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Terminated due to low enrollment
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This study compared safety and efficacy of a generic rifaximin tablet to the reference listed drug in the treatment of travelers' diarrhea. Additionally both the generic and reference formulations were tested for superiority against a placebo tablet.
It was planned that 450 patients would be enrolled, but only 28 patients were randomized. Of these, 1 patient discontinued due to failure to meet the inclusion/exclusion criteria. The remaining 27 patients received study drug and 25 patients completed the study.
The study was terminated due to slow enrolment. The final analysis included only safety analysis in the Safety population, due to the low number of randomized patients. No efficacy analysis was performed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rifaximin | Experimental | Patients received Rifaximin 200 mg tablet 3 times per day for 3 days. |
|
| Xifaxan | Active Comparator | Patients received Xifaxan 200 mg tablet 3 times per day for 3 days. |
|
| Placebo | Placebo Comparator | Patients received placebo tablet 3 times per day for 3 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rifaximin (Sandoz GmbH) tablet | Drug | 200 mg tablet administered orally. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Cure Rate | Clinical cure was defined as either no stools or only formed stools within a 48 hour period and no fever, with or without other enteric symptoms, OR no watery stools or no more than two soft stools passed within a 24 hour period with no fever and no other enteric symptoms except for mild excess gas/flatulence. | study day 5 +/- 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Time to Last Unformed Stool | within 5 study days | |
| Proportion of Patients With Clinical Failure | within 5 study days | |
| Proportion of Patients With Improvement of Diarrheal Syndrome |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sandoz Investigative Site | Mexico City | Mexico |
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| ID | Title | Description |
|---|---|---|
| FG000 | Rifaximin | Patients received Rifaximin 200 mg tablet 3 times per day for 3 days. |
| FG001 | Xifaxan | Patients received Xifaxan 200 mg tablet 3 times per day for 3 days. |
| FG002 | Placebo | Patients received placebo tablet 3 times per day for 3 days. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
Baseline characteristics was based on the safety analysis set.
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| ID | Title | Description |
|---|---|---|
| BG000 | Rifaximin | Patients received Rifaximin 200 mg tablet 3 times per day for 3 days. |
| BG001 | Xifaxan | Patients received Xifaxan 200 mg tablet 3 times per day for 3 days. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Clinical Cure Rate | Clinical cure was defined as either no stools or only formed stools within a 48 hour period and no fever, with or without other enteric symptoms, OR no watery stools or no more than two soft stools passed within a 24 hour period with no fever and no other enteric symptoms except for mild excess gas/flatulence. | The study was terminated after only 28 patients (6% of planned population) were randomized. In line with the predefined Statistical Analysis Plan (SAP) no efficacy analysis was performed due to low sample size. | Posted | study day 5 +/- 1 day |
|
up to day 5 +/- 1 day
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Rifaximin | Patients received Rifaximin 200 mg tablet 3 times per day for 3 days. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Lacrimation increased | Eye disorders | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Novartis Pharmaceuticals | 862-778-1873 | novartisemail@novartis.com |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 29, 2015 | Apr 27, 2018 | Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | May 26, 2017 | Apr 27, 2018 | SAP_001.pdf |
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| ID | Term |
|---|---|
| D003967 | Diarrhea |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D000078262 | Rifaximin |
| D013607 | Tablets |
| ID | Term |
|---|---|
| D012294 | Rifamycins |
| D006576 | Heterocyclic Compounds, 4 or More Rings |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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| Rifaximin (Xifaxan) |
| Drug |
200 mg tablet administered orally |
|
|
| Placebo | Drug | Matching Placebo tablet administered orally |
|
| within 5 study days |
| Number of Unformed Stools | within 5 study days |
| The Presence or Absence and Severity of Signs and Symptoms of Enteric Infection | within 5 study days |
| Microbiological Cure Rate | study day 5 |
| BG002 | Placebo | Patients received placebo tablet 3 times per day for 3 days. |
| BG003 | Total | Total of all reporting groups |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
Patients received Xifaxan 200 mg tablet 3 times per day for 3 days.
| OG002 | Placebo | Patients received placebo tablet 3 times per day for 3 days. |
|
| Secondary | Time to Last Unformed Stool | The study was terminated after only 28 patients (6% of planned population) were randomized. In line with the predefined Statistical Analysis Plan (SAP) no efficacy analysis was performed due to low sample size. | Posted | within 5 study days |
|
|
| Secondary | Proportion of Patients With Clinical Failure | The study was terminated after only 28 patients (6% of planned population) were randomized. In line with the predefined Statistical Analysis Plan (SAP) no efficacy analysis was performed due to low sample size. | Posted | within 5 study days |
|
|
| Secondary | Proportion of Patients With Improvement of Diarrheal Syndrome | The study was terminated after only 28 patients (6% of planned population) were randomized. In line with the predefined Statistical Analysis Plan (SAP) no efficacy analysis was performed due to low sample size. | Posted | within 5 study days |
|
|
| Secondary | Number of Unformed Stools | The study was terminated after only 28 patients (6% of planned population) were randomized. In line with the predefined Statistical Analysis Plan (SAP) no efficacy analysis was performed due to low sample size. | Posted | within 5 study days |
|
|
| Secondary | The Presence or Absence and Severity of Signs and Symptoms of Enteric Infection | The study was terminated after only 28 patients (6% of planned population) were randomized. In line with the predefined Statistical Analysis Plan (SAP) no efficacy analysis was performed due to low sample size. | Posted | within 5 study days |
|
|
| Secondary | Microbiological Cure Rate | The study was terminated after only 28 patients (6% of planned population) were randomized. In line with the predefined Statistical Analysis Plan (SAP) no efficacy analysis was performed due to low sample size. | Posted | study day 5 |
|
|
| 0 |
| 12 |
| 0 |
| 12 |
| 2 |
| 12 |
| EG001 | Xifaxan | Patients received Xifaxan 200 mg tablet 3 times per day for 3 days. | 0 | 11 | 0 | 11 | 5 | 11 |
| EG002 | Placebo | Patients received placebo tablet 3 times per day for 3 days. | 0 | 4 | 0 | 4 | 0 | 4 |
| Abdominal pain upper | Gastrointestinal disorders | Systematic Assessment |
|
| Constipation | Gastrointestinal disorders | Systematic Assessment |
|
| Medication error | Injury, poisoning and procedural complications | Systematic Assessment |
|
| Dizziness | Nervous system disorders | Systematic Assessment |
|
| Headache | Nervous system disorders | Systematic Assessment |
|
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial or disclosure of trial results in their entirety.
| D047029 | Lactams, Macrocyclic |
| D047028 | Macrocyclic Compounds |
| D011083 | Polycyclic Compounds |
| D004304 | Dosage Forms |
| D004364 | Pharmaceutical Preparations |