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Chronic Intestinal Pseudo-obstructionPhase 2NCT04118699

Efficacy and Safety of Rifaximin for Patients With Chronic Intestinal Pseudo-obstruction: a Phase 2 Trial

A Phase 2 study testing Rifaximin oral tablet in people with Chronic Intestinal Pseudo-obstruction, run by Yokohama City University at 1 site in Japan.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The objective of the study is to investigate efficacy and safety of rifaximin (L-105) in patients with chronic idiopathic intestinal pseudo-obstruction(CIIPO) or patients with chronic intestinal pseudo-obstruction (CIPO), secondary to systemic scleroderma Read more about this study

Who is it for?
Ages 20 to 74 years
Conditions the study is for
Chronic Intestinal Pseudo-obstruction
What is being tested?
Rifaximin oral tablet
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
12 participants
Where
1 siteJapan
Study dates
25 Dec 2019to Jan 2022
Phase
Phase 2
Are there results?
None posted in the registry

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 20 to 74 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Outpatients aged ≥20 and <75 on the day of informed consent (IC)
  • Patients with CIIPO (designated intractable disease 99) at enrollment, satisfying all the criteria specified in (1) to (7) of the CIIPO Diagnostic Criteria issued in 2014 by the MHLW Research Group, or patients with CIPO, secondary to systemic scleroderma, satisfying all the same criteria specified in (1) to (6)
  • Patients' levels of abdominal bloating symptoms, 4 scales of GSS, should be score 2 or 3 at the time of IC acquisition and enrollment.

Who cannot join

  • Patients with malignant diseases (excluding those whose symptoms are stable and who do not require aggressive treatments such as chemotherapy and/or surgical therapy)
  • Patients with psychiatric diseases (excluding those whose symptoms are stable, and the investigator or coinvestigator concludes that efficacy of the patient can be assessed without any issue)
  • Patients with severe diabetes within 5 weeks before enrollment (HbA1c >10%)
  • Patients who have already had gastrostomy (including percutaneousendoscopic gastro -jejunostomy, PEG-J), enterostomy, or colostomy
  • Patients who underwent intestinal decompression therapy not associated with surgical procedures (trans-nasal ileus tube) within 4weeks before enrollment
  • Patients who used antimicrobials, antiparasitics or antifungals (excluding topical use) within 4 weeks before enrollment
Show all 13Show fewer
  • Patients who have changed the doses of the following concomitantly administered drugs within 4 weeks before enrollment: mosapride, daikenchuto, metoclopramide, acotiamide
  • Patients with severe hepatic disorders within 5 weeks before enrollment (who meet either one of the following criteria: AST≥ 5 x the upper limit of the common reference value specified in the Japanese Committee for Clinical Laboratory Standards (JCCLS), ALT≥ 5 x the upper limit of the common reference value specified in JCCLS, total bilirubin ≥ 3 x the upper limit of the common reference value specified in JCCLS, decompensated hematic cirrhosis, or jaundice)
  • Patients who are pregnant, breastfeeding, possibly pregnant, or those who wish to become pregnant
  • Patients with a previous history of hypersensitivity to any investigational product ingredients
  • Patients with active tuberculosis
  • Patients who participated in other clinical trial (including a trial with an investigational product) within 12 weeks before this enrollment and who received an intervention with a test drug
  • Other patients whose participation in the trial is concluded to be inappropriate by the investigator or coinvestigator

Trial locations and contacts

1 site in 1 country.

Japan1 site
  • Yokohama city university

    Yokohama, Kanagawa, 236-0004

Other trials in Japan

About this study

Official title: Efficacy and Safety of Rifaximin for Patients With Chronic Intestinal Pseudo-obstruction: a Single Center, Randomized, Placebo Controlled, Double-blind Phase 2 Trial

The objective of the study is to investigate efficacy and safety of rifaximin (L-105) in patients with chronic idiopathic intestinal pseudo-obstruction(CIIPO) or patients with chronic intestinal pseudo-obstruction (CIPO), secondary to systemic scleroderma

Read the detailed description

This is a placebo-controlled, randomized, double-blind, parallel group, comparative study, when patients with chronic idiopathic intestinal pseudo-obstruction(CIIPO) or patients with chronic intestinal pseudo-obstruction (CIPO), secondary to the onset of systemic scleroderma, are administered rifaximin at 400 mg 3 times daily for 4 weeks. In addition, the time course of symptoms of the patients are to be confirmed for 8 weeks after the end of administration.

