Irritable Bowel Syndrome With DiarrheaPhase 3TARGET3NCT01543178
Irritable Bowel Syndrome With Diarrhea (IBS-D) Rifaximin Re-Treatment Study
A Phase 3 study testing open-label rifaximin and double-blind rifaximin in people with Irritable Bowel Syndrome With Diarrhea, run by Bausch Health Americas, Inc. at 296 sites in 3 countries.
Trial summary
This study will evaluate the effectiveness and safety of repeat treatment with rifaximin 550 mg three times a day in patients with IBS with diarrhea who respond to initial treatment of rifaximin 550 mg three times a day. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Irritable Bowel Syndrome With Diarrhea
- What is being tested?
- open-label rifaximin and double-blind rifaximin
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 2,583 participants
- Where
- 296 sitesin 3 countries
- Study dates
- Feb 2012to Jun 2014
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- IBS confirmed by Rome III diagnostic criteria.
- At least 18 years of age.
- Colonoscopy within the past 10 years to rule out inflammatory bowel disease; or flexible sigmoidoscopy if < 50 years of age or previous colonoscopy > 10 years prior.
- Willing to maintain a stable diet. including vitamins, supplements, and nutraceuticals.
Who cannot join
- Diabetes (Type 1 or 2).
- Lactose intolerance and not controlled by a lactose-free diet.
- Pregnant or planning to become pregnant or is lactating.
- History of HIV or hepatitis B or C.
- Participation in investigational study within past 30 days.
- Taking rifaximin or any other antibiotic within past 60 days.
- Unstable cardiovascular or pulmonary disease, with change in treatment in last 30 days due to worsening disease condition.
- History of GI surgery.
Trial locations and contacts
296 sites in 3 countries.
296 sites in 3 countries
United States293 sites
Study site
Akron, Ohio, 44302
Study site
Akron, Ohio, 44311
Study site
Albuquerque, New Mexico, 87102
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Albuquerque, New Mexico, 87108
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Anaheim, California, 92801
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Ann Arbor, Michigan, 48109
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Annapolis, Maryland, 21401
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Anniston, Alabama, 36207
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Arlington, Texas, 76012
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Arlington Heights, Illinois, 60005
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Artesia, California, 90701
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Asheboro, North Carolina, 27203
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Asheville, North Carolina, 28801
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Athens, Georgia, 30606
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Atlanta, Georgia, 30338
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Atlanta, Georgia, 30342
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Augusta, Georgia, 30909
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Augusta, Georgia, 30912
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Austin, Texas, 78705
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Austin, Texas, 78731
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Austin, Texas, 78735
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Austin, Texas, 78745
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Baltimore, Maryland, 21215
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Baltimore, Maryland, 21229
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Bellevue, Nebraska, 68005
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Bellevue, Washington, 98004
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Birmingham, Alabama, 35216
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Birmingham, Alabama, 35235
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Birmingham, Alabama, 35243
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Birmingham, Alabama, 35405
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Boca Raton, Florida, 33428
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Boca Raton, Florida, 33432
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Boise, Idaho, 83642
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Boise, Idaho, 83709
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Boone, North Carolina, 28607
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Boston, Massachusetts, 02135
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Bountiful, Utah, 84010
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Bowling Green, Kentucky, 42101
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Boynton Beach, Florida, 33426
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Boynton Beach, Florida, 33472
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Brandon, Florida, 33511
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Brentwood, Tennessee, 37027
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Bridgeport, Connecticut, 06606
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Bristol, Connecticut, 06010
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Bristol, Tennessee, 37620
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Brockton, Massachusetts, 02302
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Brooklyn, New York, 11206
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Carlsbad, California, 92008
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Cary, North Carolina, 27518
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Centerville, Ohio, 45459
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Chandler, Arizona, 85224
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Chapel Hill, North Carolina, 27599
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Charleston, South Carolina, 29407
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Charleston, South Carolina, 29412
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Charlotte, North Carolina, 28207
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Charlottesville, Virginia, 22911
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Chattanooga, Tennessee, 37421
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Chesapeake, Virginia, 23320
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Chicago, Illinois, 60602
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Chula Vista, California, 91910
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Chula Vista, California, 91911
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Cincinnati, Ohio, 45219
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Cincinnati, Ohio, 45242
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Clearwater, Florida, 33756
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Cleveland, Ohio, 44115
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Clive, Iowa, 50325
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Colorado Springs, Colorado, 80920
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Colorado Springs, Colorado, 90807
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Columbia, South Carolina, 29203
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Columbus, Georgia, 31904
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Columbus, Georgia, 31909
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Columbus, Ohio, 43214
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Columbus, Ohio, 43215
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Concord, California, 94520
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Corsicana, Texas, 75110
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Crestview Hills, Kentucky, 41017
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Dallas, Texas, 75224
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Danbury, Connecticut, 06810
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Danville, Virginia, 24541
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Dayton, Ohio, 45415
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Dayton, Ohio, 45432
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Denver, Colorado, 80211
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Denver, Colorado, 80220
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Dothan, Alabama, 36305
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Downingtown, Pennsylvania, 19335
