Drugs / Cobicistat
last change Sep 2026 re-read 9 days ago

Cobicistat

Small molecule targets CYP3A4 via inhibition

Developed for
HIV infectious disease · AIDS · non-small cell lung carcinoma · acute myeloid leukemia · cognitive disorder · COVID-19 · hepatitis B virus infection · immunodeficiency disease
+1 more · pancreatic ductal adenocarcinoma
Investigated by
Gilead Sciences · Janssen Scientific Affairs, LLC · Janssen Research & Development, LLC · Bristol-Myers Squibb · ViiV Healthcare · Fight AIDS and Infectious Diseases Foundation
+49 more · National Institutes of Health Clinical Center (CC) · St Stephens Aids Trust · Brigham and Women's Hospital · Medicines for Malaria Venture · Radboud University Medical Center · ADRIANO LAZZARIN, MD · Analysis Group, Inc. · Centers for Disease Control and Prevention · Chelsea and Westminster NHS Foundation Trust · Eisai Inc. · Emory University · Fore Biotherapeutics · Fundacion Clinic per a la Recerca Biomédica · Fundacion SEIMC-GESIDA · German Cancer Research Center · Giovanni Di Perri · GlaxoSmithKline · Global Health Innovative Technology Fund · HOVON Foundation · Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic · Helsinki University Central Hospital · Hospitales Universitarios Virgen del Rocío · Imperial College London · Instituto de Salud Carlos III · Janssen Pharmaceutical K.K. · Janssen R&D Ireland · Janssen Sciences Ireland UC · Kenneth H. Mayer, MD · MUC Research GmbH · Maastricht University Medical Center · Maastricht University Medical Center · Massachusetts General Hospital · Merck Sharp & Dohme LLC · Ministero della Salute, Italy · National Institute of Allergy and Infectious Diseases (NIAID) · Pyramid Biosciences · Shanghai Public Health Clinical Center · St. Jude Children's Research Hospital · Stanford University · Technical University of Munich · The Crofoot Research Center, Inc. · The Netherlands Cancer Institute · Therapeutic Concepts · University Hospital Heidelberg · University Hospital, Basel, Switzerland · University of Colorado, Denver · University of Helsinki · Weill Medical College of Cornell University · ZonMw: The Netherlands Organisation for Health Research and Development

Regulatory milestones approvals, filings & regulatory actions · 11 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed HIV infectious disease 5 milestones
Filed US (FDA) PREZCOBIX HIV infectious disease 2024-06-04

“submission of a supplemental New Drug Application (sNDA) to the U.S. Food and Drug Administration (FDA) seeking to expand the indication of PREZCOBIX®(darunavir/cobicistat)” jnj.com ↗

Filed US (FDA) — HIV infectious disease 2014-04-21

“U.S. Food and Drug Administration ( FDA ) acceptance of the company’s refiling of two NDAs for cobicistat and elvitegravir.” gilead.com ↗

Rejected (CRL) US (FDA) — HIV infectious disease 2013-04-29

“received Complete Response Letters from the U.S. Food and Drug Administration ( FDA ) for its New Drug Applications (NDAs) for elvitegravir and cobicistat” gilead.com ↗

“Gilead submitted NDAs for cobicistat and elvitegravir in June 2012 . In April 2013 , the company received Complete Response Letters from the FDA .” gilead.com ↗

Filed US (FDA) — HIV infectious disease 2012-06-28

“announced today it has submitted a New Drug Application (NDA) to the U.S. Food and Drug Administration ( FDA ) for marketing approval of cobicistat” gilead.com ↗

“Gilead submitted an NDA to FDA for cobicistat as a standalone agent on June 28, 2012” gilead.com ↗

“Gilead submitted NDAs for cobicistat and elvitegravir in June 2012 .” gilead.com ↗

Filed EU (EMA) — HIV infectious disease 2012-04-26

“the Marketing Authorisation Application (MAA) for cobicistat, submitted on April 26, 2012, has been validated by the European Medicines Agency (EMA).” gilead.com ↗

“An MAA for cobicistat in the EU was validated for review by EMA on May 22, 2012” gilead.com ↗

Approved Indication not stated 3 milestones
Label expansions (4) US (FDA) TYBOST — 2015-11-25 – 2025-06-20 fda.gov ↗
Approved EU (EMA) Stribild — 2013-05-24 europa.eu ↗
Approved US (FDA) STRIBILD — 2012-08-27 fda.gov ↗

