ClinicalTrials.gg
Not yet recruitingNCT04027894Updated Jan 27, 2023

Study to Evaluate Safety and Efficacy of Rifamycin SV MMX in Treating Traveler's Diarrhea in Children Age 12 to 17 Years

A Phase 2 interventional study of Rifamycin SV MMX and Placebo to Rifamycin SV-MMX in Traveler's Diarrhea, sponsored by RedHill Biopharma Limited. Not yet recruiting. Open to participants aged 12 Years to 17 Years. Per ClinicalTrials.gov, last updated 2023-01-27.

Sponsored by RedHill Biopharma Limited · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jan 2025, 1 year 10 months ago, but the record still lists the study as not yet recruiting.

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Phase 2
Study type
Interventional
Enrollment
142
Allocation
Randomized
Ages
12 Years to 17 Years
Sex
All
01

Study summary

This will be a double blind comparative study, performed in pediatric subjects (Age 12-17) traveling to developing regions with a known high incidence of traveler's diarrhea. The subjects will be suffering from acute diarrhea for at least 12 hours, without symptoms of systemic infection.

Read the detailed description

Approximately 142 subjects are expected to be enrolled in the study, 1:1 in the Rifamycin SV MultiMatrix (MMX) plus Oral RehydrationTherapy (ORT) group and in the placebo tablets plus ORT group respectively. The day of randomization (Visit 1, Day 1), the subjects will start the treatment receiving ORT plus Rifamycin SV MMX 400 mg (as two tablets of 200 mg each) twice daily (morning and evening) or ORT plus placebo tablets (as two tablets) twice daily (morning and evening). The subjects will begin the treatment within 72 hours of onset of diarrhea. Treatment duration will last 72 hours. The total number of tablets for the entire treatment course will be 12 (4 × 200 mg tablets/day for 3 days). The administration of the ORT will follow the specification reported in the product label. The tablets will be orally administered during the day. No tablet administration will be done during the night.

After enrollment, subjects/their parents/or guardians will complete Diary Cards (PDC) in which will be daily recorded date, time of first tablets intake, time and consistency of each stool, presence of blood in stools, abdominal pain/cramps, flatulence, tenesmus, urgency, nausea, vomiting, fever, adverse events (AEs), and concomitant medications.

During the study, the subjects will be assessed for safety and efficacy at Visit 2 (Day 2) and Visit 3 (Day 4/5) as final Study Visit.

Stool samples for microbiological assessment will be collected at Visits 1 and 3. Stool will be examined and cultured at local labs for main enteropathogens and for the presence of protozoa, ova and yeasts.

Stool samples will be required in a subset population of the Rifamycin SV MMX group, at the Follow-up visit to determine rifamycin concentration in the feces.

Blood and urine sampling for routine safety analyses will be collected at Visit 1 and at Visit 3.

02

Conditions studied

  • Traveler's Diarrhea

Browse trials for

03

In context

Diarrhea

877 studies on the registry are indexed under Diarrhea; 76 are open to participants now.

This study's planned enrollment of 142 is close to the median of 137 across 738 interventional studies indexed under Diarrhea.

Browse Diarrhea studies →

Lead sponsor

RedHill Biopharma Limited is the lead sponsor of 19 studies on the registry; 2 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 5 (71%) have results posted.

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

04

Who can participate

Ages eligible
12 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of acute bacterial diarrhea defined as at least 3 unformed stools within the 24 hours preceding randomization, with a duration of illness ≤72 h. The bacterial origin of diarrhea will be confirmed "a posteriori" by stool microbiology sampling at the time of screening.
  • Presence of one or more signs or symptoms of enteric infection have to be present, including nausea, vomiting, abdominal cramps or pain, tenesmus, urgency
  • History of recent travel from an industrialized country to a developing region with a known high incidence of travelers' diarrhea
  • Male or female 12-17 years of age, providing an unformed pre-treatment stool
  • Females of must use an acceptable method throughout the study treatment period
  • The parent or legally acceptable representative guardian must provide for the subject. The Subject must also provide written informed assent by the parent or legal guardian at the time of assent/consent signing.

