Drugs / Rifaximin
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Rifaximin

Other / unclassified

Developed for
cirrhosis of liver · hepatic encephalopathy · irritable bowel syndrome · Crohn disease · diarrheal disease · small intestinal bacterial overgrowth · infectious peritonitis · Parkinson disease
+60 more · acute diarrhea · hepatitis C virus infection · HIV infectious disease · Alzheimer disease · diverticulitis · liver disorder · liver failure · obesity disorder · portal hypertension · rosacea · sickle cell disease · acute leukemia · alcoholic hepatitis · bacterial vaginosis · campylobacteriosis · celiac disease · chronic intestinal pseudoobstruction · chronic kidney disease · Clostridium difficile colitis · common variable immunodeficiency · constipation disorder · cystic fibrosis · diabetes mellitus · diastolic heart failure · end stage renal failure · esophageal varices · esophageal varices with bleeding · functional diarrhea · gas bloat syndrome · gastroparesis · Helicobacter pylori infectious disease · immune dysregulation, neurodevelopmental defects, and colitis · intestinal disorder · kidney failure · light chain deposition disease · metabolic dysfunction-associated steatohepatitis · metabolic dysfunction-associated steatotic liver disease · metabolic syndrome X · microscopic colitis · monoclonal gammopathy · monoclonal gammopathy of uncertain significance · NAFLD1 · peritonitis · poisoning · portal vein thrombosis · pouchitis · rectal cancer · small intestine disorder · thrombocytopenia · tropical sprue · ulcerative colitis · vascular dementia · Waldenstrom macroglobulinemia · chronic pain syndrome · collagenous colitis · dyspepsia · hepatopulmonary syndrome · persian gulf syndrome · systolic heart failure · type 2 diabetes mellitus
Investigated by
Bausch Health Americas, Inc. · Alfasigma S.p.A. · Institute of Liver and Biliary Sciences, India · Cedars-Sinai Medical Center · Shanghai Zhongshan Hospital · Emory University
+153 more · Mayo Clinic · Naval Medical Research Center · Peking Union Medical College Hospital · Shanghai Changzheng Hospital · Uniformed Services University of the Health Sciences · Columbia University · First Affiliated Hospital, Sun Yat-Sen University · Henry M. Jackson Foundation for the Advancement of Military Medicine · Hunter Holmes Mcguire Veteran Affairs Medical Center · Jason Stubbs, MD · Judit Pich · Mark Pimentel, MD · Ministry of Defence, United Kingdom · National Cancer Institute (NCI) · National Institute of Allergy and Infectious Diseases (NIAID) · Post Graduate Institute of Medical Education and Research, Chandigarh · RenJi Hospital · Salix Pharmaceuticals, Inc. a division of Bausch Health US, LLC · Shanghai 10th People's Hospital · Sir Run Run Shaw Hospital · Sixth Affiliated Hospital, Sun Yat-sen University · The University of Texas Health Science Center, Houston · University of California, San Francisco · Weill Medical College of Cornell University · Xijing Hospital · AB Biotics, SA · ASKA Pharmaceutical Co., Ltd. · Actavis Inc. · Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections · Air Force Military Medical University, China · American Diabetes Association · American Heart Association · Assistance Publique - Hôpitaux de Paris · Azienda Policlinico Umberto I · Bausch Health Ireland Limited · Bayhealth Medical Center · Baylor College of Medicine · Beijing Aerospace General Hospital · Beijing Chao Yang Hospital · Beijing Ditan Hospital · Beijing Friendship Hospital · Beijing Jishuitan Hospital · Beijing Tiantan Hospital · Beijing Tongren Hospital · Beth Israel Deaconess Medical Center · Bezmialem Vakif University · Cambridge University Hospitals NHS Foundation Trust · Centre Hospitalier Universitaire de Besancon · China-Japan Friendship Hospital · Collegium Medicum w Bydgoszczy · Commonwealth Diagnostics International, Inc. · Copenhagen University Hospital, Hvidovre · Cromsource · Danish Cancer Society · David E. Kaplan, MD MSc · Douglas T. Dieterich · Dr. Amjad Khan · DuPont, Hurbert L., MD · Duke University · Eugene F Yen, MD · Fayoum University Hospital · Fred Hutchinson Cancer Center · Fundación de Investigación Biomédica - Hospital Universitario de La Princesa · GE Healthcare · Gateway Institute for Brain Research · Germans Trias i Pujol Hospital · Hospital General de Mexico · Hospital Universitari Vall d'Hebron Research Institute · Hospital de Sant Pau · Hospital del Mar · I.M. Sechenov First Moscow State Medical University · Imperial College London · Indian Council of Medical Research · Infectious Diseases Clinical Research Program · all 159 on the full record

