Hepatic EncephalopathyPhase 3RED-C-3132NCT05297448
Evaluation of Rifaximin SSD for Delaying Encephalopathy Decompensation in Patients With Cirrhosis
A Phase 3 study testing Rifaximin SSD in people with Hepatic Encephalopathy, run by Bausch Health Americas, Inc. at 188 sites in 17 countries.
Trial summary
Study RNLC3132 is a Phase 3, randomized, double-blind, placebo-controlled, multicenter study to assess the efficacy and safety of rifaximin SSD-40mg IR for the delay of the first episode of overt hepatic encephalopathy (OHE) decompensation in liver cirrhosis, defined by the presence of medically controlled ascites. Read more about this study
- Who is it for?
- Ages 18 to 85 years
- Conditions the study is for
- Hepatic Encephalopathy
- What is being tested?
- Rifaximin SSD
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 466 participants
- Where
- 188 sitesin 17 countries
- Study dates
- 3 Aug 2022to Jan 2026
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 to 85 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Diagnosis of liver cirrhosis with medically controlled ascites (>30 days) not requiring therapeutic paracentesis (could have had paracentesis in the past).
- Conn (West Haven Criteria) score of < 2.
- Mini-Mental State Examination (MMSE) score > 24 at screening.
- ≥ 18 and ≤ 85 years of age.
Who cannot join
- Active COVID-19 that is unresolved
- History of SBP
- History of EVB or AKI-HRS within 6 months
- History of OHE episode (Conn score ≥ 2)
Trial locations and contacts
188 sites in 17 countries.
188 sites in 17 countries
United States90 sites
Bausch Site 581
Allentown, Pennsylvania, 18104
Bausch Site 427
Asheville, North Carolina, 28801
Bausch Site 550
Bakersfield, California, 93309
Bausch Site 402
Burlington, Vermont, 05401
Bausch Site 445
Chandler, Arizona, 85224
Bausch Site 423
Chattanooga, Tennessee, 37421
Bausch Site 434
Chattanooga, Tennessee, 37421
Bausch Site 575
Colorado Springs, Colorado, 80907
Bausch Site 599
Columbia, South Carolina, 29204
Bausch Site 415
Coronado, California, 92118
Bausch Site 585
Covina, California, 91722
Bausch Site 585
Covina, California, 91723
Bausch Site 406
Dallas, Texas, 75390
Bausch Site 410
Dayton, Ohio, 45414
Bausch Site 519
Denison, Texas, 75929
Bausch Site 425
Doral, Florida, 33122
Bausch Site 436
East Syracuse, New York, 13057
Bausch Site 598
Florham Park, New Jersey, 07932
Bausch Site 463
Flowood, Mississippi, 39232
Bausch Site 597
Freehold, New Jersey, 07728
Bausch Site 592
Fresno, California, 93720
Bausch Site 583
Greenbelt, Maryland, 20770
Bausch Site 475
Gurnee, Illinois, 60031
Bausch Site 400
Harrisburg, Pennsylvania, 17110
Bausch Site 579
Hermitage, Tennessee, 37076
Bausch Site 449
Hialeah, Florida, 33012
Bausch Site 558
Hialeah, Florida, 33012
Bausch Site 418
Hialeah, Florida, 33013
Bausch Site 468
Hollywood, Florida, 33024
Bausch Site 591
Homewood, Alabama, 35209
Bausch Site 437
Houston, Texas, 77074
Bausch Site 447
Humble, Texas, 77346
Bausch Site 460
Jefferson City, Missouri, 65109
Bausch Site 457
Lafayette, Louisiana, 70503
Bausch Site 582
Lancaster, California, 93534
Bausch Site 580
Liberty Township, Ohio, 45044
Bausch Site 590
Long Beach, California, 90808
Bausch Site 414
Los Angeles, California, 90067
Bausch Site 577
Macon, Georgia, 31201
Bausch Site 531
Marrero, Louisiana, 70072
Bausch Site 488
Metairie, Louisiana, 70006
Bausch Site 495
Miami, Florida, 23229
Bausch Site 543
Miami, Florida, 33032
Bausch Site 479
Miami, Florida, 33125
Bausch Site 428
Miami, Florida, 33126
Bausch Site 470
Miami, Florida, 33134
Bausch Site 486
Miami, Florida, 33144
