Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Rilpivirine
Drug ID BADD_D01940
Description Rilpivirine is non-nucleoside reverse transcriptase inhibitor (NNRTI) which is used for the treatment of HIV-1 infections in treatment-naive patients.[A31328] It is a diarylpyrimidine derivative.[A31329] The internal conformational flexibility of rilpivirine and the plasticity of it interacting binding site gives it a very high potency and reduces the chance of resistance compared to other NNRTI's.[A31331] Rilpivirine was developed by Tilbotec, Inc. and FDA approved on May 20, 2011.[L1030] On November 21, 2017, Rilpivirine, in combination with [dolutegravir], was approved as part of the first complete treatment regimen with only two drugs for the treatment of adults with HIV-1 named Juluca.[L1031] Rilpivirine in combination with [cabotegravir] was granted FDA approval on 21 January 2021.[L31193]
Indications and Usage Rilpivirine, in combination with other agents, is indicated for the treatment of HIV-1 infections in antiretroviral treatment-naive patients with HIV-1 RNA ≤100,000 copies/mL and CD4+ cell count >200 cells/mm3.[L1030] The FDA combination therapy approval of rilpivirine and dolutegravir is indicated for adults with HIV-1 infections whose virus is currently suppressed (< 50 copies/ml) on a stable regimen for at least six months, without history of treatment failure and no known substitutions associated to resistance to any of the two components of the therapy.[L1031]
Marketing Status Prescription
ATC Code J05AG05
DrugBank ID DB08864
KEGG ID D09720
MeSH ID D000068696
PubChem ID 6451164
TTD Drug ID D0T6WN
NDC Product Code 12578-622
Synonyms Rilpivirine | Rilpivirine Hydrochloride | Hydrochloride, Rilpivirine | Rilpivirine HCl | HCl, Rilpivirine | R278474 | TMC 278 | 278, TMC | TMC278 | TMC-278
Chemical Information
Molecular Formula C22H18N6
CAS Registry Number 500287-72-9
SMILES CC1=CC(=CC(=C1NC2=NC(=NC=C2)NC3=CC=C(C=C3)C#N)C)C=CC#N
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Not AvailableNot AvailableNot AvailableNot AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Abdominal discomfort07.01.06.001--Not Available
Abdominal pain07.01.05.002--
Abdominal pain upper07.01.05.0030.001447%
Abnormal dreams19.02.03.001; 17.15.02.001--Not Available
Abortion spontaneous18.01.04.0010.003617%Not Available
Acute psychosis19.03.01.0010.001447%Not Available
Adrenal insufficiency14.11.01.004; 05.01.02.0010.001447%
Alanine aminotransferase increased13.03.01.003--
Anxiety19.06.02.002--
Appendicitis07.19.01.001; 11.01.07.0010.001447%
Arthralgia15.01.02.0010.004340%
Aspartate aminotransferase increased13.03.01.006--
Asthenia08.01.01.0010.002170%Not Available
Basedow's disease10.04.08.004; 06.09.04.003; 05.02.02.003--Not Available
Blood bilirubin increased13.03.01.008--
Blood cholesterol increased13.12.01.002--
Blood creatinine increased13.13.01.004--
Breast enlargement21.05.04.001--Not Available
Burning sensation17.02.06.001; 08.01.09.0290.002170%Not Available
Cerebellar syndrome17.02.02.0020.001447%Not Available
Chest discomfort22.02.08.001; 08.01.08.019; 02.02.02.0090.002170%Not Available
Cholecystitis09.03.01.001--
Cholelithiasis09.03.01.002--Not Available
Cough22.02.03.0010.001447%
Depressed mood19.15.02.001--Not Available
Depression19.15.01.0010.002893%
Dermatitis23.03.04.002--Not Available
Diabetes insipidus14.05.07.003; 05.03.03.0040.002170%Not Available
Diarrhoea07.02.01.001--
Dizziness02.01.02.004; 24.06.02.007; 17.02.05.0030.004340%
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