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Label expansion US (FDA) XIFAXAN — 2015-05-27 fda.gov ↗
Approved US (FDA) XIFAXAN — 2004-05-25 fda.gov ↗

Trials 140 · started per year

today
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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 05 trials
Phase 0 NCT07185932 Aug 2024 → Dec 2027 expected metabolic dysfunction-associated steatotic liver disease Shanghai Changzheng Hospital Recruiting No outcome recorded
Phase 0 NCT05786859 Mar 2023 → Jul 2025 hepatic encephalopathy, hepatitis B virus infection, liver failure Sun Yat-sen University Unknown No outcome recorded
Phase 0 NCT03529825 Jul 2018 → Oct 2020 — Emory University Completed No outcome recorded
Phase 0 NCT02738905 Jan 2016 → Feb 2019 end stage renal failure Jason Stubbs, MD Withdrawn No outcome recorded
Phase 0 NCT01638429 Apr 2012 → Apr 2014 diabetes mellitus, obesity disorder Cedars-Sinai Medical Center Completed Mixed
Phase 15 trials
Phase 1 NCT04529811 Sep 2020 → May 2021 — Bausch Health Americas, Inc. Completed No outcome recorded
Phase 1 NCT03820817 May 2019 → Nov 2025 Waldenstrom macroglobulinemia, light chain deposition disease, monoclonal gammopathy Emory University Completed No outcome recorded
Phase 1 NCT04730245 Jun 2018 → Mar 2020 Parkinson disease Torre Médica Santé Completed No outcome recorded
Phase 1 NCT00743912 Sep → Oct 2008 — Bausch Health Americas, Inc. Completed No outcome recorded
Phase 1 NCT00967096 Apr 2007 → Apr 2009 cancer Emory University Completed No outcome recorded
Phase 1/28 trials · 1 missed
Phase 1/2 NCT06783153 Jan → Dec 2025 overdue cervical adenocarcinoma, enterocolitis, poisoning, prostate cancer +2 Mansoura University Not yet recruiting No outcome recorded
Phase 1/2 NCT06718686 Dec 2024 → Oct 2027 expected Alzheimer disease, vascular dementia Jasmohan Bajaj Recruiting No outcome recorded
Phase 1/2 NCT06518850 Aug → Dec 2024 overdue small intestinal bacterial overgrowth Peking Union Medical College Hospital Not yet recruiting No outcome recorded
Phase 1/2 NCT04557215 Nov 2020 → Aug 2021 irritable bowel syndrome Cedars-Sinai Medical Center Completed No outcome recorded
Phase 1/2 NCT03575195 Jul 2019 → Aug 2026 Parkinson disease University of California, San Francisco Suspended No outcome recorded
Phase 1/2 NCT03958708 May 2019 → May 2020 Parkinson disease Taipei Medical University Shuang Ho Hospital Unknown No outcome recorded
Phase 1/2 NCT01866826 Jan 2013 → Jun 2016 HIV infectious disease National Cancer Institute (NCI) Completed Missed primary
Phase 1/2 NCT01069133 Feb 2010 → May 2012 hepatic encephalopathy Hunter Holmes Mcguire Veteran Affairs Medical Center Completed No outcome recorded
Phase 231 trials · 5 met primary · 3 missed
Phase 2 NCT06727422 Feb → Aug 2026 overdue functional diarrhea, irritable bowel syndrome Mark Pimentel, MD Recruiting No outcome recorded
Phase 2 NCT07209371 Jan 2026 → May 2028 expected monoclonal gammopathy of uncertain significance Fred Hutchinson Cancer Center Recruiting No outcome recorded
Phase 2 NCT06058572 Aug 2024 → Aug 2027 expected acute leukemia Tata Memorial Centre Recruiting No outcome recorded
Phase 2 NCT05098028 Mar 2022 → Sep 2023 sickle cell disease Bausch Health Americas, Inc. Completed No outcome recorded
Phase 2 NCT04249622 Sep 2020 → Dec 2022 HER2 positive breast carcinoma Mayo Clinic Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT04118699 Dec 2019 → Nov 2021 chronic intestinal pseudoobstruction Yokohama City University Unknown No outcome recorded
