Drugs / Fosfomycin
last change Jul 2026 re-read 2 minutes ago

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 · 1 recorded

MilestoneJurisdictionBrandIndicationDateSentence it was read from
Approved US (FDA) CONTEPO 2025-10-22 fda.gov

Trials 42 · a red edge is where a trial was stopped

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
Phase 1/2 NCT06017479 Dec 2022 → Mar 2024 urinary tract infection Indonesia University Completed No outcome recorded
Phase 1/2 NCT04979832 Sep 2021 → Dec 2023 pouchitis Zealand University Hospital Unknown No outcome recorded
Phase 29 trials
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 No outcome recorded
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
Phase 2 NCT01969799 Dec 2013 → Mar 2016 bacterial pneumonia Cardeas Pharma Completed No outcome recorded
Phase 2 NCT00794586 Nov 2008 → Feb 2010 cystic fibrosis Gilead Sciences Completed No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT02753946 Apr 2016 → Jan 2017 acute pyelonephritis Nabriva Therapeutics AG Completed No outcome recorded
Phase 39 trials
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 NCT05311254 Mar 2022 → Mar 2024 neutropenia Fundación para la Investigación Biosanitaria del Principado de Asturias Unknown 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 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 No outcome recorded
Phase 3 NCT02142751 Jul 2014 → Dec 2018 escherichia coli infection Andalusian Public Foundation for Health Research in Seville Completed No outcome recorded
Phase 3 NCT01898338 Dec 2013 → Jan 2018 methicillin-resistant staphylococcus aureus infectious disease Miquel Pujol Completed No outcome recorded
Phase 412 trials
Phase 4 NCT07618299 Jul 2026 → Aug 2027 expected Meitheal Pharmaceuticals, Inc. Not yet recruiting No outcome recorded
Phase 4 NCT03959345 May 2019 → Feb 2022 methicillin-susceptible staphylococcus aureus infectious disease Miquel Pujol Terminated No outcome recorded
Phase 4 NCT03697993 Nov 2018 → Oct 2019 urinary tract infection National Institute of Allergy and Infectious Diseases (NIAID) Terminated No outcome recorded
Phase 4 NCT03228108 Apr 2018 → Sep 2021 infectious disease, prostate cancer Radboud University Medical Center Completed No outcome recorded
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 No outcome recorded
Phase 4 NCT01820897 Apr 2013 → Mar 2015 bacteriuria, transplant rejection, urinary tract infection JOSE MANUEL ARREOLA GUERRA Completed No outcome recorded
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 No outcome recorded
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
Also used as a comparator or background therapy in 22 trials
PhaseRegistry idDatesIndicationSponsorStatusOutcome
Phase 01 trial
Phase 0 NCT02099240 Comparator Mar 2014 → Nov 2018 osteomyelitis University of Louisville Terminated No outcome recorded
Phase 21 trial
Phase 2 NCT03548129 Comparator Jul 2016 → Jul 2018 urinary tract infection Ain Shams University Unknown No outcome recorded
Phase 2/31 trial
Phase 2/3 NCT01931592 Comparator Jan 2014 → Oct 2016 cancer Maria J.G.T. Vehreschild Terminated No outcome recorded
Phase 32 trials
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
Phase 415 trials
Phase 4 NCT07236944 Comparator Dec 2025 → Mar 2029 expected bacterial urinary tract infection Uppsala University Recruiting No outcome recorded
Phase 4 NCT07004049 Comparator Apr 2025 → Dec 2028 expected bacterial pneumonia, infectious disease with sepsis National University of Singapore Recruiting No outcome recorded
Phase 4 NCT06440304 Comparator Jan 2025 → Dec 2026 expected bacterial infectious disease with sepsis Clinical Hospital Centre Zagreb Recruiting No outcome recorded
Phase 4 NCT06518291 Comparator Jan → Jun 2025 overdue urinary tract infection Shalamar Institute of Health Sciences Not yet recruiting No outcome recorded
Phase 4 NCT06570850 Comparator Apr 2023 → Mar 2025 overdue Acinetobacter infectious disease Chiang Mai University Recruiting No outcome recorded
Phase not applicable2 trials
NCT05055544 Comparator Oct 2021 → Oct 2025 cystitis University of Pecs Unknown No outcome recorded
NCT05945667 Background Jun → Dec 2021 cystitis PharmaLinea Ltd. Completed No outcome recorded

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/FosfomycinNCT02894684

“Single dose 3 gm oral fosfomycin will be taken by mouth on an empty stomach” NCT03548129

“6) other; fosfomycin. Oral antibiotics” NCT07236944

Fosfomycin every 10 days (3 grams)” NCT04285320

“ZTI-01 (fosfomycin for injection)” NCT03709914

fosfomycin 3g once oral” NCT05726318

FosfomycinNCT02099240

FosfomycinNCT05206500

NCT03151603

NCT00871104

NCT01898338

NCT05211011

NCT03228108

NCT07557901

NCT02218359

NCT01488955

NCT01803191

NCT02570074

NCT01969799

NCT03868969

NCT03910673

NCT02142751

NCT07004049

NCT00976963

NCT02178254

NCT03260010

NCT03697993

NCT06440304

NCT07063095

NCT05311254

NCT04979832

NCT04312360

NCT06570850

NCT03435900

NCT05254808

NCT04209192

NCT03453177

NCT06518291

NCT03235947

NCT01297894

NCT05709028

NCT03294395

NCT02709265

NCT05545137

NCT07616635

NCT04959331

NCT01820897

NCT06017479

NCT03950544

NCT06659016

NCT05055544

NCT03046758

NCT01966653

Known as Fosfomycin Calcium “Drug: Fosfomycin CalciumNCT05311254
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 Fosfomycin tromethamine Fosfomycin tromethamine sachet (Monurol™) was used in this study.” NCT02570074
1

“Drug: Fosfomycin tromethamineNCT03697993

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

NCT03709914

NCT02753946

NCT03709927

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