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Acurx Begins PATHFINDER Trial for Recurrent C. difficile Infection

Acurx Begins PATHFINDER Trial for Recurrent C. difficile Infection

Acurx Pharmaceuticals has enrolled the first patient in its PATHFINDER clinical trial, a pilot study targeting patients suffering from multiply-recurrent Clostridioides difficile infection. The company aims to leverage data from this trial to support a streamlined FDA approval pathway for its antibiotic candidate, ibezapolstat.

The PATHFINDER study focuses on approximately 20 participants who have endured at least three CDI episodes within the past year. By evaluating the safety and efficacy of ibezapolstat over a 14-day treatment period, Acurx intends to build a clinical foundation for a single, pivotal Phase 3 registration trial. Success in this pilot phase is a critical step toward the company’s goal of securing FDA approval under the Limited Population Pathway for Antibacterial and Antifungal Drugs.

Executive Chairman Bob DeLuccia noted that the drug could fundamentally alter the treatment landscape by addressing both acute infection and the prevention of recurrence with a single agent. Currently, CDI impacts roughly 500,000 Americans annually, contributing to 30,000 deaths and a massive economic burden. While the company prepares for its international ASPIRE Phase 3 trial, pending sufficient funding, the current PATHFINDER data remains central to ongoing regulatory discussions with the FDA regarding the scope of a future New Drug Application.

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