 hours preceding randomization, with a duration of illness ≤72 h. The bacterial origin of diarrhea will be confirmed "a posteriori" by stool microbiology sampling at the time of screening.
  • Presence of one or more signs or symptoms of enteric infection, including nausea, vomiting, abdominal cramps or pain, tenesmus, urgency
  • History of recent travel from an industrialized country to a developing region with a known high incidence of travelers' diarrhea
  • Male or female 6-11 years of age, providing an unformed pre-treatment stool
  • The parent or legally acceptable representative must provide informed consent for the subject. The Subject must also provide written informed assent and be accompanied by the parent or legal guardian at the time of assent/consent signing.

You may not qualify if:

  • Fever (\>100.4ºF or 38ºC), or presence of signs and symptoms of systemic infection
  • Known or suspected infection with non-bacterial pathogen
  • Symptoms of acute diarrhea of \>72 hours duration
  • Presence of grossly bloody stool
  • Moderate to severe dehydration
  • History of inflammatory bowel disease (IBD)
  • Abdominal ileus
  • Severe dehydration
  • Greater than two doses of an antidiarrheal medication within 24 hours before randomization, or any symptomatic therapy within 2 hours before enrolment
  • Receiving antimicrobial drug with expected activity against enteric bacterial pathogens within the week prior to enrolment
  • Hypersensitivity to rifamycin-related antibiotics or to any excipient included in the study medications
  • Subjects unable/unwilling to comply with study protocol
  • Participation in a clinical trial within the last 30 days

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Interventions

rifamycin SV

Study Officials

  • June Almenoff, MD, PhD

    RedHill Biopharma, Inc.

    STUDY DIRECTOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 12, 2019

First Posted

July 19, 2019

Study Start

June 1, 2024

Primary Completion

June 1, 2025

Study Completion

December 1, 2025

Last Updated

January 27, 2023

Record last verified: 2023-01