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Filmdragerad tablett 25 mg
(Vit till benvit, filmdragerad, rund, bikonvex tablett med en diameter på 6,4 mm märkt "TMC" på den ena sidan och "25" på den andra sidan.)

Antiviralt medel för systemisk användning, NNRTI

Aktiv substans:
ATC-kod: J05AG05
Läkemedel från Janssen omfattas av Läkemedelsförsäkringen.
  • Vad är miljöinformation?




Miljörisk: Användning av rilpivirin har bedömts medföra försumbar risk för miljöpåverkan.
Nedbrytning: Rilpivirin är potentiellt persistent.
Bioackumulering: Rilpivirin har låg potential att bioackumuleras.

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Detaljerad miljöinformation


The Predicted Environmental Concentration is calculated according to the following formula:

PEC (µg/L)


A x 109 x (100 - R) / 365 x P x V x D x 100


A (kg/year)


7.9167 (total sold amount API in the most recent sales data for Sweden (2019) was distributed by IQVIA/LIF in 2020)

R (%)


removal rate (due to loss by adsorption to sludge particles, by volatilization, hydrolysis or biodegradation)



0% (worst-case scenario: no removal)



number of inhabitants in Sweden (9 x 106)

V (L/day)


volume of waste water per capita and day



200 (ECHA default) [1]



factor for dilution of waste water by surface water flow



10 (ECHA default) [1]

PEC (µg/L)


0.001204977 µg/L


2.1 Ecotoxicological studies

2.1.1 Algae

Algal growth inhibition test with the green alga (Scenedesmus subspicatus) (OECD 201) [2]:

EγC50 72 h (yield) = > 0.022 mg/L

NOECγ (yield) = > 0.022 mg/L

ErC50 72 h (growth) = > 0.022 mg/L

NOECr (growth) = > 0.022 mg/L

The 72-hour NOEC was determined to be > 22 μg/L, since up to and including this test concentration the growth rate and yield of the algae after 72 hours were not significantly lower than in the solvent control.

2.1.2 Crustacean


No data available


Reproduction test with water-flea (Daphnia Magna) (OECD 211) [3]:

NOEC 21 days = > 0.032 mg/L

Rilpivirine had no toxic effects on survival and reproduction of Daphnia magna after the exposure period of 21 days up to the highest test concentration.

2.1.3 Fish


No data available


Fish early life stage test with Zebra fish (Brachydanio rerio) (OECD 210) [4]:

NOEC 28 days = > 0.020 mg/L

The NOEC was determined to be the test concentration of 20 μg/L, since up to and including this test concentration no toxic effect was observed on the eggs, larvae or fish. The overall LOEC was determined to be >20 μg/L. Thus Rilpivirine had no toxic effects on the early life stages of zebra fish up to its water solubility under the conditions of the test.

2.1.4 Other ecotoxicity data

Activated sludge respiration inhibition test (OECD 209) [5]:

EC50 3h = could not be calculated but were clearly higher than 1000 mg/L

NOEC 3h = > 1000 mg/L

Rilpivirine had no significant inhibitory effect (≤15%) on the respiration rate of activated sludge after the incubation period of 3 hours at the limit test concentration of 1000 mg/L.

2.2 Calculation of Predicted No Effect Concentration (PNEC)

PNEC (µg/l) = lowest NOEC/10, where 10 is the assessment factor used. NOEC for the species Zebra fish (Brachydanio rerio) of > 20 µg/L has been used for this calculation since it is the most sensitive of the three tested species.

PNEC = 20 µg/L / 10 = 2 µg/L

2.3 Environmental risk classification (PEC/PNEC ratio)

PEC/PNEC = 0.001204977/ 2 = 0.000602489 i.e. PEC/PNEC ≤ 0.1

Conclusion for environmental risk:

Use of Rilpivirine has been considered to result in insignificant environmental risk.


3.1 Biotic degradation

3.1.1 Ready biodegradation

No data available

3.1.2 Simulation study: Aerobic degradation in aquatic sediment systems:

Rilpivirine was investigated for its aerobic degradation in a 100-day aquatic sediment test, according to OECD 308 [8]:

The route and rate of degradation of Rilpivirine in two aquatic systems (river and pond) under aerobic conditions were investigated at 20 °C in the dark.

