Cobicistat
FDA-approved product (tablet, oral), marketed as Cobicistat, Tybost.
- Registered studies
- 50+
- Lab records
- 0
- Pathogens at ≥40%
- 3 of 4
Chemical structure
Existing / approved use
Documented · FDA, WHO, ChEMBLApproved for
- HIV infection
- HIV-1 infection
- Infection
Indications ChEMBL records as approved, from FDA and DailyMed labels. Label ↗
- WHO therapeutic group
- Other therapeutic products
- FDA pharmacologic class
- Cytochrome P450 3A Inhibitor FDA label ↗
- Anti-infective classification
- Not classified as an anti-infective.
Repurposing investigation
This medicine is being investigated here for AI-predicted antimicrobial activity against MRSA, E. coli and M. tuberculosis. It was surfaced computationally for further investigation; it is not an established treatment for these infections.
AI-predicted activity
AI prediction · nothing measured- MRSA54.6% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.
- E. coli46.4% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.
- K. pneumoniae27.0% AI-predicted activityBelow the ≥40% mark this site uses to surface candidates.
- M. tuberculosis54.8% AI-predicted activityAt or above the ≥40% mark this site uses to surface candidates.
A model’s estimate of laboratory activity against each pathogen species. It is not clinical effectiveness.
Evidence
Clinical and experimental
Documented evidenceClinical
50+registered studies name this medicine, for any condition. The registry search keeps the first 50, so there may be more. See them below.
Experimental
No evidence found
No laboratory measurement against the four pathogens in the ChEMBL records loaded here.
Docking
Computational · nothing measuredDihydrofolate reductase ↗ (E. coli)
Not yet docked: queued in the docking rundetails
KPC-2 carbapenemase ↗ (K. pneumoniae)
Not yet docked: queued in the docking rundetails
Enoyl-ACP reductase (InhA) ↗ (M. tuberculosis)
Not yet docked: queued in the docking rundetails
Dihydrofolate reductase ↗ (MRSA)
Not yet docked: queued in the docking rundetails
AutoDock Vina, one experimentally solved protein per pathogen. This project’s screening target is -7.0 kcal/mol, its own mark rather than a universal cutoff. A docking score is a structural hypothesis, not proof of binding, and requires experimental validation.
Other medicines to investigate
AI prediction · nothing measuredOther repurposing candidates: approved medicines besides Cobicistat with AI-predicted activity ≥40% against the chosen pathogen, leaving out existing antimicrobials. They are computational candidates for further investigation, not alternatives and not recommendations.
Sorted by AI-predicted activity, high to low. The order is not a ranking of which medicine is better.
- DactinomycinExisting use: Kidney Wilms tumor, Neoplasm95.6% AI-predicted activityagainst MRSALab records exist50+ registered studies
- TaurursodiolExisting use: Bile acids and derivatives79.6% AI-predicted activityagainst MRSA43 registered studies
- LinaclotideExisting use: Constipation, Constipation disorder, Irritable bowel syndrome74.5% AI-predicted activityagainst MRSA50+ registered studies
- PlecanatideExisting use: Constipation74.4% AI-predicted activityagainst MRSA15 registered studies
- OxytocinExisting use: Hemorrhage, Uterine Inertia74.2% AI-predicted activityagainst MRSA50+ registered studies
- PosaconazoleExisting use: Aspergillosis, Candidiasis, Coccidioidomycosis and 2 more72.2% AI-predicted activityagainst MRSA50+ registered studies
- SotorasibExisting use: Neoplasm, Non-small cell lung carcinoma70.6% AI-predicted activityagainst MRSA50+ registered studies
- TemsirolimusExisting use: Cancer, Clear cell renal carcinoma, Mantle cell lymphoma and 2 more70.1% AI-predicted activityagainst MRSA50+ registered studies
- Quizartinib DihydrochlorideExisting use: Acute myeloid leukemia, Myeloid leukemia70.0% AI-predicted activityagainst MRSA4 registered studies
- Irinotecan HydrochlorideExisting use: Adenocarcinoma, Cancer, Carcinoma and 4 more70.0% AI-predicted activityagainst MRSA50+ registered studies
- Deoxycholic AcidExisting use: Other dermatologicals69.3% AI-predicted activityagainst MRSA50+ registered studies
- ChenodiolExisting use: Cerebrotendinous xanthomatosis, Inborn errors of metabolism69.2% AI-predicted activityagainst MRSA30 registered studies
Registered studies
A registration describes a study; it does not establish a positive result.
