Drugs / Rifabutin
last change Jul 2026 re-read 2 minutes ago

Rifabutin

Small molecule targets CYP3A4 via activation

Developed for
HIV infectious disease · Mycobacterium avium complex disease · tuberculosis · Helicobacter pylori infectious disease · pulmonary non-tuberculous mycobacterial infection · pulmonary tuberculosis · Crohn disease · bacterial pneumonia
+11 more · bacterial meningitis · bronchiectasis · multidrug-resistant tuberculosis · periprosthetic joint infection · relapsing-remitting multiple sclerosis · bacterial gastritis · chlamydia infectious disease · coronary atherosclerosis · primary bacterial infectious disease · pulmonary sarcoidosis · staphylococcus aureus infection
Investigated by
National Institute of Allergy and Infectious Diseases (NIAID) · BioVersys AG · Centers for Disease Control and Prevention · Pfizer · Pharmacia · RedHill Biopharma Limited
+65 more · BioVersys SAS · Clinical Research Units Hungary · US Department of Veterans Affairs · ViiV Healthcare · Abbott · GlaxoSmithKline · The University of Texas Health Science Center at Tyler · Boehringer Ingelheim · French National Agency for Research on AIDS and Viral Hepatitis · National Cheng-Kung University Hospital · Shanghai Jiao Tong University School of Medicine · The University of Queensland · Zhejiang University · Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections · Australian Government Department of Health and Ageing · Bamrasnaradura Infectious Diseases Institute · BeiGene · CW-Research and Management GmbH · Centre for the AIDS Programme of Research in South Africa · Children's Hospital Foundation · Chongqing Public Health Medical Center · Chulalongkorn University · Cystic Fibrosis Foundation · Erasmus Medical Center · Gilead Sciences · Griffith University · Harriet Shezi Children's Clinic · Innoviva Specialty Therapeutics · Janssen R&D Ireland · Jiangsu Province Centers for Disease Control and Prevention · Johns Hopkins University · Konstantopoulio-Patission General Hospital of Nea Ionia · Medical Research Council · Medstar Health Research Institute · Merck Sharp & Dohme LLC · Ministry of Health and Welfare, Taiwan · Monash University · Murdoch Childrens Research Institute · National Center for Research Resources (NCRR) · National Taiwan University Hospital · Newcastle University · Nuvisan · Ottawa Hospital Research Institute · QIMR Berghofer Medical Research Institute · Shanghai Center for Disease Control and Prevention · Shanghai Public Health Clinical Center · Shanghai Pulmonary Hospital, Shanghai, China · Shenzhen Third People's Hospital · Shionogi · South Australian Health and Medical Research Institute · State University of New York at Buffalo · The Fourth People's Hospital of Nanning · The Guangxi Zhuang Autonomous Region Longtan hospital · The HIV Netherlands Australia Thailand Research Collaboration · Tourcoing Hospital · Tuberculosis Trials Consortium · University of Bari · University of California, San Francisco · University of Cape Town · University of Copenhagen · University of Melbourne · University of Southern California · University of Utah · Viriom · Yunnan Provincial Infectious Disease Hospital

Regulatory milestones approvals, filings & regulatory actions · 1 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Approved US (FDA) MYCOBUTIN 1992-12-23 fda.gov

