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Effects of rifaximin on gut microbiota and emotion

A randomized, triple-blind, placebo-controlled study on the effect of rifaximin on psychobiological functions in healthy men - MoodBugs_Rifaximin

Status
Active, not recruiting
Phases
Phase 2
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2021-006814-35-BE
Enrollment
60
Registered
2022-08-04
Start date
2022-09-27
Completion date
Unknown
Last updated
2024-11-11

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Experimental study with healthy participants recruited from the general population

Interventions

Trade Name: TARGAXAN Pharmaceutical Form: Film-coated tablet Pharmaceutical form of the placebo: Tablet Route of administration of the placebo: Oral use

Sponsors

KU Leuven
Lead Sponsor

Eligibility

Sex/Gender
Male

Inclusion criteria

Inclusion criteria: - Healthy male participants - Age 18-50 years - BMI 18.5-25 kg/m2 Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 60 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: - Participant has a history of previous or current neurological, psychiatric, gastrointestinal or endocrine disorder - Participation in any other interventional Trial with an investigational medicinal product (IMP) or device - Hypersensitivity to the active substance rifaximin, to any rifamycin (e.g. rifampicin or rifabutin) or any of the excipients - Current or recent medication use - Use of antibiotics within three months preceding the study - Current or recent infection (e.g. common cold, influenza, COVID-19, etc.) - Previous or current substance/alcohol dependence or abuse (>2 units per day or 14 units per week) - One or more diagnoses based on the mini international neuropsychiatric interview - One or more diagnoses based on ROME IV for gastrointestinal disorders - Smoking - Night-shift work - Adherence to special diets (e.g. vegan, vegetarian, weight-loss, lactose-free, gluten-free, etc.) - Use of pre- or probiotics within one month preceding the study - Previous experience with any of the tasks used in the study - Color vision deficiency (colorblindness) Additional exclusion criteria for participants partaking in the brain imaging part of the study: 1. Claustrophobia or too much uneasiness in limited spaces (in order to tolerate confinement during the scanning procedures). 2. Severe back problems interfering with lying in supine position in the scanner with no movement for long durations. 3. Any condition that would interfere with MRI studies (e.g., cochlear implant, metal fragments in eyes, cardiac pacemaker, neural stimulator, and metallic body inclusion or other metal implanted in the body which may interfere with MRI scanning). To check this, participants fill out a checklist before the procedure (see Appendix). 4. If the participant invokes that he does not want to be informed of eventual pathology that might be found during imaging (invokes the “right not to know”) Participants who meet one or more of the above exclusion criteria must not proceed to be enrolled/randomized in the Trial and will be identified on the Screening Log as Screen Failure.

Design outcomes

Primary

MeasureTime frame
Main Objective: To test whether rifaximin-induced gut microbiota alteration will attenuate psychobiological responses towards stress and fear in healthy men.;Secondary Objective: To investigate whether rifaximin exerts its effect on psychobiological function through the modulation of short-chain fatty acids, inflammation, brain activity under stress, and changes in particular brain metabolites.;Primary end point(s): Psychobiological readouts related to stress and fear tasks, including salivary cortisol levels, subjective visual analogue scale (VAS) stress reports, skin conductance levels, and expectancy of dangerous stimulus (expectancy ratings);Timepoint(s) of evaluation of this end point: Endpoints will be evaluated at the end of the study

Secondary

MeasureTime frame
Secondary end point(s): Mediators: Gut microbiota profile, heart rate variability, short-chain fatty acids (SCFA) levels, inflammatory marker profile (cytokine panel and C-reactive protein levels), fMRI BOLD responses to stress, and brain metabolite concentration;Timepoint(s) of evaluation of this end point: Endpoints will be evaluated at the end of the study

Countries

Belgium

Contacts

Public ContactLukas Van Oudenhove

KU Leuven

lukas.vanoudenhove@kuleuven.be

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026