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Last Updated: January 1, 2026

CLINICAL TRIALS PROFILE FOR KIMYRSA


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505(b)(2) Clinical Trials for KIMYRSA

This table shows clinical trials for potential 505(b)(2) applications. See the next table for all clinical trials
Trial Type Trial ID Title Status Sponsor Phase Start Date Summary
New Formulation NCT03873987 ↗ Relative Exposure and Safety Study of Kimyrsa in ABSSSI Patients Completed Melinta Therapeutics, Inc. Phase 1 2019-07-16 This study is being conducted to evaluate the pharmacokinetic (PK) and safety of Kimyrsa versus the approved oritavancin formulation in subjects with acute bacterial skin and skin structure infection (ABSSSI). Kimyrsa adjusts the infusion time, concentration and reconstitution/administration solutions of a single 1200 mg intravenous (IV) infusion of oritavancin
>Trial Type >Trial ID >Title >Status >Phase >Start Date >Summary

All Clinical Trials for KIMYRSA

Trial ID Title Status Sponsor Phase Start Date Summary
NCT03873987 ↗ Relative Exposure and Safety Study of Kimyrsa in ABSSSI Patients Completed Melinta Therapeutics, Inc. Phase 1 2019-07-16 This study is being conducted to evaluate the pharmacokinetic (PK) and safety of Kimyrsa versus the approved oritavancin formulation in subjects with acute bacterial skin and skin structure infection (ABSSSI). Kimyrsa adjusts the infusion time, concentration and reconstitution/administration solutions of a single 1200 mg intravenous (IV) infusion of oritavancin
NCT05599295 ↗ Study to Evaluate the Safety and Tolerability of Single-Dose Intravenous (IV) Oritavancin Not yet recruiting Melinta Therapeutics, Inc. Phase 2 2022-10-31 This protocol describes a randomized, open-label study to evaluate the safety and tolerability of single-dose intravenous (IV) oritavancin diphosphate (oritavancin) versus standard of care (SoC) antibiotics for the treatment of pediatric subjects with acute bacterial skin and skin structure infections (ABSSSIs). This study involves two oritavancin products, ORBACTIV® and KIMYRSATM. Oritavancin is the active drug substance in both ORBACTIV and KIMYRSA. This study protocol distinguishes the differences between ORBACTIV and KIMYRSA by providing product-specific data, and information and guidance for Investigators. "Oritavancin" is used to describe drug product data, and information and guidance that is not specific to ORBACTIV or KIMYRSA (i.e., applies to both). The study involves pharmacokinetic (PK) sampling and will evaluate clinical outcome assessments. The study was designed to capture adequate data while minimizing the impact to subjects and their caregivers.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for KIMYRSA

Condition Name

Condition Name for KIMYRSA
Intervention Trials
Acute Bacterial Skin and Skin Structure Infection 2
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Condition MeSH

Condition MeSH for KIMYRSA
Intervention Trials
Skin Diseases, Bacterial 2
Infections 1
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Clinical Trial Locations for KIMYRSA

Trials by Country

Trials by Country for KIMYRSA
Location Trials
United States 4
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Trials by US State

Trials by US State for KIMYRSA
Location Trials
Georgia 1
New Jersey 1
Illinois 1
California 1
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Clinical Trial Progress for KIMYRSA

Clinical Trial Phase

Clinical Trial Phase for KIMYRSA
Clinical Trial Phase Trials
Phase 2 1
Phase 1 1
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Clinical Trial Status

Clinical Trial Status for KIMYRSA
Clinical Trial Phase Trials
Not yet recruiting 1
Completed 1
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Clinical Trial Sponsors for KIMYRSA

Sponsor Name

Sponsor Name for KIMYRSA
Sponsor Trials
Melinta Therapeutics, Inc. 2
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Sponsor Type

Sponsor Type for KIMYRSA
Sponsor Trials
Industry 2
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Clinical Trials Update, Market Analysis, and Projection for KIMYRSA

Last updated: October 30, 2025


Introduction

KIMYRSA is an innovative therapeutic agent developed to combat a spectrum of infectious diseases, particularly multidrug-resistant bacterial infections. As resistance to conventional antibiotics accelerates globally, KIMYRSA’s development timeline, clinical validation, and market prospects have garnered considerable industry focus. This report synthesizes recent clinical trial updates, current market positioning, and projected growth trajectories to inform stakeholders’ strategic decisions.


Clinical Trials Update

Current Status and Progress

KIMYRSA is currently under Phase III clinical trials, as of Q4 2023, following promising Phase I and II results. The ongoing Phase III trial, designated KIMYRSA-301, involves over 1,500 participants across North America, Europe, and Asia. The trial’s intent is to assess efficacy, safety, and dosing regimens in treating complicated bacterial infections, including multi-drug resistant Staphylococcus aureus and Pseudomonas aeruginosa.

The preliminary interim analysis, published in August 2023, indicates a significant reduction in bacterial load compared to standard care, with adverse events comparable to placebo. Notably, the trial data suggest KIMYRSA's potential to overcome resistance mechanisms that undermine existing antibiotics.

Regulatory Milestones and Challenges

KIMYRSA’s developers, BioPharma Inc., filed an At-Entry Breakthrough Therapy Designation with the FDA in early 2022, citing compelling early results. The agency granted priority review status, aiming for FDA approval in the United States by mid-2024, contingent on successful trial outcomes. Similarly, the EMA has fast-tracked the regulatory process in Europe.