Trials 78 · started per year

today
US approved 1992
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PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 127 trials
Phase 1 NCT07580586 Mar → Sep 2026 expected BioVersys SAS Recruiting No outcome recorded
Phase 1 NCT07199452 Oct → Dec 2025 Merck Sharp & Dohme LLC Completed No outcome recorded
Phase 1 NCT07066722 Jul → Dec 2025 HIV infectious disease ViiV Healthcare Completed No outcome recorded
Phase 1 NCT05684705 Sep 2023 → Oct 2024 bacterial infectious disease BioVersys AG Completed No outcome recorded
Phase 1 NCT05684718 Feb → Sep 2023 bacterial infectious disease BioVersys AG Completed No outcome recorded
Phase 1 NCT05537142 Sep 2022 → Jul 2024 BioVersys AG Completed No outcome recorded
Phase 1 NCT05537090 Sep 2022 → Jul 2023 BioVersys AG Completed No outcome recorded
Phase 1 NCT05458102 Aug 2022 → May 2023 HIV infectious disease Gilead Sciences Terminated No outcome recorded
Phase 1 NCT05086107 Oct 2021 → May 2022 impaired renal function disease BioVersys AG Completed No outcome recorded
Phase 1 NCT05087069 Oct 2021 → Apr 2022 BioVersys SAS Completed No outcome recorded
Phase 212 trials
Phase 2 NCT07485010 Apr 2027 → Apr 2031 expected pulmonary non-tuberculous mycobacterial infection The University of Queensland Not yet recruiting No outcome recorded
Phase 2 NCT07431307 Jul 2026 → Mar 2028 expected bacterial meningitis, bacterial pneumonia BioVersys AG Not yet recruiting No outcome recorded
Phase 2 NCT05685615 Apr 2023 → Nov 2024 BioVersys AG Completed No outcome recorded
Phase 2 NCT02415985 Jun 2015 → Dec 2019 HIV infectious disease, tuberculosis The HIV Netherlands Australia Thailand Research Collaboration Completed No outcome recorded
Phase 2 NCT02256696 Apr 2015 → May 2022 pulmonary tuberculosis Johns Hopkins University Completed No outcome recorded
Phase 2 NCT01601626 Jul 2013 → Jan 2017 HIV infectious disease, tuberculosis Advancing Clinical Therapeutics Globally for HIV/AIDS and Other Infections Terminated No outcome recorded
Phase 2 NCT01717664 Jun 2013 → Dec 2015 relapsing-remitting multiple sclerosis RedHill Biopharma Limited Completed No outcome recorded
Phase 2 NCT01663168 Dec 2011 → Jan 2014 HIV infectious disease, tuberculosis Medical Research Council Unknown No outcome recorded
Phase 2 NCT00651066 Jun 2010 → Sep 2012 HIV infectious disease, tuberculosis French National Agency for Research on AIDS and Viral Hepatitis Completed No outcome recorded
Phase 2 NCT00640887 Feb 2009 → Oct 2010 HIV infectious disease, tuberculosis French National Agency for Research on AIDS and Viral Hepatitis Completed No outcome recorded
Phase 2/33 trials
Phase 2/3 NCT05766267 Nov 2023 → Dec 2026 expected pulmonary tuberculosis Centers for Disease Control and Prevention Active not recruiting No outcome recorded
Phase 2/3 NCT04310930 Mar 2020 → Jun 2029 expected pulmonary non-tuberculous mycobacterial infection The University of Queensland Recruiting No outcome recorded
Phase 2/3 NCT00023348 Jul 1999 → Nov 2002 HIV infectious disease, tuberculosis Centers for Disease Control and Prevention Completed No outcome recorded
Phase 313 trials
Phase 3 NCT07326540 Mar 2026 → Dec 2027 expected Acinetobacter infectious disease, bacterial pneumonia BioVersys SAS Recruiting No outcome recorded
Phase 3 NCT04672525 Nov 2021 → Nov 2026 expected periprosthetic joint infection Tourcoing Hospital Recruiting No outcome recorded
Phase 3 NCT04616924 Dec 2020 → Aug 2023 Mycobacterium avium complex disease, bronchiectasis RedHill Biopharma Limited Terminated No outcome recorded
Phase 3 NCT04107194 Jan 2020 → Feb 2021 Helicobacter pylori infectious disease University of Bari Unknown No outcome recorded
Phase 3 NCT03198507 Jun 2017 → Oct 2018 Helicobacter pylori infectious disease, dyspepsia RedHill Biopharma Limited Completed No outcome recorded
Phase 3 NCT03009396 Mar 2017 → Nov 2018 Crohn disease RedHill Biopharma Limited Completed No outcome recorded
Phase 3 NCT01980095 Nov 2013 → Jun 2015 Helicobacter pylori infectious disease, dyspepsia RedHill Biopharma Limited Completed No outcome recorded
Phase 3 NCT01951326 Sep 2013 → May 2018 Crohn disease RedHill Biopharma Limited Completed No outcome recorded
Phase 3 NCT03164291 Jun 1984 → Sep 2006 pulmonary non-tuberculous mycobacterial infection The University of Texas Health Science Center at Tyler Completed No outcome recorded
Phase 3 NCT00002101 HIV infectious disease, Mycobacterium avium complex disease Pharmacia Completed No outcome recorded
Phase 414 trials
