Drugs / Probenecid
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Probenecid

Small molecule targets PANX1, SLC22A11, SLC22A6, SLC22A8, TRPV2 via inhibition / activation

Developed for
acute pyelonephritis · alcohol-related disorders · hypertensive disorder · impaired renal function disease · autosomal dominant polycystic kidney disease · cancer of unknown primary site · cellulitis · chondrocalcinosis
+12 more · COVID-19 · cystitis · focal epilepsy · Fontan-associated liver disease · infectious peritonitis · male infertility · nephrogenic diabetes insipidus · systolic heart failure · traumatic brain injury · urinary tract infection · heart failure · substance withdrawal syndrome
Investigated by
Iterum Therapeutics, International Limited · National Institutes of Health (NIH) · Boehringer Ingelheim · National Institute of Allergy and Infectious Diseases (NIAID) · TrippBio, Inc. · Brown University
+50 more · Pfizer · Akebia Therapeutics · American Heart Association · Atea Pharmaceuticals, Inc. · Baylor University · Brigham and Women's Hospital · Brooke Army Medical Center · CSPC ZhongQi Pharmaceutical Technology Co., Ltd. · Central South University · Children's Hospital Medical Center, Cincinnati · Congressionally Directed Medical Research Programs · Daiichi Sankyo · Eli Lilly and Company · Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) · Fondation Ophtalmologique Adolphe de Rothschild · Guangdong Raynovent Biotech Co., Ltd · Haisco Pharmaceutical Group Co., Ltd. · Imperial College London · Incyte Corporation · Indiana University · Janssen-Cilag International NV · Jiangsu vcare pharmaceutical technology co., LTD · Jim McAuley · Johnson & Johnson Pharmaceutical Research & Development, L.L.C. · Mahidol University · Mayo Clinic · Memorial Sloan Kettering Cancer Center · Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany · Merck Sharp & Dohme LLC · National Cancer Institute (NCI) · National Heart, Lung, and Blood Institute (NHLBI) · National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) · National Institute of General Medical Sciences (NIGMS) · National Institute of Neurological Disorders and Stroke (NINDS) · Novo Nordisk A/S · Otsuka America Pharmaceutical · Parexel · Southeast Asia Influenza Clinical Research Network · Sunshine Lake Pharma Co., Ltd. · Theracos · US Department of Veterans Affairs · University of British Columbia · University of Cincinnati · University of Maryland, Baltimore · University of Miami · University of Pittsburgh · VA Office of Research and Development · VIVUS LLC · VistaGen Therapeutics, Inc. · Washington State University

Regulatory milestones approvals, filings & regulatory actions · 4 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed urinary tract infection 3 milestones
Filed US (FDA) — urinary tract infection 2024-04-29

“today announced that it has resubmitted its New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) for sulopenem etzadroxil/probenecid” iterumtx.com ↗

Rejected (CRL) US (FDA) — urinary tract infection 2021-07-23

“received a Complete Response Letter (CRL) from the U.S. Food and Drug Administration (FDA) for its New Drug Application (NDA) for sulopenem etzadroxil/probenecid” iterumtx.com ↗

Filed US (FDA) — urinary tract infection 2020-11-30

“submitted its New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) for sulopenem etzadroxil/probenecid (oral sulopenem) for the treatment of uncomplicated...” iterumtx.com ↗

Approved Indication not stated 1 milestone
Approved US (FDA) BENEMID — 1951-04-26 fda.gov ↗

