rilpivirine
Trade name: edurant
Approved
May 20, 2011
Rilpivirine is a non-nucleoside reverse transcriptase inhibitor (NNRTI) which is used for the treatment of HIV-1 infections in treatment-naive patients. It is active against wild-type and NNRTI-resistant HIV-1. Rilpivirine is a diarylpyrimidinethat inhibits HIV-1 replication by non-competitive inhibition of HIV-1 reverse transcriptase (RT). Rilpivirine does not inhibit the human cellular DNA polymerases α, β and γ. — NCATS
Clinical trial activity
116 trials · 73 clinical orgs · 11 marketing orgs
Earliest trial started Jan 1, 2002 (NCT00537966)
Timeline
2000s
- Oct 29, 2004
Johnson and Johnson — IND Organization
- Oct 29, 2004
Johnson and Johnson — IND Organization
- Jan 1, 2005
Earliest Phase 2 Sponsor(trial)
- Jan 1, 2008
Earliest Phase 1 Sponsor(trial)
- Jan 1, 2008
Earliest Phase 3 Sponsor(trial)
2010s
- May 20, 2011
Johnson and Johnson — Earliest FDA Approval
- May 20, 2011
Johnson and Johnson — NDA Secondary Org
- May 20, 2011
Johnson and Johnson — NDA Organization
- Aug 10, 2011
Gilead Sciences — Marketing Organization
- Aug 10, 2011
Gilead Sciences — NDA Secondary Org
- Sep 29, 2015
Strides Pharma Science — Marketing Organization
- Nov 20, 2017
Mylan — Marketing Organization
- Nov 21, 2017
ViiV Healthcare — Marketing Organization
- Nov 21, 2017
ViiV Healthcare — NDA Secondary Org
2020s
- Sep 27, 2022
Cipla — Marketing Organization
- Jan 13, 2023
Lupin — Marketing Organization
- Aug 20, 2025
Somerset Therapeutics LLC — Marketing Organization
- Jan 29, 2026
Somerset Pharmaceuticals — Marketing Organization
- Jan 30, 2026
Apotex — Marketing Organization
- Mar 4, 2026
Laurus Labs Ltd — Marketing Organization
Indications
Approved for
Studied for
- Acquired Immunodeficiency Syndrome · Phase 3
- Antiretroviral Therapy, Highly Active · Phase 4
- Antiviral Agents · Phase 3
- Biological Availability · Phase 1
- Cardiovascular Diseases · Phase 4
- Cognition Disorders · Phase 4
- Contraception · Phase 2
- Contraceptives, Oral · Phase 1
- Depression · Phase 4
- Drugs, Investigational · Phase 2/Phase 3
- Fatty Liver · Phase 4
- Healthy Volunteers · Phase 4
- Hepacivirus · Phase 1
- Hepatitis C · Phase 3
- HIV · Phase 4
- HIV-1 · Phase 4
- HIV Infections · Phase 4
- Infections · Phase 2/Phase 3
- Kidney Failure, Chronic · Phase 4
- Liver Diseases · Phase 1
- Medication Adherence · Phase 3
- Opioid-Related Disorders · Early Phase 1
- Patient Compliance · Phase 4
- Pharmacokinetics · Phase 1
- Postpartum Period · Phase 1/Phase 2
- Pregnancy · Phase 3
- Quality of Life · Phase 4
- Sleep Disorders, Intrinsic · Phase 4
Mechanism of action
Q72547 inhibitor
Combination products
cabenuva
with cabotegravir
Also known as cabotegravir and rilpivirine (co-packaged), cabotegravir and rilpivirine -extended release injectable suspension
complera
with tenofovir, emtricitabine
juluca
with dolutegravir
odefsey
Approval history
- approvedMay 20, 2011
Chemistry & pharmacology
SMILES
Cc1cc(/C=C/C#N)cc(C)c1Nc1ccnc(Nc2ccc(C#N)cc2)n1- Mol. weight
- 366.43 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral, Parenteral
- Availability
- Prescription Only
Oral
Yes
Parenteral
Yes
Topical
No
Sources
- ChEMBLCHEMBL175691 ↗
- WikipediaRilpivirine ↗
- NCATSFI96A8X663 ↗
- ChEMBLCHEMBL1628504 ↗
Also known as
- 4-{[4-({4-[(e)-2-cyanovinyl]-2,6-dimethylphenyl}amino)pyrimidin-2-yl]amino}benzonitrile
- 4-{[4-({4-[(e)-2-cyanovinyl]-2,6-dimethylphenyl}amino)pyrimidin-2-yl]amino}benzonitrile
- edurant
- edurant
- edurant
- edurant
- emtricitabine / rilpivirine hydrochloride / tenofovir alafenamide
- emtricitabine / rilpivirine hydrochloride /tenofovir disoproxil fumarate
- r-278474
- r-278474
- rilipivirine
- rilpivirine
- rilpivirine
- rilpivirine
- rilpivirine
- rilpivirine
- rilpivirine
- rilpivirine
- rilpivirine
- rilpivirine
- rilpivirine
- rilpivirine
- rilpivirine hcl
- rilpivirine hcl
- rilpivirine hcl
- rilpivirine hydrochloride
- rilpivirine hydrochloride
- rilpivirine hydrochloride
- rilpivirine hydrochloride
- rilpivirine hydrochloride
- rllpivirine
- tmc278
- tmc278
- tmc-278
- tmc-278
- tmc278-hydrochloride
- tmc278-hydrochloride
- tmc278la
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06646562 | Phase 4 | Mar 3, 2025 | Fundacion para la Formacion e Investigacion Sanitarias de la Region de Murcia, ViiV Healthcare |
