Drugs / Fosfomycin
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Fosfomycin

Small molecule

Developed for
urinary tract infection · appendicitis · bacterial infectious disease · bacterial pneumonia · bacteriuria · periprosthetic joint infection · acute leukemia · acute pyelonephritis
+20 more · colon adenoma · cystic fibrosis · disease related to hematopoietic stem cell transplant · escherichia coli infection · gonorrhea · gram-negative bacterial infections · infectious disease · infectious disease with sepsis · infective endocarditis · malignant colon neoplasm · methicillin-resistant staphylococcus aureus infectious disease · methicillin-susceptible staphylococcus aureus infectious disease · neonatal sepsis · neutropenia · pouchitis · Acinetobacter infectious disease · bacterial infectious disease with sepsis · bacterial urinary tract infection · cystitis · infectious peritonitis
Investigated by
National Institute of Allergy and Infectious Diseases (NIAID) · Cardeas Pharma · Nabriva Therapeutics AG · National Institute of Medical Sciences and Nutrition Salvador Zubiran · Charite University, Berlin, Germany · Fundación para la Investigación Biosanitaria del Principado de Asturias
+51 more · Herlev Hospital · Instituto de Salud Carlos III · Laboratorios Senosiain, S.A. de C.V. · Miquel Pujol · Pro-Implant Foundation · Zealand University Hospital · ZonMw: The Netherlands Organisation for Health Research and Development · Academic Medical Center - University of Amsterdam · American Association of Obstetricians and Gynecologists Foundation (AAOGF) · Andalusian Public Foundation for Health Research in Seville · Angela HUTTNER · Barbara Juliane Holzknecht (Investigator) · Bellvitge Biomedical Research Institute · Bispebjerg Hospital · Centre Hospitalier Universitaire de Besancon · Costerton Biofilm Center · Drugs for Neglected Diseases · F.D. Roosevelt Teaching Hospital with Policlinic Banska Bystrica · Fundacion para la Formacion e Investigacion Sanitarias de la Region de Murcia · Gilead Sciences · Hospital General Universitario Los Arcos del Mar Menor · Hospital General Universitario Santa Lucía · Hospital Universitari de Bellvitge · Indonesia University · Institute of Application-oriented Research and Clinical Trials GmbH · JOSE MANUEL ARREOLA GUERRA · Jacob Rosenberg (Sponsor) · Johan Juhl Weisser (Partner, data analysis) · Joint Programming Initiative on Antimicrobial Resistance (JPIAMR) · Juan A. Arnaiz · KEMRI-Wellcome Trust Collaborative Research Program · MJM Bonten · Magnus Arpi (Investigator) · Marqués de Valdecilla Research Institute (IDIVAL) · Medpace, Inc. · Megan Bradley · Meitheal Pharmaceuticals, Inc. · Public Health Service of Amsterdam · Radboud University Medical Center · Region Zealand · Reponex Pharmaceuticals A/S · Saltro · Shanghai 10th People's Hospital · Spanish Network for Research in Infectious Diseases · Swiss National Science Foundation · University Hospital, Tours · University Medical Center Goettingen · University of Oxford · University of Sydney · University of Washington · Vance Fowler, M.D.

Regulatory milestones approvals, filings & regulatory actions · 2 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Filed pyeloureteritis cystica 1 milestone
Filed US (FDA) CONTEPO pyeloureteritis cystica —

“Meitheal has submitted a New Drug Application (NDA) to the U.S. Food & Drug Administration (FDA) for fosfomycin for injection.” meithealpharma.com ↗

Approved Indication not stated 1 milestone
Approved US (FDA) CONTEPO — 2025-10-22 fda.gov ↗