A Study of Darunavir in Combination With Cobicistat or Ritonavir, and Dabigatran Etexilate in Healthy Participants
NCT04208061 · start 2019-12-18
Registered record
- Registry ID
- NCT04208061
- Conditions
- Healthy
- Interventions
- Dabigatran Etexilate; DRV/COBI; Ritonavir; Darunavir
- Study type
- INTERVENTIONAL
- Phase
- Phase 1
- Registry status
- Completed
- Start
- 2019-12-18
- Completion
- 2021-04-01
- Enrolment
- 28
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionHealthyInterventionDabigatran Etexilate; DRV/COBI; Ritonavir; DarunavirPhasePhase 1Registry statusCompletedA Study of Revumenib in R/R Leukemias Including Those With an MLL/KMT2A Gene Rearrangement or NPM1 Mutation
NCT04065399 · start 2019-11-05
Registered record
- Registry ID
- NCT04065399
- Conditions
- Acute Myeloid Leukemia; Acute Lymphoblastic Leukemia; Mixed Lineage Acute Leukemia; Mixed Phenotype Acute Leukemia; Acute Leukemia of Ambiguous Lineage
- Interventions
- revumenib; cobicistat
- Study type
- INTERVENTIONAL
- Phase
- Phase 1 / Phase 2
- Registry status
- Recruiting
- Start
- 2019-11-05
- Completion
- 2027-12-15
- Enrolment
- 447
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionAcute Myeloid Leukemia; Acute Lymphoblastic Leukemia; Mixed Lineage Acute Leukemia; Mixed Phenotype Acute Leukemia +1 moreInterventionrevumenib; cobicistatPhasePhase 1 / Phase 2Registry statusRecruitingStudy to Assess the Acceptability of Darunavir/Cobicistat/Emtricitabine/Tenofovir Alafenamide (D/C/F/TAF) Fixed-Dose Combination (FDC) Tablets in Human Immunodeficiency Virus Type 1 (HIV-1) Infected Pediatric Participants, Using Matching Placebo Tablets
NCT04006704 · start 2019-10-10
Registered record
- Registry ID
- NCT04006704
- Conditions
- HIV-1
- Interventions
- D/C/F/TAF FDC placebo
- Study type
- INTERVENTIONAL
- Phase
- Phase 1
- Registry status
- Completed
- Start
- 2019-10-10
- Completion
- 2020-03-06
- Enrolment
- 25
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionHIV-1InterventionD/C/F/TAF FDC placeboPhasePhase 1Registry statusCompletedRaltegravir One Thousand Two Hundred vs Darunavir-cb in Immnunosupressed Patients: ROTDIP Study
NCT03842488 · start 2019-04
Registered record
- Registry ID
- NCT03842488
- Conditions
- HIV Infections
- Interventions
- Experimental: RAL QD; Active comparator: DRV/cb
- Study type
- INTERVENTIONAL
- Phase
- Phase 4
- Registry status
- Unknown
- Start
- 2019-04
- Completion
- 2021-03
- Enrolment
- 75
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionHIV InfectionsInterventionExperimental: RAL QD; Active comparator: DRV/cbPhasePhase 4Registry statusUnknownThe Late Presenter Treatment Optimisation Study
NCT03696160 · start 2019-03-05
Registered record
- Registry ID
- NCT03696160
- Conditions
- HIV/AIDS
- Interventions
- Biktarvy; Symtuza
- Study type
- INTERVENTIONAL
- Phase
- Phase 3
- Registry status
- Completed
- Start
- 2019-03-05
- Completion
- 2024-06-17
- Enrolment
- 447
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionHIV/AIDSInterventionBiktarvy; SymtuzaPhasePhase 3Registry statusCompletedA Clinical Trial to Evaluate the Efficacy and Safety of Elvitegravir / Cobicistat / Emtricitabine / Tenofovir Alafenamide as a First-line Treatment in Naïve Patients With HIV-1 Infection With Severe Immunosuppression
NCT03693508 · start 2018-04-13
Registered record
- Registry ID
- NCT03693508
- Conditions
- HIV Infections; Severe Immunosuppression
- Interventions
- Genvoya®
- Study type
- INTERVENTIONAL
- Phase
- Phase 4
- Registry status
- Completed
- Start
- 2018-04-13
- Completion
- 2020-05-28
- Enrolment
- 50
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionHIV Infections; Severe ImmunosuppressionInterventionGenvoya®PhasePhase 4Registry statusCompletedElvitegravir/Cobicistat/Emtricitabine/Tenofovir Alafenamide as Maintenance Treatment for HIV/HBV-coinfection
NCT03425994 · start 2018-02-06
Registered record
- Registry ID
- NCT03425994
- Conditions
- Chronic Hepatitis B in HIV Patient; Kidney Injury; Bone Diseases
- Interventions
- Elvitegravir/Cobicistat/Emtricitabine
- Study type
- OBSERVATIONAL
- Phase
- Not recorded
- Registry status
- Unknown
- Start
- 2018-02-06
- Completion
- 2019-10-11
- Enrolment
- 275
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionChronic Hepatitis B in HIV Patient; Kidney Injury; Bone DiseasesInterventionElvitegravir/Cobicistat/EmtricitabinePhaseNot recordedRegistry statusUnknownProSTAR: A Study Evaluating CPI-1205 in Patients With Metastatic Castration Resistant Prostate Cancer