Trials 65 · started per year

today
US approved 2012
EU approved 2013
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2009201020112012201320142015201620172018201920202021202220232024202520262027
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT03858491 Nov 2020 → Oct 2021 non-small cell lung carcinoma Maastricht University Medical Center Completed No outcome recorded
Phase 129 trials · 1 met primary
Phase 1 NCT06726382 Dec 2024 → Apr 2025 — Helsinki University Central Hospital Completed No outcome recorded
Phase 1 NCT06385119 Apr → Dec 2024 — Fore Biotherapeutics Completed No outcome recorded
Phase 1 NCT05494866 Dec 2022 → Mar 2024 pancreatic ductal adenocarcinoma German Cancer Research Center Terminated No outcome recorded
Phase 1 NCT05692570 Sep → Nov 2022 — Pyramid Biosciences Completed No outcome recorded
Phase 1 NCT05458102 Aug 2022 → May 2023 HIV infectious disease Gilead Sciences Terminated No outcome recorded
Phase 1 NCT05197075 Aug → Sep 2022 HIV infectious disease Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT05378906 Jun → Sep 2022 — Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT05236738 May → Jul 2022 — Bristol-Myers Squibb Completed No outcome recorded
Phase 1 NCT04718805 Jan → Mar 2021 — Janssen Research & Development, LLC Completed No outcome recorded
Phase 1 NCT04661397 Jan → Jul 2021 — Janssen Research & Development, LLC Completed Met primary
Phase 22 trials · 1 met primary
Phase 2 NCT06014489 Jan 2024 → Dec 2028 expected acute myeloid leukemia HOVON Foundation Recruiting Met primary
Phase 2 NCT00892437 May → Dec 2009 HIV infectious disease Gilead Sciences Completed No outcome recorded
Phase 2/34 trials
Phase 2/3 NCT02499978 May → Jun 2016 AIDS Stanford University Withdrawn No outcome recorded
Phase 2/3 NCT02276612 Dec 2014 → Nov 2016 HIV infectious disease Gilead Sciences Completed No outcome recorded
Phase 2/3 NCT02016924 Jan 2014 → Jun 2025 overdue AIDS Gilead Sciences Active not recruiting No outcome recorded
Phase 2/3 NCT01854775 May 2013 → May 2020 AIDS Gilead Sciences Completed No outcome recorded
Phase 311 trials · 3 met primary · 1 missed
Phase 3 NCT04653194 Sep 2020 → Jul 2023 HIV infectious disease Chelsea and Westminster NHS Foundation Trust Completed No outcome recorded
Phase 3 NCT04252274 Jan → Aug 2020 COVID-19, pneumocystosis Shanghai Public Health Clinical Center Unknown Missed primary
Phase 3 NCT02707601 Apr 2016 → Sep 2017 HIV infectious disease, hepatitis C virus infection Gilead Sciences Completed Met primary
Phase 3 NCT02616029 Dec 2015 → Oct 2018 HIV infectious disease Gilead Sciences Completed No outcome recorded
Phase 3 NCT02269917 Mar 2015 → Feb 2017 HIV infectious disease Janssen R&D Ireland Completed Met primary
Phase 3 NCT02071082 Feb 2014 → Jan 2015 HIV infectious disease, hepatitis B virus infection Gilead Sciences Completed No outcome recorded
Phase 3 NCT01533259 Jan → Nov 2012 AIDS Gilead Sciences Completed No outcome recorded
Phase 3 NCT01495702 Dec 2011 → Nov 2013 AIDS Gilead Sciences Completed No outcome recorded
Phase 3 NCT01363011 May 2011 → Jan 2013 AIDS Gilead Sciences Completed No outcome recorded
Phase 3 NCT01108510 Apr 2010 → Nov 2011 HIV infectious disease Gilead Sciences Completed Met primary
Phase 416 trials · 3 missed
Phase 4 NCT06337032 Aug 2024 → Mar 2034 expected HIV infectious disease Gilead Sciences Recruiting No outcome recorded
Phase 4 NCT05748093 Apr 2024 → Jun 2026 overdue non-small cell lung carcinoma Maastricht University Medical Center Recruiting No outcome recorded
Phase 4 NCT05078671 Dec 2021 → Dec 2025 cancer Radboud University Medical Center Unknown Missed primary
Phase 4 NCT04388904 Sep 2021 → Apr 2024 HIV infectious disease The Crofoot Research Center, Inc. Completed No outcome recorded
Phase 4 NCT04442737 Jul 2020 → Aug 2023 — Janssen Scientific Affairs, LLC Completed Missed primary
Phase 4 NCT03683524 Nov 2018 → Aug 2021 HIV infectious disease Fight AIDS and Infectious Diseases Foundation Completed Missed primary
Phase 4 NCT04225325 May 2018 → Sep 2019 HIV infectious disease ADRIANO LAZZARIN, MD Unknown No outcome recorded
Phase 4 NCT03693508 Apr 2018 → May 2020 HIV infectious disease, immunodeficiency disease Fundacion SEIMC-GESIDA Completed No outcome recorded
Phase 4 NCT03447873 Jun 2017 → Sep 2020 HIV infectious disease Hospitales Universitarios Virgen del Rocío Completed No outcome recorded
Phase 4 NCT03163277 May 2017 → Jun 2020 HIV infectious disease, cognitive disorder Giovanni Di Perri Terminated No outcome recorded Stop: Enrollment
Phase not applicable2 trials
— NCT03405194 May 2018 → May 2020 HIV infectious disease Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Withdrawn No outcome recorded Stop: Enrollment
— NCT01929759 Jan 2014 → Oct 2015 HIV infectious disease Massachusetts General Hospital Completed No outcome recorded
Comparator or background therapy25 trials
Phase 1 NCT07462559 Comparator Mar → Dec 2026 expected — Helsinki University Central Hospital Not yet recruiting No outcome recorded
Phase 1 NCT05716854 Comparator Mar → Jun 2023 — Food and Drug Administration (FDA) Completed No outcome recorded
Phase 1 NCT04236453 Background Jan → Apr 2020 — Janssen Pharmaceutica N.V., Belgium Terminated No outcome recorded
Phase 1 NCT02556268 Background Feb → Dec 2016 — Bayer Completed No outcome recorded
Phase 1/2 NCT04065399 Background Nov 2019 → Dec 2027 expected acute lymphoblastic leukemia, mixed phenotype acute leukemia Syndax Pharmaceuticals Recruiting Met primary

