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NCT03856359 · ClinicalTrials.gov registry record · Phase 2

Trial of Rifaximin in Probable Alzheimer's Disease

A Phase 2 study, sponsored by Duke University.

Completed
Registry status
Phase 2
Development phase
10
Enrollment target

NCT03856359 is a Phase 2 study that has completed, run by Duke University. The registered enrollment target is 10 participants.

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The verdict

NCT03856359, a Phase 2 study, has completed, sponsored by Duke University.

COMPLETED
Registry status
Phase 2
Development phase
10 participants
Enrollment target

Study Summary

This study aims to improve cognition and function in patients with Alzheimer's Disease (AD) by administering the oral antibiotic, Rifaximin. Rifaximin is a virtually non-absorbed antibiotic with the unique properties of lowering blood ammonia levels and altering gut microbiota. It is FDA approved for use in patients with hepatic encephalopathy. Rifaximin lowers blood ammonia by altering fecal flora by blocking bacterial RNA synthesis and also by increasing small bowel glutaminase. The Investigators hypothesize that rifaximin will improve cognition and function in AD patients by lowering blood ammonia and / or lowering circulatory pro-inflammatory cytokines secreted by harmful gut bacteria. The Investigators will enroll up to 10 subjects with probable middle stage Alzheimer's Disease. The subjects will be given rifaximin 550 mg orally twice daily for 3 months after evaluation to ensure they have no contraindications. Physician clinical and safety assessments, adverse events, as well as the ADAS-Cog-11 will be administered at baseline and at the 3 month endpoint and two months after stopping treatment (at month 5). Interim safety checks will occur via phone calls one week after baseline and then every 2 weeks till end point. Serum neuronal biomarkers, ammonia levels and pro-inflammatory and anti-inflammatory compounds will also be measured at those times. Bodily fluids (Stool samples) will also be collected. Because of a small risk of developing C. difficile up to 2 months following the last administration of rifaximin, the subjects will be followed for an additional 2 months after the 3 month treatment ends. Rifaximin is contraindicated in patients with hypersensitivity to rifaximin or rifamycin antimicrobials. Hypersensitivity reactions include exfoliative dermatitis, angioneurotic edema, and anaphylaxis. Clostridium difficile associated diarrhea is a risk whenever a patient is maintained chronically on antibiotics, with complications ranging from mild diarrhea to

Interventions

  • DRUG Rifaximin 550 milligrams (MG)

Trial Details

FieldValue
Enrollment Target 10 participants
Start Date 2019-04-09
Est. Completion 2020-11-19
Phase Phase 2

Sponsor

Duke University

1,725 total trials

What the Registry Record Tells You About NCT03856359

The ClinicalTrials.gov registry entry for NCT03856359 describes a study currently listed as completed, categorized as Phase 2. The registered enrollment target is 10 participants, a figure that helps gauge the scale of data the investigators plan to collect. The listed sponsor is Duke University, which has 1,725 total studies on file at ClinicalTrials.gov.

The record links to 0 conditions, and to 1 intervention - of which Rifaximin 550 milligrams (MG) is the first listed.

NCT03856359 reports 0 study locations.

Frequently Asked Questions

What is clinical trial NCT03856359 about?

NCT03856359 is a clinical study titled "Trial of Rifaximin in Probable Alzheimer's Disease". This study aims to improve cognition and function in patients with Alzheimer's Disease (AD) by administering the oral antibiotic, Rifaximin. Rifaximin is a virtually non-absorbed antibiotic with the unique properties of lowering blood ammonia levels and altering gut microbiota. It is FDA approved f...

What is the current status of trial NCT03856359?

This trial is currently completed. It is a Phase 2 study. The enrollment target is 10 participants. The study started on 2019-04-09. Estimated completion is 2020-11-19.

What interventions are being tested in trial NCT03856359?

The interventions under investigation include: Rifaximin 550 milligrams (MG) (DRUG).

Who is sponsoring clinical trial NCT03856359?

This trial is sponsored by Duke University, which has 1,725 total clinical trials registered on ClinicalTrials.gov.

Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainTrial

Every figure on PlainTrial is rendered directly from the ClinicalTrials.gov registry, no number is typed in by an editor. This page mirrors this trial's own ClinicalTrials.gov registry record, live from the dataset. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.