Trials 53

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 03 trials · 1 missed
Phase 0 NCT05365451 Apr 2022 → Jul 2023 — Washington State University Completed No outcome recorded
Phase 0 NCT03202511 Jun 2017 → Jul 2018 — Indiana University Completed Missed primary
Phase 0 NCT02243631 Oct 2014 → Apr 2021 chondrocalcinosis VA Office of Research and Development Completed No outcome recorded
Phase 130 trials
Phase 1 NCT07840612 Sep → Nov 2026 expected — Merck Healthcare KGaA, Darmstadt, Germany, an affiliate of Merck KGaA, Darmstadt, Germany Recruiting No outcome recorded
Phase 1 NCT07796191 Sep → Nov 2026 expected — Jiangsu vcare pharmaceutical technology co., LTD Not yet recruiting No outcome recorded
Phase 1 NCT07661108 Jun → Oct 2026 expected — Merck Sharp & Dohme LLC Active not recruiting No outcome recorded
Phase 1 NCT07092813 Apr → Oct 2026 expected — Iterum Therapeutics, International Limited Recruiting No outcome recorded
Phase 1 NCT07160738 Sep → Nov 2025 — Pfizer Completed No outcome recorded
Phase 1 NCT06647810 Nov → Dec 2024 — Boehringer Ingelheim Completed No outcome recorded
Phase 1 NCT06025344 Sep 2024 — TrippBio, Inc. Completed No outcome recorded
Phase 1 NCT06025318 Sep 2024 — TrippBio, Inc. Completed No outcome recorded
Phase 1 NCT06416800 Jun 2024 → Jan 2025 — Incyte Corporation Completed No outcome recorded
Phase 1 NCT05954624 Jul → Nov 2023 — Guangdong Raynovent Biotech Co., Ltd Completed No outcome recorded
Phase 1/22 trials
Phase 1/2 NCT05082909 Dec 2021 → Jul 2022 bacterial infectious disease Imperial College London Completed No outcome recorded
Phase 1/2 NCT01322009 Mar 2011 → Dec 2013 traumatic brain injury University of Pittsburgh Completed No outcome recorded
Phase 26 trials
Phase 2 NCT07318870 Aug 2026 → Sep 2029 expected focal epilepsy Fondation Ophtalmologique Adolphe de Rothschild Recruiting No outcome recorded
Phase 2 NCT07118618 Mar 2026 → Dec 2030 expected alcohol-related disorders Brown University Recruiting No outcome recorded
Phase 2 NCT05190744 Sep 2022 → Dec 2025 autosomal dominant polycystic kidney disease, nephrogenic diabetes insipidus Mayo Clinic Completed No outcome recorded
Phase 2 NCT05442983 Jul → Sep 2022 COVID-19 TrippBio, Inc. Completed Mixed
Phase 2 NCT01814319 Mar 2013 → Jun 2015 systolic heart failure University of Cincinnati Completed No outcome recorded
Phase 2 NCT00288158 Sep 2008 → Jan 2011 hypertensive disorder, obesity disorder National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Completed No outcome recorded
Phase 34 trials · 1 met primary · 1 missed
Phase 3 NCT05903859 Jan 2024 → May 2027 expected male infertility University of Miami Recruiting No outcome recorded
Phase 3 NCT05584657 Oct 2022 → Nov 2023 cystitis, urinary tract infection Iterum Therapeutics, International Limited Completed Met primary
Phase 3 NCT01320722 Mar 2011 → May 2015 hypertensive disorder, impaired renal function disease, obesity disorder Brigham and Women's Hospital Completed Missed primary
Phase 3 NCT00323219 Jan 2004 → Dec 2012 cellulitis University of British Columbia Completed No outcome recorded
Phase 44 trials
Phase 4 NCT03965351 Mar 2017 → Jun 2020 Fontan-associated liver disease Children's Hospital Medical Center, Cincinnati Completed No outcome recorded
Phase 4 NCT01907373 Aug → Sep 2009 — Central South University Completed No outcome recorded
Phase 4 NCT00610532 Mar 2006 → Jun 2011 epilepsy Jim McAuley Terminated No outcome recorded
Phase 4 NCT00304434 Feb 2005 → Feb 2007 influenza US Department of Veterans Affairs Completed No outcome recorded
Phase not applicable3 trials
— NCT00690014 Aug 2006 → Apr 2007 kidney disorder University of Maryland, Baltimore Completed No outcome recorded
— NCT00000706 ? → Dec 1988 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
— NCT00000670 ? → Jul 1989 HIV infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase not stated1 trial
— NCT04682834 — acute pyelonephritis Iterum Therapeutics, International Limited No longer available No outcome recorded
Comparator or background therapy13 trials
Phase 1 NCT01816646 Background Sep 2013 → Dec 2016 disease related to hematopoietic stem cell transplant M.D. Anderson Cancer Center Completed No outcome recorded
Phase 1 NCT00000881 Background — HIV infectious disease, cytomegalovirus retinitis National Institute of Allergy and Infectious Diseases (NIAID) Withdrawn No outcome recorded
Phase 2 NCT04939623 Comparator Oct 2023 → Dec 2026 expected chronic pain syndrome, opiate dependence, substance withdrawal syndrome University of Calgary Recruiting No outcome recorded
Phase 2 NCT01029782 Comparator May 2010 → Oct 2014 cellulitis Kelowna General Hospital Completed No outcome recorded
Phase 2 NCT00002437 Background — HIV infectious disease, cytomegalovirus retinitis Gilead Sciences Completed No outcome recorded

