Data updated: May 26, 2026
RIFAXIMIN
Infectious Disease
Approved 2026-03-19
1
Indication
--
Phase 3 Trials
0
Years on Market
Details
- Status
- None (Tentative Approval)
- First Approved
- 2026-03-19
- Routes
- ORAL
- Dosage Forms
- TABLET
Companies
ZYDUS PHARMS USA INC Novartis NORWICH PHARMACEUTICALS INC Viatris ALKEM LABORATORIES LIMITED Teva NORWICH Cipla
Active Ingredient: RIFAXIMIN
Website: ↗
RIFAXIMIN Approval History
Original
New Indication
New Form
Label Update
1 FDA actions from 2026 to 2026
Mar 2026 ORIGINAL
Update
What RIFAXIMIN Treats
1 FDA approvalsOriginally approved for its first indication in 2026 .
- Other (1)
Other
(1 approval)- • Approved indication (Mar 2026) New
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Clinical Trial Registry
54 trials| Trial | Sponsor ID | Phase | Status | Title |
|---|---|---|---|---|
| NCT02016196 PRPET | RC31/12/0551 | Ph 3 | completed | Rifaximin vs Placebo for the Prevention of Encephalopathy in Patients Treated by TIPS |
| NCT07209371 | RG1125814 NCI-2025-06773, FHIRB0020984 | Ph 2 | recruiting | Rifaximin Versus No Intervention for the Treatment of IgA Monoclonal Gammopathy of Undetermined Significance |
| NCT03729271 | HUM00142925 | Ph 4 | completed | Hydrogen Breath Test an Instrument to Predict Rifaximin-Response in Irritable Bowel Syndrome Predominant Diarrhea |
| NCT04244877 | IRB17-00550 | Ph 3 | withdrawn | Rifaximin's Effect on Covert Hepatic Encephalopathy With SIBO and Gastrointestinal Dysmotility |
| NCT04254549 | 19-002908 | Ph 2 | terminated | Rifaximin in Patients With Diabetic Gastroparesis |
| NCT07203846 FLORA-ACS | FLORA-ACS | Ph 4 | not yet recruiting | Modulation of Gut MicroFLORA With Rifaximin to Reduce High Platelet Reactivity in Post-ACS Patients on Ticagrelor |
| NCT04249622 results posted | MC18C3 NCI-2020-00332, MC18C3 | Ph 2 | terminated | Rifaximin for the Treatment of Gastrointestinal Toxicities Related to Pertuzumab-Based Therapy in Patients With Stage I-III HER2 Positive Breast Cancer |
| NCT03575195 MICRO-PD | 17-22841 | Ph 1, Ph 2 | suspended | Microbiota Intervention to Change the Response of Parkinson's Disease |
| NCT03820817 | IRB00106380 NCI-2018-02106, Winship4480-18 | Ph 1 | active not recruiting | Rifaximin in Patients With Monoclonal Gammopathy |
| NCT03069131 ProPILARifax | ProPILA-Rifax | Ph 3 | completed | Two Strategies of Primary Prophylaxis of Spontaneous Bacterial Peritonitis in Severe Cirrhotic Patients With Ascites |
| NCT05587036 | S66407 2021-006814-35 | Ph 2, Ph 3 | recruiting | Effects of Rifaximin on Gut Microbiota and Emotion |
| NCT06630572 | EudraCT 2017-000488-34 | Ph 4 | terminated | Rifaximin in Cirrhosis: Effects on Endotoxin and Haemostatic Indexes |
| NCT06518850 | I-23PJ1228 | Ph 1, Ph 2 | not yet recruiting | Study of Clinical Features and Efficacy of Small Intestinal Bacterial Overgrowth in Patients With Abdominal Distension |
| NCT01345175 results posted | 11-045 | Ph 3 | completed | Rifaximin and Placebo in the Treatment of Bowel Dysfunction After Anterior Resection for Rectal Cancer |
| NCT05150587 results posted | RE-ROS2002-2021 | Ph 2 | completed | Safety, Efficacy and Pharmacokinetics of Rifaximin in Patients With Moderate-to-severe Papulopustular Rosacea |
| NCT02470780 SIBO-PD results posted | 2015-2175 | Ph 2, Ph 3 | completed | Treating Bacterial Overgrowth in Parkinson's Disease |
| NCT01846663 results posted | RFHE4043 | Ph 4 | terminated | Efficacy, Safety, And Pharmacokinetics Of Rifaximin In Subjects With Severe Hepatic Impairment And Hepatic Encephalopathy |
| NCT03818672 results posted | RFPK4045 | Ph 4 | terminated | Steady-State Pharmacokinetics of Rifaximin 550 mg Tablets in Healthy and Hepatically Impaired Subjects |
| NCT02620007 TEOREM | P140503 | Ph 2 | terminated | Evaluation of Adherent Invasive E. Coli Eradication in Adult Crohn Disease |
| NCT03780673 2018-001698-25 | LIVERHOPE_EFFICACY | Ph 2, Ph 3 | completed | Efficacy of the Combination of Simvastatin Plus Rifaximin in Patients With Decompensated Cirrhosis to Prevent ACLF Development |
| NCT04557215 results posted | 550 | Ph 1, Ph 2 | completed | Efficacy and Safety of Rifaximin With NAC in IBS-D |
| NCT04775329 SIBOC | SIBOC | Ph 2, Ph 3 | terminated | Primary Prophylaxis for Spontaneous Bacterial Peritonitis |
| NCT03462966 results posted | 49509 | Ph 2 | terminated | Rifaximin on Visceral Hypersensitivity |
| NCT00748904 | 0801009635 | Ph 4 | withdrawn | Rifaximin Versus Lactulose in Renal Failure |
| NCT00603616 | 32871 32871 | Ph 2 | completed | Induction of Clinical Response Using Rifaximin in Crohn's Disease |
