Trial intelligence / Profile preview

RNIB21 in IBS-D

NCT06727422Phase 2

Key facts

Status
Recruiting
Start
Feb 2026
Primary completion
Aug 2026
Countries
1
Modality
Small Molecules
Conditions
Irritable bowel syndrome with diarrhea (IBS-D)
01

Overview

Phase 2, randomised, double-blind trial of rifaximin + N-acetylcysteine in Irritable bowel syndrome with diarrhea (IBS-D) (3 arms). Primary endpoints: Stool consistency at 2 weeks and Abdominal pain at 2 weeks. Started Feb 2026; status: recruiting.

02

Design

3 arms
Study design
RandomizedDouble-blind
  • low dose for IBS-D

    RNIB21 containing rifaximin 66mg + NAC 560mg TID

  • high dose for IBS-D

    RNIB21 containing rifaximin 132mg + NAC 560mg TID

  • placebo

    Placebo TID

03

Who it enrols

Adults with Rome IV confirmed IBS-D with inadequate symptom relief, moderate to severe abdominal pain, and loose stools, excluding those with other GI diseases, recent antibiotic use, asthma, or significant medical conditions.

04

Endpoints

Primary

  • Stool consistency

  • Abdominal pain

Secondary

  • Overall response

  • Stool frequency

  • Stool image via smartphone app

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