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Efficacy and Safety of Adjunctive Use of Rifaximin In Preventing Radiotherapy-induced Diarrhea in Cancer Patients

M

Mansoura University

Status and phase

Not yet enrolling
Phase 2
Phase 1

Conditions

Rifaximin
Pelvic Radiotherapy
Rectal Adenocarcinoma
Cervical Adenocarcinoma
Radiotherapy Induced Diarrhea
Prostate Cancer
Bladder (Urothelial, Transitional Cell) Cancer
Acute Radiation Enteritis

Treatments

Drug: Standard Care Chemoradiation
Drug: Rifaximin 550 MG

Study type

Interventional

Funder types

Other

Identifiers

NCT06783153
2023-238

Details and patient eligibility

About

Preclinical data indicate that rifaximin could be repurposed as a novel strategy for preventing and reducing the severity of gastrointestinal damage, particularly diarrhea, that results from pelvic irradiation. So, The aim of the work is to investigate the impact of Rifaximin on the incidence and severity of radiotherapy-induced diarrhea in cancer patients undergoing pelvic irradiation with or without chemotherapy.

Enrollment

80 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Individuals who are 18 years of age or older and have been diagnosed with non metastatic pelvic cancers.
  • Patients who are undergoing curative intent radiotherapy with or without chemotherapy treatment.

Exclusion criteria

  • Patients who have a record of intestinal resection in their medical history.
  • Patients with a medical background of irritable bowel syndrome.
  • Patients with a history of inflammatory bowel disease.
  • Patients who regularly take anti-diarrheal medications before commencing radiotherapy.
  • Patients experiencing diarrhea at the outset of the study.
  • Patients with compromised immune systems, such as those who are HIV positive or using immunosuppressive medications.
  • Pregnant or lactating woman.
  • Patients allergic to rifamycin.

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

80 participants in 2 patient groups

Control Arm
Active Comparator group
Treatment:
Drug: Standard Care Chemoradiation
Patients will receive Rifaximin 550 MG in addition to Pelvic Radiotherapy with/not chemotherapy
Experimental group
Treatment:
Drug: Rifaximin 550 MG

Trial contacts and locations

1

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Central trial contact

Noha Mansour

Data sourced from clinicaltrials.gov

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