News releases announcing trial results or a regulatory action · 29

DateIssuerRelease
2024-06-04 Janssen Research & Development, LLC Regulatory Johnson & Johnson Submits Supplemental New Drug Application to U.S. FDA Seeking Expanded Pediatric Indication for HIV-1 Therapy PREZCOBIX® jnj.com ↗
Johnson & Johnson today announced the submission of a supplemental New Drug Application (sNDA) to the U.S. Food and Drug Administration (FDA) seeking to expand the indication of PREZCOBIX®(darunavir/cobicistat) to include the treatment of HIV-1 infection in younger children at least 6 years of age weighing at least 25 kg.
2023-07-23 Gilead Sciences Results New Biktarvy® Data Presented at IAS 2023 Further Demonstrate Safety and Efficacy Profile in a Broad Range of People and Communities Affected by the Global HIV Epidemic gilead.com ↗
At Week 48, the proportion of participants who were underweight decreased from 20.4% to 14.3%, while the proportion of normal weight participants increased from 67.3% to 73.5%, respectively.
2017-10-25 Janssen Research & Development, LLC Results Investigational Darunavir-Based Single-Tablet Regimen Shows Positive Results in Previously Untreated HIV Patients in Pivotal Phase 3 AMBER Clinical Trial jnj.com ↗
2016-09-12 Janssen Research & Development, LLC Regulatory Janssen Submits Marketing Authorisation Application for Darunavir-Based Single Tablet Regimen for Treatment of HIV-1 to European Medicines Agency jnj.com ↗
2015-10-22 Gilead Sciences Results Gilead Announces Phase 3 Results for Genvoya® (Elvitegravir, Cobicistat, Emtricitabine and Tenofovir Alafenamide), an Investigational Once-Daily Single Tablet Regimen for HIV gilead.com ↗
Genvoya was found to be statistically non-inferior to Stribild ® (elvitegravir 150 mg, cobicistat 150 mg, emtricitabine 200 mg and tenofovir disoproxil fumarate 300 mg or E/C/F/TDF), based on percentages of patients with HIV-1 RNA levels less than 50 copies/mL.
2015-07-16 Bristol-Myers Squibb Regulatory European Commission Approves Bristol-Myers Squibb’s Evotaz (atazanavir and cobicistat fixed-dose combination) for the Treatment of HIV-1 Infection in Adults bms.com ↗
Bristol-Myers Squibb Company (NYSE:BMY) announced today that the European Commission has approved Evotaz (atazanavir 300 mg and cobicistat 150 mg) tablets in combination with other antiretroviral agents for the treatment of HIV-1 infected adults without known mutations associated with resistance to atazanavir.
2015-01-29 Janssen Research & Development, LLC Regulatory PREZCOBIX™ (darunavir/cobicistat) Approved in the U.S. for the Treatment of Adults Living With HIV-1 jnj.com ↗
2015-01-29 Bristol-Myers Squibb Regulatory U.S. Food and Drug Administration Approves Bristol-Myers Squibb’s Evotaz™ (atazanavir and cobicistat) for the Treatment of HIV-1 Infection in Adults bms.com ↗
Bristol-Myers Squibb Company (NYSE:BMY) announced today that the U.S. Food and Drug Administration (FDA) has approved Evotaz (atazanavir 300 mg and cobicistat 150 mg) tablets in combination with other antiretroviral agents for the treatment of HIV-1 infection in adults.
2014-11-25 Janssen Research & Development, LLC Regulatory European Commission Approves REZOLSTA®▼, A New Once-Daily, Fixed-Dose HIV Therapy Combining Darunavir And Cobicistat jnj.com ↗
Beerse, Belgium, 25 November 2014 - Janssen-Cilag International NV (Janssen) today announced that the European Commission (EC) has approved the use of REZOLSTA® (darunavir/cobicistat) in combination with other antiretroviral (ARV) medicinal products for the treatment of human immunodeficiency virus-1 (HIV-1) infection in adults aged 18 years or older.
2014-09-29 Janssen Research & Development, LLC Regulatory CHMP Announces Positive Opinion For REZOLSTA™, A New Once-Daily, Fixed-Dose HIV Therapy Combining Darunavir And Cobicistat jnj.com ↗
CHMP Announces Positive Opinion For REZOLSTA™, A New Once-Daily, Fixed-Dose HIV Therapy Combining Darunavir And Cobicistat
2014-04-21 Gilead Sciences Regulatory Gilead Sciences’ New Drug Applications for Cobicistat and Elvitegravir for HIV Therapy Accepted by U.S. FDA gilead.com ↗
2014-04-14 Bristol-Myers Squibb Regulatory Bristol-Myers Squibb Submits New Drug Application to U.S. FDA for a Fixed-Dose Combination Tablet of Atazanavir Sulfate with Cobicistat for People Living with HIV-1 bms.com ↗
Bristol-Myers Squibb Company (NYSE:BMY) announced today the submission of a new drug application (NDA) on April 4, 2014 to the U.S. Food and Drug Administration (FDA) for a fixed-dose combination of atazanavir sulfate, a protease inhibitor marketed as Reyataz ®, and cobicistat, an investigational pharmacokinetic enhancer, or boosting agent, that can increase the level of certain HIV-1 medicines in the blood and make them more effective.