NCT03480646 · start 2017-11-15
Registered record
- Registry ID
- NCT03480646
- Conditions
- Metastatic Castration Resistant Prostate Cancer (mCRPC)
- Interventions
- CPI-1205; Cobicistat; Enzalutamide; Abiraterone; Prednisone
- Study type
- INTERVENTIONAL
- Phase
- Phase 1 / Phase 2
- Registry status
- Completed
- Start
- 2017-11-15
- Completion
- 2021-02-03
- Enrolment
- 175
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionMetastatic Castration Resistant Prostate Cancer (mCRPC)InterventionCPI-1205; Cobicistat; Enzalutamide; Abiraterone +1 morePhasePhase 1 / Phase 2Registry statusCompletedAntiretroviral Treatment Taken 4 Days Per Week Versus Continuous Therapy 7/7 Days Per Week in HIV-1 Infected Patients
NCT03256422 · start 2017-09-07
Registered record
- Registry ID
- NCT03256422
- Conditions
- HIV Infections
- Interventions
- Treatment discontinuation
- Study type
- INTERVENTIONAL
- Phase
- Phase 3
- Registry status
- Completed
- Start
- 2017-09-07
- Completion
- 2020-03-02
- Enrolment
- 640
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionHIV InfectionsInterventionTreatment discontinuationPhasePhase 3Registry statusCompletedPrevention and Treatment Continuum for Youth at HIV Risk, Acutely Infected and With Established HIV Infection
NCT03205696 · start 2017-08-01
Registered record
- Registry ID
- NCT03205696
- Conditions
- Human Immunodeficiency Virus
- Interventions
- Antiretrovirals
- Study type
- OBSERVATIONAL
- Phase
- Not recorded
- Registry status
- Completed
- Start
- 2017-08-01
- Completion
- 2023-11-30
- Enrolment
- 101
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionHuman Immunodeficiency VirusInterventionAntiretroviralsPhaseNot recordedRegistry statusCompletedEvaluation of Compliance With Treatment by Genvoya in HIV Post-exposure Prophylaxis
NCT02998320 · start 2017-03-10
Registered record
- Registry ID
- NCT02998320
- Conditions
- HIV Risk
- Interventions
- Genvoya
- Study type
- INTERVENTIONAL
- Phase
- Phase 3
- Registry status
- Completed
- Start
- 2017-03-10
- Completion
- 2018-09-30
- Enrolment
- 101
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionHIV RiskInterventionGenvoyaPhasePhase 3Registry statusCompletedRPV+DRV/Cobi Dual Therapy in Subjects With HIV Controlled Infection
NCT04064632 · start 2017-02-01
Registered record
- Registry ID
- NCT04064632
- Conditions
- HIV Infection
- Interventions
- Rilpivirine + darunavir/cobicistat
- Study type
- INTERVENTIONAL
- Phase
- Phase 4
- Registry status
- Unknown
- Start
- 2017-02-01
- Completion
- 2019-11-30
- Enrolment
- 1,609
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionHIV InfectionInterventionRilpivirine + darunavir/cobicistatPhasePhase 4Registry statusUnknownStudy of the Effectiveness and Safety of Darunavir/Cobicistat (DRV/c) Containing Regimens in Routine Clinical Practice
NCT03042390 · start 2016-12-23
Registered record
- Registry ID
- NCT03042390
- Conditions
- HIV Infections
- Interventions
- Not recorded
- Study type
- OBSERVATIONAL
- Phase
- Not recorded
- Registry status
- Completed
- Start
- 2016-12-23
- Completion
- 2017-05-09
- Enrolment
- 762
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionHIV InfectionsInterventionNot recordedPhaseNot recordedRegistry statusCompletedABX464 in Fully Controlled HIV Infected Patients Treated With Boosted Protease Inhibitor Treatment
NCT02735863 · start 2016-05
Registered record
- Registry ID
- NCT02735863
- Conditions
- HIV Infection
- Interventions
- ABX464; Placebo
- Study type
- INTERVENTIONAL
- Phase
- Phase 2
- Registry status
- Completed
- Start
- 2016-05
- Completion
- 2018-01-11
- Enrolment
- 30
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionHIV InfectionInterventionABX464; PlaceboPhasePhase 2Registry statusCompletedHIV Drug Switch Followed by HCV Therapy in HIV-HCV Co-Infection
NCT02660905 · start 2016-04
Registered record
- Registry ID
- NCT02660905
- Conditions
- Human Immunodeficiency Virus; Hepatitis C, Chronic
- Interventions
- E/C/F/TAF; Ledipasvir-Sofosbuvir
- Study type
- INTERVENTIONAL
- Phase
- Phase 3
- Registry status
- Completed
- Start
- 2016-04
- Completion
- 2018-06
- Enrolment
- 25
As stored from ClinicalTrials.gov. Registration describes a study; it does not mean the study worked.
ConditionHuman Immunodeficiency Virus; Hepatitis C, ChronicInterventionE/C/F/TAF; Ledipasvir-SofosbuvirPhasePhase 3Registry statusCompleted