Table 6 β-Lactam/β-lactamase inhibitor (BL/BLI) combinations in clinical trials or submitted for regulatory approval (structures in Figs. 1113)

From: Antibiotics in the clinical pipeline as of December 2022

Name (synonym)a

Compound (lead source)

Administration; indication (developer)

NDA/MAA

 durlobactam (ETX2514) (60) + sulbactam (61)

DBO BLI (S)b + clavulanic acid (NP)

IV; MDR Acinetobacter infections (Innoviva)

Phase-III

 taniborbactam (62) (VNRX-5133) + cefepime (41)

bicyclic boronate BLI (S) + cephalosporin (NP)

IV; cUTI (VenatoRx Pharmaceuticals)

 enmetazobactam (63) (AAI 101) + cefepime (41)

clavulanic acid (NP) + cephalosporin (NP)

IV; UTI (Allecra Therapeutics)

 zidebactam (64) + cefepime (41)

DBO BLI (S)b & PBP2 + cephalosporin (NP)

IV; G-ve (Wockhardt)

Phase-I

 nacubactam (65) (OP0595) + meropenem (66)

DBO BLI (S)b + carbapenem (NP)

IV; G-ve (NacuGen Therapeutics)

 xeruborbactam (67) (QPX7728) + QPX2014cQPX7831 (68) (prodrug) + QPX2015c

bicyclic boronate BLI (S) + BL (NP)

IV/pod; G-ve (Qpex Biopharma)

 ETX0282 (69) (prodrug) + cefpodoxime proxetil (70) (prodrug); ETX1317 (71) + cefpodoxime (72)

DBO BLI (S)b + cephalosporin (NP)

po; G-ve, UTI (Innoviva/CARB-X)

 ledaborbactam etzadroxil (73) (prodrug, VNRX-7145) + ceftibuten (74); ledaborbactam (75)

bicyclic boronate BLI (S) + cephalosporin (NP)

po; G-ve (VenatoRx Pharmaceuticals)

 funobactam (XNW-4107) (76) + imipenem (77) + cilastatin (78)

DBO BLI (S) + carbapenem (NP)

IV; G-ve (Sinovent/Evopoint Biosciences)

 PF-07612577 (CTB + AVP) [AVP (79) (prodrug, PF-07338233, ARX-006, ARX-1796) + ceftibuten (74) (PF-06264006)]

avibactam (80) DBO prodrug (S) + cephalosporin (NP)

po; G-ve (Pfizer)

  1. BL β-lactam, BLI β-lactamase inhibitor, cUTI complicated urinary tract infections, G-ve Gram-negative, IV intravenous, NP natural product, MDR multi-drug resistant, po per orem (oral), S synthetic, UTI urinary tract infections
  2. aCompounds with new pharmacophores are underlined
  3. bThese DBO BLIs also have activity against selected Enterobacteriaceae
  4. cStructures not publicly disclosed
  5. dXeruborbactam (67) is administered IV and its prodrug QPX7831 (68) is administered po, but this is counted once as IV/po in Tables S1 and S2