Being tested
Rifaximin oral tablet, Placebo oral tablet
Keywords
Rifaximin, L-105, phase 2 trial, CIPO, small intestinal bacterial overgrowth, systemic scleroderma
Medical subject headings
Intestinal Pseudo-Obstruction, Scleroderma, Systemic

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Rifaximin oral tabletDrug

    Also called L-105

    Patients with chronic idiopathic intestinal pseudo-obstruction (CIIPO) or patients with chronic intestinal pseudo-obstruction (CIPO), secondary to systemic scleroderma, are administered investigational product (rifaximin) for 4 weeks

  • Placebo oral tabletDrug

    Patients with chronic idiopathic intestinal pseudo-obstruction (CIIPO) or patients with chronic intestinal pseudo-obstruction (CIPO), secondary to systemic scleroderma, are administered placebo for 4 weeks

Study groups in NCT04118699
Study groupRoleWhat they receive
RifaximinExperimentalTwo tablets of the investigational product per dosing (400 mg of rifaximin) are orally administered 3 times daily for 4 weeks.
Receives: Drug: Rifaximin oral tablet
PlaceboPlacebo comparatorTwo tablets of the placebo are orally administered 3 times daily for 4 weeks.
Receives: Drug: Placebo oral tablet

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Improvement ratio (%) in abdominal bloating score in Global Symptomatic Score (GSS)

    Abdominal bloating score in Global Symptomatic Score (GSS) is used. GSS is a 4-point Likert scale ranging from 0 (no symptom) to 3 (severe, incapacitating with inability to perform normal activities), with lower scores reflecting better symptoms. Score 0 or 1 is defined as improvement.

    Measured: at the end of administration (4 weeks)

  2. Improvement ratio (%) in Gastrointestinal (GI) symptoms score

    Gastrointestinal score (GI score) is a 5-point Likert scale (0; greatly improved, 1; improved, 2; no change, 3; worsened, 4; severely worsened), with lower scores reflecting more improved symptoms. Score 0 or 1 is defined as improvement.

    Measured: at the end of administration (4 weeks)

Secondary outcomes (17)
  1. Changes of the improvement ratio (%) in abdominal bloating score

    Abdominal bloating score in Global Symptomatic Score (GSS) is used. GSS is a 4-point likert scale ranging from 0 (no symptom) to 3 (severe, incapacitating with inability to perform normal activities), with lower scores reflecting better symptoms. Score 0 or 1 is defined as improvement.

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  2. Changes of abdominal bloating score

    Abdominal bloating score in Global Symptomatic Score (GSS) is used. GSS is a 4-point likert scale ranging from 0 (no symptom) to 3 (severe, incapacitating with inability to perform normal activities), with lower scores reflecting better symptoms.

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  3. Changes of the improvement ratio (%) in gastrointestinal symptoms score

    Gastrointestinal score (GI score), a 5-point likert scale (0; greatly improved, 1; improved, 2; no change, 3; worsened, 4; severely worsened), with lower scores reflecting more improved symptoms, is used. Score 0 or 1 is defined as improvement.

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  4. Changes of the "good" ratio (%) in gastrointestinal symptoms score

    Gastrointestinal score (GI score), 5-point likert scale (0; very good, 1; good, 2; average, 3; bad, 4; extremely bad), with lower scores reflecting better conditions, is used. Score 0 or 1 is defined as ''good''.

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  5. Changes of each score in Global Symptomatic Score other than abdominal bloating score

    Global Symptomatic Score (GSS), a 4-point likert scale ranging from 0 (no symptom) to 3 (severe), of the following symptoms are assessed; (a. diarrhea, b. epigastric pain/ discomfort, c. pain in the lower quadrant/discomfort, d. tenderness, e. nausea, f. vomiting).