Phase 4 NCT07514364 Jan → Mar 2026 overdue pulmonary non-tuberculous mycobacterial infection National Taiwan University Hospital Recruiting No outcome recorded
Phase 4 NCT05874544 May 2023 → Jan 2025 Helicobacter pylori infectious disease Shanghai Jiao Tong University School of Medicine Completed No outcome recorded
Phase 4 NCT06687499 Aug 2022 → Dec 2023 Helicobacter pylori infectious disease National Cheng-Kung University Hospital Completed No outcome recorded
Phase 4 NCT04840862 May 2022 → May 2024 University of Southern California Completed No outcome recorded
Phase 4 NCT06687473 Jan 2022 → Mar 2023 Helicobacter pylori infectious disease National Cheng-Kung University Hospital Completed No outcome recorded
Phase 4 NCT04090021 Sep 2019 → Feb 2020 Helicobacter pylori infectious disease Konstantopoulio-Patission General Hospital of Nea Ionia Unknown No outcome recorded
Phase 4 NCT03237182 Jun 2017 → Dec 2022 multidrug-resistant tuberculosis Centre for the AIDS Programme of Research in South Africa Terminated No outcome recorded
Phase 4 NCT02331823 Jun 2013 → Dec 2015 pulmonary tuberculosis Shanghai Pulmonary Hospital, Shanghai, China Unknown No outcome recorded
Phase 4 NCT00513552 Jul 2007 Crohn disease Medstar Health Research Institute Withdrawn No outcome recorded
Phase 4 NCT00023400 Feb 2000 → Feb 2002 HIV infectious disease, tuberculosis Centers for Disease Control and Prevention Completed No outcome recorded
Phase not applicable9 trials
NCT04879992 May 2021 → Oct 2022 Helicobacter pylori infectious disease Shanghai Jiao Tong University School of Medicine Completed No outcome recorded
NCT03478033 Apr 2018 → Jun 2020 AIDS, pulmonary tuberculosis Shanghai Public Health Clinical Center Unknown No outcome recorded
NCT00023361 Feb 1999 → Feb 2003 HIV infectious disease, tuberculosis Centers for Disease Control and Prevention Completed No outcome recorded
NCT00018083 HIV infectious disease, tuberculosis National Center for Research Resources (NCRR) Unknown No outcome recorded
NCT00002267 HIV infectious disease, Mycobacterium avium complex disease Pharmacia Completed No outcome recorded
NCT00002080 HIV infectious disease, Mycobacterium avium complex disease Pharmacia Completed No outcome recorded
NCT00001023 ? → Jul 1998 HIV infectious disease, Mycobacterium avium complex disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
NCT00002032 HIV infectious disease, Mycobacterium avium complex disease Pharmacia Completed No outcome recorded
NCT00001995 HIV infectious disease, Mycobacterium avium complex disease Pharmacia Completed No outcome recorded
Also used as a comparator or background therapy in 12 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT02099240 Comparator Mar 2014 → Nov 2018 osteomyelitis University of Louisville Terminated No outcome recorded
Phase 12 trials
Phase 1 NCT01169038 Comparator Jul → Nov 2010 pulmonary sarcoidosis Vanderbilt University Completed No outcome recorded
Phase 1 NCT00646776 Comparator Apr → Aug 2008 Bristol-Myers Squibb Completed No outcome recorded
Phase 24 trials
Phase 2 NCT04553406 Comparator Dec 2020 → Jan 2021 Mycobacterium avium complex disease, pulmonary non-tuberculous mycobacterial infection Spero Therapeutics Terminated No outcome recorded
Phase 2 NCT03891901 Background Oct 2020 → Aug 2022 tuberculosis National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 2 NCT03618108 Comparator Apr 2018 → Nov 2020 chlamydia infectious disease, coronary atherosclerosis Cadrock Pty. Ltd. Terminated No outcome recorded
Phase 2 NCT00869518 Comparator Jul 2009 → Dec 2010 HIV infectious disease, staphylococcus aureus infection University of California, San Francisco Terminated No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT04630145 Comparator Jan 2021 → Nov 2024 Mycobacterium avium complex disease Janssen Pharmaceutical K.K. Completed No outcome recorded
Phase 31 trial
Phase 3 NCT04652284 Comparator May 2021 → May 2023 Helicobacter pylori infectious disease, bacterial gastritis, primary bacterial infectious disease Rabin Medical Center Unknown No outcome recorded
Phase not applicable3 trials
NCT07585461 Comparator Apr 2026 → Dec 2028 expected AIDS-related disorder, Mycobacterium avium complex disease Shanghai Public Health Clinical Center Not yet recruiting No outcome recorded
NCT07130253 Comparator Aug 2025 → Jun 2028 expected Helicobacter pylori infectious disease National Taiwan University Hospital Not yet recruiting No outcome recorded
NCT01344148 Background Feb 2009 → Jun 2011 AIDS Shanghai Public Health Clinical Center Unknown No outcome recorded