All press releases naming this drug 36 releases

DateIssuerRelease

Evidence & citations 16 cited values

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

FieldValueCited text
Known as cobicistat “This study will evaluate efficacy of ledipasvir/sofosbuvir (LDV/SOF) and safety and tolerability of switching to elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide...” NCT02707601 ↗
89

“The ability of elvitegravir/cobicistat/emtricitabine/tenofovir alafenamide (E/C/F/TAF) to maintain virologic suppression in participants with M184V and/or M184I resistance...” PMID 33315694 ↗ Apr 2021

“Participants stayed on their baseline emtricitabine (FTC)/tenofovir disoproxil fumarate (TDF)-containing regimen E/C/F/TDF; efavirenz (EFV)/FTC/TDF; ritonavir (RTV)-boosted...” NCT01815736 ↗

“Antiretroviral therapy, administered orally may include regimens such as: bictegravir/emtricitabine/tenofovir alafenamide, darunavir/cobicistat/emtricitabine/tenofovir...” NCT05729568 ↗

“The single-tablet, fixed-dose combination of elvitegravir, cobicistat, emtricitabine, and tenofovir alafenamide is a once-daily, integrase strand transfer inhibitor-based...” PMID 30169223 ↗ Jun 2017

“Cobicistat is a potent inhibitor of the CYP3A4 enzyme, which can significantly increase ketamine bioavailability and reduce interindividual variability by inhibiting ketamine's...” NCT07462559 ↗

“Participants will receive either darunavir (DRV)/ cobicistat (COBI)/emtricitabine (FTC) /tenofovir alafenamide (TAF) fixed dose combination (D/C/F/TAF FDC) or DRV/COBI FDC...” NCT02431247 ↗

“A Phase 3b Open-label Study of the Efficacy and Safety of Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide Single-Tablet Regimen in HIV-1/Hepatitis B Co-infected Adults” NCT02071082 ↗

“Once-daily single-tablet regimen containing darunavir (DRV) 800 milligram (mg)/ cobicistat (COBI) 150 mg/ emtricitabine (FTC) 200 mg/ tenofovir alafenamide (TAF) 10 mg.” NCT02269917 ↗

