Last Updated: November 11, 2026

Details for Patent: 10,376,496

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Which drugs does patent 10,376,496 protect, and when does it expire?

Patent 10,376,496 protects ZERBAXA and is included in one NDA.

Protection for ZERBAXA has been extended six months for pediatric studies, as indicated by the *PED designation in the table below.

This patent has seven patent family members in four countries.

Summary for Patent: 10,376,496
Title:Treating infections with ceftolozane/tazobactam in subjects having impaired renal function
Abstract:Disclosed are methods of administering cephalosporin/tazobactam to human patients with end stage renal disease undergoing hemodialysis and suffering from a complicated intra-abdominal infection or a complicated urinary tract infection.
Inventor(s):Gopal Krishna, Gurudatt Chandorkar, Elham Hershberger, Benjamin Miller, Alan Xiao
Assignee: Cubist Pharmaceuticals LLC , Merck Sharp and Dohme LLC , Calixa Therapeutics Inc
Application Number:US14/481,496
Patent Claim Types:
see list of patent claims
Use;
Patent landscape, scope, and claims:

United States Patent 10,376,496: Ceftolozane-Tazobactam Patent Scope, Expiration, Orange Book Status, and Generic Entry Risk

US Patent No. 10,376,496 protects a renal-dose treatment method for Zerbaxa, the ceftolozane-tazobactam combination, in patients with end-stage renal disease receiving hemodialysis. The patent is narrower than a composition-of-matter patent but commercially relevant because it covers the labeled intravenous dosing regimen for hemodialysis patients with complicated intra-abdominal infection and complicated urinary tract infection.

The core protected regimen is:

  • A 500 mg ceftolozane/250 mg tazobactam loading dose;
  • Followed by 100 mg ceftolozane/50 mg tazobactam maintenance doses;
  • Intravenous administration approximately every eight hours;
  • Treatment of specified cIAI or cUTI pathogens;
  • Use in a human patient with end-stage renal disease on hemodialysis.

The patent does not broadly cover all uses of ceftolozane-tazobactam. It targets a defined patient population, infection category, microorganism profile, dose sequence and administration schedule. A generic product could potentially avoid literal infringement by using a materially different renal dosing regimen, although regulatory and induced-infringement risks would remain.

What does US Patent 10,376,496 cover?

US 10,376,496 is a method-of-treatment patent directed to administering ceftolozane-tazobactam to hemodialysis patients with severe renal impairment. The patent claims do not primarily protect the chemical compounds themselves. They protect the clinical use and dosing protocol.

Independent claim 1

Claim 1 contains multiple cumulative limitations. A successful infringement analysis would need to establish each material element:

Claim element Required limitation
Patient Human patient
Renal status End-stage renal disease
Renal replacement therapy Patient is on hemodialysis
Disease cIAI or cUTI
Loading dose 500 mg ceftolozane active plus 250 mg tazobactam active
Maintenance dose 100 mg ceftolozane active plus 50 mg tazobactam active
Route Intravenous
Frequency Approximately every eight hours
Pathogens One or more microorganisms from the claimed lists

The claim requires both the loading dose and the subsequent maintenance dosing. Administration of only the maintenance dose would not satisfy the complete literal scope of claim 1.

The active-ingredient language also matters. The claimed amounts are expressed as ceftolozane active and tazobactam active, rather than the gross weight of the salt or finished drug product. This prevents a manufacturer from avoiding the dose limitation merely by using a different salt form.

Pathogen limitations

Claim 1 separately identifies microorganisms associated with cIAI and cUTI.

For cIAI, the listed organisms include:

  • Citrobacter freundii;
  • Enterobacter cloacae;
  • Escherichia coli;
  • CTX-M-14 and CTX-M-15 extended-spectrum beta-lactamase-producing E. coli;
  • Klebsiella oxytoca;
  • Klebsiella pneumoniae, including CTX-M-15 strains;
  • Proteus mirabilis;
  • Pseudomonas aeruginosa;
  • Bacteroides fragilis;
  • Bacteroides ovatus;
  • Bacteroides thetaiotaomicron;
  • Bacteroides vulgatus; and
  • Streptococcus anginosus, S. constellatus and S. salivarius.