Phase 2 NCT04154735 Nov 2019 → Mar 2023 Crohn disease Northwestern University Withdrawn No outcome recorded
Phase 2 NCT04254549 Jun 2019 → Apr 2025 Crohn disease, gastroparesis Mayo Clinic Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT03856359 Apr 2019 → Nov 2020 Alzheimer disease Duke University Completed No outcome recorded
Phase 2 NCT05621005 Mar 2019 → Jul 2022 infectious peritonitis Samar Atef Sebaweh Mohammed Completed No outcome recorded
Phase 2/39 trials · 2 missed
Phase 2/3 NCT05408910 Jul → Sep 2025 cystic fibrosis, small intestine disorder Wake Forest University Health Sciences Withdrawn No outcome recorded
Phase 2/3 NCT05587036 Feb 2023 → Jul 2025 overdue — Universitaire Ziekenhuizen KU Leuven Recruiting No outcome recorded
Phase 2/3 NCT03780673 Jan 2019 → Dec 2022 cirrhosis of liver Judit Pich Completed Missed primary
Phase 2/3 NCT03469050 Jul 2018 → Dec 2020 diverticulitis Alfasigma S.p.A. Terminated No outcome recorded
Phase 2/3 NCT02793193 Jul 2016 → Jan 2018 — University Hospital Tuebingen Completed No outcome recorded
Phase 2/3 NCT02651740 Apr 2016 → Jul 2023 irritable bowel syndrome Shanghai Zhongshan Hospital Unknown No outcome recorded
Phase 2/3 NCT02470780 Dec 2015 → Aug 2017 Parkinson disease, small intestinal bacterial overgrowth University of Cincinnati Completed No outcome recorded
Phase 2/3 NCT02280044 Oct 2014 → Aug 2016 campylobacteriosis, dysentery Johns Hopkins Bloomberg School of Public Health Completed Missed primary
Phase 2/3 NCT01897051 Jul 2013 → Feb 2017 cirrhosis of liver, portal hypertension Yonsei University Unknown No outcome recorded
Phase 330 trials · 6 met primary · 2 missed
Phase 3 NCT07522255 Apr 2026 → Oct 2027 expected constipation disorder, gas bloat syndrome, irritable bowel syndrome Mahidol University Not yet recruiting No outcome recorded
Phase 3 NCT05297448 Aug 2022 → Jan 2026 overdue hepatic encephalopathy Bausch Health Americas, Inc. Active not recruiting No outcome recorded
Phase 3 NCT05071716 Apr 2022 → Sep 2025 overdue hepatic encephalopathy Bausch Health Americas, Inc. Active not recruiting No outcome recorded
Phase 3 NCT04244877 Sep 2021 → May 2023 cirrhosis of liver, hepatic encephalopathy, intestinal motility disease, small intestinal bacterial overgrowth MetroHealth Medical Center Withdrawn No outcome recorded Stop: Enrollment
Phase 3 NCT04159870 Nov 2019 → Nov 2021 infectious peritonitis Ospedali Riuniti di Foggia Unknown No outcome recorded
Phase 3 NCT03069131 Jun 2018 → Jun 2022 cirrhosis of liver, peritonitis Centre Hospitalier Universitaire de Besancon Completed Missed primary
Phase 3 NCT03185624 Jul 2017 → Jan 2018 Crohn disease Sixth Affiliated Hospital, Sun Yat-sen University Unknown No outcome recorded
Phase 3 NCT03185611 May 2017 → Jan 2018 Crohn disease Sixth Affiliated Hospital, Sun Yat-sen University Unknown No outcome recorded
Phase 3 NCT02920242 Dec 2016 → May 2017 acute diarrhea Sandoz Terminated No outcome recorded Stop: Enrollment
Phase 3 NCT02498418 Jan 2016 → Feb 2017 diarrheal disease Actavis Inc. Completed No outcome recorded
Phase 425 trials · 2 missed
Phase 4 NCT07180615 Jun 2026 → Jan 2028 expected — University of Lucerne Not yet recruiting No outcome recorded
Phase 4 NCT07285785 Feb 2026 → Apr 2027 expected bacterial infectious disease, diarrheal disease, gastroenteritis Bausch Health Americas, Inc. Recruiting No outcome recorded