Bausch Site 552
Miami, Florida, 33165
Bausch Site 594
Miami, Florida, 33165
Bausch Site 456
Miami, Florida, 33175
Bausch Site 458
Miami, Florida, 33176
Bausch Site 435
Miami, Florida, 33186
Bausch Site 452
Miami Lakes, Florida, 33016
Bausch Site 494
Monroe, North Carolina, 28112
Bausch Site 413
New Orleans, Louisiana, 70125
Bausch Site 559
Norfolk, Virginia, 23502
Bausch Site 431/443
Ocala, Florida, 34471
Bausch Site 450
Ocala, Florida, 34471
Bausch Site 446
Ocoee, Florida, 34761
Bausch Site 405
Orange, California, 92868
Bausch Site 421
Orange City, Florida, 32763
Bausch Site 596
Orlando, Florida, 32808
Bausch Site 537
Palmetto Bay, Florida, 33157
Bausch Site 576
Philadelphia, Pennsylvania, 19104
Bausch Site 407
Port Orange, Florida, 32127
Bausch Site 484
Providence, Rhode Island, 02905
Bausch Site 424
Richmond, Virginia, 23226
Bausch Site 490
Richmond, Virginia, 23229
Bausch Site 595
Richmond, Virginia, 23236
Bausch Site 404
Roanoke, Virginia, 24014
Bausch Site 448
San Marcos, Texas, 78130
Bausch Site 442
Shreveport, Louisiana, 71105
Bausch Site 422
Smithfield, North Carolina, 27577
Bausch Site 588
South Bend, Indiana, 46635
Bausch Site 411
Sparta, New Jersey, 07871
Bausch Site 403
Springboro, Ohio, 45066
Bausch Site 480
Summerville, South Carolina, 29486
Bausch Site 453
Sun City, Arizona, 85351
Bausch Site 401
The Bronx, New York, 10467
Bausch Site 455
Toms River, New Jersey, 08755
Bausch Site 524
Topeka, Kansas, 66606
Bausch Site 587
Tucson, Arizona, 85715
Bausch Site 600
Union City, Tennessee, 38261
Bausch Site 482
Valencia, California, 91355
Bausch Site 409
Waco, Texas, 76712
Bausch Site 454
Wellington, Florida, 33467
Bausch Site 466
West Des Moines, Iowa, 50266
Bausch Site 472
Westlake, Ohio, 44145
Bausch Site 416
Wichita Falls, Texas, 76301
Bausch Site 429
Zephyrhills, Florida, 33542
South Korea19 sites
Bausch Site 759
Busan, 47392
Bausch Site 751
Busan, 49241
Bausch Site 769
Daegu, 41944
Bausch Site 764
Daegu, 42601
Bausch Site 763
Daejeon, 34943
Bausch Site 768
Gangwon-do, 26426
Bausch Site 758
Goyang-si, 10408
Bausch Site 765
Gyeonggi-do, 15355
Bausch Site 754
Gyeongsang, 50612
Bausch Site 770
Seongnam-si, 13496
Bausch Site 757
Seoul, 013722
Bausch Site 766
Seoul, 01830
Bausch Site 752
Seoul, 03080
Bausch Site 762
Seoul, 03312
Bausch Site 760
Seoul, 06273
Bausch Site 753
Seoul, 06351
Bausch Site 767
Seoul, 06591
Bausch Site 755
Seoul, 08308
Bausch Site 761
Yongin-si, 16995
France14 sites
Bausch Site 804
Angers, 49100
Bausch Site 818
Belfort, 90015
Bausch Site 810
Besançon, 25000
Bausch Site 802
Clermont-Ferrand, 63003
Bausch Site 808
Limoges, 87042
Bausch Site 805
Lyon, 69004
Bausch Site 807
Nice, 06200
Bausch Site 801
Paris, 75013
Bausch Site 817
Paris, 75014
Bausch Site 809
Pessac, 33604
Bausch Site 815
Rennes, 35033
Bausch Site 803
Toulouse, 31059
Bausch Site 813
Vandœuvre-lès-Nancy, 54500
Bausch Site 811
Villejuif, 94804
Canada12 sites
Bausch Site Barrie GI Associates
Barrie, Ontario, L4M 7G1
Bausch Site Brampton Civic Hospital
Brampton, Ontario, L6R 3J7
Bausch Site Heritage Medical Research Clinic
Calgary, Alberta, T2N 4Z6
Bausch Site University of Alberta Hospital
Edmonton, Alberta, T6G 2B7
Bausch Site McMaster University Medical Centre - Hamilton Health Services
Hamilton, Ontario, L8V 1C3
Bausch Site Clinique Medicale L'Actuel
Montreal, Quebec, H2L 4P9
Bausch Site: CHUM Centre de Recherche
Montreal, Quebec, HSX 0A9
Bausch Site 605
Québec, G1V 4T3
Bausch Site Albany Medical Clinic
Toronto, Ontario, M3M 0A9
Bausch Site Toronto General Hospital
Toronto, Ontario, M5G 1N8
Bausch Site G.I.R.I. GI Research Institute
