Table 1 Loss on R&D investment from antibiotic new molecular entity projects at small companies with FDA-approved products in recent years.

From: Changes in revenues associated with antimicrobial reimbursement reforms in Germany

Company

Location of headquarters

Current status as of April 2024

Date of first FDA antibiotic approval

FDA-approved product

Accumulated deficit as of first FDA antibiotic approval

Market cap (calculated on April 8, 2024) or acquisition price

Achaogen

USA

Bankrupt on 4/15/2019; has ceased operations

6/25/2018

Plazomicin (Zemdri)

$420,067,000

n/a

Entasis

USA

Now Innoviva

5/23/2023

Sulbactam/durlobactam (Xacduro)

$170,046,000

$113,000,000

Melinta

USA

Bankrupt on 12/27/2019; now a part of Deerfield

6/19/2017

Delafloxacin (Baxdela)

$459,871,000

n/a

Nabriva

Austria

Ceased operations from 1/6/2023

8/19/2019

Lefamulin (Xenleta)

$393,978,000

$n/a

Paratek

USA

Now a part of Novo Holdings

10/2/2018

Omadacycline (Nuzyra)

$559,677,000

$462,000,000

Seres

USA

Active, but announced 41% reduction in force on Nov. 2, 2023

4/26/2023

Fecal microbiota spores, live-BRPK (Vowst)

$935,685,000

$110,871,000

Tetraphase

USA

Now La Jolla

8/27/2018

Eravacycline (Xerava)

$493,002,000

$43,000,000

    

Totals

$3,432,326,000

$728,871,000

     

Net Loss to Date

$2,703,455,000

  1. Sources: Current status is based on company press releases and news articles (Achaogen Inc., 2019; Innoviva Inc., 2022; Nabriva Therapeutics, 2023; Paratek Pharmaceuticals Inc., 2023; Reuters, 2019; Seres Therapeutics, 2023; US SEC, 2020).
  2. Date of FDA approvals is from FDA (US FDA, 2017, 2018c, 2018b, 2018a, 2019, 2023a, 2023b).
  3. Deficits are from financial reports submitted to the Securities and Exchange Commission from the quarter prior to the approval in question (US SEC, 2017, 2018a, 2018c, 2018b, 2019, 2023a, 2023b).
  4. Market Cap and acquisition information comes from press releases and Yahoo Finance as of April 8, 2024 (Achaogen Inc., 2019; Innoviva Inc., 2022; Paratek Pharmaceuticals Inc., 2023; Reuters, 2019; US SEC, 2020; Yahoo Finance, 2024).