For cUTI, the listed organisms include:

  • E. coli;
  • Levofloxacin-resistant E. coli;
  • CTX-M-14 and CTX-M-15 ESBL-producing E. coli;
  • Klebsiella pneumoniae;
  • Levofloxacin-resistant K. pneumoniae;
  • CTX-M-15 ESBL-producing K. pneumoniae;
  • Proteus mirabilis; and
  • Pseudomonas aeruginosa.

The pathogen limitation could create proof issues in litigation. A plaintiff would need evidence that the infection was caused by at least one listed organism. The limitation may be satisfied by microbiology results, clinical records, or prescribing information, depending on the factual record and claim construction.

How do the dependent claims narrow the patent scope?

Claims 2 through 14 add narrower versions of the regimen in claim 1.

Claim Added limitation
2 Infection is cIAI
3 Infection is cUTI
4 Each dose is administered by one-hour IV infusion
5 cIAI treatment also includes a therapeutically effective amount of metronidazole
6 Ceftolozane is provided as ceftolozane sulfate and tazobactam as tazobactam sodium
7 First maintenance dose after hemodialysis occurs within three hours after completion
8 First maintenance dose after hemodialysis occurs within two hours after completion
9 Claim 2 plus the specified sulfate and sodium salts
10 Claim 3 plus the specified sulfate and sodium salts
11 Claim 4 plus the specified salts
12 Claim 5 plus the specified salts
13 Claim 7 plus the specified salts
14 Claim 8 plus the specified salts

Claims 7 and 8 are particularly important because they address post-hemodialysis dosing. Claim 8 is narrower than claim 7. A dose administered within two hours after dialysis necessarily falls within the three-hour period, assuming all other claim elements are met.

What is the commercial significance of the renal dosing claims?

The claims align closely with the FDA-approved renal dosing instructions for Zerbaxa in patients receiving hemodialysis. The Zerbaxa prescribing information directs a 500 mg/250 mg loading dose followed by a 100 mg/50 mg dose every eight hours for cIAI and cUTI patients with end-stage renal disease on hemodialysis. It also addresses administration after hemodialysis.[2]

That alignment increases the practical relevance of the patent. A generic applicant seeking approval for the same renal dosing regimen could face a Paragraph IV challenge or a section viii labeling strategy issue, depending on the Orange Book listing and the proposed labeling.

The claims remain narrower than the full FDA label because they include specific pathogen lists and, in some claims, a defined one-hour infusion or post-dialysis timing limitation.

When does US Patent 10,376,496 expire?

The expected statutory expiration date is June 6, 2034, subject to any applicable patent-term adjustment, patent-term extension, terminal disclaimer or other adjustment reflected in the USPTO and FDA records.[1][3]

Event Date or status
Patent US 10,376,496
Issue date August 13, 2019
Patent type Method of treatment
Active ingredient Ceftolozane plus tazobactam
Expected expiration June 6, 2034, subject to official term calculations
Patent-term extension No extension is assumed in this analysis
Primary commercial product Zerbaxa
Innovator Merck, following its acquisition of Cubist

The June 6, 2034 date should be treated as the operative expected expiration date rather than an absolute launch date. Generic entry can occur before expiration through litigation settlement, a successful validity or infringement decision, or a licensed launch agreement.

What is the Orange Book status of US 10,376,496?

US 10,376,496 has been associated with Zerbaxa patent protection and is relevant to FDA-approved dosing in renally impaired patients. The FDA Orange Book is the controlling source for current listing status, use codes, patent expiration information and certifications associated with the approved NDA.[4]

The patent’s regulatory significance is likely concentrated in the labeled dosing regimen for:

  • Complicated intra-abdominal infection;
  • Complicated urinary tract infection; and
  • Patients with end-stage renal disease receiving hemodialysis.

An Orange Book-listed method-of-use patent generally requires an ANDA applicant to address the patent through a Paragraph III certification, Paragraph IV certification or, where legally available, a section viii statement that omits the patented method from labeling.[5]

The feasibility of a section viii strategy depends on the exact use code and whether the proposed generic labeling can omit the patented renal regimen while retaining an approvable label. If the FDA-approved dosing information for hemodialysis patients is necessary for safe use, omission may be difficult.

What Paragraph IV challenges and generic entry risks exist?

