The Efficacy, Safety, And Pharmacokinetics Of Rifaximin In Subjects With Severe Hepatic Impairment And Hepatic Encephalopathy

Overview[ - collapse ][ - ]

Purpose The purpose of the study is to evaluate the safety of Rifaximin or placebo in subjects with severe hepatic impairment and Hepatic Encephalopathy.
ConditionHepatic Encephalopathy
InterventionDrug: Placebo
Drug: Rifaximin
PhasePhase 4
SponsorSalix Pharmaceuticals
Responsible PartySalix Pharmaceuticals
ClinicalTrials.gov IdentifierNCT01846663
First ReceivedApril 24, 2013
Last UpdatedApril 9, 2014
Last verifiedApril 2014

Tracking Information[ + expand ][ + ]

First Received DateApril 24, 2013
Last Updated DateApril 9, 2014
Start DateApril 2013
Estimated Primary Completion DateDecember 2014
Current Primary Outcome MeasuresTime to first Hepatic Encephalopathy(HE) breakthrough episode [Time Frame: 6 Months] [Designated as safety issue: No]
Current Secondary Outcome Measures
  • Time to first HE-related hospitalization [Time Frame: 6 Months] [Designated as safety issue: No]
  • All Cause Mortality [Time Frame: 6 Months] [Designated as safety issue: Yes]

Descriptive Information[ + expand ][ + ]

Brief TitleThe Efficacy, Safety, And Pharmacokinetics Of Rifaximin In Subjects With Severe Hepatic Impairment And Hepatic Encephalopathy
Official TitleA Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial To Evaluate The Efficacy, Safety, And Pharmacokinetics Of Rifaximin 550 Mg In Subjects With Severe Hepatic Impairment And Overt Hepatic Encephalopathy
Brief Summary
The purpose of the study is to evaluate the safety of Rifaximin or placebo in subjects with
severe hepatic impairment and Hepatic Encephalopathy.
Detailed DescriptionNot Provided
Study TypeInterventional
Study PhasePhase 4
Study DesignAllocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
ConditionHepatic Encephalopathy
InterventionDrug: Placebo
Placebo, oral, 0 mg BID, 6 months of treatment
Drug: Rifaximin
Rifaximin, oral, 550 mg BID, 6 months treatment
Other Names:
XIFAXAN® Tablets
Study Arm (s)
  • Experimental: Rifaximin
    Rifaximin, oral, 550 mg BID, 6 months of treatment
  • Placebo Comparator: Placebo
    Placebo, oral, 0 mg BID, 6 months of treatment

Recruitment Information[ + expand ][ + ]

Recruitment StatusRecruiting
Estimated Enrollment100
Estimated Completion DateDecember 2014
Estimated Primary Completion DateJuly 2014
Eligibility Criteria
Inclusion Criteria:

- Male or non-pregnant, non-breast feeding female ≥ 18 years old

- In remission from demonstrated overt HE

- Had ≥1 episode of overt HE associated with liver disease within the last 6 months

- MELD score of ≥ 19

- Has a close family member or other personal contact who is familiar with the
subject's HE, can provide continuing oversight to the subject and is willing to be
available to the subject during the conduct of the trial

Exclusion Criteria:

- HIV

- History of tuberculosis infection

- Chronic respiratory insufficiency

- Current infection and receiving antibiotics

- Renal insufficiency requiring dialysis

- Active spontaneous bacterial peritonitis infection

- Intestinal obstruction or has inflammatory bowel disease

- Active malignancy within the last 5 years

- Current GI bleeding or has had a GI hemorrhage within past 3 months

- Anemia
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsContact: Erica Bullock
919-862-1854
erica.bullock@salix.com
Location CountriesUnited States

Administrative Information[ + expand ][ + ]

NCT Number NCT01846663
Other Study ID NumbersRFHE4043
Has Data Monitoring CommitteeYes
Information Provided BySalix Pharmaceuticals
Study SponsorSalix Pharmaceuticals
CollaboratorsNot Provided
Investigators Study Director: Enoch Bortey, Ph.D. Salix Pharmaceuticals
Verification DateApril 2014

Locations[ + expand ][ + ]