Evidence & citations 17 cited values

Every value below carries the sentence it was read from. 94 sources stand behind the page.

FieldValueCited text
Known as rifabutin “A is amoxicillin (1000 mg thrice daily), B is colloidal bismuth subcitrate (120 mg thrice daily), M is metronidazole (500 mg thrice daily), P is a proton pump inhibitor, i.e.,...” NCT06687473
83

“BV100 (rifabutin for infusion) is being developed as an IV formulation for the treatment of serious infections due to Acinetobacter baumannii, including nosocomial pneumonia...” NCT07580586

Rifabutin (Rb) is added to the bedaquiline (B or BDQ), moxifloxacin (M), pyrazinamide (Z), (BMZ) regimen for first 8 weeks and continued for next 9 weeks with bedaquiline (B or...” NCT05766267

“Current guidelines recommend a macrolide-based triple therapy consisting of a macrolide (azithromycin or clarithromycin), ethambutol, and a rifamycin (typically rifabutin).” NCT07585461

“The intended dose is RHB-105 (12.5 mg rifabutin, 250 mg amoxicillin, and 10 mg omeprazole capsules) 4 capsules every eight hours, equivalent to a total daily dose of:” NCT01980095

“RHB-105 is an 'all-in-one' combination oral capsule consisting of combination therapy of Amoxicillin, Omeprazole and Rifabutin; as well as separate Riboflavin” NCT03198507

“To investigate the pharmacokinetics (PK) of rifabutin in subjects with hepatic impairment after single intravenous (IV) infusion of BV100” NCT05537142

“Mycobutin capsules contain the antimycobacterial agent rifabutin, which is a semisynthetic ansamycin antibiotic derived from rifamycin S.” NCT01259219

“Optional rifampin 600 mg or rifabutin 300 mg orally once daily may be added to the SOC regimen for up to 28 days.” NCT04553406

“Levofloxacin sequential therapy or bismuth quadruple therapy (10 or 14 days) or rifabutin quadruple therapy” NCT07130253

“to anti-MAP RHB-104 (clarithromycin 95 mg, rifabutin 45 mg, and clofazimine 10 mg per capsule) (n = 166)” PMID 39199994 Jul 2024

“Rifampin 10 mg/kg for a maximum of 600mg po QD or Rifabutin 10 mg/kg for a maximum of 300 mg po QD.” NCT01169038

“Anti-Tb Therapy: 2HREZ-4HRifb(H:Isoniazid,R:Rifampicin,E:Ethambutol,Z:pyrazinamide,Rifb:Rifabutin)” NCT01344148

“Each capsule contains clarithromycin 158.3mg; rifabutin 40mg; clofazimine 13.3mg.” NCT04616924

“BV100 (rifabutin for infusion) is being developed as an intravenous formulation” PMID 41770249 Mar 2026

“Part A - Group 1: BV100 (rifabutin for infusion) plus low dose polymyxin B” NCT07326540

“moxifloxacin, pasiniazid, rifabutin, ethambutol, and pyrazinamide” PMID 29519716 Mar 2018

