New rifabutin-based drugs to fight drug-resistant tuberculosis

C25-modified rifabutin analogs as a novel medicinal chemistry strategy to overcome drug-resistant tuberculosis

NIH-funded research Hackensack University Medical Center · NIH-11231250

Developing new rifabutin-style antibiotics to help people with tuberculosis that no longer responds to standard treatments, including those living with HIV.

Quick facts

Grant typeR21 grant
Study typeNIH-funded research
Funding institutionHackensack University Medical Center NIH-funded
Lab location1 site (Hackensack, United States)
Project IDNIH-11231250 on NIH RePORTER

What this research studies

Researchers redesigned the antibiotic rifabutin and made about 150 new versions in the lab. Some of these new compounds work much better against tuberculosis bacteria that are resistant to current drugs. The team also focused on changes that may reduce interactions with HIV medicines, which is important for people living with HIV. These findings are at the preclinical stage and would need safety and human testing before becoming a treatment option.

Who could benefit from this research

Good fit: People with rifampicin-resistant or multidrug-resistant tuberculosis, especially those who are also living with HIV, would be the primary candidates for future testing of these drugs.

Not a fit: People whose TB responds well to standard first-line treatments or those with non-tuberculosis respiratory infections are unlikely to benefit from these new rifabutin analogs.

Why it matters

Potential benefit: If successful, this work could lead to new TB medicines that treat drug-resistant infections and are safer to use with HIV therapies.

How similar studies have performed: Rifabutin and other rifamycins are established TB drugs, but the specific C25-modified rifabutin analogs showing 10–200× greater activity against resistant strains are a novel and as-yet-untested approach in patients.

Where this research is happening

Hackensack, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Acquired Immune Deficiency Syndrome VirusAcquired Immunodeficiency Syndrome Virus
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.