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East Providence, Rhode Island, 02914
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El Paso, Texas, 79905
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Elkhart, Indiana, 46514
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Encinitas, California, 92024
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Encino, California, 91436
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Escondido, California, 92025
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Evanston, Illinois, 60201
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Evansville, Indiana, 47713
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Evansville, Indiana, 47714
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Fairfax, Virginia, 22031
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Fargo, North Dakota, 85103
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Fort Mill, South Carolina, 29707
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Franklin, Tennessee, 37067
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Fremont, Nebraska, 68025
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Gaffney, South Carolina, 29341
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Gainesville, Florida, 32607
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Garden Grove, California, 92840
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Garden Grove, California, 92844
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Garden Grove, California, 92845
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Germantown, Tennessee, 38138
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Glendale, California, 91204
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Great Neck, New York, 11021
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Great Neck, New York, 11023
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Greensboro, North Carolina, 27403
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Greensboro, North Carolina, 27408
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Greer, South Carolina, 29650
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Groveport, Ohio, 43215
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Haddon Heights, New Jersey, 08030
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Hagerstown, Maryland, 21742
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Hayden Lake, Idaho, 83835
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Hebron, Kentucky, 41048
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Henderson, Nevada, 89052
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Hermitage, Tennessee, 37076
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Hialeah, Florida, 33010
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Hialeah, Florida, 33012
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Hialeah, Florida, 33016
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High Point, North Carolina, 27262
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Hollis, New York, 11423
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Hollywood, Florida, 33021
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Hollywood, Maryland, 20636
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Houston, Texas, 77005
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Houston, Texas, 77011
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Houston, Texas, 77030
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Houston, Texas, 77074
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Houston, Texas, 77090
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Houston, Texas, 77098
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Huntington Beach, California, 92647
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Huntsville, Alabama, 35801
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Idaho Falls, Idaho, 83406
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Indianapolis, Indiana, 46202
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Iowa City, Iowa, 52242
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Jackson, Mississippi, 39202
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Jonesboro, Arkansas, 82401
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Jupiter, Florida, 33458
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Kalamazoo, Michigan, 49008
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Kalamazoo, Michigan, 49009
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Kansas City, Kansas, 66160
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Kansas City, Missouri, 64114
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Kettering, Ohio, 45429
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Kingsport, Tennessee, 37660
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Kinston, North Carolina, 28501
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Kissimmee, Florida, 34741
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La Mesa, California, 91942
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La Mirada, California, 90638
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Laguna Hills, California, 92653
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Lake Jackson, Texas, 77566
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Lake Worth, Florida, 33449
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Lakewood, California, 90712
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Lakewood, Colorado, 80215
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Largo, Florida, 33777
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Las Vegas, Nevada, 89109
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Las Vegas, Nevada, 89128
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Lauderdale Lakes, Florida, 33319
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Lebanon, New Hampshire, 05756
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Lee's Summit, Missouri, 64064
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Lexington, Kentucky, 40504
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Lexington, Kentucky, 40509
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Lincoln, California, 95648
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Little Rock, Arkansas, 72204
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Little Rock, Arkansas, 72205
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Little Rock, Arkansas, 72212
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Lomita, California, 90717
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Lone Tree, Colorado, 80124
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Long Beach, California, 90806
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Long Beach, California, 90813
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Los Angeles, California, 90036
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Los Angeles, California, 90045
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Los Angeles, California, 90048
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Louisville, Kentucky, 40291
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Macon, Georgia, 31201
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Madera, California, 93619
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Madisonville, Kentucky, 42431
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Maitland, Florida, 32751
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Marietta, Georgia, 30060
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Marlborough, Massachusetts, 01752
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Marlton, New Jersey, 08053
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Medford, Oregon, 97504
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Mentor, Ohio, 44060
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Metairie, Louisiana, 70006
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Mexico, Missouri, 65265
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Miami, Florida, 33015
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Miami, Florida, 33136
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Miami, Florida, 33143
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Miami, Florida, 33144
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Miami, Florida, 33155
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Miami, Florida, 33156