Exclusion criteria

Exclusion Criteria:

  • Fever (>100.4ºF or 38ºC), or presence of signs and symptoms of systemic infection
  • Females pregnant or breast feeding or not using adequate
  • Known or suspected infection with non-bacterial pathogen
  • Symptoms of acute diarrhea of >72 hours duration
  • Presence of grossly bloody stool
  • Moderate to severe dehydration
  • History of inflammatory bowel disease (IBD)
  • Abdominal ileus
  • Severe dehydration
  • Greater than two doses of an antidiarrheal medication within 24 hours before randomization, or any symptomatic therapy within 2 hours before enrolment
  • Receiving antimicrobial drug with expected activity against enteric bacterial pathogens within the week prior to enrolment
  • to rifamycin-related antibiotics or to any included in the study medications
  • Subjects unable/unwilling to comply with study protocol
  • Participation in a clinical trial within the last 30 days
Terms in these criteria, in plain language(5)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
142 participants (estimated)

Study arms

  • Experimental
    Rifamycin SV MMX plus ORT

    Each tablet contains 200mg Rifamycin SV MMX for oral administration

    Drug: Rifamycin SV MMX

  • Placebo comparator
    Placebo tablets plus ORT

    Placebo tablets identical to Rifamycin tablets with respect to size, taste and appearance.

    Drug: Placebo to Rifamycin SV-MMX

Interventions

  • 200 mg Rifamycin SV-MMX® (CB-01-11)

    Also known as: Rifamycin

  • DrugPlacebo to Rifamycin SV-MMX

    Placebo to Rifamycin SV-MMX® Placebo tablets correspond to active tablets with respect to size, taste, and appearance.

    Also known as: Placebo

06

What researchers measure

Primary outcomes

  1. Clinical Cure

    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-hour data collection period after the first dose of study drug or Passage of no stools or only formed stools and no fever during a 48-hour interval in the 120-hour data collection period after the first dose of study drug, with or without other signs or symptoms of enteric infection.

    Time frame: 120 hours

Secondary outcomes

  1. Time to Last Unformed Stool (TLUS)

    defined as the interval in hours between the first dose of study drug and the last unformed stool passed, after which clinical cure was declared. Subjects who meet the criteria for clinical cure immediately after the start of the study and prior to passing any unformed stools are defined as having a TLUS of 0 hours. Subject who terminated the study early due treatment failure will have a censored TLUS set to 120 hours.

    Time frame: 120 hours

  2. Microbiological Cure

    the proportion of subjects with an identified pathogen at baseline with microbiological eradication in the post-treatment stool sample.

    Time frame: 120 hours

  3. Treatment Failure

    Defined as either of the following: Worsening diarrhea and/or signs or symptoms of enteric infection or failure to improve 24 hours or more after the first dose of study drug that results in administration of rescue therapy and/or Not achieving Clinical Cure in the 120-hr data collection period after the first dose of study drug or use of antimicrobial prohibited concomitant medication.

    Time frame: 120 hours

  4. Improvement

    Defined as ≥ 50% reduction in the number of unformed stools passing during a 24 h period, in comparison with the number of stools passed during the 24 h immediately before enrolment in the study.

    Time frame: 24 hours

07

Study locations

No study locations are listed for this record.

08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Jan 2024; primary completion for Jan 2025, 12 months later.

Of 24 industry-sponsored phase 2 interventional studies under Diarrhea, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 20. This study's planned 12 months is close to that.

Counting every sponsor, half of 47 studies reached it within 15 months; a quarter within 11 and three quarters within 29.

How these figures are worked out, and which studies are left out of them.

Registered
Jul 12, 2019
First posted
Jul 22, 2019
StartEst.
Jan 2024
Primary completionEst.
Jan 2025
CompletionEst.
Dec 2025
Last update
Jan 27, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 27, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04027894
Lead sponsor
RedHill Biopharma Limited
Responsible party
Sponsor
First posted
Jul 22, 2019
Start date
Jan 2024 (estimated)
Primary completion
Jan 2025 (estimated)
Completion
Dec 2025 (estimated)
Last update
Jan 27, 2023

Study contacts

Gilead Raday, M.Sc.
Contact
gilead@redhillbio.com
+972-3-6398893
June Almenoff, MD, PhD
study director · RedHill Biopharma, Inc.

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Jan 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Rifamycin SV

Start the discussion