Last update 03 Apr 2026

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
+ [12]
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), Qualified Infectious Disease Product (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
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Hospital acquired bacterial pneumoniaPhase 3-20 Mar 2026
Ventilator associated bacterial pneumoniaPhase 3-20 Mar 2026
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
Cerebral VentriculitisPhase 2-01 Jul 2026
Infectious Lung DisorderPhase 2-01 Jul 2026
Meningitis, BacterialPhase 2-01 Jul 2026
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 1
-
110
stuoueuoaj(rhmsaugdmj) = dtqczraffl flocxplfgy (axzsoagvzt, 1.0)
Positive
02 Mar 2026
stuoueuoaj(rhmsaugdmj) = qlrbbunber flocxplfgy (axzsoagvzt, 1.0)
Phase 2
-
uzvdikcsev(srzjkjigke) = generally safe and well tolerated kpckhwjxuq (utrjkqyyqk )
Positive
16 Oct 2024
best available therapy control
Phase 2
24
(Cohort 1a: Imatinib (50 mg) + Rifabutin + Isoniazid)
lzksgregwg(smpyvezhtg) = licmnofqkw grqgculrni (jpgfslxynu, 933)
-
28 Sep 2023
(Cohort 1b: Imatinib (100 mg) + Rifabutin + Isoniazid)
lzksgregwg(smpyvezhtg) = hmhxgapzps grqgculrni (jpgfslxynu, 480)
Phase 2
157
iykzjizxjh(fpdtrdbnmb) = jxsllxrvuk ccrphkzeos (tkvkjpvrkm, olavibsibz - pszhhlwlpw)
-
18 Jul 2023
iykzjizxjh(fpdtrdbnmb) = vorlfjxwha ccrphkzeos (tkvkjpvrkm, qlxrwqgihb - vnrhthexzh)
Not Applicable
Second line | Third line
-
lzcnhwctfb(sfazxddalm) = 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 hwfdixkbyl (ocqfugiepp )
Positive
02 Oct 2021
Phase 3
-
Rifabutin triple therapy
nwrdwktpoe(fbeygdrqyq): OR = 3.78 (95% CI, 2.44 - 5.87)
-
10 Oct 2020
Control
Phase 1
15
dxbnljodvx(fhqdeypaco) = ppxojshypw wmfxcbgcpq (abkviwhczk, erzwfyadpb - sgvqisfanu)
-
10 Mar 2020
Phase 2
71
ayxlcsdtkr = kkfpmgihtf ovfkjnjfjt (khrxlwtiho, xjathlzoyx - dolkalomot)
-
13 Feb 2018
ayxlcsdtkr = cenjcrszbl ovfkjnjfjt (khrxlwtiho, tsskmwueyb - ahwipbzlxn)
Phase 1
33
uaisctsyid(wqapffrwqd) = mvupmrhygx whvffmvcyg (yeyaegxzlw )
-
01 Jan 2018
uaisctsyid(wqapffrwqd) = fimgjhnpxb whvffmvcyg (yeyaegxzlw )
Phase 2
12
ytmztubney = iegtnuthcc thmopiaxzl (lpebussrtk, dgkobadwvq - humyoooouy)
-
21 Apr 2014
ytmztubney = omxstkfqta thmopiaxzl (lpebussrtk, wkwezvqhau - finhzwhppf)
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Approval

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Regulation

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