Trials 42

PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT03950544 Jan 2019 → Aug 2020 bacterial infectious disease Shanghai 10th People's Hospital Unknown No outcome recorded
Phase 16 trials
Phase 1 NCT03910673 Jun 2019 → Dec 2020 bacterial infectious disease National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1 NCT03709914 May 2018 → Dec 2025 childhood acute lymphoblastic leukemia Nabriva Therapeutics AG Unknown No outcome recorded
Phase 1 NCT03709927 Jan → Apr 2018 — Nabriva Therapeutics AG Completed No outcome recorded
Phase 1 NCT02709265 Apr → Jul 2016 — Cardeas Pharma Completed No outcome recorded
Phase 1 NCT02570074 Jan → Sep 2016 — Vance Fowler, M.D. Completed No outcome recorded
Phase 1 NCT02178254 Aug → Oct 2014 Pseudomonas infection National Institute of Allergy and Infectious Diseases (NIAID) Completed No outcome recorded
Phase 1/22 trials · 1 missed
Phase 1/2 NCT06017479 Dec 2022 → Mar 2024 urinary tract infection Indonesia University Completed Missed primary
Phase 1/2 NCT04979832 Sep 2021 → Dec 2023 pouchitis Zealand University Hospital Unknown No outcome recorded
Phase 29 trials · 1 met primary · 1 missed
Phase 2 NCT04312360 Jan 2020 → Apr 2022 colon adenoma, malignant colon neoplasm Zealand University Hospital Completed No outcome recorded
Phase 2 NCT04209192 Jan 2020 → Apr 2023 urinary bladder cancer, urinary tract infection National Institute of Medical Sciences and Nutrition Salvador Zubiran Completed No outcome recorded
Phase 2 NCT03868969 Apr 2019 → Apr 2021 urinary tract infection Centre Hospitalier Universitaire de Besancon Unknown No outcome recorded
Phase 2 NCT03453177 Mar 2018 → Mar 2019 neonatal sepsis Drugs for Neglected Diseases Completed No outcome recorded
Phase 2 NCT03435900 Feb → Jul 2018 appendicitis Herlev Hospital Completed Met primary
Phase 2 NCT03046758 Feb → Dec 2017 appendicitis Herlev Hospital Completed No outcome recorded
Phase 2 NCT02218359 Oct 2014 → Dec 2015 bacterial pneumonia Cardeas Pharma Withdrawn No outcome recorded Stop: Enrollment
Phase 2 NCT01969799 Dec 2013 → Mar 2016 bacterial pneumonia Cardeas Pharma Completed Missed primary
Phase 2 NCT00794586 Nov 2008 → Feb 2010 cystic fibrosis Gilead Sciences Completed No outcome recorded
Phase 2/31 trial · 1 met primary
Phase 2/3 NCT02753946 Apr 2016 → Jan 2017 acute pyelonephritis Nabriva Therapeutics AG Completed Met primary
Phase 39 trials · 3 missed
Phase 3 NCT07686055 Jul 2026 → Feb 2027 expected urinary tract infection Megan Bradley Not yet recruiting No outcome recorded
Phase 3 NCT07063095 Aug 2025 → Dec 2026 expected gram-negative bacterial infections, infectious disease with sepsis Angela HUTTNER Recruiting No outcome recorded
Phase 3 NCT05709028 Aug 2023 → Aug 2027 expected urinary tract infection University of Sydney Recruiting No outcome recorded
Phase 3 NCT07616635 Mar 2022 → May 2024 acute leukemia, disease related to hematopoietic stem cell transplant Fundación para la Investigación Biosanitaria del Principado de Asturias Completed No outcome recorded
Phase 3 NCT05311254 Mar 2022 → Mar 2024 neutropenia Fundación para la Investigación Biosanitaria del Principado de Asturias Unknown Missed primary
Phase 3 NCT05254808 Sep 2021 → Feb 2022 urinary tract infection MJM Bonten Terminated No outcome recorded
Phase 3 NCT03294395 Sep 2017 → Jun 2020 gonorrhea Public Health Service of Amsterdam Completed Mixed
Phase 3 NCT02142751 Jul 2014 → Dec 2018 escherichia coli infection Andalusian Public Foundation for Health Research in Seville Completed Missed primary
Phase 3 NCT01898338 Dec 2013 → Jan 2018 methicillin-resistant staphylococcus aureus infectious disease Miquel Pujol Completed Missed primary
Phase 412 trials · 2 met primary · 4 missed
Phase 4 NCT07618299 Sep 2026 → Sep 2027 expected — Meitheal Pharmaceuticals, Inc. Recruiting No outcome recorded
Phase 4 NCT03959345 May 2019 → Feb 2022 methicillin-susceptible staphylococcus aureus infectious disease Miquel Pujol Terminated Missed primary Stop: Enrollment
Phase 4 NCT03697993 Nov 2018 → Oct 2019 urinary tract infection National Institute of Allergy and Infectious Diseases (NIAID) Terminated Missed primary Stop: Enrollment
Phase 4 NCT03228108 Apr 2018 → Sep 2021 infectious disease, prostate cancer Radboud University Medical Center Completed Missed primary
Phase 4 NCT05211011 Jan 2018 → Apr 2022 periprosthetic joint infection Charite University, Berlin, Germany Unknown No outcome recorded
Phase 4 NCT03260010 Jan 2018 → Apr 2020 periprosthetic joint infection Pro-Implant Foundation Unknown No outcome recorded
Phase 4 NCT03235947 Sep 2016 → Nov 2017 bacteriuria, urinary tract infection National Institute of Medical Sciences and Nutrition Salvador Zubiran Completed Met primary
Phase 4 NCT01820897 Apr 2013 → Mar 2015 bacteriuria, transplant rejection, urinary tract infection JOSE MANUEL ARREOLA GUERRA Completed Missed primary
Phase 4 NCT01803191 Aug 2012 → Jan 2016 urinary tract infection Fundacion para la Formacion e Investigacion Sanitarias de la Region de Murcia Completed No outcome recorded
Phase 4 NCT01488955 Feb 2012 → Feb 2014 urinary tract infection Institute of Application-oriented Research and Clinical Trials GmbH Completed Mixed
Phase not applicable2 trials
— NCT07557901 Apr 2026 → Apr 2027 expected prostate cancer F.D. Roosevelt Teaching Hospital with Policlinic Banska Bystrica Enrolling by invitation No outcome recorded
— NCT00976963 Sep 2009 → Dec 2016 urinary tract infection University of Washington Completed No outcome recorded
Comparator or background therapy22 trials
Phase 0 NCT02099240 Comparator Mar 2014 → Nov 2018 osteomyelitis University of Louisville Terminated No outcome recorded Stop: Enrollment
Phase 2 NCT03548129 Comparator Jul 2016 → Jul 2018 urinary tract infection Ain Shams University Unknown No outcome recorded
Phase 2/3 NCT01931592 Comparator Jan 2014 → Oct 2016 cancer Maria J.G.T. Vehreschild Terminated No outcome recorded
Phase 3 NCT05545137 Comparator Sep 2022 → Feb 2024 urinary tract infection Benova (Tianjin) Innovative medicine Research Co., Ltd. Completed No outcome recorded
Phase 3 NCT01297894 Comparator Jun 2010 → May 2012 — Mahidol University Unknown No outcome recorded

