Traveler's Diarrhea Clinical Trial
Official title:
A Phase 3, Multicenter, Randomized, Double-Blind, Placebo-Controlled Study to Evaluate the Safety and Efficacy of Rifamycin SV MMX for the Treatment of Traveler's Diarrhea
NCT number | NCT01142089 |
Other study ID # | C2009-0201 |
Secondary ID | |
Status | Completed |
Phase | Phase 3 |
First received | |
Last updated | |
Start date | May 27, 2010 |
Est. completion date | June 2012 |
Verified date | April 2018 |
Source | Cosmo Technologies Ltd |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to determine whether Rifamycin SV MMX is a safe and effective treatment for Traveler's Diarrhea.
Status | Completed |
Enrollment | 264 |
Est. completion date | June 2012 |
Est. primary completion date | June 2012 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria Patients were enrolled in the study only if they met all of the following criteria: 1. Male and female patients 18 years of age or older 2. Female and male patients of childbearing potential must have agreed to use an effective method of birth control (this method must have been approved by the investigator and may have included total abstinence from sexual intercourse) during the treatment and follow-up study periods; female patients of childbearing potential must have had a negative pregnancy test in the 72 hours before randomization; female patients who abstained totally from sexual intercourse were not required to take the pregnancy test 3. Recent travel (i.e., must be within 30 days of randomization) from an industrialized country 4. Experiencing signs or symptoms indicative of acute bacterial diarrhea (TD), defined as at least three unformed, watery or soft, stools within the 24 hours preceding randomization and the duration of illness 72 hours before randomization, and able to provide an unformed stool sample during Screening (the latter can be the third unformed stool passed by the patient within the 24 hours preceding randomization); the bacterial cause of diarrhea was confirmed by microbiology analysis of the stool sample 5. Experiencing one or more signs or symptoms of enteric infection (moderate to severe gas/flatulence, nausea, vomiting, abdominal cramps or pain, rectal tenesmus, or defecation urgency) 6. Capable of and willing to give informed consent Exclusion Criteria Patients were excluded from the study if they met any of the following criteria: 1. Fever (> 100.4F or 38C) or presence of signs and symptoms of systemic infection Note: antipyretic medication should not have been administered in the 6 hours before this assessment 2. Known or suspected infection with non-bacterial pathogen before randomization 3. Presence of diarrhea for > 72 hours duration 4. Presence of grossly bloody stool 5. Presence of moderate to severe dehydration (i.e., presence of orthostatic hypotension and/or dehydration requiring treatment with intravenous fluids) 6. History of ulcerative colitis, diarrhea-predominant irritable bowel syndrome, Crohn's disease, celiac sprue (gluten-enteropathy), chronic pancreatitis, malabsorption, or any other gastrointestinal disease associated with diarrhea. Note: lactose intolerance treated with lactase supplements or a lactose-free diet were not excluded if these regimens were maintained during the study. 7. Receiving more than two doses of an antidiarrheal medication (e.g., antimotility, absorbent, adsorbent, antisecretory, or probiotics) within 24 hours before randomization 8. Receiving one or more of the following antibiotics, which are active against gram negative bacteria TMP-SMX, fluorquinolone, azithromycin or rifaximin within 7 days before randomization 9. Females pregnant or breast feeding or not using adequate birth control 10. Known intolerance/hypersensitivity/resistance to rifamycin or rifamycin-related antibiotics or to any excipient included in the study medications 11. Patients unable or unwilling to comply with study protocol (e.g., alcoholism, mental illness, travel schedule) 12. Participation in a clinical study with another investigational drug in the 30 days prior to randomization or while participating in this study 13. Previous participation in this study |
Country | Name | City | State |
---|---|---|---|
Guatemala | Santarus Investigational Site 03 | Antigua | |
Guatemala | Santarus Investigational Site 14 | Antigua | |
Guatemala | Santarus Investigational Site 04 | Quetzaltenango | |
Mexico | Santarus Investigational Site 12 | Cabo San Lucas | |
Mexico | Santarus Investigational Site 10 | Cancun | |
Mexico | Santarus Investigational Site 06 | Cuernavaca | Morelos |
Mexico | Santarus Investigational Site 05 | Guadalajara | Jalisco |
Mexico | Santarus Investigational Site 07 | Oaxaca | |
Mexico | Santarus Investigational Site 08 | Puebla | |
Mexico | Santarus Investigational Site 09 | Puerto Escondido | |
Mexico | Santarus Investigational Site 11 | Puerto Vallarta | |
Mexico | Santarus Investigational Site 13 | Tulum |
Lead Sponsor | Collaborator |
---|---|
Cosmo Technologies Ltd | Valeant Pharmaceuticals International, Inc. |
Guatemala, Mexico,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Time to Last Unformed Stool (TLUS) | The primary endpoint is TLUS defined as the interval in hours between the first dose of study drug and the last unformed stool passed just before the start of Clinical Cure. An unformed stool is defined as either a soft or watery stool. TLUS will be calculated for each patient in the following manner: Step 1: Identify when the patient achieves Clinical Cure. Step 2: Moving backwards from this time, identify the time of the last unformed stool. Step 3: The TLUS equals the time from the first dose of study drug to the time of the last unformed stool identified in Step 2. |
24 hours | |
Secondary | Clinical Cure | Clinical Cure is defined as either of the following: Passage of two or fewer soft stools and no watery stools, no fever (>100.4 ºF or 38 ºC), and no signs or symptoms of enteric infection (other than mild excess gas/flatulence) during a 24 hour interval in the 120-hr data collection period after the first dose of study drug Passage of no stools or only formed stools and no fever during a 48-hour interval in the 120-hr data collection period after the first dose of study drug, with or without other signs or symptoms of enteric infection |
24 hours |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT00672035 -
Prevention, Randomized, Double-Blinded, Placebo-Controlled, Parallel Assignment, Safety/Efficacy Study
|
Phase 2 | |
Completed |
NCT01208922 -
Rifamycin SV-MMX® Tablets Versus Ciprofloxacin Capsules in Acute Traveller's Diarrhoea
|
Phase 3 | |
Not yet recruiting |
NCT04026984 -
Evaluate Safety and Efficacy of Rifamycin SV MMX in the Treatment of Traveler's Diarrhea in Children Age 6 to 11 Years
|
Phase 2 | |
Not yet recruiting |
NCT04027894 -
Study to Evaluate Safety and Efficacy of Rifamycin SV MMX in Treating Traveler's Diarrhea in Children Age 12 to 17 Years
|
Phase 2 | |
Completed |
NCT03866291 -
ESBL in Patients Returning to Sweden With Traveller's Diarrhoea
|
||
Completed |
NCT03301103 -
PTM202 and Modulation of Host Resistance to Diarrheagenic E. Coli
|
N/A | |
Completed |
NCT01040325 -
Traveler's Diarrhea (TD) Vaccine Asia Efficacy Study
|
Phase 2 | |
Withdrawn |
NCT02736539 -
Clinical Trial of CBS-2004 in Prevention of Travelers' Diarrhea
|
Phase 3 |