Drugs / Zidebactam
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Zidebactam

also known as WCK 5107 · ZID

Small molecule

Developed for
acute pyelonephritis
Investigated by
Wockhardt · Quintiles, Inc. · Clinartis · Covance · Eric Solutions LLC · Medpace, Inc.
+1 more · National Institute of Allergy and Infectious Diseases (NIAID)

Regulatory milestones approvals, filings & regulatory actions · 4 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed gram-negative bacterial infections 2 milestones
Filed US (FDA) Zidebactam/Cefepime gram-negative bacterial infections —

“A New Drug Application (NDA) in the United States and a Marketing Authorisation Application (MAA) in the European Union for Zidebactam/Cefepime have already been submitted” wockhardt.com ↗

Filed EU (EMA) Zidebactam/Cefepime gram-negative bacterial infections —

“A New Drug Application (NDA) in the United States and a Marketing Authorisation Application (MAA) in the European Union for Zidebactam/Cefepime have already been submitted” wockhardt.com ↗

Approved Indication not stated 2 milestones
Approved US (FDA) ZAYNICH — 2026-05-29 fda.gov ↗
Filed Other ZAYNICH — —

“ZAYNICH® (Zidebactam/Cefepime, WCK 5222) Filed for approval in India in March 2025” wockhardt.com ↗

Trials 9

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 17 trials
Phase 1 NCT06806995 Jan → Feb 2025 pseudohypoparathyroidism type 1A Wockhardt Completed No outcome recorded
Phase 1 NCT05645757 Apr → Nov 2023 bacterial infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT07247942 Dec 2017 → Jan 2018 — Wockhardt Completed No outcome recorded
Phase 1 NCT03630094 Mar → Jun 2017 pseudohypoparathyroidism type 1A Wockhardt Completed No outcome recorded
Phase 1 NCT02942810 Oct 2016 → Apr 2017 impaired renal function disease Wockhardt Completed No outcome recorded
Phase 1 NCT02674347 Feb → Apr 2016 — Wockhardt Completed No outcome recorded
Phase 1 NCT02532140 Aug → Nov 2015 — Wockhardt Completed No outcome recorded
Phase 21 trial
Phase 2 NCT07840105 Sep 2026 → Sep 2027 expected acute pyelonephritis Wockhardt Not yet recruiting No outcome recorded
Phase 31 trial · 1 met primary
Phase 3 NCT04979806 Aug 2022 → Nov 2024 acute pyelonephritis Wockhardt Completed Met primary
Comparator or background therapy1 trial
Phase 1 NCT02707107 Comparator Mar → Apr 2016 gram-negative bacterial infections Wockhardt Completed No outcome recorded

