cobicistat
Trade name: stribild
Approved
Aug 27, 2012
Cobicistat (GS-9350) is a potent, and selective inhibitor of human cytochrome P450 3A (CYP3A) enzymes. Cobicistat is a pharmacokinetic booster of several antiretrovirals. TYBOST (cobicistat) is indicated to increase systemic exposure of atazanavir or darunavir in combination with other antiretroviral agents in the treatment of HIV-1 infection. — NCATS
Clinical trial activity
127 trials · 87 clinical orgs · 5 marketing orgs
Earliest trial started Jan 1, 2002 (NCT00537966)
Timeline
2000s
- Jan 1, 2009
Gilead Sciences — Earliest Phase 2 Sponsor(trial)
- Jan 1, 2009
Johnson and Johnson — Earliest Phase 3 Sponsor(trial)
2010s
- Jan 1, 2012
Johnson and Johnson — Earliest Phase 1 Sponsor(trial)
- Aug 27, 2012
Gilead Sciences — Earliest FDA Approval
- Aug 27, 2012
Gilead Sciences — NDA Organization
- Jan 29, 2015
Bristol-Myers Squibb — Marketing Organization
- Jan 29, 2015
Johnson and Johnson — Marketing Organization
- Jan 29, 2015
Bristol-Myers — NDA Secondary Org
- Jan 29, 2015
Bristol-Myers Squibb — NDA Secondary Org
- Jan 29, 2015
Johnson and Johnson — NDA Secondary Org
2020s
- Feb 7, 2024
Mylan — Marketing Organization
Indications
Approved for
Studied for
- Acquired Immunodeficiency Syndrome · Phase 4
- AIDS Dementia Complex · Phase 4
- Antiretroviral Therapy, Highly Active · Phase 4
- Anxiety · Phase 4
- Carcinoma, Non-Small-Cell Lung · Phase 4
- Cognition Disorders · Phase 4
- Coronavirus · Phase 3
- Cytochrome P-450 CYP3A Inhibitors · Phase 1
- Drug Interactions · Phase 1
- Drug-Related Side Effects and Adverse Reactions · Phase 1/Phase 2
- Food-Drug Interactions · Phase 1
- Glioma · Phase 2
- Healthy Volunteers · Phase 4
- Hepatitis B · Phase 3
- Hepatitis C · Phase 3
- Hepatitis C, Chronic · Phase 4
- HIV · Phase 4
- HIV-1 · Phase 4
- Insulin Resistance · Phase 1
- Latent Tuberculosis · Phase 1
- Leukemia, Myeloid, Acute · Phase 2
- Malaria · Phase 1
- Mitochondrial Diseases · Phase 1/Phase 2
- Neoplasms · Phase 4
- Obesity · Phase 4
- Pancreatic Neoplasms · Phase 1
- Patient Compliance · Phase 4
- Pharmacokinetics · Phase 1
- Pneumonia, Pneumocystis · Phase 3
- Pregnancy · Phase 3
- Sleep Initiation and Maintenance Disorders · Phase 4
- Sleep Wake Disorders · Phase 4
- Tuberculosis · Phase 4
Mechanism of action
Combination products
evotaz
with atazanavir
genvoya
with emtricitabine, tenofovir alafenamide, elvitegravir
Also known as elvitegravir, cobicistat, emtricitabine, and tenofovir alafenamide
prezcobix
with darunavir
stribil
with tenofovir, emtricitabine, elvitegravir
Also known as cobicistat, elvitegravir, emtricitabine, and tenofovir disoproxil fumarate
symtuza
Approval history
- approvedFast trackAug 27, 2012
Chemistry & pharmacology
SMILES
CC(C)C1=NC(CN(C)C(=O)N[C@@H](CCN2CCOCC2)C(=O)N[C@H](CC[C@H](CC3=CC=CC=C3)NC(=O)OCC4=CN=CS4)CC5=CC=CC=C5)=CS1- Mol. weight
- 776.023 g/mol
- Lipinski Ro5
- 2 violation(s)
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaCobicistat ↗
- NCATSLW2E03M5PG ↗
- ChEMBLCHEMBL2095208 ↗
Also known as
- 1,3-thiazol-5-ylmethyl [(2r,5r)-5-{[(2s)-2-({[(2-isopropyl-1,3-thiazol-4-yl)methyl](methyl)carbamoyl}amino)-4-(morpholin-4-yl)butanoyl]amino}-1,6-diphenylhexan-2-yl]carbamate
- 1,3-thiazol-5-ylmethyl [(2r,5r)-5-{[(2s)-2-({[(2-isopropyl-1,3-thiazol-4-yl)methyl](methyl)carbamoyl}amino)-4-(morpholin-4-yl)butanoyl]amino}-1,6-diphenylhexan-2-yl]carbamate
- atazanavir sulfate / cobicistat
- cobicistat
- cobicistat
- cobicistat
- cobicistat
- cobicistat
- cobicistat
- cobicistat
- cobicistat
- cobicistat
- cobicistat on silicon dioxide
- combicistat
- darunavir / cobicistat
- darunavir / cobicistat / emtricitabine / tenofovir alafenamide
- elvitegravir / cobicistat / emtricitabine / tenofovir alafenamide
