Could a Mucus-Busting supplement boost an IBS drug?
NCT ID NCT06727422
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding the supplement N-acetylcysteine (NAC) to the antibiotic rifaximin can better relieve symptoms of irritable bowel syndrome with diarrhea (IBS-D). The idea is that NAC may break down mucus in the gut, helping rifaximin work more effectively. The trial will enroll 225 adults with IBS-D who still have symptoms despite standard care. Participants will receive one of two doses of the combination or a placebo for several weeks, and researchers will track changes in abdominal pain and stool consistency.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- rifaximin and N-acetylcysteine (NAC) combination
- What this could lead to
- If it works, this could offer a more effective treatment for IBS-D symptoms, reducing abdominal pain and diarrhea better than current options.
- What could go wrong
- This is an early phase 2b trial with only 225 participants. The combination is not yet approved, and it may not prove more effective than rifaximin alone. Side effects are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 225 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Feb 2026
- Expected to finish
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Jan 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Male or non-pregnant, non-lactating female patients ≥ 18 years of age 2. Diagnosed with IBS confirmed by the Rome IV criteria, with associated symptoms of diarrhea as noted below in 4(b). 3. Do not have adequate relief of IBS symptoms of abdominal pain, stool consistency or stool frequency 4. Have daily IBS symptom scores during screening as below: 1. Weekly average score of worst daily abdominal pain \>3.0 on a 0-10 point scale 2. At least one stool with a consistency of Type 6 or 7 on the Bristol Exclusion Criteria: 1. Present with the following symptoms of IBS with constipation: 1. Less than 3 bowel movements a week, 2. Hard or lumpy stools, and 3. Excessive straining during a bowel movement. 2. History of inflammatory bowel disease, celiac disease, GI surgery (except cholecystectomy and/or appendectomy) 3. Evidence of active duodenal ulcer, gastric ulcer, diverticulitis, or active infectious gastroenteritis 4. Current diagnosis of asthma 5. Current user of NAC and/or rifaximin 6. Systemic antibiotic use in the last month 7. Not currently on a prokinetic drug 8. A significant medical condition including but not limited to hepatic, uncontrolled diabetes, renal, cardiovascular, pulmonary, uncontrolled thyroid disease. or psychiatric disease, which in the opinion of investigator precludes study participation
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Cedars-Sinai Medical Center
RECRUITINGLos Angeles, California, 90048, United States
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Other studies related to the condition(s) this trial covers.
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- Could your family history of celiac disease hide a wheat sensitivity?