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  6. Changes of total scores in Global Symptomatic Score

    Sum of Global Symptomatic Score (GSS) of the following 7 symptoms, 0 to maximum of 21, are assessed; (a. diarrhea, b. epigastric pain/discomfort, c. abdominal distention, d. pain in the lower quadrant/discomfort, e. tenderness, f. nausea, g. vomiting).

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  7. Changes of the improvement ratio (%) in General health condition (symptoms) score

    General health condition (symptoms) score, a 5-point likert scale (0; greatly improved, 1; improved, 2; no change, 3; worsened, 4; severely worsened), with lower scores reflecting more improved symptoms, is used. Score 0 or 1 is defined as improvement.

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  8. Changes of the "good" ratio (%) in General health condition (symptoms) score

    General health condition (symptoms) score, 5-point scale (0; very good, 1; good, 2; average, 3; bad, 4; extremely bad), with lower scores reflecting better conditions, is used. Score 0 or 1 is defined as ''good''.

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  9. Patient satisfaction score

    % of the "satisfaction" ratio in patient satisfaction score

    Measured: At the end of the administration (4 weeks)

  10. Changes of Short Form (SF)-8 health survey score

    SF-8(short form-8), a self-reporting health survey ranging from 8 to maximum of 42, with lower scores reflecting better conditions, is used.

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  11. Small intestinal volume measured by abdominal CT scan

    Changes of small intestinal volume measured by abdominal CT scan

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  12. Changes from baseline of serum albumin level

    Serum albumin level is calculated for nutritional assessment

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  13. Changes from baseline of prealbumin (transthyretin)

    Prealbumin (transthyretin) is calculated for nutritional assessment

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  14. Changes from baseline of cholinesterase

    Cholinesterase is calculated for nutritional assessment

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  15. Changes from baseline of folic acid

    Folic acid is calculated for nutritional assessment

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  16. Changes from baseline of vitamin B12 (cobalamin)

    Vitamin B12 (cobalamin) is calculated for nutritional assessment

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

  17. Changes from baseline of serum iron

    Serum iron is calculated for nutritional assessment

    Measured: Before, 2 and 4 weeks after administration;and 4 and 8 weeks after the end of administration

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted8 Oct 2019
  2. Study start25 Dec 2019
  3. Primary completionNov 2021 (estimated)
  4. Study completionJan 2022 (estimated)

Resources

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
12 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04118699
Sponsor's protocol ID
YCU19001
Status last verified
Jun 2021
First submitted
23 Sep 2019
Last updated
21 Jun 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Ohkubo H, Iida H, Takahashi H, Yamada E, Sakai E, Higurashi T, Sekino Y, Endo H, Sakamoto Y, Inamori M, Sato H, Fujimoto K, Nakajima A. An epidemiologic survey of chronic intestinal pseudo-obstruction and evaluation of the newly proposed diagnostic criteria. Digestion. 2012;86(1):12-9. doi: 10.1159/000337528. Epub 2012 Jun 15.

    PubMed 22710349
  • Parodi A, Sessarego M, Greco A, Bazzica M, Filaci G, Setti M, Savarino E, Indiveri F, Savarino V, Ghio M. Small intestinal bacterial overgrowth in patients suffering from scleroderma: clinical effectiveness of its eradication. Am J Gastroenterol. 2008 May;103(5):1257-62. doi: 10.1111/j.1572-0241.2007.01758.x. Epub 2008 Apr 16.

    PubMed 18422815

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Rifaximin oral tablet in people with Chronic Intestinal Pseudo-obstruction, run by Yokohama City University at 1 site in Japan.

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 3 inclusion and 13 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: status not confirmed, as of the sponsor's last update on 21 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Japan. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

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?

Improvement ratio (%) in abdominal bloating score in Global Symptomatic Score (GSS) (time frame: at the end of administration (4 weeks)). The study lists 2 primary outcomes in all. 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 NCT04118699, which also lists 2 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 21 Jun 2021.

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