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Miami, Florida, 33165
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Miami, Florida, 33174
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Miami Springs, Florida, 33166
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Mill Valley, California, 94941
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Milwaukee, Wisconsin, 53215
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Milwaukee, Wisconsin, 53226
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Mineola, New York, 39202
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Mishawaka, Indiana, 46545
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Missoula, Montana, 59808
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Montebello, California, 90640
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Montgomery, Alabama, 36104
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Montgomery, Alabama, 36109
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Naples, Florida, 34102
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Nashville, Tennessee, 37205
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New Orleans, Louisiana, 70115
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New York, New York, 10075
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Newington, New Hampshire, 03801
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Norcross, Georgia, 30092
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Norman, Oklahoma, 73069
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North Hollywood, California, 91606
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North Little Rock, Arkansas, 72117
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Oak Lawn, Illinois, 60453
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Ocean Springs, Mississippi, 39564
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Odessa, Texas, 79761
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Ogden, Utah, 84405
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Oklahoma City, Oklahoma, 73103
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Oklahoma City, Oklahoma, 73120
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Omaha, Nebraska, 68130
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Orange, California, 92868
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Orange Park, Florida, 32073
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Orlando, Florida, 32806
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Ormond Beach, Florida, 32174
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Overland Park, Kansas, 66215
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Pasadena, Texas, 77505
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Peoria, Arizona, 85381
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Phoenix, Arizona, 85018
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Pittsburgh, Pennsylvania, 15206
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Plano, Texas, 75075
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Plant City, Florida, 33563
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Pompano Beach, Florida, 33060
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Port Orange, Florida, 32127
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Portland, Oregon, 97210
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Poughkeepsie, New York, 12601
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Raleigh, North Carolina, 27613
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Reading, Pennsylvania, 19606
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Redlands, California, 92374
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Reno, Nevada, 89511
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Richmond, Virginia, 23225
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Rochester, New York, 14609
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Sacramento, California, 95821
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Saginaw, Michigan, 48604
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Salisbury, North Carolina, 28144
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Salt Lake City, Utah, 84107
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San Antonio, Texas, 78215
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San Antonio, Texas, 78229
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San Antonio, Texas, 78258
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San Carlos, California, 94070
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San Diego, California, 92101
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San Diego, California, 92108
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San Diego, California, 92114
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San Diego, California, 92123
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Sarasota, Florida, 34231
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Sayre, Pennsylvania, 18840
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Scottsdale, Arizona, 85257
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Sealy, Texas, 77474
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Seattle, Washington, 98105
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Selma, Alabama, 37601
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Seminole, Florida, 33777
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Sherwood, Arkansas, 72120
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Shreveport, Louisiana, 71103
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Southlake, Texas, 76092
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Spokane, Washington, 99208
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St Louis, Missouri, 63104
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St Louis, Missouri, 63122
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St Louis, Missouri, 63141
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St. Petersburg, Florida, 33709
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Suffolk, Virginia, 23434
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Tampa, Florida, 33603
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Tampa, Florida, 33613
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Tempe, Arizona, 85282
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Topeka, Kansas, 66604
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Torrington, Connecticut, 06790
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Tucson, Arizona, 85704
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Tucson, Arizona, 85710
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Tucson, Arizona, 85712
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Tulsa, Oklahoma, 74104
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Tulsa, Oklahoma, 74136
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Tyler, Texas, 75701
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Vista, California, 92083
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Warwick, Rhode Island, 02886
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Watertown, Massachusetts, 02472
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Wellington, Florida, 33414
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West Jordan, Utah, 84088
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West Palm Beach, Florida, 33406
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West Palm Beach, Florida, 33409
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Wichita, Kansas, 67226
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Wilmington, North Carolina, 28479
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Winston-Salem, North Carolina, 27103
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Winter Haven, Florida, 33880
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Winter Park, Florida, 32789
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Wyoming, Michigan, 49519
Study site
Zephyrhills, Florida, 33542
About this study
Official title: A Study to Assess Repeat Treatment Efficacy and Safety of Rifaximin 550 mg TID in Subjects With Irritable Bowel Syndrome With Diarrhea (IBS-D)
This study will evaluate the effectiveness and safety of repeat treatment with rifaximin 550 mg three times a day in patients with IBS with diarrhea who respond to initial treatment of rifaximin 550 mg three times a day.