| NCT02342639 results posted | STUDY00001638 | Ph 4 | completed | Rifaximin Therapy in Chronic Kidney Disease |
| NCT01670149 RAPID | 12072 2012-003205-10 | Ph 4 | completed | Rifaximin for Preventing Relapse of Clostridium Associated Diarrhoea |
| NCT03712280 results posted | MNK61062107 | Ph 2 | completed | MNK6106 for Liver Disease (Hepatic Cirrhosis) That in the Past Has Affected the Brain (Hepatic Encephalopathy) |
| NCT03077217 | CZH0010 | Ph 4 | completed | Low-dose Rifaximin in the Treatment of Covert Hepatic Encephalopathy |
| NCT04736836 | CL(1173) | Ph 4 | completed | Microbial Resistance of Rifaximin in Hepatic Encephalopathy |
| NCT01355575 RiFL results posted | 2010-021515-17 2010-021515-17, 10/H0711/58 | Ph 4 | terminated | Rifaximin in Fatty Liver Disease |
| NCT01866826 results posted | 130062 13-I-0062 | Ph 1, Ph 2 | completed | Rifaximin for Chronic Immune Activation in People With HIV |
| NCT02498418 results posted | ACTA/RIFX/2015 | Ph 3 | completed | Study Comparing Rifaximin With Xifaxan 200 mg in Traveler's Diarrhea |
| NCT00731679 TARGET 1 results posted | RFIB3007 | Ph 3 | completed | Rifaximin 3 Times/Day (TID) for Non-Constipation Irritable Bowel Syndrome (IBS) |
| NCT00743912 | RFDI1008 | Ph 1 | completed | Open-Label Study to Evaluate the Effect of Rifaximin on Midazolam in Normal Healthy Volunteers |
| NCT00724126 TARGET 2 results posted | RFIB3008 | Ph 3 | completed | Rifaximin 3 Times/Day (TID) for Non-Constipation Irritable Bowel Syndrome (IBS) |
| NCT04161053 | Encephalopathy | Ph 3 | recruiting | Efficacy and Safety of Nitazoxanide in Preventing Recurrence of Hepatic Encephalopathy |
| NCT04154735 ATTAC | DIAD.ATTAC.2018 | Ph 2 | withdrawn | Autologous Transplant Targeted Against Crohn's |
| NCT01842581 results posted | RFHE4044 | Ph 4 | completed | The Safety/Efficacy of Rifaximin With/Without Lactulose in Participants With A History of Recurrent Hepatic Encephalopathy |
| NCT01466595 results posted | ACTG A5286 1U01AI068636 | Ph 2 | completed | Rifaximin as a Modulator of Microbial Translocation and Immune Activation |
| NCT02158182 | DI/14/107/03/028 | Ph 4 | completed | Lactulose, L-ornithine L-aspartate, or Rifaximin Versus Placebo for Preventing Hepatic Encephalopathy in Variceal Bleeding |
| NCT03124199 R+OCA results posted | R+OCA | Ph 3 | completed | Rifaximin Associated With Classic Triple Therapy for the Eradication of Helicobacter Pylori Infection |
| NCT02011841 | Rifaximin_SBP | Ph 3 | withdrawn | Rifaximin for the Secondary Prevention of Spontaneous Bacterial Peritonitis Recurrence in Cirrhotic Patients |
| NCT01662791 results posted | 11-006817 | Ph 3 | completed | Weight Loss in Parkinson's Disease and Role of Small Bowel Bacterial Overgrowth |
| NCT02086825 | 11-00665 | Ph 3 | withdrawn | A Randomized Comparison of Rifaximin Versus Lactulose in Hospitalized Cirrhotic Patients With Renal Failure |
| NCT01769040 | RifaxNK150612 2012-002890-71 | Ph 4 | completed | Intestinal Decontamination With Rifaximin. The Inflammatory and Circulatory State in Patients With Cirrhosis |
| NCT01643083 | HKU_RD1 | Ph 2, Ph 3 | completed | Rifaximin for Functional Dyspepsia |
| NCT01654939 | GCO 12-0794 HSM# 12-00436 | Ph 4 | withdrawn | Impact of an Antibiotic (Rifaximin) on Liver Scarring in HIV-Infected Patients With Liver Disease |
| NCT00875875 Rifaximin 600 | Ericsson-001 | Ph 4 | withdrawn | Single Daily Dose Rifaximin for the Treatment of Travelers' Diarrhea |
| NCT01946906 | 2013/1037 2013-000883-27, 13/09446-7 | Ph 4 | completed | The Rifaximin Study in CVID |
Showing 50 of 54 trials
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Pro Active Pipeline
Ongoing clinical trials by development phase
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Pro Key Completed Trials
Completed studies with published results, ranked by significance
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Trial Timeline
Full development history with FDA approval milestones
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Understanding FDA Approval Types
| Count | Type | What it means |
|---|---|---|
| - | ORIG | Original approval - drug first enters market |
| - | SUPPL - Efficacy | New indication (new disease/condition approved) |
| - | SUPPL - Labeling | Label text changes (warnings, dosing updates) |
| - | SUPPL - Manufacturing | Production changes (new facility) |
| - | SUPPL - Chemistry | Formulation changes (new dosage strength) |
Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.
RIFAXIMIN FDA Label Details
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Data Sources
Data sourced from official FDA and NIH databases. Click links to verify on original sources.