Drugs / Ibezapolstat
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Ibezapolstat

also known as ACX-362E

Small molecule

Developed for
Clostridium difficile colitis · Clostridium infectious disease
Investigated by
Acurx Pharmaceuticals Inc.

Trials 2

20202021202220232024202520262027
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 2 NCT07513285 Aug 2026 → Sep 2027 expected Clostridium difficile colitis Acurx Pharmaceuticals Inc. Not yet recruiting No outcome recorded
Phase 2 NCT04247542 Mar 2020 → Oct 2023 Clostridium infectious disease Acurx Pharmaceuticals Inc. Completed Met primary

News releases announcing trial results or a regulatory action · 35

DateIssuerRelease
2026-09-14 Acurx Pharmaceuticals Inc. Results Acurx Announces Presentation of a Scientific Poster at the Premier International C. difficile Symposium (ICDS) Demonstrating Superior In Vitro Kill Kinetics of Ibezapolstat vs. Vancomycin and Fidaxomicin (Standards of Care) in Clostridioides difficile and Vancomycin-Resistant Enterococcus Co-Cultures acurxpharma.com ↗
IBZ maintained superior bactericidal activity under co-culture conditions, including further decreasing Clostridioides difficile toxin B (TcdB) expression while simultaneously eradicating vancomycin-resistant bacterial overgrowth
2026-08-17 Acurx Pharmaceuticals Inc. Regulatory Acurx Pharmaceuticals Receives FDA Conditional Acceptance and USPTO Trademark Allowance for the Company's Brand Name for Ibezapolstat acurxpharma.com ↗
The proposed proprietary name, or brand name, CIFBEZY has received conditional acceptance from the FDA and also federal trademark allowance from the USPTO
2026-07-14 Acurx Pharmaceuticals Inc. Results Acurx Pharmaceuticals Announces Scientific Poster Presentation of Ibezapolstat's Microbiome Preservation Data in Multiply-recurrent C. difficile Infection acurxpharma.com ↗
IBZ and FDX were superior in biofilm experimental models with IBZ significantly more effective at killing C. difficile than VAN and FDX
2025-11-10 Acurx Pharmaceuticals Inc. Results Acurx Announces Publication in the Nature Communications Scientific Journal Documenting its Unique Targeting of DNA pol IIIC Gram-positive Priority Pathogens acurxpharma.com ↗
2025-10-28 Acurx Pharmaceuticals Inc. Results Acurx Announces New Data on its DNA pol IIIC Inhibitor Antibiotics Demonstrating a Potential Class Effect of Gut Microbiome Selectivity Presented at IDWeek 2025 Scientific Conference acurxpharma.com ↗
Pioneering data demonstrate that Acurx's U.S. and EU Phase 3-ready DNA pol IIIC inhibitor, ibezapolstat (IBZ), has unique selective antibacterial activity in the gut which spares beneficial bile acid-metabolizing bacteria
2025-09-30 Acurx Pharmaceuticals Inc. Regulatory Acurx Announces Positive Opinion from EMA on Pediatric Investigation Plan for Ibezapolstat Use in Children with C. difficile Infection acurxpharma.com ↗
Acurx Pharmaceuticals, Inc. (NASDAQ: ACXP) ("Acurx" or the "Company") is a late-stage biopharmaceutical company developing a new class of small molecule antibiotics for difficult-to-treat bacterial infections announced receipt of a favorable opinion from the PDCO of the EMA on Acurx's Pediatric Investigation Plan (PIP) for ibezapolstat use in children with C. difficile infection (CDI).
2025-06-17 Acurx Pharmaceuticals Inc. Results Acurx Announces Publication in Lancet Microbe of Phase 2b Clinical Trial Data for Ibezapolstat in CDI acurxpharma.com ↗
As previously reported, 15 out of 16 (94%) patients in Phase 2b in the Per Protocol Population experienced Clinical Cure (CC) and all 15 of 15 (100%) remained free of C. difficile infection (CDI) recurrence through one month after EOT
2025-06-09 Acurx Pharmaceuticals Inc. Results Acurx Pharmaceuticals Announces Presentation of Results from Leiden University Medical Center Public-Private Partnership for Its DNA pol IIIC Inhibitors at the Federation of American Societies for Experimental Biology Scientific Conference acurxpharma.com ↗
A Unique Inhibitor Conformation Selectively Targets the DNA Polymerase PolC of Gram-Positive Priority Pathogens
2025-03-03 Acurx Pharmaceuticals Inc. Results Acurx Announces Publication of Nonclinical In Vivo Data Differentiating Ibezapolstat's Gut Microbiome Effects from Other Anti-CDI Antibiotics acurxpharma.com ↗
Changes in alpha and beta microbiome diversities following IBZ treatment were less pronounced compared to those observed in vancomycin (VAN)-or metronidazole (MET)-treated groups, complementing prior Phase 2 clinical findings showing IBZ's more selective antibacterial activity
2025-02-24 Acurx Pharmaceuticals Inc. Results Acurx Announces Publication of Positive Results from an In-Silico Study Predicting the Microbiome-Restorative Potential of Ibezapolstat in the Treatment of CDI acurxpharma.com ↗
IBZ susceptibility of human commensal (nonpathogenic) microbiota was predicted using genomic analysis and a phylogenetic tree construction of the IBZ target enzyme, pol IIIC
2025-01-06 Acurx Pharmaceuticals Inc. Regulatory Acurx Receives Positive Regulatory Guidance from EMA for Ibezapolstat Phase 3 Program for C. Difficile Infection (CDI) acurxpharma.com ↗
The Company today announced that it has received positive regulatory guidance from the EMA during its Scientific Advice Procedure that the clinical, non-clinical and CMC (Chemistry Manufacturing and Controls) information package submitted supports advancement of the ibezapolstat Phase 3 program.
2024-11-18 Acurx Pharmaceuticals Inc. Results Acurx Sponsored and Participated in the Peggy Lillis Foundation Inaugural CDI Scientific Symposium and Presented Ibezapolstat Ph2b Clinical Data Update acurxpharma.com ↗
In contrast to patients dosed with vancomycin, ibezapolstat has consistently shown in the phase 1 and 2 studies that it promotes the growth of beneficial Actinobacteria important for short chain fatty acid production and Clostridiales important for bile acid homeostasis.

All press releases naming this drug 48 releases

DateIssuerRelease

Evidence & citations 5 cited values

Every value below carries the sentence it was read from. 4 sources stand behind the page.

FieldValueCited text
Known as Ibezapolstat ClinicalTrials.gov intervention name — accepted as the source's own label NCT07513285 ↗
1

NCT04247542 ↗

Known as ACX-362E ChEMBL registry synonym — accepted as the source's own label CHEMBL4571518 ↗
Action Inhibit “ibezapolstat, an antibiotic that inhibits the PolC-type DNA polymerase III α subunit C” PMID 40516571 ↗ Jun 2025
Modality Small molecule — CHEMBL4571518 ↗
Route Oral “Patients were treated with 450 mg of oral ibezapolstat twice daily for 10 days.” NCT04247542 ↗