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TerminatedNCT01842113Updated Sep 23, 2013

Quality of Life and Nutritional Improvements in Cirrhotic Patients

A Phase 4 interventional study of Rifaximin and Lactulose in Liver Cirrhosis, Hepatic Encephalopathy and Portal Hypertension, sponsored by Tampa General Hospital. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-09-23.

Sponsored by Tampa General Hospital · Phase 4, Interventional, and Treatment

Why this study was terminated
PI Initiated study - PI left facility
Phase
Phase 4
Study type
Interventional
Enrollment
4
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine whether taking Rifaximin (Xifaxan) in conjunction with the use of nutritional concepts is effective in improving morbidity and quality of life in cirrhotic patients suffering from hepatic encephalopathy (HE).

Read the detailed description

Prevention of portal hypertension complications should be at the forefront. In doing so, the end result will be an improvement in the multitude of morbidity and mortality issues. The proposed prospective trial will compare patients with similar demographics and medical and clinical settings utilizing standard of care therapy. Study subjects will be randomly assigned into two treatment groups. Group one will receive Lactulose 30ml three times a day as SOC and Rifaximin Placebo 550mg twice a day with nutritional supervision and group two will receive Rifaximin 550mg twice per day as SOC and Lactulose placebo 30ml three times per day with nutritional supervision.

02

Conditions studied

  • Liver Cirrhosis
  • Hepatic Encephalopathy
  • Portal Hypertension
03

In context

Liver Cirrhosis

1,642 studies on the registry are indexed under Liver Cirrhosis; 358 are open to participants now.

This study's enrollment of 4 is below the median of 72 across 995 interventional studies indexed under Liver Cirrhosis.

Browse Liver Cirrhosis studies →

Lead sponsor

Tampa General Hospital is the lead sponsor of 11 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Male and female gender of Age 18 years or older
  • Liver cirrhosis defined as one or more of the following: Radio-graphically proven portal hypertension (CT with nodular appearance) or Liver biopsy with cirrhosis
  • Model for End Stage Liver Disease (MELD) score \< 20
  • Willingness to provide written informed consent, and participate in all study requirements
  • Sodium greater than 130 meq/L
  • Conn Score \< 2

Exclusion criteria

Exclusion Criteria:

  • Active alcohol consumption
  • Serum total bilirubin level > 5 mg/dl
  • History of hepatocellular carcinoma (HCC) and malignancies other than basal cell carcinoma of the skin
  • Pregnant or breastfeeding women
  • Subject has renal insufficiency requiring routine dialysis
  • Poorly controlled diabetes as defined by HgA1C > 10
  • Narcotic/psychotropic usage other than a stable dose of antidepressant and/or methadone. Neurontin (gabapentin) and Lyrica (pregabalin) are permitted if the subject has been on a stable dose for at least 2 months prior to the screening visit and no change of dosing is expected throughout the length of the trial
  • Any of the following diagnoses:
  • HIV
  • Evidence of severe concomitant illness or any condition that makes them unsuitable for the study in the opinion of the investigator(s)
  • Subject has received an investigational drug within 30 days prior to enrollment
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
4 participants (actual)

Study arms

  • Active comparator
    Lactulose and Rifaximin Placebo

    Standard portal hypertension care, standard nutritional advice, Lactulose 30ml three times a day and Rifaximin (Xifaxan) Placebo twice a day.

    Drug: Lactulose · Drug: Rifaximin Placebo

  • Active comparator
    Rifaximin and Lactulose Placebo

    Rifaximin (Xifaxan) twice a day and Lactulose Placebo three times a day.

    Drug: Rifaximin · Drug: Lactulose Placebo

Interventions

  • DrugRifaximin

    Rifaximin 550mg by mouth twice a day

    Also known as: Xifaxan

  • DrugLactulose

    Lactulose 30ml by mouth three times a day

    Also known as: Enulose, Generlac, Cholac, Constulose, Kristalose, Laxilose, Portalac, Hepatalac, Constilac

  • DrugLactulose Placebo

    Lactulose Placebo 30ml three times a day

  • DrugRifaximin Placebo

    Rifaximin Placebo twice a day

    Also known as: Sugar Pill

06

What researchers measure

Primary outcomes

  1. Outcomes of Change in Quality of Life Assessment Between the Two Groups

    Quality of Life will be determined by the Chronic Liver Disease Foundation Questionnaire (CLDQ), the Sleep Scale by Hays, R.D.\&Stewart, A.L. and the Multidimensional Assessment of Fatigue (MAF) Scale and measured based upon Subjective Global Assessment (SGA).

    Time frame: Participants will be followed for 180 days

  2. Nutritional Improvement Between the Two Groups

    These outcomes will be determined as Body Composition Analysis via the Quadscan 4000 BIA device manufactured by Bodystat;calories burned, steps taken and levels of physical activity to sleep efficiency will be measured via the Bodymedia CORE Fit actigraph device and various standard of care laboratories.

    Time frame: Participants will be followed for 180 days

Secondary outcomes

  1. Markers of improvement in general health

    These outcomes will be determined as Body Composition Analysis via the Quadscan 4000 BIA device manufactured by Bodystat;calories burned, steps taken and levels of physical activity to sleep efficiency will be measured via the Bodymedia CORE Fit actigraph device and various standard of care laboratories.

    Time frame: Participants will be followed for 180 days

07

Study locations

1 site
  • Tampa General Medical Group
    Tampa, Florida 33606, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 23, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01842113
Lead sponsor
Tampa General Hospital
Responsible party
Guy Neff, MD (Medical Doctor, Tampa General Hospital) — Principal investigator
First posted
Apr 29, 2013
Start date
Apr 2013
Primary completion
May 2014 (estimated)
Last update
Sep 23, 2013

Study contacts

Guy Neff, MD, MBA
principal investigator · Tampa General Medical Group

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Sep 2013. You cannot join it, but the record below documents what was studied.

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