Phase 4 NCT07203846 Jan → Dec 2026 expected acute coronary syndrome, immune dysregulation, neurodevelopmental defects, and colitis, myocardial infarction, platelet aggregation, spontaneous Collegium Medicum w Bydgoszczy Not yet recruiting No outcome recorded
Phase 4 NCT06538077 Feb 2025 → Aug 2026 overdue cirrhosis of liver, hepatic encephalopathy Post Graduate Institute of Medical Education and Research, Chandigarh Recruiting No outcome recorded
Phase 4 NCT07037394 Dec 2024 → Apr 2025 hepatic encephalopathy Qurratul Ain Jamil Completed No outcome recorded
Phase 4 NCT06312683 Jul 2024 → Jul 2026 overdue pouchitis University of North Carolina, Chapel Hill Recruiting No outcome recorded
Phase 4 NCT05677282 Oct 2022 → Sep 2025 overdue acute diarrhea Henry M. Jackson Foundation for the Advancement of Military Medicine Recruiting No outcome recorded
Phase 4 NCT06630572 Apr 2021 → Apr 2022 blood coagulation disease, cirrhosis of liver, platelet disorder, undefined University of Roma La Sapienza Terminated No outcome recorded
Phase 4 NCT04674176 Jan 2021 → Jan 2022 — Bayhealth Medical Center Unknown No outcome recorded
Phase 4 NCT03729271 Jan 2020 → Jan 2026 irritable bowel syndrome University of Michigan Completed No outcome recorded
Phase not applicable27 trials · 3 met primary · 1 missed
— NCT07429760 Aug 2025 → Aug 2026 overdue colorectal cancer Shaukat Khanum Memorial Cancer Hospital & Research Centre Enrolling by invitation No outcome recorded
— NCT06772064 Apr → Dec 2025 overdue small intestinal bacterial overgrowth Xiuli Zuo Recruiting No outcome recorded
— NCT06808009 Feb 2025 → Feb 2026 overdue liver failure Institute of Liver and Biliary Sciences, India Not yet recruiting No outcome recorded
— NCT06743464 Dec 2024 → Dec 2025 overdue liver disorder Institute of Liver and Biliary Sciences, India Recruiting No outcome recorded
— NCT06652087 Sep 2024 → Sep 2026 overdue diastolic heart failure, small intestinal bacterial overgrowth I.M. Sechenov First Moscow State Medical University Recruiting No outcome recorded
— NCT06199843 Jan → Dec 2024 infectious peritonitis Institute of Liver and Biliary Sciences, India Unknown No outcome recorded
— NCT05863364 Aug 2023 → Dec 2025 cirrhosis of liver Xin Zeng Unknown No outcome recorded
— NCT06223685 Apr 2023 → Aug 2024 irritable bowel syndrome, small intestinal bacterial overgrowth Pomeranian Medical University Szczecin Completed No outcome recorded
— NCT06852274 Mar 2023 → Apr 2024 diverticulitis Dr. Amjad Khan Completed Met primary
— NCT04316806 Nov 2020 → Sep 2022 irritable bowel syndrome, small intestinal bacterial overgrowth AB Biotics, SA Terminated No outcome recorded
Comparator or background therapy54 trials
Phase 0 NCT07683936 Background Jun 2026 → Jan 2027 expected hepatic encephalopathy Air Force Military Medical University, China Recruiting No outcome recorded
Phase 1 NCT05159427 Background Mar 2022 → Mar 2026 — University of Michigan Completed No outcome recorded
Phase 1 NCT00956150 Comparator Apr 2009 → Mar 2014 persian gulf syndrome Henry C. Lin, MD Unknown No outcome recorded
Phase 1/2 NCT07454408 Background Mar 2026 → Jun 2028 expected hepatic encephalopathy Air Force Military Medical University, China Not yet recruiting No outcome recorded
Phase 1/2 NCT05453916 Comparator Jul 2022 → Jul 2024 irritable bowel syndrome Sadat City University Withdrawn No outcome recorded Stop: Business