A generic applicant could challenge US 10,376,496 on several grounds:

  1. Noninfringement. The proposed label could omit the patented hemodialysis regimen or use a materially different dosing schedule.
  2. Invalidity for obviousness. The applicant could argue that renal dose adjustment, loading-dose selection and post-dialysis administration would have been obvious from pharmacokinetic and hemodialysis data.
  3. Written description or enablement. The applicant could challenge the breadth of the pathogen lists or the claimed clinical regimen.
  4. Indefiniteness. The term "about every 8 hours" could be disputed, although clinical dosing context generally informs the scope of "about."
  5. Patent-term or listing defenses. The applicant could contest the Orange Book listing or the enforceability of particular claims.

The strongest noninfringement route would be to avoid the claimed regimen in labeling. That strategy carries regulatory risk because renal dosing instructions are central to safe administration in end-stage renal disease. A generic applicant that promotes or induces use of the patented dose sequence could face induced-infringement allegations even if its product label is carefully drafted.

How strong is the patent estate for Zerbaxa?

US 10,376,496 is one component of a broader Zerbaxa intellectual-property estate. The estate can include:

  • Composition-of-matter patents covering ceftolozane or the ceftolozane-tazobactam combination;
  • Formulation and pharmaceutical-composition patents;
  • Manufacturing and salt-form patents;
  • Method-of-treatment patents;
  • Renal dosing and hemodialysis patents;
  • FDA regulatory exclusivity and pediatric exclusivity, where applicable.

The strength of US 10,376,496 is highest against a product that reproduces the exact FDA renal regimen. Its strength is lower against a product that avoids the claimed pathogen limitation, changes the administration schedule, removes the hemodialysis-specific method from labeling, or relies on a different approved indication.

The patent does not block all generic ceftolozane-tazobactam products after expiration of other patents. Its commercial value depends on whether competing applicants need to market the covered hemodialysis dosing instructions.

What formulations are protected by US 10,376,496?

The patent does not broadly claim every Zerbaxa formulation. Claims 6 and 9 through 14 require ceftolozane sulfate and tazobactam sodium. The claims therefore protect administration of the active ingredients in those salt forms when combined with the claimed patient, infection and dosing limitations.

The formulation limitation is narrower than a conventional formulation patent. It does not necessarily protect:

  • A vial composition independent of patient treatment;
  • Excipient selection;
  • Reconstitution parameters;
  • Stability characteristics;
  • Container-closure systems; or
  • Manufacturing processes.

A competing formulation using different salt forms could still face infringement exposure if the doctrine of equivalents applies, but literal infringement would require the claimed salt forms in the relevant dependent claim.

What manufacturing and intellectual-property barriers affect generic entry?

A generic manufacturer must address more than the renal-dose patent. Key barriers include:

  • Demonstrating pharmaceutical equivalence to the approved ceftolozane-tazobactam product;
  • Establishing appropriate intravenous reconstitution and stability;
  • Meeting sterile manufacturing requirements;
  • Addressing any listed composition or formulation patents;
  • Preparing a compliant ANDA certification strategy;
  • Managing patent litigation triggered by a Paragraph IV notice; and
  • Establishing supply capacity for hospital and institutional channels.

Ceftolozane-tazobactam is an injectable antibacterial combination. Sterile manufacturing and quality-control requirements can delay commercial entry even after patent litigation is resolved.

What litigation or settlement agreements affect the patent?

US 10,376,496 was issued in 2019. A complete current assessment of active litigation, Paragraph IV notices, consent judgments and settlement agreements requires the current district-court docket, FDA Orange Book data and USPTO records.

The principal litigation trigger would be an ANDA applicant certifying that the patent is invalid, unenforceable or not infringed. A Paragraph IV notice would give the NDA holder a 45-day period to file an infringement action, potentially triggering a 30-month FDA approval stay under the Hatch-Waxman framework.[5]

Merck obtained Zerbaxa through its acquisition of Cubist Pharmaceuticals, completed in 2015. The transaction transferred Cubist’s commercial and patent interests in the product to Merck.[6] No separate license is required to explain Merck’s current position as the product sponsor and patent-interest holder.

How does US 10,376,496 compare with broader Zerbaxa patents?

Patent category Typical scope Relative impact
Composition-of-matter Active compound or combination Broadest chemical protection
Formulation Vial, salts, excipients, stability or reconstitution Product-focused
Method of use Disease treatment Indication-focused
Renal dosing Dose and schedule for impaired renal function or dialysis Narrow but closely aligned with clinical labeling
Manufacturing Synthesis, purification or crystallization Process-focused

US 10,376,496 is narrower than a composition patent but may be more directly relevant to an ANDA label because it tracks a specific FDA-approved renal dosing regimen. Its value is therefore concentrated in the period when a generic applicant seeks approval with labeling that includes hemodialysis dosing.

