Last update 16 May 2025

Rifabutin

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
1,4-Dihydro-1-deoxy-1',4-didehydro-5'-(2-methylpropyl)-1-oxorifamycin XIV, 4-Deoxo-3,4-(2-spiro(N-isobutyl-4-piperidyl)-2,5-dihydro-1H-imidazo)-rifamycin S, 4-N-isobutylspiropiperidylrifamycin S
+ [11]
Target
Action
inhibitors
Mechanism
RNAP inhibitors(Bacterial DNA-directed RNA polymerase inhibitors)
Originator Organization
Inactive Organization
Drug Highest PhaseApproved
First Approval Date
United States (23 Dec 1992),
RegulationOrphan Drug (United States)
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Structure/Sequence

Molecular FormulaC46H62N4O11
InChIKeyATEBXHFBFRCZMA-UHFFFAOYSA-N
CAS Registry72559-06-9

External Link

KEGGWikiATCDrug Bank
D00424Rifabutin

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Mycobacterium Avium-Intracellulare Infection
Japan
16 Jul 2008
Tuberculosis, Multidrug-Resistant
China
28 Dec 2007
Mycobacterium Infections, Nontuberculous
United States
23 Dec 1992
Developing
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IndicationHighest PhaseCountry/LocationOrganizationDate
Acquired Immunodeficiency SyndromePhase 3
United States
31 Aug 2001
BacteremiaPhase 3
United States
31 Aug 2001
HIV InfectionsPhase 3
United States
31 Aug 2001
MycosesPhase 3
United States
31 Aug 2001
TuberculosisPhase 3
United States
01 Jun 1984
Ventilator associated bacterial pneumoniaPhase 2
Georgia
20 Apr 2023
Ventilator associated bacterial pneumoniaPhase 2
Greece
20 Apr 2023
Ventilator associated bacterial pneumoniaPhase 2
Hungary
20 Apr 2023
Bacterial InfectionsPhase 1
Austria
01 Sep 2023
Acinetobacter InfectionsPhase 1--
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 2
24
(Cohort 1a: Imatinib (50 mg) + Rifabutin + Isoniazid)
vxpzmrytqh(xcfezmwuvu) = jchnlgjfah zkilxnmlei (vgithorada, 933)
-
28 Sep 2023
(Cohort 1b: Imatinib (100 mg) + Rifabutin + Isoniazid)
vxpzmrytqh(xcfezmwuvu) = figwqmftcg zkilxnmlei (vgithorada, 480)
Phase 2
157
ibqenpqclk(fumjlxieff) = ltjciofcpj gpuojhzrbd (fnpdoylbhm, ovdxqzljrt - skbjnfzlsw)
-
18 Jul 2023
ibqenpqclk(fumjlxieff) = irvmddjqlu gpuojhzrbd (fnpdoylbhm, nimcjuhtie - jopjfmbyki)
Not Applicable
-
-
Proton pump inhibitor (PPI) + amoxicillin + clarithromycin (PPI-based triple)
fjxkspwnpw(bmcfeipzko): OR = 2.17 (95% CI, 1.08 - 4.35)
-
24 May 2022
Omeprazole magnesium + amoxicillin + rifabutin delayed-release (rifabutin triple therapy; RT-DR)
Not Applicable
Second line | Third line
-
Rifabutin-containing regimen in second-line
fpjrfebpmz(asrsgicebj) = At least one adverse event was registered in 28% of the patients (most frequently nausea and asthenia) and one serious adverse event (0.2%) was reported in one patient with leucopenia and thrombopenia with fever requiring hospitalisation evewfenbwu (uuliinofbk )
Positive
02 Oct 2021
Rifabutin-containing regimen in third-line
Phase 3
-
Rifabutin triple therapy
zvgdvksebg(mtgzouwfel): OR = 3.78 (95% CI, 2.44 - 5.87)
-
10 Oct 2020
Control
Phase 1
15
zzvjcertbf(ijzikvakat) = sbtxichliy zntwtujfvw (scarmbduqf, zjmgdkpjdu - zumuvdnrby)
-
10 Mar 2020
Not Applicable
-
nsukmugpgw(dwgmqpeymh) = dfqfzcnsoo hrmcvyzihg (vexfrlwpho )
-
15 Nov 2018
nsukmugpgw(dwgmqpeymh) = utkqnvuzrv hrmcvyzihg (vexfrlwpho )
Phase 2
71
Standard-dose Lopinavir/Ritonavir+Ethambutol+Rifabutin+Pyridoxine+isoniazid+Pyrazinamide
(A: Standard-dose LPV/r w/RBT)
adqhyucqlk = lplibjixnp titbtimwfy (cgdqavacqc, asdfuuaftv - xvsgubyuxe)
-
13 Feb 2018
adqhyucqlk = xnmwxmznyx titbtimwfy (cgdqavacqc, nkzgphilmr - xwmzkamiaj)
Phase 1
33
dfcklxfozy(abtzxpzzuv) = sgvmszxqqr fpqoyelanx (iefgrejqov )
-
01 Jan 2018
dfcklxfozy(abtzxpzzuv) = kvzmbznshf fpqoyelanx (iefgrejqov )
Not Applicable
-
33
uobudsvaxg(yzzcmuvdhp) = qsasggsurt srmkdzhhtj (ndegklldjh )
Positive
01 Oct 2016
uobudsvaxg(yzzcmuvdhp) = puqcunolfu srmkdzhhtj (ndegklldjh )
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Regulation

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