Using rifaximin to improve liver transplant outcomes

Effect of Perioperative Oral Rifaximin on Early Graft Dysfunction in Adult Living Donor Liver Transplant: An Open Label Randomized Control Trial

Not applicable Interventional Institute of Liver and Biliary Sciences, India · NCT06743464

This study is testing if taking the antibiotic rifaximin before and after liver transplant surgery can help prevent early problems with the new liver in adults.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment100 (estimated)
Ages18 Years and up
SexAll
SponsorInstitute of Liver and Biliary Sciences, India Academic / other
Locations1 site (New Delhi, National Capital Territory of Delhi)
Trial IDNCT06743464 on ClinicalTrials.gov

What this trial studies

This clinical trial investigates the effect of perioperative oral rifaximin on early graft dysfunction in adult patients undergoing living donor liver transplantation. The study involves administering rifaximin 550 mg twice daily starting two weeks before surgery and continuing until one week post-operation. It aims to determine whether this antibiotic can reduce the incidence of early graft dysfunction, which is a significant complication associated with liver transplants. The trial will include 100 participants and is designed as an open-label randomized control study.

Who should consider this trial

Good fit: Ideal candidates for this study are adult patients scheduled for living donor liver transplantation.

Not a fit: Patients who are undergoing retransplantation or have acute liver failure or acute-on-chronic liver failure will not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly reduce early graft dysfunction and improve survival rates for liver transplant recipients.

How similar studies have performed: Previous studies have shown that rifaximin can reduce early graft dysfunction in deceased donor liver transplants, suggesting potential for success in this living donor context.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* All recipients (adults) undergoing living donor liver transplant in ILBS.

Exclusion Criteria:

* Negative consent

  * Hypersensitivity to Rifaximin
  * Patients undergoing retransplant
  * ALF, ACLF
  * Pediatrics patients
  * Patients on rifaximin

Where this trial is running

New Delhi, National Capital Territory of Delhi

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Chronic Liver Disease
Last reviewed 2026-06-13 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.