Zidebactam

DB13090ApprovedSmall molecule

Zidebactam is a diazabicyclooctane beta-lactamase inhibitor and PBP2-binding antibacterial, used only with cefepime, indicated for complicated urinary tract infections including pyelonephritis caused by susceptible Gram-negative pathogens. Zidebactam is a diazabicyclooctane that acts both as a beta-lactamase inhibitor and as an antibacterial in its own right, selectively binding penicillin-binding protein 2.

Chemical structure of Zidebactam
Mechanism
Curator reviewed
Primary indication
Zidebactam in combination with cefepime is indicated for the treatment of adult patients with complicated urinary tract infections (cUTI) including pyelonephritis caused by the following susceptible microorganisms: Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, Enterobacter cloacae...Curator reviewed · 2 structured indications
Formula / weight
C13H21N5O7S · 391.4 g/mol (avg)
First approval
United States, 2026
Code names
WCK-5107
Brand names
  • Zaynich

Resolves to

Clinical / RWD
Structure
InChIKeyYCZPXRQPDCXTIO-BBBLOLIVSA-NSMILESOS(=O)(=O)ON1[C@H]2C[N@]([C@@H](CC2)C(=O)NNC(=O)[C@@H]2CCCNC2)C1=O

What you can answer from here — as of September 21, 2026

4Protein targetsEach mapped to UniProt, with action and pharmacological action
Listed above
54Drug interactionsStructured to mechanism, not free text
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7Clinical trialsPhase, status and sponsor resolved per trial
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2Structured indicationsCondition, population, route and combination as fields, not prose
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1Marketed productAcross 1 country and 1 labeller
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8+ReferencesStructured and connected to the statements they support
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Which drugs share a target with Zidebactam, and which of those have an active Phase 3 trial?

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