The University of Alabama at Birmingham
Birmingham, Alabama, United States, 35294-0111
Contact: Megan Pickering | 205-934-1224
Principal Investigator: Brendan McGuire, MD
Recruiting
Banner Research
Phoenix, Arizona, United States, 85016
Contact: Kelly Enders | 602-839-6211
Principal Investigator: Ester Little, MD
Recruiting
University Of Arizona Liver Research Institute
Tuscon, Arizona, United States, 85724
Contact: Julie Johnson | 520-626-1208
Principal Investigator: Shahid Habib, MD
Recruiting
Southern California Liver Centers
Coronado, California, United States, 92118
Contact: Monson Petrea | 619-522-0330222
Principal Investigator: Tarek Hassanein, MD
Recruiting
UCSD Clinical & Translational Research Institute
Lajolla, California, United States, 92037
Contact: Sharon Quigley | 858-657-5147
Principal Investigator: Michael Mendler, MD
Recruiting
Loma Linda University Medical Center Transplantation Institute
Loma Linda, California, United States, 92324
Contact: Diane Scavone | 909-558-363633634
Principal Investigator: Thomas Amankonah, MD
Recruiting
Cedars-Sinai Medical Center
Los Angeles, California, United States, 90048
Contact: Jennifer Luckett | 310-423-5453
Principal Investigator: Vinay Sundaram, MD
Recruiting
University of Southern Califorina Keck School Of Medicine
Los Angeles, California, United States, 90033
Contact: Pui Yan | 323-442-8152
Principal Investigator: Linda Sher, MD
Recruiting
University of Colorado Denver
Aurora, Colorado, United States, 80045
Contact: Haley Isberg | 303-724-6559
Principal Investigator: Lisa Forman, MD
Recruiting
Salix Site
New Haven, Connecticut, United States, 06520
Terminated
Salix Site
Tampa, Florida, United States, 33606
Not yet recruiting
Piedmont Atlanta Hospital
Atlanta, Georgia, United States, 30309
Contact: Becky Slawik | 404-605-3212
Principal Investigator: Lance Stein, MD
Recruiting
Northwestern University-Comprehensive Transplant Center
Chicago, Illinois, United States, 60611
Contact: Grace Rivera | 312-926-0658
Principal Investigator: Josh Levitsky, MD
Recruiting
Rush University Medical Center
Chicago, Illinois, United States, 60612
Contact: Diana Giczewski | 312-563-3919
Principal Investigator: Nikunj Shah, MD
Recruiting
Tulane Abdominal Transplant Research Office
New Orleans, Louisiana, United States, 70112
Contact: Joni Murray | 504-988-6902
Principal Investigator: Luis Balart, MD
Recruiting
Mayo Clinic
Rochester, Minnesota, United States, 55905
Contact: Linda Stadheim | 507-284-0141
Principal Investigator: Michael Leise, MD
Recruiting
Washington University
St. Louis, Missouri, United States, 63110
Contact: Debra Kemp | 314-362-3839
Principal Investigator: Jackie Fleckenstein, MD
Recruiting
New York University School of Medicine
New York, New York, United States, 10016
Contact: Christelle Sommervil | 212-263-8391
Principal Investigator: Lewis Teperman, MD
Recruiting
Salix Site
Portland, Oregon, United States, 97239
Not yet recruiting
Vanderbilt University Medical Center
Nashville, Tennessee, United States, 37212-1610
Contact: Tonya Givens | 615-936-1745
Principal Investigator: Michael Porayko, MD
Recruiting
The Liver Institute at Methodist Dallas Medical Center
Dallas, Texas, United States, 75203
Contact: Zena Cooper | 214-947-4463
Principal Investigator: Parvez Mantry, MD
Recruiting
Brook Army Medical Center
Fort Sam Houston, Texas, United States, 78234
Contact: Karol Barstow | 210-916-4811
Principal Investigator: Stephen Harrison, MD
Recruiting
Salix Site
Galveston, Texas, United States, 77555
Terminated
The Methodist Hospital
Houston, Texas, United States, 77030
Contact: Susan Dorman | 713-441-6316
Principal Investigator: Howard Monsour, Jr., MD
Recruiting
VCU/MCV Health Systems
Richmond, Virginia, United States, 23298
Contact: Stephanie Taylor, RN | 804-828-9311
Principal Investigator: Arun Sanyal, MD
Recruiting
Swedish Medical Center
Seattle, Washington, United States, 98122
Contact: Terri Spinelli | 206-215-3063
Principal Investigator: Anne Larson, MD
Recruiting