News releases announcing trial results or a regulatory action · 1

DateIssuerRelease
2020-10-06 Xiromed LLC Regulatory Xiromed LLC Announces the First Generic Launch of Fosfomycin Tromethamine Granules for Oral Solution, Generic to Monurol® xiromed.com ↗
Xiromed LLC today announced the approval and launch of Fosfomycin Tromethamine Granules for Oral Solution, the first AA-rated generic version of Monurol® approved by the U.S. Food and Drug Administration.

Evidence & citations 13 cited values

Every value below carries the sentence it was read from. 66 sources stand behind the page.

FieldValueCited text
Known as fosfomycin “Gilead is developing a broad spectrum combination antibiotic (FTI) consisting of fosfomycin (an antibiotic with activity against gram-positive and gram-negative bacteria) and...” NCT00794586 ↗
62

“The antibiotics that were chosen (efficient for urinary tract infection, well tolerated, low selection pressure) included : Amoxicillin 6000 mg, Amoxicillin/clavulanic acid...” NCT01388413 ↗

“Given the additional convenience of an available oral formulation - a prerequisite not given for most other ESBL-E active treatments - fosfomycin was chosen for combination...” NCT01931592 ↗

“ZTI-01 (fosfomycin for injection) is an epoxide antibiotic with a differentiated mechanism of action (MOA) inhibiting an early step in bacterial cell wall synthesis.” PMID 30861061 ↗ Nov 2019