Read the detailed description
It is important in chronic conditions to have information about how a product that is intended for short course administration in order to confer prolonged benefit should be administered beyond the first cycle of use once symptoms reappear. This Phase 3 study will evaluate the efficacy and safety of repeat treatment with rifaximin 550 mg three times daily (TID) for 14 days in subjects with IBS-D who respond to an initial treatment course with rifaximin 550 mg TID for 14 days.
This study consists of several treatment phases outlined below:
Screening/Treatment 1 Phase. Subjects will receive single-blind placebo TID for 7-13 days and answer daily IBS symptom-related questions.
Treatment 2 Phase. Eligible subjects will receive open-label rifaximin 550 mg TID for 2 weeks with a 4-week treatment-free follow-up. Responders will continue into Maintenance Phase 1. Nonresponders will withdraw from the study.
Maintenance Phase 1. Subjects will continue the treatment-free follow-up period for up to 18 weeks until either: 1) they experience recurrence or 2) enrollment is met in the Treatment 3 Phase (Double Blind Repeat Treatment Phase). Subjects who do not meet recurrence criteria by the end of the Maintenance Phase 1 will withdraw from the study.
Treatment 3 Phase/ Double Blind Repeat Treatment Phase. Subjects who meet criteria for recurrence will be randomized 1:1 to receive either rifaximin 550 mg TID or placebo TID for 2 weeks with a 4-week treatment-free follow-up.
Primary efficacy analysis will be performed at the end of the Treatment 3 Phase (at Week 6 of the double-blind period).
Maintenance Phase 2. All subjects continued into an additional treatment-free follow-up period of up to 6 weeks (Maintenance Phase 2).
Treatment 4 Phase/Second Repeat Treatment Phase. Subjects will receive the same double-blind treatment as previously assigned in the Treatment 3 Phase for 2 weeks with a 4-week treatment-free follow-up.
A lactulose breath test sub-study will be conducted at select sites.
- Conditions
- Irritable Bowel Syndrome With Diarrhea
- Being tested
- open-label rifaximin, double-blind placebo, double-blind rifaximin
- Keywords
- IBS, IBS-D, IBS with diarrhea, Diarrhea, Irritable bowel syndrome with diarrhea
- Medical subject headings
- Diarrhea
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
open-label rifaximinDrug
Also called rifaximin
550 mg three times a day (open-label)
double-blind placeboDrug
Also called Placebo
3 times a day (double-blind)
double-blind rifaximinDrug
Also called rifaximin
550 mg three times a day (double-blind)
| Study group | Role | What they receive |
|---|---|---|
| Rifaximin open-label | Experimental | Subjects will receive open-label rifaximin 550 mg TID for 2 weeks with a 4-week treatment-free follow-up. Responders will continue into Maintenance Phase 1 (treatment free). Nonresponders will withdraw from the study.
Subjects who meet criteria for recurrence in Maintenance Phase 1 enter the double-blind period and are randomized 1:1 to receive rifaximin 550 mg or placebo. Receives: Drug: open-label rifaximin |
| Double-blind rifaximin (retreatment) | Experimental | Subjects in this arm receive rifaximin 550 mg TID for 2 weeks with a 4-week treatment-free follow-up (first retreatment) followed by Maintenance Phase 2 (6 weeks [treatment free]) followed by a second retreatment with rifaximin 550 mg TID for 2 weeks with a 4-week treatment-free follow-up. Receives: Drug: open-label rifaximin; Drug: double-blind rifaximin |
| Double-blind placebo (retreatment) | Placebo comparator | Subjects in this arm receive placebo TID for 2 weeks with a 4-week treatment-free follow-up (first retreatment) followed by Maintenance Phase 2 (6 weeks [treatment free]) followed by a second retreatment with placebo TID for 2 weeks with a 4-week treatment-free follow-up. Receives: Drug: open-label rifaximin; Drug: double-blind placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Repeat Treatment Responders
Subjects who respond to repeat treatment in both IBS-related abdominal pain and stool consistency. The proportion of patients who responded to repeat treatment during the first double-blind repeat treatment phase is presented. Response is defined as improvement from baseline in abdominal pain AND reduction from baseline in diarrhea.
