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Cavosonstat + rifampin is a combination of two drugs: cavosonstat (N91115), an orally bioavailable small molecule inhibitor of S-nitrosoglutathione reductase (GSNOR) designed to promote cystic fibrosis transmembrane conductance regulator (CFTR) protein maturation and stability, and rifampin, a well-known antibiotic that acts as a bacterial RNA polymerase inhibitor. Cavosonstat was primarily developed for cystic fibrosis and tested in clinical trials for its ability to restore GSNO levels by inhibiting GSNOR, thus stabilizing CFTR function. Rifampin is commonly used for treating tuberculosis and other bacterial infections. Studies indicate that cavosonstat’s pharmacokinetics were not significantly affected by rifampin-mediated effects on metabolism and transport. Cavosonstat development for cystic fibrosis was discontinued after failing to meet efficacy endpoints in Phase 2 clinical trials[1][3][4][5].
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