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. 2020 Jan 16;2020(1):CD013125. doi: 10.1002/14651858.CD013125.pub2

Nawaz 2015.

Methods Randomised clinical trial
Participants Country: Pakistan
Period of recruitment: not stated
Number randomised: 150
Postrandomisation dropouts: not stated
Revised sample size: 150
Mean age (years): not stated
Females: not stated
Presence of other features of decompensation (hepatorenal syndrome, hepatic encephalopathy, or variceal bleeding): 150 (100%)
Ascites with low protein: not stated
Primary prophylaxis: not stated
Alcohol‐related cirrhosis: not stated
Viral‐related cirrhosis: not stated
Autoimmune disease‐related cirrhosis (e.g. PSC, PBC, AIH): not stated
Other causes for cirrhosis: not stated
Treated for ascites in addition to antibiotics (e.g. albumin or diuretics): not stated
Inclusion criteria:
  • people with ≥ 2 episodes of hepatic encephalopathy

Interventions Participants randomly assigned to 2 groups.
Group 1: rifaximin (n = 75)
Further details: rifaximin 550 mg BD for 6 months
Group 2: no active intervention (n = 75)
Further details: placebo
Outcomes Outcomes reported: number of other decompensation events
Follow‐up (months): 6
Notes Attempted to contact authors in November 2018, but received no replies.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: information not available
Allocation concealment (selection bias) Unclear risk Comment: information not available
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Comment: placebo used, but unclear if blinding was achieved.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Comment: placebo used, but unclear if blinding was achieved.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Comment: information not available
Selective reporting (reporting bias) High risk Comment: protocol not available, and authors did not report the outcomes assessed adequately.
Other bias Low risk Comment: no other bias noted