“Evaluation of the Excretion of Fosfomycin Into Breast Milk Following a Single Intravenous Dose of ZTI-01 (6 g) in Healthy Lactating Women” NCT07618299 ↗

“main treatment expected to be used as either monotherapy or in combination are colistin, tigecycline, fosfomycin, amikacin, and meropenem” NCT04882085 ↗

“Control group will receive standard therapy, Monural (fosfomycin trometamol) 3 g, at the first day of the trial.” NCT05945667 ↗

“patients will receive intravenous cloxacillin 2g/4h and fosfomycin 3 g/6h for the duration of 7 days treatment.” NCT03959345 ↗

“optional delayed antibiotic treatment with single dose of 3g fosfomycin if deemed necessary by the patient” NCT01039545 ↗

“trimethoprim/sulfamethoxazole 875/125 oral twice a day for 3 days, fosfomycin 3g once oral” NCT07686055 ↗

“14 days of IV Colistin plus one of Tazocin/Ceftazidime/Meropenem/Aztreonam/Fosfomycin” NCT02894684 ↗

Show 52 more sources

Known as Fosfomycin Calcium “Drug: Fosfomycin Calcium” NCT05311254 ↗
Known as fosfomycin tromethamine “Fosfomycin tromethamine sachet (Monurol™) was used in this study.” NCT02570074 ↗
1

“Drug: Fosfomycin tromethamine” NCT03697993 ↗

Known as fosfomycin-trometamol “The aim of the study was to evaluate the clinical and microbiological efficacy of fosfomycin trometamol (FT) per os in the treatment of documented male urinary tract infections...” NCT03868969 ↗
5

“Fosfomycin trometamol (Monuril) is approved in numerous countries worldwide, including various European countries and the USA, mainly for the treatment of uncomplicated UTIs” NCT03548129 ↗

“Control group will receive standard therapy, Monural (fosfomycin trometamol) 3 g, at the first day of the trial.” NCT05945667 ↗

“Patients who received antibiotic prophylaxis (fosfomycin-trometamol) for prostate biopsy.” NCT07557901 ↗

“In the Netherlands, Fosfomycin is orally available as fosfomycin-trometamol (Monuril).” NCT05254808 ↗

“with the option to switch to oral fosfomycin trometamol for the fosfomycin group” PMID 35024838 ↗ Jan 2022

Known as Monural “Control group will receive standard therapy, Monural (fosfomycin trometamol) 3 g, at the first day of the trial.” NCT05945667 ↗
Known as Monuril “Fosfomycin trometamol (Monuril) is approved in numerous countries worldwide, including various European countries and the USA, mainly for the treatment of uncomplicated UTIs” NCT03548129 ↗
2

“In the Netherlands, Fosfomycin is orally available as fosfomycin-trometamol (Monuril).” NCT05254808 ↗

“fosfomycin (Monuril®): 3 g granules orally 1x1 (day 0)” NCT03151603 ↗

Known as Monurol “Fosfomycin tromethamine sachet (Monurol™) was used in this study.” NCT02570074 ↗
Known as phosphomycin “Nature: also known as phosphomycin, phosphonomycin, is a broad-spectrum antibiotic, produced by certain Streptomyces species, although it can now be made by chemical synthesis.” NCT03548129 ↗
Known as phosphonomycin “Nature: also known as phosphomycin, phosphonomycin, is a broad-spectrum antibiotic, produced by certain Streptomyces species, although it can now be made by chemical synthesis.” NCT03548129 ↗
Known as ZTI-01 “Evaluation of the Excretion of Fosfomycin Into Breast Milk Following a Single Intravenous Dose of ZTI-01 (6 g) in Healthy Lactating Women” NCT07618299 ↗
3

NCT03709927 ↗

NCT02753946 ↗

NCT03709914 ↗

Action Inhibit “Fosfomycin (FOS) is a wall antibiotic (pyruvyl-transferase inhibitor)” NCT03235947 ↗
Modality Small molecule “Fosfomycin (a phosphonic acid derivative) formulated as a disodium salt.” NCT03910673 ↗
Route Inhaled “fosfomycin and tobramycin inhaled twice daily” NCT00794586 ↗