Last reviewed · How we verify
Lopinavir-ritonavir (LPV-RTV)
Lopinavir-ritonavir (LPV-RTV) is a Protease inhibitor combination Small molecule drug developed by National Institute of Allergy and Infectious Diseases (NIAID). It is currently in Phase 3 development for HIV-1 infection in treatment-naïve and treatment-experienced patients, COVID-19 (investigational use in phase 3 trials).
Lopinavir-ritonavir is a combination of two protease inhibitors that block HIV protease, preventing the cleavage of viral polyproteins and stopping HIV replication.
Lopinavir-ritonavir is a combination of two protease inhibitors that block HIV protease, preventing the cleavage of viral polyproteins and stopping HIV replication. Used for HIV-1 infection in treatment-naïve and treatment-experienced patients, COVID-19 (investigational use in phase 3 trials).
At a glance
| Generic name | Lopinavir-ritonavir (LPV-RTV) |
|---|---|
| Sponsor | National Institute of Allergy and Infectious Diseases (NIAID) |
| Drug class | Protease inhibitor combination |
| Target | HIV protease |
| Modality | Small molecule |
| Therapeutic area | Infectious Disease |
| Phase | Phase 3 |
Mechanism of action
Lopinavir inhibits HIV protease, an enzyme essential for processing viral proteins into functional forms. Ritonavir is a potent protease inhibitor that also acts as a pharmacokinetic booster, inhibiting cytochrome P450 metabolism to increase lopinavir plasma concentrations. Together, they prevent the maturation of HIV virions, rendering newly produced viral particles non-infectious.
Approved indications
- HIV-1 infection in treatment-naïve and treatment-experienced patients
- COVID-19 (investigational use in phase 3 trials)
Common side effects
- Diarrhea
- Nausea
- Abdominal pain
- Vomiting
- Headache
- Lipid abnormalities (elevated cholesterol/triglycerides)
- Hepatotoxicity
Key clinical trials
- Study of Cobicistat-Boosted Atazanavir (ATV/co), Cobicistat-Boosted Darunavir (DRV/co) and Emtricitabine/Tenofovir Alafenamide (F/TAF) in Children With HIV (PHASE2, PHASE3)
- A Study to Provide Continued Access to Study Drug to Children and Adolescents Who Have Completed Clinical Studies Involving Gilead HIV Treatments (PHASE4)
- Early Infant HIV Treatment in Botswana (PHASE2, PHASE3)
- Pharmacokinetic Study of Antiretroviral Drugs and Related Drugs During and After Pregnancy
- Pharmacokinetic Properties of Antiretroviral and Anti-Tuberculosis Drugs During Pregnancy and Postpartum
- Very Early Intensive Treatment of Infants Living With HIV to Achieve HIV Remission (PHASE1, PHASE2)
- Bone and Body Comp: A Sub Study of the SECOND-LINE Study (PHASE4)
- Treatment of HIV/HCV Coinfection With Peg-IFN and Ribavirin in Patients Receiving ART Monotherapy With Lopinavir/r (PHASE4)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Lopinavir-ritonavir (LPV-RTV) CI brief — competitive landscape report
- Lopinavir-ritonavir (LPV-RTV) updates RSS · CI watch RSS
- National Institute of Allergy and Infectious Diseases (NIAID) portfolio CI
Frequently asked questions about Lopinavir-ritonavir (LPV-RTV)
What is Lopinavir-ritonavir (LPV-RTV)?
How does Lopinavir-ritonavir (LPV-RTV) work?
What is Lopinavir-ritonavir (LPV-RTV) used for?
Who makes Lopinavir-ritonavir (LPV-RTV)?
What drug class is Lopinavir-ritonavir (LPV-RTV) in?
What development phase is Lopinavir-ritonavir (LPV-RTV) in?
What are the side effects of Lopinavir-ritonavir (LPV-RTV)?
What does Lopinavir-ritonavir (LPV-RTV) target?
Related
- Drug class: All Protease inhibitor combination drugs
- Target: All drugs targeting HIV protease
- Manufacturer: National Institute of Allergy and Infectious Diseases (NIAID) — full pipeline
- Therapeutic area: All drugs in Infectious Disease
- Indication: Drugs for HIV-1 infection in treatment-naïve and treatment-experienced patients
- Indication: Drugs for COVID-19 (investigational use in phase 3 trials)
- Compare: Lopinavir-ritonavir (LPV-RTV) vs similar drugs
- Pricing: Lopinavir-ritonavir (LPV-RTV) cost, discount & access