News releases announcing trial results or a regulatory action · 16

DateIssuerRelease
2025-06-25 Iterum Therapeutics, International Limited Results Iterum Therapeutics Announces Publication of REASSURE Trial in NEJM Evidence iterumtx.com ↗
“We are very pleased that NEJM Evidence have published the results from the REASSURE trial,” said Corey Fishman, Iterum’s Chief Executive Officer.
2024-10-25 Iterum Therapeutics, International Limited Regulatory Iterum Therapeutics Receives U.S. FDA Approval of ORLYNVAH™ (Oral Sulopenem) for the Treatment of Uncomplicated Urinary Tract Infections iterumtx.com ↗
Iterum Therapeutics plc (Nasdaq: ITRM) (Iterum), today announced that the U.S. Food and Drug Administration (FDA) has approved Iterum’s new drug application for ORLYNVAH™ (sulopenem etzadroxil and probenecid) for the treatment of uncomplicated urinary tract infections (uUTIs) caused by the designated microorganisms Escherichia coli , Klebsiella pneumoniae , or Proteus mirabilis in adult women who have limited or no alternative oral antibacterial treatment options.
2024-06-21 Iterum Therapeutics, International Limited Regulatory Iterum Therapeutics Announces FDA Advisory Committee Meeting to discuss NDA for Oral Sulopenem for the treatment of Uncomplicated Urinary Tract Infections iterumtx.com ↗
The proposed date for the Advisory Committee meeting is September 9, 2024.
2024-05-31 Iterum Therapeutics, International Limited Regulatory Iterum Therapeutics Receives FDA Acceptance of Resubmission of NDA for Oral Sulopenem for the treatment of Uncomplicated Urinary Tract Infections iterumtx.com ↗
As a result, the FDA has assigned a PDUFA action date of October 25, 2024.
2024-04-29 Iterum Therapeutics, International Limited Regulatory Iterum Therapeutics Resubmits New Drug Application to U.S. Food and Drug Administration for Oral Sulopenem iterumtx.com ↗
today announced that it has resubmitted its New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) for sulopenem etzadroxil/probenecid (oral sulopenem) for the treatment of uncomplicated urinary tract infections (uUTIs) in adult women.
2024-01-30 Iterum Therapeutics, International Limited Results Iterum Therapeutics Announces Positive Topline Results from its Phase 3 REASSURE Clinical Trial of Oral Sulopenem in Uncomplicated Urinary Tract Infections iterumtx.com ↗
With the positive data from this trial, we plan to resubmit our New Drug Application (NDA) for oral sulopenem for the treatment of uUTI in the second quarter of 2024.
2023-08-03 TrippBio, Inc. Results TrippBio Announces Results of a Phase 2 Study of PanCytoVir™ in Patients with Mild-toModerate COVID-19 trippbio.com ↗
The median time to virologic clearance was significantly shorter for the PanCytoVir™ 1000 mg group than for placebo (7 days vs. 11 days, respectively; P<0.0001), and for the PanCytoVir™ 500 mg group versus placebo (9 days vs. 11 days, respectively; P<0.0001).
2022-07-11 Iterum Therapeutics, International Limited Regulatory Iterum Therapeutics Announces Special Protocol Assessment (SPA) Agreement With the FDA iterumtx.com ↗
2021-07-26 Iterum Therapeutics, International Limited Regulatory Iterum Therapeutics Receives Complete Response Letter from U.S. Food and Drug Administration for Oral Sulopenem iterumtx.com ↗
today announced that it received a Complete Response Letter (CRL) from the U.S. Food and Drug Administration (FDA) for its New Drug Application (NDA) for sulopenem etzadroxil/probenecid (oral sulopenem) on July 23, 2021.
2021-07-01 Iterum Therapeutics, International Limited Regulatory Iterum Therapeutics Provides Regulatory Update iterumtx.com ↗
Iterum Therapeutics plc (Nasdaq: ITRM) (the “Company”), a clinical-stage pharmaceutical company focused on developing next generation oral and IV antibiotics to treat infections caused by multi-drug resistant pathogens in both community and hospital settings, today announced that the Company received a letter from the U.S. Food and Drug Administration (“FDA”) stating that, as part of their ongoing review of the Company’s New Drug Application (“NDA”) for sulopenem etzadroxil/probenecid, the agency has identified deficiencies that preclude the continuation of the discussion of labeling and post marketing requirements/commitments at this time.
2021-01-25 Iterum Therapeutics, International Limited Regulatory Iterum Therapeutics Announces U.S. FDA Filing Acceptance of New Drug Application for Oral Sulopenem iterumtx.com ↗
today announced that the U.S. Food and Drug Administration (FDA) accepted for review the New Drug Application (NDA) for sulopenem etzadroxil/probenecid (oral sulopenem) for the treatment of uncomplicated urinary tract infections (uUTIs) in patients with a quinolone non-susceptible pathogen.
2020-11-30 Iterum Therapeutics, International Limited Regulatory Iterum Therapeutics Submits New Drug Application to U.S. Food and Drug Administration for Oral Sulopenem iterumtx.com ↗
today announced that it has submitted its New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) for sulopenem etzadroxil/probenecid (oral sulopenem)

