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Antibiotic

Rifaximin + Hydrogen Breath Test for IBS-D

Phase 4
Recruiting
Led By William Chey, M.D.
Research Sponsored by University of Michigan
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Diary compliance for at least 5 days and no rescue medications during baseline
Be older than 18 years old
Must not have
Any concomitant use of P-glycoprotein inhibitors (for example, Cyclosporine)
Severe hepatic impairment
Timeline
Screening 3 weeks
Treatment Varies
Follow Up baseline (week 1), up to 12 weeks
Awards & highlights
Drug Has Already Been Approved
No Placebo-Only Group
Pivotal Trial

Summary

This trial is testing a new treatment for IBS-D, which includes online surveys, rifaximin, and hydrogen breath testing.

Who is the study for?
This trial is for individuals with Irritable Bowel Syndrome predominant diarrhea (IBS-D) who meet specific criteria of abdominal pain and diarrhea, have kept a symptom diary for at least 5 days without rescue meds, and fit the Rome IV Diagnostic Criteria. It's not open to those with certain other diseases like inflammatory bowel disease or diabetes, recent GI surgery patients, severe liver issues, pregnant or lactating women, anyone who has taken antibiotics recently or uses probiotics.
What is being tested?
The study tests if hydrogen breath testing can predict how well people with IBS-D respond to rifaximin treatment. Participants will take rifaximin and undergo glucose and lactulose hydrogen breath tests while providing biological samples and completing online surveys about their symptoms.
What are the potential side effects?
Rifaximin may cause side effects such as digestive disturbances (nausea, bloating), headaches, dizziness, increased risk of infection due to gut flora changes. The hydrogen breath test is generally safe but might cause some discomfort like bloating or cramping.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I kept a health diary for 5 days without needing emergency meds.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I am not taking any medications like Cyclosporine.
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I have severe liver problems.
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I have taken antibiotics in the last month.
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I am currently taking probiotics.
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I am currently being treated for cancer in my digestive system or blood.
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I have not had GI tract surgery in the last 3 months.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~baseline (week 1), up to 12 weeks
This trial's timeline: 3 weeks for screening, Varies for treatment, and baseline (week 1), up to 12 weeks for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Number of treatment responders
Secondary study objectives
Compare the predictive value of a pre-treatment glucose or lactulose hydrogen breath test
Compare the predictive value of a pre-treatment glucose vs. lactulose hydrogen breath test for symptomatic response to rifaximin in IBS-D patients.
Irritable Bowel Syndrome - Quality of Life Measure responder
+4 more

Awards & Highlights

Drug Has Already Been Approved
The FDA has already approved this drug, and is just seeking more data.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Rifaximin and breath testsExperimental Treatment2 Interventions
Rifaximin 550mg three times a day for 14 days. Breath tests (glucose and lactulose) will be completed prior to Rifaximin treatment and at week 13 of the study.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Rifaximin
2005
Completed Phase 4
~3120

Find a Location

Who is running the clinical trial?

University of MichiganLead Sponsor
1,855 Previous Clinical Trials
6,434,951 Total Patients Enrolled
13 Trials studying Irritable Bowel Syndrome
863 Patients Enrolled for Irritable Bowel Syndrome
Commonwealth Diagnostics International, Inc.UNKNOWN
William Chey, M.D.Principal Investigator - University of Michigan
University of Michigan C.S. Mott Children's Hospital, University of Michigan Health System, University of Michigan Hospital, Von Voigtlander Women's Hospital
Emory University School Of Medicine (Medical School)
University Of Mi Hosps (Residency)

Media Library

Rifaximin (Antibiotic) Clinical Trial Eligibility Overview. Trial Name: NCT03729271 — Phase 4
Irritable Bowel Syndrome Research Study Groups: Rifaximin and breath tests
Irritable Bowel Syndrome Clinical Trial 2023: Rifaximin Highlights & Side Effects. Trial Name: NCT03729271 — Phase 4
Rifaximin (Antibiotic) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03729271 — Phase 4
Irritable Bowel Syndrome Patient Testimony for trial: Trial Name: NCT03729271 — Phase 4
~2 spots leftby Jan 2025