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Rifaximin SSD IR

Phase 2

Liver Cirrhosis | Small molecule | Gastrointestinal |Bausch Health Companies Inc.|Last Updated: Oct 23, 2019

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment420
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01904409Dose-ranging Study of Rifaximin Soluble Solid Dispersion (SSD) Tablets for the Prevention of Complications of Early Decompensated Liver CirrhosisPHASE2 COMPLETED 420Jun 1, 2013Jul 1, 2015Oct 23, 2019120 United States, Russia
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Study Endpoints
Primary Endpoints
Time to all-cause mortality or hospitalization that is attributable to complications of liver disease.
Weeks 1 through 24

The primary outcome measure will evaluate the time from start of the treatment period to death due to any cause (all-cause mortality) or hospitalization due to complications of liver disease for each patient during the 24-week treatment period.

Secondary Endpoints
Overall hospitalization rate due to each complication of liver disease or all-cause mortality over the 24-week treatment period.
Weeks 1 through 24
Pharmacokinetics of rifaximin and its metabolite.
Weeks 1 through 24
Incidence of treatment-emergent adverse events.
Weeks 1 through 24
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposePREVENTION
Treatment Arms
ArmTypeDescription
PlaceboPLACEBO_COMPARATORPlacebo tablets once daily.
Rifaximin SSD 40 mg IR tabletEXPERIMENTALRifaximin soluble solid dispersion (SSD) 40 mg immediate release (IR) tablet once daily.
Rifaximin SSD 80 mg IR tabletEXPERIMENTALRifaximin soluble solid dispersion (SSD) 80 mg immediate release (IR) tablet once daily.
Rifaximin SSD 40 mg SER tabletEXPERIMENTALRifaximin soluble solid dispersion (SSD) 40 mg sustained extended release (SER) tablet once daily.
Rifaximin SSD 80 mg SER tabletEXPERIMENTALRifaximin soluble solid dispersion (SSD) 80 mg sustained extended release(SER) tablet once daily.
Rifaximin SSD 80mgIR/80mgSER tabletEXPERIMENTALRifaximin soluble solid dispersion (SSD) 80 mg immediate release (IR) tablet + rifaximin SSD 80 mg sustained extended release (SER) tablet once daily.
Interventions
NameTypeDescription
PlaceboDRUG -
Rifaximin SSD 40 mg IR tabletDRUG -
Rifaximin SSD 80 mg IR tabletDRUG -
Rifaximin SSD 40 mg SER tabletDRUG -
Rifaximin SSD 80 mg SER tabletDRUG -
Rifaximin SSD 80mgIR/80mgSER tabletDRUG -
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites120

Inclusion Criteria: * Diagnosis of liver cirrhosis and documented ascites. * Model End Stage Liver Disease (MELD) score of at least 12, MELD Na of at least 12, or Child-Pugh B (score of 7 - 9). * If applicable, has a close family or other personal contacts who can provide continuing oversight to th...

Countries:United StatesRussia
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