E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients undergoing major liver resection will be included into the study |
|
E.1.1.1 | Medical condition in easily understood language |
Patients undergoing major liver resection will be included into the study |
|
E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
to examine the effect of Rifaximin on postoperative liver function in patients with malignant or benign liver disease requiring major liver resection |
|
E.2.2 | Secondary objectives of the trial |
to examine postoperative morbidity |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. Patients undergoing a liver resection of at least 3 segments 2. Age ≥ 18 years ≤ 80 years 3. BMI 18 – 40 4. Patients with ASA I-III 5. Written informed consent prior to study participation
|
|
E.4 | Principal exclusion criteria |
1. Patients assessed ASA IV-V 2. Contraindication for MRT or LiMAx 3. Need for extrahepatic procedures additive to partial liver resection 4. Participation in other liver related trials 5. BMI <18, > 40 6. Previous liver transplantation or porto-systemic shunt 7. Concomitant acute infectious diseases 8. Dialysis dependent renal failure 9. Hypersensitivity to Rifaximin 10. Concomitant Heated Intraperitoneal Chemotherapy (HIPEC) treatment 11. ALPPS (associating liver partition and portal vein ligation for staged hepatectomy) 12. Pregnant females as determined by positive [serum or urine] hCG test at Screening or prior to dosing. Participants of child-bearing age should use adequate contraception as defined in the study protocol. 13. Lactating females 14. The subject has a history of any other illness, which, in the opinion of the Investigator, might pose an unacceptable risk by administering study medication. 15. The subject received an investigational drug within 30 days prior to inclusion into this study 16. The subject has any current or past medical condition and/or required medication to treat a condition that could affect the evaluation of the study 17. The subject is unwilling or unable to follow the procedures outlined in the protocol 18. The subject is mentally or legally incapacitated |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Liver function will be assessed by LiMAx analysis on postoperative day 4 and day 7 |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
after last patient out a batch analysis will be performed |
|
E.5.2 | Secondary end point(s) |
Assessment of postoperative morbidity by using the Clavien-Dindo-Score |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
after last patient out a batch analysis will be performed |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | No |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 3 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 3 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
recruiting period: 84 months Analysis: 6 months after last patient out |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 30 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 30 |