All press releases naming this drug 22 releases

DateIssuerRelease

Evidence & citations 26 cited values

Every value below carries the sentence it was read from. 69 sources stand behind the page.

FieldValueCited text
Known as Probenecid “The medical intervention consists of intravenous dexamethasone (10 mg if bodyweight \< 70 kilograms, 20 mg if bodyweight \> 70 kilograms), intravenous cefazolin 2 grams,...” NCT04998513 ↗
65

“Objective: To compare 400 mg of oral moxifloxacin (Oral Group) once daily to 2 grams of IV cefazolin and 1 gram of oral probenecid once daily (IV group) for the treatment of...” NCT00323219 ↗

“The following day, patients will receive a single dose of 500 mg of sulopenem etzadroxil and 500 mg of probenecid given orally as a bilayer tablet.” NCT04700787 ↗

“Subjects will receive a single oral dose of probenecid oral suspension (100 mg/mL) under fed and fasted conditions.” NCT06025318 ↗

“Probenecid (PB)” NCT05190744 ↗

NCT00304434 ↗

NCT00024245 ↗

NCT04551222 ↗

NCT05584657 ↗

NCT05045313 ↗

NCT00000881 ↗

Show 55 more sources

Known as Benemid ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as Benuryl ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as HC 5006 ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as NSC-18786 ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as p-(di-n-propylsulfamyl)-benzoic acid “Probenecid, p-(di-n-propylsulfamyl)-benzoic acid, is a drug used clinically to treat hyperuricemia and gout due to its activity as an inhibitor of the kidneys' organic anion...” PMID 31535696 ↗ Jan 2019
Known as P-(dipropylsulfamoyl)benzoic acid ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as PanCytoVir “PanCytoVir™ (probenecid)” NCT05442983 ↗
Known as Probalan ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as Probampicin ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as Probecid ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as Probenate ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as Probenecid component of col- ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as Probenecid component of colbenemid ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as Probenecid component of orlynvah ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as Probenecid component of probampacin ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as Probenecid component of proben-c ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as Probenecide ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Known as Probenecidum ChEMBL registry synonym — accepted as the source's own label CHEMBL897 ↗
Action Inhibit “probenecid effectively inhibited the transport of PAH, Ro 64-0802, and amoxicillin via hOAT1.” PMID 11744606 ↗ Jan 2002
3

“Solute carrier family 22 member 11 inhibitor” CHEMBL897 ↗

“Solute carrier family 22 member 6 inhibitor” CHEMBL897 ↗

“Solute carrier family 22 member 8 inhibitor” CHEMBL897 ↗

Modality Small molecule — CHEMBL897 ↗
Route Oral “patient starts taking probenecid by mouth every 8 hours” NCT00000670 ↗
Target PANX1 “Probenecid also inhibits pannexin1 channels that are involved in purinergic neurotransmission and inflammation” PMID 31535696 ↗ Jan 2019
Target SLC22A11 “Solute carrier family 22 member 11 inhibitor” CHEMBL897 ↗
Target SLC22A6 “Solute carrier family 22 member 6 inhibitor” CHEMBL897 ↗