MedPath

Rifaximin

Generic Name
Rifaximin
Brand Names
Xifaxan, Zaxine
Drug Type
Small Molecule
Chemical Formula
C43H51N3O11
CAS Number
80621-81-4
Unique Ingredient Identifier
L36O5T016N
Background

Rifaximin is a semisynthetic, rifamycin-based non-systemic antibiotic, meaning that the drug will not pass the gastrointestinal wall into the circulation as is common for other types of orally administered antibiotics. It has multiple indications and is used in treatment of traveller's diarrhea caused by E. coli; reduction in risk of overt hepatic encephalopathy recurrence; as well as diarrhea-predominant irritable bowel syndrome (IBS-D) in adult women and men. It is marketed under the brand name Xifaxan by Salix Pharmaceuticals.

Indication

Rifaximin has multiple indications by the FDA: for the treatment of patients (≥12 years of age) with traveller's diarrhea caused by noninvasive strains of Escherichia coli; for the reduction of overt hepatic encephalopathy recurrence in patients ≥18 years of age; and in May 2015 it was approved for irritable bowel syndrome with diarrhea (IBS-D) treatment in adult men and women.

Associated Conditions
Bacterial Infections, Clostridium difficile infection recurrence, Hepatic Encephalopathy (HE), Irritable Bowel Syndrome (IBS), Traveler's Diarrhea

Human Albumin Infusion in Liver Cirrhosis and Overt Hepatic Encephalopathy (HACHE)

Not Applicable
Not yet recruiting
Conditions
Overt Hepatic Encephalopathy
Interventions
Drug: Human albumin infusion at a modified dosage
Drug: Human albumin infusion at a routine dosage
Drug: Branched-Chain Amino Acids
First Posted Date
2024-07-03
Last Posted Date
2025-03-04
Lead Sponsor
General Hospital of Shenyang Military Region
Target Recruit Count
174
Registration Number
NCT06483737
Locations
🇨🇳

Department of Gastroenterology, General Hospital of Northern Theater Command (formerly called General Hospital of Shenyang Military Area), Shenyang, Liaoning, China

Rifaximin for the Secondary Prevention of Recurrent Pouchitis

Phase 4
Recruiting
Conditions
Pouchitis
Interventions
First Posted Date
2024-03-15
Last Posted Date
2024-08-06
Lead Sponsor
University of North Carolina, Chapel Hill
Target Recruit Count
16
Registration Number
NCT06312683
Locations
🇺🇸

University of North Carolina, Chapel Hill, North Carolina, United States

Rifaximin as a Prophylaxis of Spontaneous Bacterial Peritonitis in Comparison With Ciprofloxacin

Phase 3
Completed
Conditions
Spontaneous Bacterial Peritonitis
Interventions
Diagnostic Test: ascitic fluid sample
First Posted Date
2024-01-31
Last Posted Date
2024-01-31
Lead Sponsor
Ain Shams University
Target Recruit Count
80
Registration Number
NCT06234046
Locations
🇪🇬

Mostafa Elfors, Cairo, Egypt

The Efficacy of Probiotics as an Adjunct to Treatment of SIBO With Rifaximin

Not Applicable
Recruiting
Conditions
Small Intestinal Bacterial Overgrowth
Irritable Bowel Syndrome
SIBO
Interventions
Dietary Supplement: Probiotic
First Posted Date
2024-01-25
Last Posted Date
2024-03-15
Lead Sponsor
Pomeranian Medical University Szczecin
Target Recruit Count
125
Registration Number
NCT06223685
Locations
🇵🇱

Sonomed CENTRUM MEDYCZNE, Szczecin, Zachodniopomorskie, Poland

Efficacy of Rifaximin vs Norfloxacin for Secondary Prophylaxis of SBP (NORRIF Trial)

Not Applicable
Not yet recruiting
Conditions
Spontaneous Bacterial Peritonitis
Interventions
First Posted Date
2024-01-10
Last Posted Date
2024-01-10
Lead Sponsor
Institute of Liver and Biliary Sciences, India
Target Recruit Count
280
Registration Number
NCT06199843
Locations
🇮🇳

Dr Jaya Benjamin, New Delhi, Delhi, India

Effect of Rifaximin on Gut Bacterial Flora Post Stem Cell Transplant in Patients With Acute Leukemia

Phase 2
Not yet recruiting
Conditions
Acute Leukemia
Interventions
Procedure: Allogeneic stem cell transplant
First Posted Date
2023-09-28
Last Posted Date
2023-10-16
Lead Sponsor
Tata Memorial Centre
Target Recruit Count
166
Registration Number
NCT06058572

To Compare the Efficacy of Drugs in Combination for Treating Irritable Bowel Syndrome Associated With Diarrhea

Phase 4
Completed
Conditions
Irritable Bowel Syndrome With Diarrhea
Interventions
First Posted Date
2023-05-22
Last Posted Date
2023-07-27
Lead Sponsor
Bahria University
Target Recruit Count
162
Registration Number
NCT05867550
Locations
🇵🇰

Bahria University Health Sciences Campus, Karachi, Sindh, Pakistan

Rifaximin for Preventing Progression and Complications in Patients With Decompensated Liver Cirrhosis

Not Applicable
Recruiting
Conditions
Decompensated Cirrhosis
Interventions
Drug: Conventional dose of Rifaximin
First Posted Date
2023-05-18
Last Posted Date
2023-08-08
Lead Sponsor
Xin Zeng
Target Recruit Count
150
Registration Number
NCT05863364
Locations
🇨🇳

Shanghai East Hospital, Shanghai, China

The Efficacy and Safety of Rifaximin Treatment

Early Phase 1
Recruiting
Conditions
Hepatitis B
Effect of Drug
Liver Failure, Acute on Chronic
HBV
Hepatic Encephalopathy
Rifaximin
Interventions
Other: Standard Treatment without Rifaximin
First Posted Date
2023-03-28
Last Posted Date
2023-03-28
Lead Sponsor
Sun Yat-sen University
Target Recruit Count
124
Registration Number
NCT05786859
Locations
🇨🇳

The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China

Efficacy and Safety of Nifuroxazide in the Treatment of Hepatic Encephalopathy in Egyptian Patients With Liver Cirrhosis

Phase 3
Recruiting
Conditions
Hepatic Encephalopathy
Interventions
First Posted Date
2023-03-06
Last Posted Date
2025-05-14
Lead Sponsor
Cairo University
Target Recruit Count
102
Registration Number
NCT05754996
Locations
🇪🇬

National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Egypt

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