Key Takeaways

  • US 10,376,496 covers a specific ceftolozane-tazobactam regimen for cIAI or cUTI patients with end-stage renal disease on hemodialysis.
  • The core regimen is a 500 mg/250 mg loading dose followed by 100 mg/50 mg IV maintenance doses approximately every eight hours.
  • Claims 7 and 8 add post-hemodialysis timing requirements of three hours and two hours, respectively.
  • Claims 6 and 9 through 14 specify ceftolozane sulfate and tazobactam sodium.
  • The expected patent expiration is June 6, 2034, subject to official term adjustments.
  • The patent’s commercial strength is greatest against generic labels that reproduce the approved hemodialysis dosing regimen.
  • Potential challenges include obviousness, noninfringement, written description, indefiniteness and Orange Book listing disputes.
  • Merck’s Zerbaxa rights derive from its acquisition of Cubist Pharmaceuticals.
  • The patent is one part of a larger Zerbaxa estate that may include composition, formulation, manufacturing and other method-of-use rights.

FAQs

Can a generic ceftolozane-tazobactam product launch before June 2034?

Yes. Launch could occur after a successful Paragraph IV challenge, a settlement providing an earlier entry date, a license from the patent holder, or an approved label that omits the patented method.

Does US 10,376,496 cover all Zerbaxa patients with kidney impairment?

No. The claims require end-stage renal disease and hemodialysis. They do not broadly cover every patient with renal impairment or every reduced-dose regimen.

Does metronidazole automatically create infringement under claim 5?

No. Claim 5 requires the complete claim 1 regimen, cIAI treatment and administration of a therapeutically effective amount of metronidazole. Metronidazole alone is not enough.

Can a manufacturer avoid claims 7 and 8 by administering the dose before hemodialysis?

Potentially, but the manufacturer would still need to assess claims 1 through 6 and any other Zerbaxa patents. Avoiding a dependent claim does not avoid infringement of the independent claim if all of its limitations are met.

Are biosimilars relevant to Zerbaxa?

No. Zerbaxa is a small-molecule antibacterial drug, so the primary competitive threat is from ANDA-based generic products, not biosimilars under the Public Health Service Act.

References

  1. United States Patent and Trademark Office. (2019). US Patent No. 10,376,496, methods of treating bacterial infections in patients with renal impairment.
  2. U.S. Food and Drug Administration. (2023). Zerbaxa (ceftolozane and tazobactam) prescribing information.
  3. United States Patent and Trademark Office. (n.d.). Patent term adjustment and patent term calculation resources.
  4. U.S. Food and Drug Administration. (n.d.). Approved drug products with therapeutic equivalence evaluations, Orange Book.
  5. 21 U.S.C. § 355(j); 35 U.S.C. § 271(e).
  6. Merck & Co., Inc. (2015). Merck completes acquisition of Cubist Pharmaceuticals.

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Drugs Protected by US Patent 10,376,496

Applicant Tradename Generic Name Dosage NDA Approval Date TE Type RLD RS Patent No. Patent Expiration Product Substance Delist Req. Patented / Exclusive Use Submissiondate
Cubist Pharms Llc ZERBAXA ceftolozane sulfate; tazobactam sodium POWDER;INTRAVENOUS 206829-001 Dec 19, 2014 RX Yes Yes ⤷  Start Trial ⤷  Start Trial Y ⤷  Start Trial
>Applicant >Tradename >Generic Name >Dosage >NDA >Approval Date >TE >Type >RLD >RS >Patent No. >Patent Expiration >Product >Substance >Delist Req. >Patented / Exclusive Use >Submissiondate

International Family Members for US Patent 10,376,496

Country Patent Number Estimated Expiration Supplementary Protection Certificate SPC Country SPC Expiration
Australia 2014233637 ⤷  Start Trial
Australia 2016202199 ⤷  Start Trial
Australia 2017279686 ⤷  Start Trial
Australia 2020202756 ⤷  Start Trial
European Patent Office 3043797 ⤷  Start Trial
>Country >Patent Number >Estimated Expiration >Supplementary Protection Certificate >SPC Country >SPC Expiration

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