| NCT06501781 | N/A | Jan 31, 2025 | University of Maryland |
| NCT06694805 | Phase 3 | Dec 2, 2024 | ViiV Healthcare |
| NCT06336434 | Phase 1/Phase 2 (Phase 2) | Sep 24, 2024 | National Institute of Allergy and Infectious Diseases (NIAID) |
| NCT06468995 | Phase 3 | Sep 1, 2024 | GlaxoSmithKline, Vita-Salute University of Milano. Italy |
| NCT06411223 | Phase 2 | Aug 1, 2024 | ViiV Healthcare, Yale University |
| NCT06507059 | Phase 3 | Jul 19, 2024 | Chang Gung University, Taoyuan General Hospital |
| NCT06185452 | Phase 4 | Sep 26, 2023 | FUNDACIÓN FLS DE LUCHA CONTRA EL SIDA, LAS ENFERMEDADES INFECCIOSAS Y LA PROMOCIÓN DE LA SALUD Y LA CIENCIA |
| NCT05917509 | Phase 3 | Jul 6, 2023 | GlaxoSmithKline, PPD, ViiV Healthcare |
| NCT05674656 | Phase 1/Phase 2 (Phase 2) | Jun 1, 2023 | ViiV Healthcare |
| NCT05898841 | Phase 4 | May 26, 2023 | Fundacion SEIMC-GESIDA |
| NCT05660980 | Phase 1/Phase 2 (Phase 2) | May 1, 2023 | National Institute of Allergy and Infectious Diseases (NIAID), National Institute of Mental Health (NIMH), National Institutes of Health (NIH) |
| NCT05601128 | Phase 3 | Jan 1, 2023 | Allegheny Health Network |
| NCT04973254 | Phase 4 | Dec 31, 2022 | Boston University, ViiV Healthcare |
| NCT05546242 | Phase 3 | Nov 30, 2022 | Janssen Pharmaceutica NV, Medical Research Council-UVRI Uganda Research Unit on AIDS |
| NCT05896748 | Phase 3 | Nov 8, 2022 | GlaxoSmithKline, Janssen Pharmaceutica NV, ViiV Healthcare |
| NCT05154747 | Phase 3 | Aug 31, 2022 | Africa Health Research Institute, European and Developing Countries Clinical Trials Partnership (EDCTP), Johnson and Johnson, Medical Research Council-UVRI Uganda Research Unit on AIDS, PENTA Foundation, Radboud University, University of London, University of York, ViiV Healthcare |
| NCT05991622 | Early Phase 1 (Phase 1) | Apr 1, 2022 | Rhode Island Hospital |
| NCT07001488 | Phase 1 | Feb 21, 2022 | Government of China |
| NCT05112939 | Phase 1 | Nov 3, 2021 | Janssen Pharmaceutica NV |
Organizations
Research & Development (73)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| ViiV Healthcare | For profit | 29 | 23 | 5 | 2011 |
| Janssen Pharmaceutica NV | For profit | 28 | 3 | 5 | 2009 |
| Johnson and Johnson | For profit | 19 | 15 | 4 | 2009 |
| Tibotec | For profit | 15 | 15 | 3 | 2005 |
| Gilead Sciences | For profit | 13 | 10 | 3 | 2010 |
| GlaxoSmithKline | For profit | 12 | 0 | 3 | 2012 |
| National Institute of Allergy and Infectious Diseases (NIAID) | Government | 9 | 5 | 4 | 2010 |
| St Stephens Aids Trust | Academic/Hospital | 4 | 4 | 4 | 2010 |
| Indiana University | Academic/Hospital | 3 | 2 | 2 | 2012 |
| Mahidol University | Academic/Hospital | 3 | 3 | 2 | 2015 |
| National Institutes of Health (NIH) | Government | 3 | 0 | 2 | 2010 |
| University of London | Academic/Hospital | 3 | 2 | 3 | 2010 |
| University of Nebraska | Academic/Hospital | 3 | 0 | 2 | 2018 |
| Makerere University | Academic/Hospital | 2 | 2 | 1 | 2018 |
| Medical Research Council-UVRI Uganda Research Unit on AIDS | Academic/Hospital | 2 | 1 | 1 | 2022 |
| Merck | For profit | 2 | 1 | 2 | 2011 |
| National Institute of Mental Health (NIMH) | Government | 2 | 0 | 1 | 2014 |
| University of Alabama, Birmingham | Academic/Hospital | 2 | 0 | 2 | 2018 |
| University of Barcelona | Academic/Hospital | 2 | 2 | 2 | 2015 |
| University of Liverpool | Academic/Hospital | 2 | 0 | 1 | 2018 |
Marketing (16)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Apotex | For profit | MKTG | Jan 30, 2026 |
| Cipla | For profit | MKTG | Sep 27, 2022 |
| Gilead Sciences | For profit | MKTG | Aug 10, 2011 |
| Gilead Sciences | For profit | NDA2 | Aug 10, 2011 |
| Johnson and Johnson | For profit | NDA2 | May 20, 2011 |
| Johnson and Johnson | For profit | IND | Oct 29, 2004 |
| Johnson and Johnson | For profit | NDA | May 20, 2011 |
| Laurus Labs Ltd | For profit | MKTG | Mar 4, 2026 |
| Lupin | For profit | MKTG | Jan 13, 2023 |
| Mylan | For profit | MKTG | Nov 20, 2017 |
| Mylan | For profit | SYN | May 20, 2025 |
| Somerset Pharmaceuticals | For profit | MKTG | Jan 29, 2026 |
| Somerset Therapeutics LLC | For profit | MKTG | Aug 20, 2025 |
| Strides Pharma Science | For profit | MKTG | Sep 29, 2015 |
| ViiV Healthcare | For profit | MKTG | Nov 21, 2017 |
| ViiV Healthcare | For profit | NDA2 | Nov 21, 2017 |