GSK Plans NDA for Antibiotic Gepotidacin

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GSK says it will submit an NDA by 6/30 for antibiotic gepotidacin and its use in treating uncomplicated urinary tract infections (uUTI) in female adults and adolescents. The submission will be based on “positive results” from the pivotal EAGLE-2 and EAGLE-3 Phase 3 trials that were stopped early for efficacy late last year based on a recommendation from an independent data monitoring committee, the company says.

In the studies, “gepotidacin demonstrated non-inferiority to nitrofurantoin, an existing first-line treatment for uUTI, in patients with a confirmed uUTI and a uropathogen susceptible to nitrofurantoin,” GSK says. “Additionally, in the EAGLE-3 phase 3 trial, gepotidacin demonstrated statistically significant superiority versus nitrofurantoin.” The most common reported adverse events in patients taking gepotidacin were gastrointestinal-related.

GSK describes gepotidacin as a first-in-class triazaacenaphthylene antibiotic that “inhibits bacterial DNA replication by a novel mechanism of action and binding site and provides well-balanced inhibition of two different Type II topoisomerase enzymes. This provides activity against most strains of target uropathogens, such as E. coli and Staphylococcus saprophyticus, including isolates resistant to current antibiotics.”

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