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Rifaximin and eluxadoline — newly approved treatments for diarrhea-predominant irritable bowel syndrome: what is their role in clinical practice alongside alosetron?

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Pages 311-322 | Received 09 Apr 2015, Accepted 05 Nov 2015, Published online: 08 Dec 2015

References

  • Papers of special note have been highlighted as either of interest (•) or of considerable interest (••) to readers
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•• Most recent American College of Gastroenterology guidelines on the management of IBS, representing a comprehensive literature review and expert consensus opinion

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•• Most recent American Gastroenterological Association guidelines on the management of IBS, representing a comprehensive literature review and expert consensus opinion

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•• Report of TARGET 1 and 2 clinical trial data showing benefit and excellent tolerability of rifaximin for non-constipated IBS

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•• Abstract reporting the top-line efficacy and safety results from two randomized controlled trials of eluxadoline for IBS-D

•• Excellent review of safety and tolerability of rifaximin randomized controlled trials for IBS

• This original article reported substantial reductions over time in the incidence of complications of constipation and in symptoms suggestive of ischemic colitis and complications of constipation, while the incidence of ischemic colitis was reported to be stable at approximately 1.0 case/1000 patient-years. These improvements in the incidence of ischemic colitis and complications of constipation are attributed to the alosetron risk management program

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•• This abstract evaluates the data from alosetron randomized controlled trials with the contemporary FDA Guidance endpoint of simultaneous improvement in abdominal pain and stool form/frequency and confirms benefit with the new composite endpoint

  • Krause R, Ameen V, Gordon SH, et al. A randomized, double-blind, placebo-controlled study to assess efficacy and safety of 0.5 mg and 1 mg alosetron in women with severe diarrhea-predominant IBS. Am J Gastroenterol. 2007;102:1709–1719.
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