Vancouver, British Columbia, V6Z 2K5
Bausch Site: Pharmaceutical Integrated Research Corporation
Waterloo, Ontario, N2J 1C4
Poland7 sites
Bausch Site 902
Bydgoszcz, 85-605
Bausch Site 904
Katowice, 40-752
Bausch Site 909
Krakow, 30-721
Bausch Site 901
Mysłowice, 41-400
Bausch Site 903
Staszów, 28-200
Bausch Site 908
Wroclaw, 50-220
Bausch Site 906
Wroclaw, 51-162
Spain7 sites
Bausch Site 931
Barcelona, 08035
Bausch Site 937
Madrid, 28034
Bausch Site 928
Málaga, 29010
Bausch Site 936
Pontevedra, 36164
Bausch Site 933
Valencia, 46010
Bausch Site 935
Valencia, 46014
Bausch Site 927
Zaragoza, 50009
Belgium6 sites
Bausch Site 972
Antwerp, 2650
Bausch Site 978
Genk, 3600
Bausch Site 973
Ghent, 9000
Bausch Site 976
Kortrijk, 8500
Bausch Site 974
Liège, 4000
Bausch Site 975
Mechelen, 2800
Bulgaria6 sites
Bausch Site 982
Rousse, 7013
Bausch Site 969
Sliven, 8800
Bausch Site 967
Sofia, 1431
Bausch Site 968
Sofia, 1606
Bausch Site 984
Sofia, 1618
Bausch Site 966
Stara Zagora, 6000
India6 sites
Bausch Site 352
Belagavi, 590010
Bausch Site 350
Mangaluru, 575003
Bausch Site 356
Nagpur, 440010
Bausch Site 354
Nashik, 422005
Bausch Site 361
Secunderabad, 500003
Bausch Site 351
Sūrat, 395009
Italy5 sites
Bausch Site 881
Milan, 20132
Bausch Site 883
Naples, 80131
Bausch Site 884
Novara, 28100
Bausch Site 882
Palermo, 90127
Bausch Site 879
Rozzano, 20089
United Kingdom5 sites
Bausch Site 941
Dundee, DD1 9SY
Bausch Site 947
Hull, HU3 2JZ
Bausch Site 946
Liverpool, L9 7AL
Bausch Site 945
Nottingham, NG7 2UH
Bausch Site 942
Plymouth, PL6 8DH
New Zealand3 sites
Bausch Site 779
Christchurch, 8011
Bausch Site 776
Grafton, 1023
Bausch Site 778
Hamilton, 3240
Australia2 sites
Bausch Site 709
Camperdown, New South Wales, 2050
Bausch Site 710
Westmead, New South Wales, 2145
Puerto Rico2 sites
Bausch Site 440
Guaynabo, 00966
Bausch Site 589
San Juan, 00907
About this study
Official title: A Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Assess the Efficacy and Safety of Rifaximin Soluble Solid Dispersion (SSD) for the Delay of Encephalopathy Decompensation in Cirrhosis
Study RNLC3132 is a Phase 3, randomized, double-blind, placebo-controlled, multicenter study to assess the efficacy and safety of rifaximin SSD-40mg IR for the delay of the first episode of overt hepatic encephalopathy (OHE) decompensation in liver cirrhosis, defined by the presence of medically controlled ascites.
- Conditions
- Hepatic Encephalopathy
- Being tested
- Rifaximin SSD, Placebo
- Medical subject headings
- Hepatic Encephalopathy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Rifaximin SSDDrug
Rifaximin Solid Soluble Dispersion Immediate Release Twice Daily
PlaceboDrug
Placebo Twice Daily
| Study group | Role | What they receive |
|---|---|---|
| Rifaximin SSD-40mg IR | Experimental | Not described Receives: Drug: Rifaximin SSD |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Time to first event of overt hepatic encephalopathy requiring medical intervention in hospital/ER/ED/clinic or death.
Measured: 72 weeks
Secondary outcomes (3)
Time to first Conn score ≥ 2 or confirmed OHE requiring medical intervention in hospital/ER/ED/clinic or death
Measured: 72 weeks
Time to all-cause hospitalization
Measured: 72 weeks
Time to first event of OHE that requires hospitalization, or all-cause death
Measured: 72 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Mar 2022
- Study start3 Aug 2022
- Primary completionJan 2026 (estimated)
- Study completionJan 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Hepatic EncephalopathyStudies of the same condition, open and under way.