Measured: 4-week treatment-free follow-up in double-blind repeat treatment phase.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Mar 2012 (estimated)
- Study startFeb 2012
- Primary completionJun 2014
- Study completionJun 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (6)Papers the sponsor has linked to this study.
- Other trials for Irritable Bowel Syndrome With DiarrheaStudies of the same condition, open and under way.
- More trials run by Bausch Health Americas, Inc.The sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 2,583 participants (actual)
Sponsor and investigators
- Lead sponsor
- Bausch Health Americas, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Enoch Bortey, PhD, Study director, Bausch Health Americas, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01543178
- Sponsor's protocol ID
- RFIB3053
- Acronym
- TARGET3
- Status last verified
- Dec 2017
- First submitted
- 27 Feb 2012
- Last updated
- 12 Dec 2017
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Lacy BE, Chang L, Rao SSC, Heimanson Z, Sayuk GS. Rifaximin Treatment for Individual and Multiple Symptoms of Irritable Bowel Syndrome With Diarrhea: An Analysis Using New End Points. Clin Ther. 2023 Mar;45(3):198-209. doi: 10.1016/j.clinthera.2023.01.010. Epub 2023 Mar 14.
PubMed 36922331Fodor AA, Pimentel M, Chey WD, Lembo A, Golden PL, Israel RJ, Carroll IM. Rifaximin is associated with modest, transient decreases in multiple taxa in the gut microbiota of patients with diarrhoea-predominant irritable bowel syndrome. Gut Microbes. 2019;10(1):22-33. doi: 10.1080/19490976.2018.1460013. Epub 2018 Jul 18.
PubMed 29708822Cash BD, Pimentel M, Rao SSC, Weinstock L, Chang L, Heimanson Z, Lembo A. Repeat treatment with rifaximin improves irritable bowel syndrome-related quality of life: a secondary analysis of a randomized, double-blind, placebo-controlled trial. Ther Adv Gastroenterol. 2017 Sep;10(9):689-699. doi: 10.1177/1756283X17726087. Epub 2017 Sep 11.
PubMed 28932270Pimentel M, Cash BD, Lembo A, Wolf RA, Israel RJ, Schoenfeld P. Repeat Rifaximin for Irritable Bowel Syndrome: No Clinically Significant Changes in Stool Microbial Antibiotic Sensitivity. Dig Dis Sci. 2017 Sep;62(9):2455-2463. doi: 10.1007/s10620-017-4598-7. Epub 2017 Jun 6.
PubMed 28589238DuPont HL, Wolf RA, Israel RJ, Pimentel M. Antimicrobial Susceptibility of Staphylococcus Isolates from the Skin of Patients with Diarrhea-Predominant Irritable Bowel Syndrome Treated with Repeat Courses of Rifaximin. Antimicrob Agents Chemother. 2016 Dec 27;61(1):e02165-16. doi: 10.1128/AAC.02165-16. Print 2017 Jan. No abstract available.
PubMed 27795384Lembo A, Pimentel M, Rao SS, Schoenfeld P, Cash B, Weinstock LB, Paterson C, Bortey E, Forbes WP. Repeat Treatment With Rifaximin Is Safe and Effective in Patients With Diarrhea-Predominant Irritable Bowel Syndrome. Gastroenterology. 2016 Dec;151(6):1113-1121. doi: 10.1053/j.gastro.2016.08.003. Epub 2016 Aug 13.