The rates of dissipation (DT50, DT90) of Rilpivirine from the water phase and the entire system were calculated using first order kinetics and the Origin calculation software. All calculated DT50 and DT90 values are summarised in the following table:

Bild 1

The majority of the radioactivity found in the sediments was extractable, with values up to 90.0% of applied radioactivity for the river and 89.7% for the pond system. Non-extractable residues accounted for up to 12.7% of applied radioactivity for the river and 14.4% for the pond system throughout the study. Organic matter fractionation of the bound residues showed that the majority of the radioactivity was associated with the insoluble fraction (humin).

Radioactive carbon dioxide increased slightly from day 28 onwards but not exceed a mean amount of 1.2% in both systems. No other organic volatile compounds were formed at any time point during the study (<0.1% of applied).

A few minor metabolites were formed in the sediments, but none individually exceeded 3% of the applied radioactivity in either aquatic system.

In aerobic aquatic systems, Rilpivirine rapidly dissipated from the water phase by adsorption to the sediment. Once in the sediment, Rilpivirine was only slowly degraded. Some 14CO2 production and the formation of bound residues were observed.

Conclusion for degradation:

Rilpivirine is potentially persistent.


4.1 Partition coefficient octanol/water

The partition coefficient octanol/water was determined using guideline OECD 123. [6]

Log Pow= 4.66 at 25°C using the slow stirring method.

pH = min/6.98 – max 8.76

4.2 Bioconcentration

The bioconcentration and depuration characteristics of Rilpivirine in the Rainbow trout (Oncorhynchus mykiss) in a flow through system were examined according to OECD 305 [7].

BCFlow dose = 137.2

BCFhigh dose = 125.6

The BCF –values indicate that Rilpivirine did not bioaccumulate in the rainbow trout.

Conclusion for bioaccumulation:

Rilpivirine has low potential for bioaccumulation.



Results for Rilpivirine


Half-life in freshwater: DT50 > 40 days
Half-life in sediment: DT50 > 120 days

DT50 total system
- river 307 days
- pond 321 days


BCF > 2000

BCFlow dose = 137.2

BCFhigh dose = 125.6


Chronic NOEC < 10 µg/L

NOEC algae = > 0.022 mg/L

NOEC daphnia = > 0.032 mg/L

NOEC fish = > 0,020 mg/l 

Conclusion for PBT-assessment:

Rilpivirine should not be regarded as PBT/vPvB substance.


  1. ECHA, European Chemicals Agency. 2008 Guidance on information requirements and chemical safety assessment. http://guidance.echa.europa.eu/docs/guidance_document/information_requirements_en.htm

  2. Höger S., TMC 278 (R278474): Toxicity to Scenedesmus subspicatus in a 72-Hour Algal Growth Inhibition Test (OECD 201); Harlan Laboratories Study B79356; JNJ Study RMD1020; December 10, 2008.

  3. Höger S., TMC 278 (R278474): Effect on Survival and Reproduction of Daphnia magna in a Semi-Static Test iver Three Weeks (OECD 211); Harlan Laboratories Study B79378; JNJ Study RMD1021; December 10, 2008.

  4. Peither A., TMC 278 (R278474): Toxic Effects to Zebra fish (Brachydanio rerio) in an Early Life Stage Toxicity Test (OECD 210); Harlan Laboratories Study B79391; JNJ Study RMD1022; January 9, 2009.

  5. Seyfried B., TMC 278 (R278474): Toxicity to Activated Sludge in a Respiration Inhibition Test (OECD 209); RCC Study Number B79345; JNJ Study RMD1019; October 20, 2008.

  6. Weissenfeld M., TMC278: Slow Stirring Method for the Determination of the Partition Coefficient (1-Octanol / Water) (OECD 123); Harlan Laboratories Study D29255; JNJ Study RMD1149; July 19, 2011.

  7. Burri R., Bioconcentration: flow-through fish test in the Rainbow trout (Oncorhynchus mykiss) (OECD 305); Harlan Laboratories Study B79413; JNJ Study RMD1023; February 20, 2009.

  8. Fahrbach M., Route and Rate of Degradation in Aerobic Aquatic Sediment Systems (OECD 308); Harlan Laboratories Study B79323; JNJ Study RMD1017; September 30, 2009.