- 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 466 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Bausch Health Americas, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Michael Mader, Study director, Bausch Health Americas, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05297448
- Sponsor's protocol ID
- RNLC3132
- Acronym
- RED-C-3132
- Status last verified
- Sep 2025
- First submitted
- 17 Mar 2022
- Last updated
- 10 Sep 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 10 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind, Placebo-Controlled, Multicenter Study to Assess the Efficacy and Safety of Rifaximin Soluble Solid Dispersion (SSD) for the Delay of Encephalopathy Decompensation in Cirrhosis
- ClinicalTrials.gov ID
- NCT05297448
- Acronym / sponsor ID
- RED-C-3132 / RNLC3132
- Conditions
- Hepatic Encephalopathy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 466 participants (estimated)
- Lead sponsor
- Bausch Health Americas, Inc.Industry (pharma, biotech, devices)
- Study start
- 3 Aug 2022 (actual)
- Primary completion
- Jan 2026 (estimated)
- Study completion
- Jan 2026 (estimated)
- First posted
- 28 Mar 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Study RNLC3132 is a Phase 3, randomized, double-blind, placebo-controlled, multicenter study to assess the efficacy and safety of rifaximin SSD-40mg IR for the delay of the first episode of overt hepatic encephalopathy (OHE) decompensation in liver cirrhosis, defined by the presence of medically controlled ascites.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Rifaximin SSD-40mg IR | Experimental | Drug: Rifaximin SSD |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 to 85 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Diagnosis of liver cirrhosis with medically controlled ascites (>30 days) not requiring therapeutic paracentesis (could have had paracentesis in the past).
- Conn (West Haven Criteria) score of < 2.
- Mini-Mental State Examination (MMSE) score > 24 at screening.
- ≥ 18 and ≤ 85 years of age.
Key exclusion criteria (4 listed)
- Active COVID-19 that is unresolved
- History of SBP
- History of EVB or AKI-HRS within 6 months
- History of OHE episode (Conn score ≥ 2)
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 |
|---|---|---|
| Rifaximin SSDRifaximin Solid Soluble Dispersion Immediate Release Twice Daily | Drug | Rifaximin SSD-40mg IR |
| PlaceboPlacebo Twice Daily | Drug | Placebo |
Primary outcome
Time to first event of overt hepatic encephalopathy requiring medical intervention in hospital/ER/ED/clinic or death.
Time frame: 72 weeks
3 secondary outcomes
Time to first Conn score ≥ 2 or confirmed OHE requiring medical intervention in hospital/ER/ED/clinic or death
Time frame: 72 weeks
Time to all-cause hospitalization
Time frame: 72 weeks
Time to first event of OHE that requires hospitalization, or all-cause death
Time frame: 72 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Sep 2025.
- Individual participant dataSharing planned: Undecided
Related trials for Hepatic Encephalopathy
Not yet recruitingPhase 4
Daridorexant for Sleep Disturbance in Adults With Liver Cirrhosis
Liver Cirrhosis, Sleep Disturbance
Not yet recruiting
Equivalence of Electronic vs Paper-based PHES in Diagnosing Hepatic Encephalopathy
Liver Cirrhosis, Hepatic Encephalopathy (HE)
Recruiting
4D-Flow MRI Assessment of Portal Hypertension and TIPS Outcomes in Cirrhosis
Cirrhosis, Portal Hypertension
Active, not recruitingPhase 1/2
RTX001 Autologous Engineered Macrophages for Liver Cirrhosis
End-stage Liver Disease (ESLD), Cirrhosis, Liver
Not yet recruitingObservational study
A Prospective Cohort Study on the Epidemiological Investigation, Diagnosis, and Treatment of Hepatic Encephalopathy
Hepatic Encephalopathy, Minimal Hepatic Encephalopathy
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.
Michael Mader study director
Bausch Health Americas, Inc.
188 sites in 17 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Rifaximin SSD in people with Hepatic Encephalopathy, run by Bausch Health Americas, Inc. at 188 sites in 17 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 4 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: under way, not looking for participants, as of the sponsor's last update on 10 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 188 sites in United States, South Korea, France, Canada, Poland and 12 more countries. 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?
This study is still under way. Results are not available in the source record yet.
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?
Time to first event of overt hepatic encephalopathy requiring medical intervention in hospital/ER/ED/clinic or death. (time frame: 72 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 10 Sep 2025; AzTrials last refreshed its copy on 26 Oct 2026.