Iterum Therapeutics
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Overview
Iterum Therapeutics is an Irish biopharmaceutical company with a mission to develop differentiated antibiotics against multi-drug resistant pathogens. Its core achievement is the 2024 FDA approval of ORLYNVAH™ (sulopenem), the first oral penem, for uncomplicated urinary tract infections (uUTI) in patients with limited treatment options. The company's strategy leverages the unique oral/IV profile of sulopenem to address serious community and hospital infections, aiming to reduce hospital stays and combat resistance. Following a strategic restructuring after a 2021 regulatory setback, Iterum is now focused on the commercialization and potential label expansion of its approved asset.
Technology Platform
Focused on the development of sulopenem, a novel penem antibiotic with both oral and intravenous formulations designed to combat multi-drug resistant Gram-negative and Gram-positive bacteria.
Pipeline
9| Drug | Indication | Stage | Watch |
|---|---|---|---|
| Ciprofloxacin | UTI - Lower Urinary Tract Infection | Approved | |
| Sulopenem etzadroxil/probenecid + Amoxicillin/clavulanate | Urinary Tract Infections | Phase 3 | |
| Sulopenem-Etzadroxil/Probenecid + Ciprofloxacin | Uncomplicated Urinary Tract Infections | Phase 3 | |
| Sulopenem + Sulopenem-Etzadroxil/Probenecid + Ertapenem + Ci... | Complicated Urinary Tract Infections | Phase 3 | |
| Ertapenem + Sulopenem-Etzadroxil/Probenecid + Ciprofloxacin ... | Intra Abdominal Infections | Phase 3 |
Funding History
2Opportunities
Risk Factors
Competitive Landscape
ORLYNVAH™ is the first and only oral penem, competing against generic fluoroquinolones, nitrofurantoin, and fosfomycin for resistant uUTI. Its novel mechanism offers differentiation, but it faces the universal commercial challenges of novel antibiotics, including stewardship-driven low usage.
Company Timeline
Founded in Dublin, Ireland
Series A: $65.0M
IPO — $120.0M