Rifaximin for Functional Dyspepsia
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Purpose
Functional dyspepsia is a very common medical condition, which occurs in up to 30% of people in the community. However, results of current pharmacological treatment on functional dyspepsia are unsatisfactory. Rifaximin is a minimally absorbed antibiotic that has been used in treatment of non-constipated irritable bowel syndrome (IBS). In particular, bloating and abdominal pain was improved by rifaximin treatment in this group of IBS patients. Whilst there is considerable overlap in symptoms of functional dyspepsia and IBS, the investigators test whether rifaximin is also effective in curing post-prandial distress symptoms related to dyspepsia.
| Condition | Intervention | Phase |
|---|---|---|
|
Functional Dyspepsia |
Drug: Rifaximin Drug: Placebo |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Use of Rifaximin in Patients With Functional Dyspepsia: A Randomized Controlled Trial |
- Adequate relief of dyspeptic symptoms at end of treatment [ Time Frame: end of treatment (week 2) ] [ Designated as safety issue: No ]global symptom improvement
- Individual dyspeptic symptom scores [ Time Frame: week 2, 4 and 8 ] [ Designated as safety issue: No ]Hong Kong Dyspeptic Index
| Estimated Enrollment: | 90 |
| Study Start Date: | January 2013 |
| Estimated Study Completion Date: | December 2015 |
| Estimated Primary Completion Date: | September 2015 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: Rifaximin |
Drug: Rifaximin
Rifaximin 400mg tid for 2 wk
Other Name: Normix
|
| Placebo Comparator: Placebo |
Drug: Placebo
Placebo for 2 week
|
Detailed Description:
The aim of this study is to test the effects of rifaximin, a minimally absorbed antibiotics, on symptoms of patients with functional dyspepsia.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Non-ulcer dyspeptic patients who fulfill post-prandial distress syndrome according to the Rome III Criteria
- Active dyspeptic symptom
- Normal upper endoscopy
- Urea Breath Test -ve or Rapid urease test -ve
- Not typical gastroesophageal reflux or biliary colic symptoms, but presence of infrequent acid reflux is allowed
Exclusion Criteria:
- No active dyspeptic symptom
- Allergic to rifaximin
- Recent antibiotics use in the past 8 wk
- Recent PPI or H2RA in past 4 wk
- On anti-coagulants, anti-convulsant or oral contraceptives
- On NSAIDs, aspirin or Clopidogrel
- Pregnancy or breast feeding
- Previous gastric surgery
Contacts and Locations| Contact: Wai Keung Leung, MD | 85222553750 | waikleung@hku.hk |
| China | |
| Queen Mary Hospital | Recruiting |
| Hong Kong, China | |
| Contact: Wai Keung Leung, MD 85222553750 | |
| Principal Investigator: | Wai Keung Leung, MD | The University of Hong Kong |
More Information
No publications provided
| Responsible Party: | LEUNG Wai Keung, Clinical Professor, The University of Hong Kong |
| ClinicalTrials.gov Identifier: | NCT01643083 History of Changes |
| Other Study ID Numbers: | HKU_RD1 |
| Study First Received: | July 15, 2012 |
| Last Updated: | June 5, 2013 |
| Health Authority: | Hong Kong: Ethics Committee |
Keywords provided by The University of Hong Kong:
|
Post-prandial distress syndrome |
Additional relevant MeSH terms:
|
Dyspepsia Gastritis Signs and Symptoms, Digestive Signs and Symptoms Gastroenteritis Gastrointestinal Diseases Digestive System Diseases |
Stomach Diseases Rifaximin Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Gastrointestinal Agents |
ClinicalTrials.gov processed this record on June 17, 2013