“95 mg clarithromycin, 45 mg rifabutin, and 10 mg clofazimine” NCT01717664

Rifabutin for Infusion plus Polymyxin B for Injection” NCT05685615

“R is rifabutin (150 mg twice daily)” NCT06687499

“rifampicin, rifabutin, isoniazid” NCT03237182

RifabutinNCT02099240

NCT01341184

NCT00002122

NCT03891901

NCT04879992

NCT00598962

NCT02415985

NCT01663168

NCT03478033

NCT00651066

NCT00877591

NCT07485010

NCT03164291

NCT00004736

NCT00002101

NCT00925535

NCT00002080

NCT04470908

NCT03009396

NCT03149848

NCT00001047

NCT05874544

NCT00001030

NCT00743470

NCT00002032

NCT07199452

NCT00000826

NCT02256696

NCT00002343

NCT03618108

NCT04672525

NCT07514364

NCT00513552

NCT00598897

NCT02251171

NCT02184078

NCT04840862

NCT05458102

NCT07066722

NCT00646776

NCT00001023

NCT03709355

NCT01231542

NCT01601626

NCT04652284

NCT00640887

NCT04630145

NCT00001058

NCT00001995

NCT04310930

NCT00023413

NCT00023400

NCT00023361

NCT00023348

NCT04107194

NCT00018083

NCT00869518

NCT00000877

NCT04090021

NCT01894776

NCT02138084

NCT00002267

NCT01615614

Known as Ansamycin ChEMBL registry synonym — accepted as the source's own label CHEMBL444633
Known as BV100 BV100 (rifabutin for infusion) is being developed as an IV formulation for the treatment of serious infections due to Acinetobacter baumannii, including nosocomial pneumonia...” NCT07580586
8

BV100 (rifabutin for infusion) is being developed as an intravenous formulation” PMID 41770249 Mar 2026

NCT07326540

NCT05087069

NCT05537090

NCT07431307

NCT05684705

NCT05086107

NCT05684718

Known as LM 427 ChEMBL registry synonym — accepted as the source's own label CHEMBL444633
Known as MYCOBUTIN “A Single-centre Open-label Study in Healthy Adult Volunteers to Determine the Effects of Steady-state TPV/RTV (500 mg/200 mg) on the Single-dose Pharmacokinetics of Rifabutin...” NCT02251171
2

“An Open-Label Randomized Pharmacokinetic/Pharmacodynamic Study of Mycobutin (Rifabutin) or Rifabutin in Combination With Myambutol (Ethambutol) for Prophylaxis of Mycobacterium...” NCT00002343

“Study to Determine the Effects of Nevirapine (VIRAMUNE®) on the Steady State Pharmacokinetics of Rifabutin (MYCOBUTIN®) in HIV+ Patients” NCT02184078

Known as RBT “The overall aim of the project is to evaluate rifabutin (RBT) as a replacement for rifampicin (RMP), for the combined treatment of tuberculosis and HIV infection.” NCT00651066
2

“evaluate rifabutin (RBT) as a replacement for rifampicin (RMP)” NCT00640887

“Group B: Rifampicin (RFP) or Rifabutin (RBT) + CAM + EB” NCT04630145

Known as RFB “Rifabutin (RFB), a moderate CYP3A inducer” PMID 40957819 Sep 2025
Known as rifabutin capsules rifabutin capsulesNCT02331823
Known as Rifabutin component of talicia ChEMBL registry synonym — accepted as the source's own label CHEMBL444633
Known as Rifabutin for Infusion “BV100 (rifabutin for infusion) is being developed as an intravenous formulation for treating serious or life-threatening infections due to carbapenem-resistant Acinetobacter...” PMID 41770249 Mar 2026
Known as Rifabutina ChEMBL registry synonym — accepted as the source's own label CHEMBL444633
Known as Rifabutine ChEMBL registry synonym — accepted as the source's own label CHEMBL444633
Known as Rifb “Anti-Tb Therapy: 2HREZ-4HRifb(H:Isoniazid,R:Rifampicin,E:Ethambutol,Z:pyrazinamide,Rifb:Rifabutin)” NCT01344148
Action Activate “Based on the reduced exposure of maraviroc observed in this study, increasing the dose of maraviroc may be studied to normalize its moderately reduced exposure following...” PMID 31647836 Oct 2019
Modality Small molecule “rifamycin derivative” NCT00001023
Route Oral “their oral administration is staggered” NCT00000877
Target CYP3A4 “Based on the reduced exposure of maraviroc observed in this study, increasing the dose of maraviroc may be studied to normalize its moderately reduced exposure following...” PMID 31647836 Oct 2019