News releases announcing trial results or a regulatory action · 13

DateIssuerRelease
2026-05-30 Wockhardt Regulatory Wockhardt Receives U.S. FDA Approval for ZAYNICH™ (cefepime and zidebactam), a Novel Intravenous Antibiotic for the Treatment of Adult Patients with Complicated Urinary Tract Infection Including Pyelonephritis wockhardt.com ↗
Wockhardt today announced that the U.S. Food and Drug Administration (FDA) has approved Z AYNICH™ (cefepime and zidebactam), a novel intravenous antibiotic for the treatment of adults with complicated urinary tract infections (cUTI), including pyelonephritis, caused by susceptible Gram-negative pathogens.
2026-05-28 Wockhardt Regulatory Indian drug regulator grants marketing authorization to Wockhardt’s breakthrough antibiotic, ZAYNICH® (Zidebactam/ Cefepime), for treatment of complicated urinary tract infections including pyelonephritis with concurrent Gram – negative bacteremia wockhardt.com ↗
Wockhardt Ltd. today announced that the Central Drugs Standard Control Organisation (CDSCO) has granted authorization for the import and marketing of its indigenously discovered and developed, first-in-class breakthrough antibiotic, Zaynich® (Zidebactam / Cefepime) in India.
2026-03-30 Wockhardt Regulatory Wockhardt’s Zaynich ® (Zidebactam/Cefepime) Receives Favourable Recommendation from CDSCO’s Subject Expert Committee for Treatment of Gram – Negative Infections wockhardt.com ↗
The Subject Expert Committee (SEC) of the Central Drugs Standard Control Organization (CDSCO), has granted a favourable recommendation for marketing permission of Wockhardt’s novel antibiotic, Zaynich ® (Zidebactam/Cefepime), for the treatment of Gram -negative infections.
2025-10-01 Wockhardt Regulatory Wockhardt Submits New Drug Application to U.S. FDA for Zidebactam – Cefepime (WCK 5222) for Treatment of Serious Gram – Negative Infections wockhardt.com ↗
Wockhardt today announced the submission of New Drug Application ( NDA) to the U.S. Food and Drug Administration (US FDA) for its novel antibacterial agent Zidebactam-Cefepime injection (WCK 5222, ZAYNICH ).
2025-07-28 Wockhardt Results Leading U.K. Medical Journal publishes a Complex Case of Severe Pan – drug Resistant Infection in U.S. Liver Transplant Patient Successfully Treated with Zaynich ® (Zidebactam/Cefepime, WCK 5222) wockhardt.com ↗
The publication details the successful use of Zaynich ®, a combination of Zidebactam and Cefepime, in treating a critically ill U.S. liver transplant patient suffering from a pan-drug resistant infection—an infection resistant to all available antibiotics in the United States.
2025-04-01 Wockhardt Results Paediatric US Cancer Patient with Recalcitrant Blood and Liver Infection Successfully Treated with Zaynich™ (Zidebactam/Cefepime, WCK 5222) wockhardt.com ↗
Following the approval, the patient was treated with Zaynich™ for 41 days, resulting in the successful resolution of the infection and a stabilization of the patient's clinical condition.
2025-01-31 Wockhardt Results Wockhardt’s Zaynich® (Zidebactam/Cefepime, WCK 5222) achieves highest – ever efficacy meeting superiority in a global, pivotal, registration – enabling Phase III study in complicated urinary tract infection (cUTI) achieving 96.8% clinical cure rate wockhardt.com ↗
With respect to clinical cure, Zaynich ® achieved 96.8% efficacy.
2025-01-13 Wockhardt Results Zaynich® (Zidebactam/Cefepime, WCK 5222) achieves over 97% Efficacy in Clinical Study for serious infections caused by Meropenem – Resistant Gram – Negative Pathogens wockhardt.com ↗
2024-12-16 Wockhardt Results Zaynich™ (Zidebactam/Cefepime, WCK 5222) enables US cancer patient undergo successful liver transplant and resume chemotherapy by eradicating dual extreme – drug resistant Gram negative pathogens wockhardt.com ↗
15 days of treat ment with Zaynich ™ helped control infectious processes and cleared the way for the transplant in this patient.
2024-10-07 Wockhardt Regulatory Wockhardt’s another breakthrough antibiotic: once a – day β – lactam enhancer, WCK 6777 with unique out – patient treatment advantage granted Fast Track designation by US FDA and successfully completes Phase I study conducted by National Institutes of Health, US wockhardt.com ↗
Additionally, recognizing its potential to meet significant unmet medical needs, the US FDA has recently granted Fast Track designation to WCK 6777 for the treatment of complicated urinary tract infections (cUTI), including pyelonephritis, and complicated intra-abdominal infections (cIAI).
2024-09-19 Wockhardt Results Wockhardt’s Investigational Drug, Zaynich™ (Zidebactam/Cefepime) cures complex case of meningitis caused by pan – drug resistant super – bug under compassionate use wockhardt.com ↗
This represents the first case of nosocomial meningitis caused by multidrug -resistant Pseudomonas successfully treated with Zidebactam/Cefepime, underscoring its potential as a valuable therapeutic option.
2024-06-28 Wockhardt Results Successful Use of Investigational Antibiotic, Zaynich (Zidebactam/Cefepime WCK 5222) to Treat a Cancer Patient in US with Chronic Bilateral Thigh Infection Caused by an Extreme Drug Resistant Pseudomonas wockhardt.com ↗
This case marks the first instance in the US where Zaynich (Zidebactam/Cefepime- WCK 5222) has been employed to combat a complex infection caused by extreme-drug resistant Pseudomonas.

All press releases naming this drug 14 releases

DateIssuerRelease

Evidence & citations 6 cited values

Every value below carries the sentence it was read from. 10 sources stand behind the page.

FieldValueCited text
Known as zidebactam “A Single-center, Open-label, Study Evaluating Safety and Pharmacokinetics of Single Doses of Zidebactam-Cefepime and Metronidazole Alone or in Combination Utilizing a 3-Period,...” NCT06806995 ↗
8

“WCK 5222 is a novel β-lactam-β-lactam-enhancer combination of cefepime (FEP) and zidebactam (ZID).” PMID 30397067 ↗ Dec 2018

“3 g of zidebactam (1 g q8h) and 6 g of cefepime (2 g q8h) or 6” NCT02707107 ↗

“WCK 5222 (Cefepime and Zidebactam)” NCT03630094 ↗

NCT07840105 ↗

NCT02674347 ↗

NCT07247942 ↗

NCT04979806 ↗

NCT05645757 ↗

Known as WCK 5107 “Study of the Metabolism and Excretion of Zidebactam (WCK 5107) Following a Single Intravenous Infusion.” NCT07247942 ↗
1

NCT02532140 ↗

Known as ZID “WCK 5222 is a novel β-lactam-β-lactam-enhancer combination of cefepime (FEP) and zidebactam (ZID).” PMID 30397067 ↗ Dec 2018
Action Inhibit “A betaß-lactamase inhibitor and betaß-lactam enhancer from the diazabicyclooctane (DBO) class” NCT05645757 ↗
Modality Small molecule “A betaß-lactamase inhibitor and betaß-lactam enhancer from the diazabicyclooctane (DBO) class” NCT05645757 ↗
Route Intravenous “single intravenous doses of WCK 5107 alone and in combination with cefepime” NCT02532140 ↗