Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 to 80

Evaluating rifaximin's effect on gut microbiota in SIBO patients

Official title: Evaluating the Effect of Rifaximin on the Regional Composition of the Gut Microbiota and Metabolic Profiles of Subjects With SIBO Using the CapScan® Collection Capsule

Run by Envivo Bio Inc · NCT06298409 · Data updated 2026-11-12

This study is testing how the antibiotic rifaximin affects the gut bacteria and metabolism in people with Small Intestinal Bacterial Overgrowth (SIBO) before they start treatment.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 80 Years
SexAll
Enrollment34 (estimated)
SponsorEnvivo Bio Inc
Industry-sponsored
Locations1 site (Mountain View, California)
StatusRecruiting
StartedFebruary 15, 2024
Main results expectedFebruary 28, 2026
Study endsFebruary 28, 2026
Registry record updatedJune 11, 2025
Trial IDNCT06298409 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 to 80 who have been diagnosed with SIBO and are about to start treatment with rifaximin.

Probably not a fit

Patients with a history of gastric or esophageal surgery or bowel obstruction may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to assess how the antibiotic rifaximin influences the gut microbiota and metabolic profiles in patients diagnosed with Small Intestinal Bacterial Overgrowth (SIBO). It employs a microbiome sampling capsule, CapScan, to collect intestinal microbiota samples from participants. The study is designed as a prospective, open-label, single-arm, non-randomized, multi-center approach, focusing on individuals who have been prescribed rifaximin but have not yet started treatment.

Why it matters

Potential benefit: If successful, this study could lead to improved understanding and treatment options for patients suffering from SIBO.

How similar studies have gone: While there have been studies on rifaximin for SIBO, this specific approach using the CapScan capsule is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Males or females 18 years of age or older and 80 years of age or younger at the time of the first Screening Visit.
* ASA Classification 1 or 2.
* For women of childbearing potential, negative urine pregnancy test within 7 days of Screening Visit.
* Willingness to use highly effective contraception during the entire study period (e.g.: implants, injectables, oral contraceptives, intra-uterine device or declared abstinence).
* Subject is fluent in English and understands the study protocol and informed consent and is willing and able to comply with study requirements and sign the informed consent form.
* Positive for at least one clinical symptom consistent with SIBO.
* Positive lactulose breath test for SIBO, by Hydrogen (H2) criteria.
* Prescribed, but has not started, a two-week course of Rifaximin for SIBO.

Exclusion Criteria:

* History of any of the following: Prior gastric or esophageal surgery, including lap banding or bariatric surgery, bowel obstruction, gastric outlet obstruction, diverticulitis, inflammatory bowel disease, ileostomy or colostomy, gastric or esophageal cancer, achalasia, esophageal diverticulum, active dysphagia or odynophagia.
* Actively taking a proton-pump-inhibitor medication within 30 days of enrollment
* Pregnancy or planned pregnancy within 30 days from Screening Visit, or breast-feeding
* Any form of active substance abuse or dependence (including drug or alcohol abuse), unstable medical or psychiatric disorder, or any chronic condition susceptible, in the opinion of the investigator, to interfere with the conduct of the study
* A clinical condition that, in the judgment of the investigator, could potentially pose a health risk to the subject while involved in the study

Where it's running

  • Silicon Valley Gastroenterology
    Mountain View, California, United States
    Recruiting

Study contacts

  • Principal investigator: George Triadafilopoulos — Silicon Valley Gastroenterology
  • Study coordinator: Jennifer Taufui
  • Email: svgistaff@gmail.com
  • Phone: (650) 988-7530

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.