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

Single Dose Antibiotic Treatment of Acute Watery Diarrhea, Rifaximin Versus Azithromycin, with Loperamide Adjunct

Phase 4
Recruiting
Conditions
Diarrhoea;Acute
Diarrhea Travelers
Interventions
First Posted Date
2023-01-10
Last Posted Date
2024-12-10
Lead Sponsor
Henry M. Jackson Foundation for the Advancement of Military Medicine
Target Recruit Count
150
Registration Number
NCT05677282
Locations
🇩🇯

Camp Lemonnier Djibouti, Djibouti, Djibouti

🇭🇳

JTF-Bravo, Soto Cano AB, Comayagua, Honduras

🇰🇪

British Army Training Site UK, Nanyuki, Kenya

Rifaximin Prophylaxis for Spontaneous Bacterial Peritonitis and Hepatorenal Syndrome in Cirrhotic Patients

Phase 2
Completed
Conditions
Ascites Infection
Interventions
First Posted Date
2022-11-17
Last Posted Date
2022-11-21
Lead Sponsor
Samar Atef Sebaweh Mohammed
Target Recruit Count
104
Registration Number
NCT05621005
Locations
🇪🇬

faculty of medicine Ain Shams university, Cairo, Egypt

Effects of Rifaximin on Gut Microbiota and Emotion

Phase 2
Recruiting
Conditions
Healthy Volunteers
Stress
Fear
Interventions
Dietary Supplement: Placebo
First Posted Date
2022-10-19
Last Posted Date
2024-12-20
Lead Sponsor
Universitaire Ziekenhuizen KU Leuven
Target Recruit Count
60
Registration Number
NCT05587036
Locations
🇧🇪

UZ/KU Leuven, Leuven, Belgium

Comparing the Efficacy of Nitazoxanide Versus Rifaximin in Adult Patients With Irritable Bowel Syndrome Without Constipation

Phase 1
Recruiting
Conditions
Irritable Bowel Syndrome With Diarrhea
Interventions
First Posted Date
2022-07-12
Last Posted Date
2023-11-21
Lead Sponsor
Sadat City University
Target Recruit Count
84
Registration Number
NCT05453916
Locations
🇪🇬

Faculty of Pharmacy, University of Sadat city, Sadat City, Menoufia, Egypt

Rifaximin for Treatment of Bloating in Children and Adults With Cystic Fibrosis

Phase 2
Not yet recruiting
Conditions
Cystic Fibrosis
Abdominal Pain
Small Bowel Disease
Interventions
First Posted Date
2022-06-07
Last Posted Date
2025-02-27
Lead Sponsor
Wake Forest University Health Sciences
Target Recruit Count
100
Registration Number
NCT05408910
Locations
🇺🇸

Atrium Health, Charlotte, North Carolina, United States

Study to Assess Rifaximin Soluble Solid Dispersion (SSD) for the Delay of Encephalopathy Decompensation in Cirrhosis

Phase 3
Active, not recruiting
Conditions
Hepatic Encephalopathy
Interventions
Drug: Placebo
First Posted Date
2022-03-28
Last Posted Date
2024-05-09
Lead Sponsor
Bausch Health Americas, Inc.
Target Recruit Count
466
Registration Number
NCT05297448
Locations
🇺🇸

Bausch Site 482, Valencia, California, United States

🇺🇸

Bausch Site 452, Miami Lakes, Florida, United States

🇺🇸

Bausch Site 577, Macon, Georgia, United States

and more 184 locations

Pharmacokinetic Study of Single-Dose Modified Release Glipizide in Healthy Volunteers

Phase 1
Recruiting
Conditions
Human Gastrointestinal Physiology Data
Interventions
First Posted Date
2021-12-16
Last Posted Date
2025-01-29
Lead Sponsor
University of Michigan
Target Recruit Count
40
Registration Number
NCT05159427
Locations
🇺🇸

University of Michigan, Ann Arbor, Michigan, United States

Safety, Efficacy and Pharmacokinetics of Rifaximin in Patients With Moderate-to-severe Papulopustular Rosacea

Phase 2
Completed
Conditions
Papulopustular Rosacea
Interventions
Drug: Placebo
First Posted Date
2021-12-09
Last Posted Date
2024-04-24
Lead Sponsor
Alfasigma S.p.A.
Target Recruit Count
216
Registration Number
NCT05150587
Locations
🇺🇸

Skin Care Research, Boca Raton, Florida, United States

🇺🇸

Metropolis Dermatology, Los Angeles, California, United States

🇺🇸

DelRicht Research, Tulsa, Oklahoma, United States

and more 32 locations

Study to Assess Rifaximin Soluble Solid Dispersion (SSD) for the Delay of Encephalopathy Decompensation in Cirrhosis

Phase 3
Active, not recruiting
Conditions
Hepatic Encephalopathy
Interventions
Drug: Placebo
First Posted Date
2021-10-08
Last Posted Date
2024-03-22
Lead Sponsor
Bausch Health Americas, Inc.
Target Recruit Count
524
Registration Number
NCT05071716
Locations
🇺🇸

Bausch Site 219, Atlanta, Georgia, United States

🇺🇸

Bausch Site 140, Los Angeles, California, United States

🇺🇸

Bausch Site 189, Los Angeles, California, United States

and more 147 locations

Feasibility of a New Diagnostic Device to Assess Small Intestinal Dysbiosis in Routine Clinical Setting.

Not Applicable
Recruiting
Conditions
Small Intestinal Bacterial Overgrowth
Interventions
Device: Atmo Gas Capsule
Procedure: Jejunal Aspiration and culture
Diagnostic Test: Glucose Breath Test
Diagnostic Test: Fructoolifosaccharides (FOS) Breath Test
Drug: Placebo
First Posted Date
2021-06-02
Last Posted Date
2024-01-30
Lead Sponsor
Atmo Biosciences Pty Ltd
Target Recruit Count
150
Registration Number
NCT04910815
Locations
🇮🇳

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

🇦🇺

Princess Alexandra Hospital, Woolloongabba, Queensland, Australia

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