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Rifaximin SSD once daily

Phase 2

Overt Hepatic Encephalopathy | Small molecule | Gastrointestinal |Bausch Health Companies Inc.|Last Updated: Apr 13, 2023

Success Probability

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment71

FDA Designations

No designations recorded

Clinical trial landscape

Rifaximin SSD once daily · 1 trial · 1 indication

Phase 2 1
NCT03515044Rifaximin Soluble Solid Dispersion (SSD) Tablets Plus Lactulose for the Treatment of Overt Hepatic Encephalopathy (OHE)Overt Hepatic Encephalopathy
COMPLETED71 Analytics
PHASE2COMPLETED
Rifaximin Soluble Solid Dispersion (SSD) Tablets Plus Lactulose for the Treatment of Overt Hepatic Encephalopathy (OHE)
Overt Hepatic EncephalopathyUnlock trial analytics

Study Endpoints

Primary Endpoints

Time to Overt Hepatic Encephalopathy (OHE) Resolution Determined Using the Hepatic Encephalopathy Grading Instrument (HEGI), Defined as HEGI Score < 2
14 days

A participant was considered to have an overt HE episode if at least one of the following applied: (1) Disorientated to time or place or person, (2) Lethargic and has asterixis, (3) Inability to assess the patient due to disorientation to time and place and person; and/or somnolence, and/or coma. Severity of OHE episodes was graded using the HEGI scale, where Grade 1 is no clinical findings of OHE, and Grade 4 is comatose. Higher scores on the scale have higher severity (worse outcome).

Secondary Endpoints

Time to Improvement in Hepatic Encephalopathy Grading Instrument (HEGI) Score, Defined as at Least One Grade Decrease (Improvement)
14 days
Time to Hospital Discharge
14 days
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Study Design & Arms

AllocationRANDOMIZED
MaskingTRIPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Cohort 1 40 mg Rifaximin SSD once dailyEXPERIMENTAL40 mg Rifaximin immediate release (IR) rifaximin SSD once daily (QD) and lactulose
Cohort 2 40 mg Rifaximin SSD twice dailyEXPERIMENTAL40 mg Rifaximin immediate release (IR) rifaximin SSD twice daily (BID) and lactulose
Cohort 3 80 mg Rifaximin SSD once dailyEXPERIMENTAL80 mg Rifaximin sustained extended release (SER) rifaximin SSD once daily (QD) and lactulose
Cohort 4 80 mg Rifaximin SSD twice daiyEXPERIMENTAL80 mg Rifaximin sustained extended release (SER) rifaximin SSD twice daily (BID) and lactulose
Cohort 5 Placebo twice dailyEXPERIMENTALSSD placebo twice daily (BID) and lactulose

Interventions

NameTypeDescription
40 mg Rifaximin SSD once dailyDRUGSSD once daily (QD)
40 mg Rifaximin SSD twice dailyDRUGSSD twice daily (BID)
80 mg Rifaximin SSD once dailyDRUGSSD once daily (QD)
80 mg Rifaximin SSD twice dailyDRUGSSD twice daily (BID)
PlaceboDRUGAdministered twice daily (BID)
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Eligibility Criteria

Age Range18 Years to 75 Years
SexALL
Healthy VolunteersYes
Study Sites34

Inclusion Criteria: * Male or female age 18 to 75 years of age (inclusive) at the time of screening. * Females of childbearing potential, defined as a female who is fertile following menarche, must have a negative serum pregnancy test at screening and agree to use an acceptable method of contracept...

Countries:United States
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Frequently asked questions about Rifaximin SSD once daily

What is Rifaximin SSD once daily used for?

Rifaximin SSD once daily is an investigational small molecule being studied for the treatment of overt hepatic encephalopathy (OHE), a serious complication of liver disease. It is being developed as a soluble solid dispersion tablet formulation of rifaximin, intended for once-daily dosing in combination with lactulose.

Who makes Rifaximin SSD once daily?

Rifaximin SSD once daily is being developed by Bausch Health Companies Inc. (NYSE: BHC). The company is conducting clinical research on this formulation for the treatment of overt hepatic encephalopathy.

What phase is Rifaximin SSD once daily in?

Rifaximin SSD once daily is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA. A Phase 2 trial evaluating the drug has been completed.

What clinical trials is Rifaximin SSD once daily in?

Rifaximin SSD once daily was evaluated in a completed Phase 2 clinical trial with the identifier NCT03515044. The study, titled "Rifaximin Soluble Solid Dispersion (SSD) Tablets Plus Lactulose for the Treatment of Overt Hepatic Encephalopathy (OHE)," enrolled 71 participants in the United States.

Is Rifaximin SSD once daily the same as rifaximin?

Rifaximin SSD once daily is a soluble solid dispersion formulation of the antibiotic rifaximin. It is designed for once-daily dosing, whereas other rifaximin products may require different dosing schedules. The SSD formulation is being studied specifically for overt hepatic encephalopathy.