Repositioning Candidate Details

Candidate ID: R0654
Source ID: DB04934
Source Type: investigational
Compound Type: small molecule
Compound Name: Rifalazil
Synonyms: 3'-hydroxy-5'-(4-isobutyl-1-piperazinyl)benzoxazinorifamycin; Rifalazil
Molecular Formula: C51H64N4O13
SMILES: CO[C@H]1\C=C\O[C@@]2(C)OC3=C(C)C(O)=C4C(=O)C(NC(=O)\C(C)=C/C=C/[C@H](C)[C@H](O)[C@@H](C)[C@@H](O)[C@@H](C)[C@H](OC(C)=O)[C@@H]1C)=C1OC5=CC(=CC(O)=C5N=C1C4=C3C2=O)N1CCN(CC(C)C)CC1
Structure:
DrugBank Description: Rifalazil is a derivative of the antibiotic rifamycin. It is being investigated by ActivBiotics for the treatment of various bacterial infections.
CAS Number: 129791-92-0
Molecular Weight: 941.088
DrugBank Indication: Investigated for use/treatment in atherosclerosis, bacterial infection, and peripheral vascular disease.
DrugBank Pharmacology: Rifalazil represents a new generation of ansamycins that contain a unique four-ring structure. Originally rifalazil was developed as a therapeutic agent to replace rifampin as part of a multiple drug regimen in the treatment of tuberculosis. As a result of its superior antimicrobial activity and high intracellular levels, rifalazil has potential to treat indications caused by the intracellular pathogen, <i>Chlamydia trachomatis</i>, which causes non-gonococcal urethritis and cervicitis, often leading to pelvic inflammatory disease. Rifalazil also has potential to treat the related microorganism, <i>Chlamydia pneumoniae</i>, which may be involved in chronic inflammatory processes thought to be partly responsible for atherosclerosis. Due to its favourable antimicrobial spectrum and other positive attributes, rifalazil may also prove valuable in the treatment of gastric ulcer disease, caused by <i>Helicobacter pylori</i>, and antibiotic-associated colitis, the result of toxin production following the growth of <i>Clostridium difficile</i> in the colon. The potential value of rifalazil in the treatment of these indications will be assessed in human clinical trials.
DrugBank MoA: The potent antimycobacterial activity of rifalazil is due to inhibition of bacterial RNA polymerase.
Targets: DNA-directed RNA polymerase subunit beta
Inclusion Criteria: Therapeutic strategy associated