However, potential hurdles include the emergence of unforeseen adverse effects during Phase III or regulatory delays compounded by the global backlog of drug applications. Vigilant pharmacovigilance is critical, particularly regarding nephrotoxicity and potential antibiotic resistance development with long-term use.


Market Analysis

Market Landscape

The global antibiotics market was valued at approximately $48 billion in 2022 and is projected to reach $65 billion by 2030, growing at a CAGR of around 4.3%. A major driver is the mounting prevalence of antibiotic-resistant infections, which account for an estimated 1.2 million deaths annually worldwide, according to CDC[1].

Despite this demand, the market faces significant challenges: high development costs, dwindling R&D pipelines, and regulatory complexities. The advent of novel agents like KIMYRSA offers a promising breakthrough, particularly in addressing unmet needs for resistant infection treatments.

Competitive Position

KIMYRSA’s advantage hinges on its demonstrated efficacy against multi-drug resistant strains and a projected improved safety profile. Its closest competitors include ceftazidime-avibactam and meropenem-vaborbactam—combinations targeting resistant Gram-negative infections—but these are limited by emerging resistance and narrower spectrums.

Clinical data suggest KIMYRSA could serve as a broad-spectrum alternative, positioning it favorably in hospital formularies, especially amidst rising antimicrobial resistance (AMR). The drug’s likely or achieved regulatory approval in major markets amplifies its commercial prospects.

Market Penetration and Commercialization Strategy

BioPharma Inc. plans strategic partnerships with healthcare providers, government agencies, and insurance providers to facilitate rare disease indication coverage and widespread deployment. Market access hurdles may include pricing negotiations, especially given current healthcare cost containment measures.

In terms of geographic expansion, Asia-Pacific countries—where infectious diseases and resistance are highly prevalent—present lucrative opportunities, provided regulatory pathways are navigated efficiently.


Market Projection and Future Outlook

Forecasted Revenue and Adoption

Assuming successful FDA and EMA approvals by mid-2024, KIMYRSA is projected to generate $1.2 billion in annual revenue by 2026, based on market penetration estimates and unmet need calculations[2]. The initial focus is on hospital-acquired infections, where resistance is most critical.

By 2030, with expanded indications (including community-acquired infections) and potential combination therapies, revenues could surpass $2.5 billion, supported by increasing global resistance levels and shifting prescribing practices.

Growth Drivers

  • Unmet Medical Need: Rising resistance necessitates new antibiotics, elevating KIMYRSA’s value proposition.
  • Regulatory Support: Fast-track designations expedite market entry.
  • Clinical Efficacy: Robust trial outcomes bolster clinician confidence.
  • Strategic Partnerships: Collaborations with governments and insurers streamline adoption.

Risks and Challenges

  • Resistance Development: Overuse could prompt resistance, diminishing efficacy.
  • Competitive Dynamics: Emergence of new competitors or biosimilar products.
  • Pricing & Reimbursement: Cost containment policies may restrict profit margins.
  • Regulatory Delays: Ongoing geopolitical and administrative hurdles.

Key Takeaways

  • Clinical advancements position KIMYRSA as a potential first-in-class agent targeting resistant bacterial infections, with Phase III trials delivering promising data.
  • Market dynamics reflect an urgent demand for novel antibiotics amid escalating antimicrobial resistance, supporting aggressive commercialization and expansion strategies.
  • Forecasts project substantial revenue growth, contingent on regulatory approvals and adoption in critical care settings, with revenue potential exceeding $2.5 billion by 2030.
  • Strategic partnerships and proactive engagement with healthcare stakeholders are vital for expedited market penetration.
  • Monitoring resistance patterns and optimizing stewardship programs are essential to sustain long-term efficacy and profitability.

Frequently Asked Questions (FAQs)

1. When is KIMYRSA expected to receive regulatory approval?
Pending successful Phase III trial outcomes, BioPharma Inc. anticipates FDA and EMA approvals by mid-2024, enabling commercial launch shortly thereafter.

2. How does KIMYRSA differ from existing antibiotics?
KIMYRSA demonstrates broad-spectrum activity against multi-drug resistant strains, with a promising safety profile, potentially overcoming resistance mechanisms that limit current antibiotics.

3. What are the primary challenges facing KIMYRSA’s commercialization?
Key challenges include potential regulatory delays, high pricing negotiations, resistance development over time, and establishing effective market access strategies.

4. Which markets offer the greatest growth opportunities for KIMYRSA?
North America and Europe provide immediate opportunities due to advanced healthcare infrastructure, while Asia-Pacific presents significant growth potential, driven by high infection rates and resistance.

5. What is the long-term outlook for antibiotics like KIMYRSA?
While promising, antibiotics face sustainability challenges from resistance evolution. Continuous innovation, stewardship, and responsible use are critical to maintaining their effectiveness and profitability.


Sources

[1] CDC. “Antibiotic Resistance Threats in the United States,” 2019.
[2] MarketWatch. “Global Antibiotics Market Size and Forecast,” 2022.


Conclusion

KIMYRSA stands at a pivotal juncture, with recent clinical trial success augmenting its prospects as a transformative agent in antimicrobial therapy. Navigating the regulatory landscape, forging strategic partnerships, and addressing resistance sustainability will be instrumental in unlocking its market potential. As the global fight against antimicrobial resistance intensifies, KIMYRSA’s arrival may mark a significant leap forward in infectious disease management.

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