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Rifaximine
Rifaximine is a Small molecule drug developed by Ain Shams University. It is currently in Phase 2 development for Diarrhea due to E. Coli, Hepatic encephalopathy, Irritable bowel syndrome with diarrhea. Also known as: Targaxan.
Rifaximin is a non-absorbable, broad-spectrum antibiotic that inhibits bacterial DNA-directed RNA polymerase, a bacterial enzyme involved in RNA synthesis. It is primarily used to treat non-infectious gastrointestinal diseases, including irritable bowel syndrome, and has been licensed in over 30 countries for various conditions such as diverticular disease, bloating, and functional bowel disorder.
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Baseline phase 2 → approval rate
+15.3pp
Industry-wide phase 2 drugs reach approval ~15.3% of the time (BIO/Informa 2023 industry benchmark across all therapeutic areas). -
Anti-infectives pathway favourability
+2.0pp
Microbiological endpoints + non-inferiority designs raise approval rates above baseline.
| Regulator | Country | Likely year | Lag vs FDA |
|---|---|---|---|
| FDA | US | 2031–2034 | — |
| EMA | EU | 2032–2035 | +0.7 yr |
| MHRA | GB | 2032–2035 | +0.7 yr |
| Health Canada | CA | 2032–2036 | +0.9 yr |
| TGA | AU | 2032–2036 | +1.2 yr |
| PMDA | JP | 2032–2036 | +1.5 yr |
| NMPA | CN | 2033–2037 | +2.3 yr |
| MFDS | KR | 2032–2036 | +1.4 yr |
| CDSCO | IN | 2032–2037 | +1.8 yr |
| ANVISA | BR | 2033–2037 | +2.3 yr |
Hover any row for the lag rationale. Lag estimates are reduced when the drug has FDA Breakthrough or EMA PRIME designation (sponsors file globally in parallel).
Estimate based on the BIO/Informa industry phase transition rates plus per-drug modifiers for therapeutic area, sponsor type, FDA designations, mechanism, and trial design. Per-jurisdiction lags from Tufts CSDD international approval studies. Not investment, clinical or regulatory advice. Methodology: /methodology#likelihood.
At a glance
| Generic name | Rifaximine |
|---|---|
| Also known as | Targaxan |
| Sponsor | Ain Shams University |
| Target | Nuclear receptor subfamily 1 group I member 2, Bacterial DNA-directed RNA polymerase |
| Modality | Small molecule |
| Therapeutic area | Infectious Disease |
| Phase | Phase 2 |
Approved indications
- Diarrhea due to E. Coli
- Hepatic encephalopathy
- Irritable bowel syndrome with diarrhea
Common side effects
Key clinical trials
- Rifaximin 200 mg Plus Oral Rehydration vs Oral Rehydration Alone in Children With Acute Diarrhea (PHASE4)
- Pharmacokinetic Study of Single-Dose Modified Release Glipizide in Healthy Volunteers (PHASE1)
- Evaluation of the Outcome of Fecal Microbiota Transplantation (PHASE1, PHASE2)
- Mechanical Bowel Preparation With or Without Oral Antibiotics in Left Sided Colorectal Cancer Surgery (NA)
- Effect of Multispecies Probiotic Supplementation on the Efficacy of Rifaximin α Therapy in Patients With Small Intestinal Bacterial Overgrowth (SIBO): a Randomized Placebo-controlled Trial (PHASE4)
- Efficacy and Safety of Early Initiation of Midodrine for Control and Prevention of Ascites and Its Related Complications in Acute-on-chronic Liver Failure. (NA)
- Efficacy and Safety of Rifaximin-α in Treating MASLD (EARLY_PHASE1)
- Rifaximin Versus No Intervention for the Treatment of IgA Monoclonal Gammopathy of Undetermined Significance (PHASE2)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Rifaximine CI brief — competitive landscape report
- Rifaximine updates RSS · CI watch RSS
- Ain Shams University portfolio CI
Frequently asked questions about Rifaximine
What is Rifaximine?
What is Rifaximine used for?
Who makes Rifaximine?
Is Rifaximine also known as anything else?
What development phase is Rifaximine in?
What does Rifaximine target?
Related
- Target: All drugs targeting Nuclear receptor subfamily 1 group I member 2, Bacterial DNA-directed RNA polymerase
- Manufacturer: Ain Shams University — full pipeline
- Therapeutic area: All drugs in Infectious Disease
- Indication: Drugs for Diarrhea due to E. Coli
- Indication: Drugs for Hepatic encephalopathy
- Indication: Drugs for Irritable bowel syndrome with diarrhea
- Also known as: Targaxan
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing