Wockhardt shares rise sharply after the company announces that the U.S. Food and Drug Administration (FDA) has approved ZAYNICH (cefepime and zidebactam), a new intravenous antibiotic for treating adults with complicated urinary tract infections (UTIs), including pyelonephritis, caused by susceptible Gram-negative pathogens. The approval covers use in a context of ongoing antimicrobial resistance concerns. Wockhardt says ZAYNICH combines cefepime, a fourth-generation cephalosporin, with zidebactam and is intended to target multiple penicillin-binding proteins simultaneously. The drug had previously received FDA designations including Qualified Infectious Disease Product (QIDP) and Fast Track status.

The FDA’s decision is based partly on results from the Phase 3 ENHANCE-1 study, a randomised, double-blind, multicentre trial comparing ZAYNICH with meropenem in hospitalised adults with complicated UTIs or acute pyelonephritis. Wockhardt reports a composite clinical cure and microbiological response rate of 89% at test-of-cure versus 68.4% for meropenem, with an associated treatment difference and confidence interval. The company also reports the antibiotic is generally well tolerated in the trial.