PubMed 27528177
Study at a glance
From the registry record, last updated by the sponsor on 12 Dec 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Study to Assess Repeat Treatment Efficacy and Safety of Rifaximin 550 mg TID in Subjects With Irritable Bowel Syndrome With Diarrhea (IBS-D)
- ClinicalTrials.gov ID
- NCT01543178
- Acronym / sponsor ID
- TARGET3 / RFIB3053
- Conditions
- Irritable Bowel Syndrome With Diarrhea
- Keywords
- IBS, IBS-D, IBS with diarrhea, Diarrhea, Irritable bowel syndrome with diarrhea
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 2,583 participants (actual)
- Lead sponsor
- Bausch Health Americas, Inc.Industry (pharma, biotech, devices)
- Study start
- Feb 2012
- Primary completion
- Jun 2014 (actual)
- Study completion
- Jun 2014 (actual)
- First posted
- 2 Mar 2012 (estimated)
- Results
- Posted 8 Jul 2015
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will evaluate the effectiveness and safety of repeat treatment with rifaximin 550 mg three times a day in patients with IBS with diarrhea who respond to initial treatment of rifaximin 550 mg three times a day.
Detailed description
It is important in chronic conditions to have information about how a product that is intended for short course administration in order to confer prolonged benefit should be administered beyond the first cycle of use once symptoms reappear. This Phase 3 study will evaluate the efficacy and safety of repeat treatment with rifaximin 550 mg three times daily (TID) for 14 days in subjects with IBS-D who respond to an initial treatment course with rifaximin 550 mg TID for 14 days.
This study consists of several treatment phases outlined below:
Screening/Treatment 1 Phase. Subjects will receive single-blind placebo TID for 7-13 days and answer daily IBS symptom-related questions.
Treatment 2 Phase. Eligible subjects will receive open-label rifaximin 550 mg TID for 2 weeks with a 4-week treatment-free follow-up. Responders will continue into Maintenance Phase 1. Nonresponders will withdraw from the study.
Maintenance Phase 1. Subjects will continue the treatment-free follow-up period for up to 18 weeks until either: 1) they experience recurrence or 2) enrollment is met in the Treatment 3 Phase (Double Blind Repeat Treatment Phase). Subjects who do not meet recurrence criteria by the end of the Maintenance Phase 1 will withdraw from the study.
Treatment 3 Phase/ Double Blind Repeat Treatment Phase. Subjects who meet criteria for recurrence will be randomized 1:1 to receive either rifaximin 550 mg TID or placebo TID for 2 weeks with a 4-week treatment-free follow-up.
Primary efficacy analysis will be performed at the end of the Treatment 3 Phase (at Week 6 of the double-blind period).
Maintenance Phase 2. All subjects continued into an additional treatment-free follow-up period of up to 6 weeks (Maintenance Phase 2).
Treatment 4 Phase/Second Repeat Treatment Phase. Subjects will receive the same double-blind treatment as previously assigned in the Treatment 3 Phase for 2 weeks with a 4-week treatment-free follow-up.
A lactulose breath test sub-study will be conducted at select sites.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Rifaximin open-label | Experimental | Drug: open-label rifaximinSubjects will receive open-label rifaximin 550 mg TID for 2 weeks with a 4-week treatment-free follow-up. Responders will continue into Maintenance Phase 1 (treatment free). Nonresponders will withdraw from the study. Subjects who meet criteria for recurrence in Maintenance Phase 1 enter the double-blind period and are randomized 1:1 to receive rifaximin 550 mg or placebo. |
| Double-blind rifaximin (retreatment) | Experimental | Drug: open-label rifaximin, Drug: double-blind rifaximinSubjects in this arm receive rifaximin 550 mg TID for 2 weeks with a 4-week treatment-free follow-up (first retreatment) followed by Maintenance Phase 2 (6 weeks [treatment free]) followed by a second retreatment with rifaximin 550 mg TID for 2 weeks with a 4-week treatment-free follow-up. |
| Double-blind placebo (retreatment) | Placebo comparator | Drug: open-label rifaximin, Drug: double-blind placeboSubjects in this arm receive placebo TID for 2 weeks with a 4-week treatment-free follow-up (first retreatment) followed by Maintenance Phase 2 (6 weeks [treatment free]) followed by a second retreatment with placebo TID for 2 weeks with a 4-week treatment-free follow-up. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- IBS confirmed by Rome III diagnostic criteria.
- At least 18 years of age.
- Colonoscopy within the past 10 years to rule out inflammatory bowel disease; or flexible sigmoidoscopy if < 50 years of age or previous colonoscopy > 10 years prior.
- Willing to maintain a stable diet. including vitamins, supplements, and nutraceuticals.
Key exclusion criteria (8 listed)
- Diabetes (Type 1 or 2).