News releases announcing trial results or a regulatory action · 8

DateIssuerRelease
2026-01-23 Bausch Health Americas, Inc. Results Bausch Health Provides Update on RED-C Phase 3 Clinical Trials bauschhealth.com ↗
While safe and well-tolerated, both clinical trials did not meet the primary endpoint.
2025-06-03 Zydus Lifesciences Limited Regulatory Zydus receives tentative approval from USFDA - Rifaximin Tablets, 550 mg zyduslife.com ↗
Zydus Lifesciences Limited (including its subsidiaries/ affiliates, hereafter referred to as “Zydus”) has received tentative approval from the United States Food and Drug Administration (USFDA) for Rifaximin Tablets, 550 mg (USRLD: Xifaxan® Tablets, 550 mg).
2025-01-23 Impax Laboratories, LLC Regulatory Amneal Receives U.S. FDA Approval for Memantine/Donepezil Extended-Release Capsules and Everolimus Tablets for Oral Suspension, and Tentative U.S. FDA Approval for Rifaximin amneal.com ↗
2019-06-18 Norgine Results New study shows rifaximin significantly reduced the number and length of hospitalisations in patients with overt hepatic encephalopathy (HE) awaiting liver transplantation norgine.com ↗
Norgine B.V. highlighted results of an independent, investigator initiated trial showing significant reductions in the number and length of hospital admissions when rifaximin is used to treat end-stage liver disease patients with overt hepatic encephalopathy (HE).
2019-04-15 Norgine Results New real world study shows rifaximin-α significantly reduced hospitalisation in patients with overt hepatic encephalopathy (HE) when added to lactulose norgine.com ↗
Norgine B.V. today highlighted results of a real world study showing significant reductions in the number and length of hospitalisations when rifaximin-α is added to lactulose, the SOC treatment for patients with overt hepatic encephalopathy (HE).
2018-10-19 Norgine Results Norgine to present data for PLENVU® and XIFAXAN® at the United European Gastroenterology Week (UEG) norgine.com ↗
Long term prevention of overt hepatic encephalopathy is possible with lactulose alone but more effective if combined with rifaximin: A systematic review with number needed to treat analyses of randomised controlled trials.
2018-04-12 Norgine Results RIFAXIMIN-α reduces the incidence of sepsis and all-cause admissions whilst on the liver transplant waiting list and hospital admissions norgine.com ↗
2018-04-12 Norgine Results New data show that RIFAXIMIN-α reduces systemic inflammation in patients with cirrhosis and chronic hepatic encephalopathy norgine.com ↗
NEW DATA SHOW THAT RIFAXIMIN-α REDUCES SYSTEMIC INFLAMMATION IN PATIENTS WITH CIRRHOSIS AND CHRONIC HEPATIC ENCEPHALOPATHY

All press releases naming this drug 9 releases

DateIssuerRelease

Evidence & citations 16 cited values

Every value below carries the sentence it was read from. 197 sources stand behind the page.

FieldValueCited text
Known as RIFAXIMIN “The subjects will undergo pre-treatment to "cleanse" the gut by consuming orally one tablet of antibiotic rifaximin (200mg) daily for 14 days prior to the initiation of Vivomixx course.” NCT05083572 ↗
194

“In a double-blinded randomized study, 16 healthy volunteers (27.00 ± 1.60 years; 9 males) received either rifaximin (600 mg/day) (a poorly absorbable antibiotic) or placebo for 7 days.” PMID 29713909 ↗ Jul 2018

“Lactulose ± rifaximin as SoC treatment for overt HE should be administered per the clinical judgement of the investigator and usual institutional practice.” NCT04128462 ↗

“Standard Medical Therapy will include nutritional support, rifaximin, lactulose, bowel wash, albumin, diuretics, multivitamins and antibiotics as required” NCT03420144 ↗

“Phase 1, Randomised, Placebo-Controlled, Single-Ascending Dose and Multiple-Dose with 3 novel RIFAXIMIN Formulations.” NCT04529811 ↗