- elvitegravir / cobicistat / emtricitabine / tenofovir disoproxil fumarate
- gs 9350
- stribild
- stribild
- stribild
- tybost
- tybost
- tybost
- tybost
- tybost
- tybost
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06787976 | Phase 4 | Apr 19, 2025 | Instituto Mexicano del Seguro Social |
| NCT06726382 | Phase 1 | Dec 9, 2024 | University of Helsinki |
| NCT06337032 | Phase 4 | Aug 27, 2024 | Gilead Sciences |
| NCT06385119 | Phase 1 | Apr 24, 2024 | Novellus Therapeutics |
| NCT06014489 | Phase 2 | Dec 31, 2023 | HOVON - Dutch Haemato-Oncology Association |
| NCT05748093 | Phase 4 | Jun 1, 2023 | Maastricht University |
| NCT05494866 | Phase 1 | Dec 7, 2022 | German Cancer Research Center, University of Heidelberg |
| NCT05503797 | Phase 2 | Nov 1, 2022 | Novellus Therapeutics |
| NCT05692570 | Phase 1 | Sep 9, 2022 | Pyramid Biosciences |
| NCT05458102 | Phase 1 | Aug 19, 2022 | Gilead Sciences |
| NCT05197075 | Phase 1 | Aug 3, 2022 | Johnson and Johnson |
| NCT05463783 | Phase 4 | Jul 31, 2022 | East Carolina University, Janssen Pharmaceutica NV |
| NCT05378906 | Phase 1 | Jun 7, 2022 | — |
| NCT05236738 | Phase 1 | May 13, 2022 | Bristol-Myers Squibb |
| NCT05078671 | Phase 4 | Oct 15, 2021 | Radboud University |
| NCT04718805 | Phase 1 | Jan 25, 2021 | Janssen Pharmaceutica NV |
| NCT04661397 | Phase 1 | Dec 21, 2020 | Janssen Pharmaceutica NV |
| NCT04518228 | Phase 4 | Oct 15, 2020 | Boston University, Gilead Sciences, Merck, National Institute of Allergy and Infectious Diseases (NIAID), National Institute of Child Health and Human Development (NICHD), National Institute of Mental Health (NIMH), National Institutes of Health (NIH), ViiV Healthcare |
| NCT04653194 | Phase 3 | Sep 30, 2020 | Chelsea and Westminster Hospital NHS Foundation Trust, Gilead Sciences, Imperial College London, University of London |
| NCT04442737 | Phase 4 | Jul 1, 2020 | Janssen Pharmaceutica NV |
Organizations
Research & Development (87)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Gilead Sciences | For profit | 51 | 34 | 5 | 2009 |
| Janssen Pharmaceutica NV | For profit | 20 | 7 | 3 | 2009 |
| Johnson and Johnson | For profit | 12 | 9 | 3 | 2009 |
| Bristol-Myers Squibb | For profit | 6 | 4 | 1 | 2013 |
| National Institutes of Health (NIH) | Government | 5 | 3 | 2 | 2003 |
| ViiV Healthcare | For profit | 5 | 2 | 2 | 2014 |
| Merck | For profit | 4 | 1 | 2 | 2015 |
| National Institute of Allergy and Infectious Diseases (NIAID) | Government | 4 | 2 | 3 | 2003 |
| St Stephens Aids Trust | Academic/Hospital | 4 | 4 | 2 | 2014 |
| Fundacio Lluita Contra la SIDA | Academic/Hospital | 3 | 3 | 2 | 2016 |
| Radboud University | Academic/Hospital | 3 | 3 | 2 | 2015 |
| University of Barcelona | Academic/Hospital | 3 | 3 | 2 | 2015 |
| Boston University | Academic/Hospital | 2 | 0 | 1 | 2003 |
| Centers for Disease Control and Prevention (CDC) | Government | 2 | 0 | 1 | 2017 |
| Emory University | Academic/Hospital | 2 | 2 | 1 | 2017 |
| Fundacion SEIMC-GESIDA | Academic/Hospital | 2 | 2 | 1 | 2017 |
| GlaxoSmithKline | For profit | 2 | 1 | 2 | 2014 |
| Harvard University | Academic/Hospital | 2 | 1 | 1 | 2014 |
| Maastricht University | Academic/Hospital | 2 | 2 | 2 | 2019 |
| Novellus Therapeutics | For profit | 2 | 2 | 2 | 2022 |
Marketing (7)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Bristol-Myers | For profit | NDA2 | Jan 29, 2015 |
| Bristol-Myers Squibb | For profit | MKTG | Jan 29, 2015 |
| Bristol-Myers Squibb | For profit | NDA2 | Jan 29, 2015 |
| Gilead Sciences | For profit | NDA | Aug 27, 2012 |
| Johnson and Johnson | For profit | MKTG | Jan 29, 2015 |
| Johnson and Johnson | For profit | NDA2 | Jan 29, 2015 |
| Mylan | For profit | MKTG | Feb 7, 2024 |