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First antibiotic in 50 years to tackle superbug in final testing

  • Swiss pharmaceutical company Roche is advancing zosurabalpin, a new antibiotic, into late-stage human trials in late 2025 or early 2026 targeting drug-resistant Acinetobacter baumannii infections.
  • This move follows decades of stalled antibiotic development due to rising antimicrobial resistance and the urgent need to combat pathogens like Acinetobacter, categorized by WHO and CDC as a high-priority threat.
  • Zosurabalpin works by inhibiting the bacterial outer membrane's lipopolysaccharide transport, disrupting the survival of Gram-negative superbugs responsible for fatal infections in hospitalized, often immunocompromised patients.
  • The phase 3 trial will enroll about 400 patients with carbapenem-resistant Acinetobacter baumannii, with Roche's infectious diseases head calling it “a new way to attack a bacterium” and a foundation for future antibiotic innovation.
  • If successful, zosurabalpin could be the first new antibiotic class in 50 years to combat this deadly superbug, offering hope to reduce antimicrobial deaths and stimulate further drug development in a challenging market.
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Financial Times broke the news in London, United Kingdom on Monday, May 26, 2025.
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