“Nutritional support, rifaximin, lactulose, bowel wash, albumin, diuretics, multivitamins and antibiotics.” NCT03415698 ↗

“Recipients will undergo bowel preconditioning with antibiotics (Rifaximin) following randomization.” NCT05502913 ↗

“Ciprofloxacin, metronidazole, vancomycin, amoxicillin clavulanate or rifaximin.” NCT06443502 ↗

“three doses of rifaximin 400mg at 7am, 3pm and 11pm the day before surgery” NCT07429760 ↗

“10-day course of 550 mg of rifaximin or placebo 3 times per day” PMID 21240023 ↗ Apr 2011

“Rifaximin: 550 mg TID for 14 days (repeatable)” NCT07635394 ↗

Show 184 more sources

Known as Alfa Normix “Rifaximin (Alfa Normix®, Alfa Wassermann S.P.A., Italy, registration number LS-001993, 08/31/2010) in standard doses of 200 mg 3 times a day for 7 days” NCT06652087 ↗
Known as Extended Intestinal Release (EIR) “The primary objective is to determine the efficacy of rifaximin DR also referred to as Extended Intestinal Release (EIR) tablets vs. placebo for the induction of clinical...” NCT02240108 ↗
Known as L-105 “rifaximin (L-105)” NCT04118699 ↗
Known as NDA 22-554 “NDA 22-554” NCT02555293 ↗
Known as RFX “This is a single-site, single-arm, open-label, drug-interaction study that examines the effect of rifaximin (RFX), 550 mg 3 times daily (TID; 1650 mg/day), on orally...” NCT00743912 ↗
1

“Herein, we present results from a randomized, double-blind, placebo (PBO)-controlled trial to assess whether rifaximin (RFX) has a beneficial effect on 12-month survival in...” PMID 40653111 ↗ Jul 2025

Known as Rifaximin (Xifaxan) “Rifaximin (Xifaxan)” NCT01951209 ↗
Known as rifaximin DR “The primary objective is to determine the efficacy of rifaximin DR also referred to as Extended Intestinal Release (EIR) tablets vs. placebo for the induction of clinical...” NCT02240108 ↗
Known as Rifaximin EIR “Rifaximin EIR tablets will be administered per the dose and schedule specified in the arm.” NCT02240108 ↗
Known as Rifaximin SSD “Rifaximin SSD 40 mg IR tablet” NCT06718686 ↗
Known as Rifaximin- α “Rifaximin- α (referred to as Rifaximin) is a drug that is not easy to be absorbed and only works locally in the gastrointestinal tract.” NCT05786859 ↗
Known as Xifaxan “Rifaximin (Xifaxan, Salix Pharmaceuticals, Bridgewater, N.J.) (See Package Insert) is a drug that is approved by the FDA for use in humans for the treatment of Hepatic...” NCT03856359 ↗
9

“A Randomized, Double-Blind, Placebo-Controlled, Parallel Design, Multicenter, Bioequivalence Study With Clinical Endpoint Comparing Rifaximin 200-mg Tablets With Xifaxan®...” NCT02498418 ↗

“A Phase II Study of Rifaximin (Xifaxan) for Patients With Sickle Cell Disease (SCD)” NCT03719729 ↗

“Rifaximin 550 milligram Oral Tablet [XIFAXAN]” NCT04073290 ↗

“XIFAXAN® (Rifaximin)” NCT02555293 ↗

“Rifaximin (Xifaxan)” NCT07180615 ↗

“Rifaximin (Xifaxan)” NCT07815548 ↗

“Rifaximin (Xifaxan)” NCT00269399 ↗

“Rifaximin (Xifaxan)” NCT07185932 ↗

“Rifaximin (XIFAXAN)” NCT01359228 ↗

Known as Xifaxanta “Modified Xifaxanta™ (rifaximin film-coated tablet) manufactured by Alfa Wasermann (AW),” NCT01670149 ↗
Action Inhibit “inhibits urease-producing bacteria” PMID 37467180 ↗ Jul 2023
Modality Other / unclassified “Rifaximin is an antibiotic” NCT02074280 ↗
Route Oral “nonabsorbed oral antibiotic (rifaximin)” PMID 17043337 ↗ Oct 2006