Innoviva NDA for Gonorrhea Antibiotic Accepted by FDA
FDA has accepted for review an Innoviva Specialty Therapeutics NDA for zoliflodacin, an investigational first-in-class spiropyrimidinetrione oral antibiotic for treating uncomplicated gonorrhea in adults and pediatric patients 12 years and older. Innoviva says that if approved, zoliflodacin would be the first new antibiotic for treating gonorrhea in decades.
“The FDA’s acceptance of the zoliflodacin NDA is based on the totality of data collected from several clinical trials as part of an innovative public-private partnership with GARDP [Global Antibiotic Research & Development Partnership],” the company says. It includes data from a pivotal Phase 3 clinical trial, which demonstrated non-inferiority in achieving microbiological cure at the urogenital site of infection of a single oral dose of zoliflodacin compared to a treatment regimen of a single intramuscular injection of 500mg ceftriaxone followed by 1g of oral azithromycin, Innoviva says. The study also showed that zoliflodacin was generally well-tolerated, with no serious adverse events or deaths reported during the trial, it adds.
“Zoliflodacin has a unique mechanism of action, inhibiting a crucial bacterial enzyme called type II topoisomerase, which is essential for bacterial function and reproduction,” Innoviva says. “In vitro studies have demonstrated its activity against multidrug-resistant strains of Neisseria gonorrhoeae, including those resistant to ceftriaxone and azithromycin, with no cross-resistance to other antibiotics.”