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open-label rifaximin

Phase 3

Irritable Bowel Syndrome With Diarrhea | Small molecule | Gastrointestinal |Bausch Health Companies Inc.|Last Updated: Dec 12, 2017

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_CONTROLLED
Total Trials1
Total Enrollment2,583
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01543178Irritable Bowel Syndrome With Diarrhea (IBS-D) Rifaximin Re-Treatment StudyPHASE3 COMPLETED 2,583Feb 1, 2012Jun 1, 2014Dec 12, 2017296 United States, Germany +1
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Study Endpoints
Primary Endpoints
Repeat Treatment Responders
4-week treatment-free follow-up in double-blind repeat treatment phase.

Subjects who respond to repeat treatment in both IBS-related abdominal pain and stool consistency. The proportion of patients who responded to repeat treatment during the first double-blind repeat treatment phase is presented. Response is defined as improvement from baseline in abdominal pain AND reduction from baseline in diarrhea.

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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Rifaximin open-labelEXPERIMENTALSubjects will receive open-label rifaximin 550 mg TID for 2 weeks with a 4-week treatment-free follow-up. Responders will continue into Maintenance Phase 1 (treatment free). Nonresponders will withdraw from the study. Subjects who meet criteria for recurrence in Maintenance Phase 1 enter the double-blind period and are randomized 1:1 to receive rifaximin 550 mg or placebo.
Double-blind rifaximin (retreatment)EXPERIMENTALSubjects in this arm receive rifaximin 550 mg TID for 2 weeks with a 4-week treatment-free follow-up (first retreatment) followed by Maintenance Phase 2 (6 weeks \[treatment free\]) followed by a second retreatment with rifaximin 550 mg TID for 2 weeks with a 4-week treatment-free follow-up.
Double-blind placebo (retreatment)PLACEBO_COMPARATORSubjects in this arm receive placebo TID for 2 weeks with a 4-week treatment-free follow-up (first retreatment) followed by Maintenance Phase 2 (6 weeks \[treatment free\]) followed by a second retreatment with placebo TID for 2 weeks with a 4-week treatment-free follow-up.
Interventions
NameTypeDescription
open-label rifaximinDRUG550 mg three times a day (open-label)
double-blind placeboDRUG3 times a day (double-blind)
double-blind rifaximinDRUG550 mg three times a day (double-blind)
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites296

Inclusion Criteria: * IBS confirmed by Rome III diagnostic criteria. * At least 18 years of age. * Colonoscopy within the past 10 years to rule out inflammatory bowel disease; or flexible sigmoidoscopy if \< 50 years of age or previous colonoscopy \> 10 years prior. * Willing to maintain a stable d...

Countries:United StatesGermanyUnited Kingdom
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