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Randomised, Placebo-controlled Safety and Pharmacokinetics Study of Novel Rifaximin Formulations in Healthy Volunteers

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Bausch Health

Status and phase

Completed
Phase 1

Conditions

Healthy Volunteers

Treatments

Drug: Placebo
Drug: Rifaximin Novel Formulation

Study type

Interventional

Funder types

Industry

Identifiers

NCT04529811
RBPK1001

Details and patient eligibility

About

Phase 1, Randomised, Placebo-Controlled, Single-Ascending Dose and Multiple-Dose with 3 novel RIFAXIMIN Formulations.

2 phases: Single-Ascending Dose (SAD) Phase and a Multiple-Dose (MD) Phase, Plus optional open-label, crossover Food Effect (FE) Evaluation

Primary objective: evaluate the safety and tolerability of three novel formulations of rifaximin in healthy volunteers.

Secondary objective: evaluate the pharmacokinetics (PK) of the novel formulations and to assess for the presence of exploratory biomarkers.

Enrollment

124 patients

Sex

All

Ages

18 to 65 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • The participant has the ability and willingness to sign a written informed consent, is either male or female aged between 18 and 65 years, inclusive, at the time of informed consent, is in good general health, and has a body mass index (BMI) at least 18 kg/m2 and at most 34 kg/m2, and a minimum body weight of 45 kg.
  • The participant must have suitable venous access for blood sampling and be able and willing to complete the study and comply with all study instructions and attend the necessary visits.
  • A negative pregnancy test is required for all women of child-bearing potential (WOCBP). WOCBP and men must agree to use highly effective contraception methods from screening through the end of the study. Follicle stimulating hormone (FSH) testing will be conducted for post-menopausal women without surgical evidence of sterility (total hysterectomy, bilateral oophorectomy, or bilateral tubal ligation).

Exclusion criteria

  • Female participant who is pregnant, trying to become pregnant, or breast feeding.
  • Participant with a known or suspected intolerance to rifaximin or the excipients used in the novel formulations.
  • Participant has had any major illness or systemic infection (including COVID [coronavirus disease] -19) within 4 weeks of the Screening Visit or has a clinically relevant history or currently suffering from any disease or condition that, in the opinion of the Investigator, may affect the evaluation of the study product or place the participant at undue risk. Participant has liver function tests >1.1x the upper limit of normal or any other abnormal laboratory test that the Investigator deems as clinically significant.
  • Participant has human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) infection, a clinically relevant history of or current evidence of abuse of alcohol or other drugs. Participant is currently a tobacco smoker or was a tobacco smoker within 6 months of the Baseline Visit.
  • Participant has received any investigational product within 4 weeks or 5 half-lives of the product, whichever is greater, prior to the Baseline Visit or is scheduled to receive an investigational product (other than the study product) or is scheduled for a medical procedure during the study period. Participant is taking probiotics.
  • Participant is taking any medications which are known cytochrome P450 3A (CYP3A) or P-glycoprotein (Pgp) inhibitors/inducers or is currently using any medication that, in the opinion of the Investigator, may affect the evaluation of the study product or place the participant at undue risk.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

124 participants in 15 patient groups, including a placebo group

Formulation 1 - Low Dose
Experimental group
Description:
Rifaximin Formulation 1 Capsules
Treatment:
Drug: Rifaximin Novel Formulation
Formulation 1 Capsules - Mid Dose
Experimental group
Description:
Rifaximin Formulation 1 Capsules
Treatment:
Drug: Rifaximin Novel Formulation
Formulation 1 Capsules - High Dose
Experimental group
Description:
Rifaximin Formulation 1 Capsules
Treatment:
Drug: Rifaximin Novel Formulation
Formulation 1 Capsules - Max Dose
Experimental group
Description:
Rifaximin Formulation 1 Capsules
Treatment:
Drug: Rifaximin Novel Formulation
Formulation 1 Capsules - Placebo
Placebo Comparator group
Description:
Placebo Formulation 1 Capsules
Treatment:
Drug: Placebo
Formulation 2 - Low Dose
Experimental group
Description:
Rifaximin Formulation 2 Capsules
Treatment:
Drug: Rifaximin Novel Formulation
Formulation 2- Mid Dose
Experimental group
Description:
Rifaximin Formulation 2 Capsules
Treatment:
Drug: Rifaximin Novel Formulation
Formulation 2 - High Dose
Experimental group
Description:
Rifaximin Formulation 2 Capsules
Treatment:
Drug: Rifaximin Novel Formulation
Formulation 2 - Max Dose
Experimental group
Description:
Rifaximin Formulation 2 Capsules
Treatment:
Drug: Rifaximin Novel Formulation
Formulation 2 - Placebo
Placebo Comparator group
Description:
Placebo Formulation 2 Capsules
Treatment:
Drug: Placebo
Formulation 3 - Low dose
Experimental group
Description:
Rifaximin Formulation 3 Capsules
Treatment:
Drug: Rifaximin Novel Formulation
Formulation 3 - Mid dose
Experimental group
Description:
Rifaximin Formulation 3 Capsules
Treatment:
Drug: Rifaximin Novel Formulation
Formulation 3 - High dose
Experimental group
Description:
Rifaximin Formulation 3 Capsules
Treatment:
Drug: Rifaximin Novel Formulation
Formulation 3 - Max dose
Experimental group
Description:
Rifaximin Formulation 3 Capsules
Treatment:
Drug: Rifaximin Novel Formulation
Formulation 3 - Placebo
Placebo Comparator group
Description:
Placebo Formulation 3 Capsules
Treatment:
Drug: Placebo

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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