Drug intelligence / Profile preview

rilpivirine + omeprazole

Development stage
Unknown
Lead developer
Janssen Pharmaceutical
Modality
Small Molecules
Administration
Oral
01

Overview

Rilpivirine (TMC278) is a next-generation non-nucleoside reverse transcriptase inhibitor (NNRTI) developed for the treatment of HIV-1 infection. It acts by inhibiting the reverse transcriptase enzyme of HIV-1, thereby preventing viral replication. Omeprazole is a proton pump inhibitor used to reduce gastric acid secretion in conditions such as gastroesophageal reflux disease (GERD), peptic ulcer disease, and Zollinger-Ellison syndrome. When co-administered with rilpivirine (TMC278), omeprazole significantly reduces the plasma concentration of rilpivirine due to increased gastric pH affecting its absorption. This interaction can compromise the efficacy of rilpivirine in treating HIV-1 infection[3][7]. Rilpivirine is primarily developed by Janssen Pharmaceuticals; omeprazole was originally developed by AstraZeneca.

Brand names
EvipleraEdurantPriLOSECZegerid
Other names
TMC278 + omeprazole
02

Targets

Human immunodeficiency virus type 1 reverse transcriptaseATP4A (Potassium–transporting ATPase alpha chain 1)

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