“a fixed-dose combination of tenofovir alafenamide fumarate (TAF) 10 mg plus emtricitabine (FTC) 200 mg, darunavir 800 mg, and cobicistat 150 mg once daily (group A)” PMID 37752816 ↗ Sep 2023

“cobicistat (COBI) 150 mg/emtricitabine (FTC) 200 mg/tenofovir disoproxil fumarate (TDF) 300 mg single-tablet regimen (STR) administered orally once daily with food” NCT01533259 ↗

Show 79 more sources

Known as COBI “Participants will receive either darunavir (DRV)/ cobicistat (COBI)/emtricitabine (FTC) /tenofovir alafenamide (TAF) fixed dose combination (D/C/F/TAF FDC) or DRV/COBI FDC...” NCT02431247 ↗
24

“Once-daily single-tablet regimen containing darunavir (DRV) 800 milligram (mg)/ cobicistat (COBI) 150 mg/ emtricitabine (FTC) 200 mg/ tenofovir alafenamide (TAF) 10 mg.” NCT02269917 ↗

“The CYP3A4 inhibitor cobicistat (COBI) can be used to increase venetoclax exposure, thereby allowing to reduce the dose of venetoclax and thus costs substantially.” NCT06014489 ↗

“cobicistat (COBI) 150 mg/emtricitabine (FTC) 200 mg/tenofovir disoproxil fumarate (TDF) 300 mg single-tablet regimen (STR) administered orally once daily with food” NCT01533259 ↗

“Patents treated with elvitegravir (EVG) 150mg / cobicistat (COBI) 150mg / emtricitabine (FTC) 200mg / tenofovir (TAF) 10mg once a day as the first line treatment.” NCT03693508 ↗

“Darunavir (DRV), Emtricitabine/Tenofovir Alafenamide (F/TAF) and Cobicistat (COBI) tablet under fed condition on Day 1” NCT04661397 ↗

“Participants will receive oral tablet of fixed dose combination (FDC) containing darunavir (DRV)/ cobicistat (COBI).” NCT04208061 ↗

“Darunavir (DRV), emtricitabine (FTC), and tenofovir alafenamide (TAF) in the presence of cobicistat (COBI)” NCT04236453 ↗

“Cobicistat (COBI) is a mechanism-based inhibitor (MBI) of the cytochrome P450 (CYP)3A subfamily.” NCT05197075 ↗

“a regimen containing TDF without cobicistat (COBI) as ritonavir (RTV)-boosted atazanavir” NCT02246998 ↗

“Cobicistat (COBI) is a pharmacoenhancer with no antiretroviral activity in vitro.” PMID 23532097 ↗ Mar 2013

Show 14 more sources

Known as Cobicistat component of evotaz ChEMBL registry synonym — accepted as the source's own label CHEMBL2095208 ↗
Known as Cobicistat component of genvoya ChEMBL registry synonym — accepted as the source's own label CHEMBL2095208 ↗
Known as Cobicistat component of prezcobix ChEMBL registry synonym — accepted as the source's own label CHEMBL2095208 ↗
Known as Cobicistat component of rezolsta ChEMBL registry synonym — accepted as the source's own label CHEMBL2095208 ↗
Known as Cobicistat component of stribild ChEMBL registry synonym — accepted as the source's own label CHEMBL2095208 ↗
Known as Cobicistat component of symtuza ChEMBL registry synonym — accepted as the source's own label CHEMBL2095208 ↗
Known as Cobicistat on silicon dioxide ChEMBL registry synonym — accepted as the source's own label CHEMBL2095208 ↗
Known as Cobicistat, (r,r,s)- ChEMBL registry synonym — accepted as the source's own label CHEMBL2095208 ↗
Known as GS-9350 ChEMBL registry synonym — accepted as the source's own label CHEMBL2095208 ↗
Known as Tybost “elvitegravir (EVG; Vitekta®)/cobicistat (c; Tybost®)/TXF/FTC” NCT06630299 ↗
3

“ATV+cobicistat (COBI; Tybost®) or ATV/COBI FDC” NCT02605954 ↗

“ATV + cobicistat (COBI;Tybost®)” NCT02616783 ↗

“Cobisistat Tybost 150 mg” NCT07462559 ↗

Action Inhibit “ritonavir and cobicistat, as inhibitors of P-gp” NCT01896622 ↗
Modality Small molecule — CHEMBL2095208 ↗
Route Oral “Fixed dose combination (FDC) tablet of TMC114 (darunavir) 800 mg and cobicistat 150 mg once daily” NCT00855335 ↗
Target CYP3A4 “single-dose pharmacoboost approach using cobicistat to inhibit CYP3A4, thereby increasing exposure.” PMID 35598441 ↗ May 2022