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Rifampin (RIF)
Rifampin inhibits bacterial RNA polymerase, blocking transcription and preventing bacterial RNA synthesis.
Rifampin inhibits bacterial RNA polymerase, blocking transcription and preventing bacterial RNA synthesis. Used for Tuberculosis (TB), Leprosy, Atypical mycobacterial infections.
At a glance
| Generic name | Rifampin (RIF) |
|---|---|
| Sponsor | National Institute of Allergy and Infectious Diseases (NIAID) |
| Drug class | Rifamycin antibiotic |
| Target | Bacterial RNA polymerase (RNAP) |
| Modality | Small molecule |
| Therapeutic area | Infectious Disease |
| Phase | FDA-approved |
Mechanism of action
Rifampin binds to the bacterial RNA polymerase enzyme and blocks the path of elongating RNA transcripts, effectively halting bacterial gene expression. This mechanism is highly selective for bacterial RNA polymerase and has minimal effect on eukaryotic RNA polymerases, making it useful as an antibiotic. It is bactericidal and works against a broad spectrum of gram-positive and gram-negative bacteria, as well as mycobacteria.
Approved indications
- Tuberculosis (TB)
- Leprosy
- Atypical mycobacterial infections
- Prophylaxis of meningococcal meningitis
- Brucellosis
- Legionellosis
Common side effects
- Hepatotoxicity
- Orange/red discoloration of body fluids
- Drug interactions (enzyme induction)
- Rash
- Gastrointestinal disturbance
- Thrombocytopenia
Key clinical trials
- Safety and Tolerability of Metformin in People With Tuberculosis (TB) and Human Immunodeficiency Virus (HIV) (PHASE2)
- Shortened Regimen for Drug-susceptible TB in Children (PHASE3)
- Study of a Single Dose of Pretomanid Added to an Optimized Background Regimen in Children With Rifampicin-Resistant Tuberculosis (PHASE1)
- An Adaptive Multi-arm Trial to Improve Clinical Outcomes Among Children Recovering From Complicated SAM (PHASE3)
- Trial of Novel Regimens for the Treatment of Pulmonary Tuberculosis (PHASE2)
- AIPH-TB: AI-Optimised Pyrazinamide-Hydroxychloroquine vs Standard RIPE for Drug-Sensitive Pulmonary Tuberculosis - A Phase II RCT (PHASE2)
- A Study Evaluating the Effects of Itraconazole or Rifampin on the Pharmacokinetic Characteristics of Rocbrutinib Tablet (PHASE1)
- A Phase 1/2 Study to Evaluate the Safety, PK and Efficacy of TNP-2092 Administered Via IA Injection in PJI Participants (PHASE1, PHASE2)
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:
- Rifampin (RIF) CI brief — competitive landscape report
- Rifampin (RIF) updates RSS · CI watch RSS
- National Institute of Allergy and Infectious Diseases (NIAID) portfolio CI