- Lactose intolerance and not controlled by a lactose-free diet.
- Pregnant or planning to become pregnant or is lactating.
- History of HIV or hepatitis B or C.
- Participation in investigational study within past 30 days.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| open-label rifaximinAlso: rifaximin550 mg three times a day (open-label) | Drug | Double-blind placebo (retreatment), Double-blind rifaximin (retreatment), Rifaximin open-label |
| double-blind placeboAlso: Placebo3 times a day (double-blind) | Drug | Double-blind placebo (retreatment) |
| double-blind rifaximinAlso: rifaximin550 mg three times a day (double-blind) | Drug | Double-blind rifaximin (retreatment) |
Primary outcome
Repeat Treatment Responders
Time frame: 4-week treatment-free follow-up in double-blind repeat treatment phase.
Subjects who respond to repeat treatment in both IBS-related abdominal pain and stool consistency. The proportion of patients who responded to repeat treatment during the first double-blind repeat treatment phase is presented. Response is defined as improvement from baseline in abdominal pain AND reduction from baseline in diarrhea.
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Dec 2017.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36922331Lacy BE, Chang L, Rao SSC, Heimanson Z, Sayuk GS. Rifaximin Treatment for Individual and Multiple Symptoms of Irritable Bowel Syndrome With Diarrhea: An Analysis Using New End Points. Clin Ther. 2023 Mar;45(3):198-209. doi: 10.1016/j.clinthera.2023.01.010. Epub 2023 Mar 14.
- Derived from this study: PubMed 29708822Fodor AA, Pimentel M, Chey WD, Lembo A, Golden PL, Israel RJ, Carroll IM. Rifaximin is associated with modest, transient decreases in multiple taxa in the gut microbiota of patients with diarrhoea-predominant irritable bowel syndrome. Gut Microbes. 2019;10(1):22-33. doi: 10.1080/19490976.2018.1460013. Epub 2018 Jul 18.
- Derived from this study: PubMed 28932270Cash BD, Pimentel M, Rao SSC, Weinstock L, Chang L, Heimanson Z, Lembo A. Repeat treatment with rifaximin improves irritable bowel syndrome-related quality of life: a secondary analysis of a randomized, double-blind, placebo-controlled trial. Ther Adv Gastroenterol. 2017 Sep;10(9):689-699. doi: 10.1177/1756283X17726087. Epub 2017 Sep 11.
- Derived from this study: PubMed 28589238Pimentel M, Cash BD, Lembo A, Wolf RA, Israel RJ, Schoenfeld P. Repeat Rifaximin for Irritable Bowel Syndrome: No Clinically Significant Changes in Stool Microbial Antibiotic Sensitivity. Dig Dis Sci. 2017 Sep;62(9):2455-2463. doi: 10.1007/s10620-017-4598-7. Epub 2017 Jun 6.
- Derived from this study: PubMed 27795384DuPont HL, Wolf RA, Israel RJ, Pimentel M. Antimicrobial Susceptibility of Staphylococcus Isolates from the Skin of Patients with Diarrhea-Predominant Irritable Bowel Syndrome Treated with Repeat Courses of Rifaximin. Antimicrob Agents Chemother. 2016 Dec 27;61(1):e02165-16. doi: 10.1128/AAC.02165-16. Print 2017 Jan. No abstract available.
- Derived from this study: PubMed 27528177Lembo A, Pimentel M, Rao SS, Schoenfeld P, Cash B, Weinstock LB, Paterson C, Bortey E, Forbes WP. Repeat Treatment With Rifaximin Is Safe and Effective in Patients With Diarrhea-Predominant Irritable Bowel Syndrome. Gastroenterology. 2016 Dec;151(6):1113-1121. doi: 10.1053/j.gastro.2016.08.003. Epub 2016 Aug 13.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Enoch Bortey, PhD study director
Bausch Health Americas, Inc.
296 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing open-label rifaximin and double-blind rifaximin in people with Irritable Bowel Syndrome With Diarrhea, run by Bausch Health Americas, Inc. at 296 sites in 3 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 12 Dec 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 296 sites in United States, Germany, United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 8 Jul 2015). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Repeat Treatment Responders (time frame: 4-week treatment-free follow-up in double-blind repeat treatment phase.). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01543178, which also lists 6 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Dec 2017.