ORLYNVAH is available through an exclusive partnership with Alto Pharmacy

Consistent clinical response in the REASSURE trial1,2

Proven response in the amoxicillin/clavulanate-susceptible group1*

Composite response

Composite response in amoxicillin/clavulanate-susceptible group.Composite response in amoxicillin/clavulanate-susceptible group.

Clinical cure

Clinical cure in amoxicillin/clavulanate-susceptible group.Clinical cure in amoxicillin/clavulanate-susceptible group.

Microbiological response

Microbiological response in amoxicillin/clavulanate-susceptible group.Microbiological response in amoxicillin/clavulanate-susceptible group.

In the ORLYNVAH clinical trial1:

  • ORLYNVAH demonstrated efficacy against gram-negative uropathogens susceptible to amoxicillin/clavulanate in uUTIs

  • The amoxicillin/clavulanate-resistant population was small (n=67) and had insufficient power to draw conclusions regarding efficacy

Study design1,2

Trial 1 (REASSURE; NCT05584657) was a Phase 3, multicenter, randomized, double-blind, double-dummy, non-inferiority trial comparing ORLYNVAH (sulopenem etzadroxil 500 mg/probenecid 500 mg by mouth twice daily for 5 days) to amoxicillin/clavulanate (875 mg/125 mg by mouth twice daily for 5 days) in adult women with uUTIs.

Trial 1 study design comparing ORLYNVAH to amoxicillin/clavulanate in adult women with uUTIs.Trial 1 study design comparing ORLYNVAH to amoxicillin/clavulanate in adult women with uUTIs.

Primary endpoint1,2:

  • Composite response (clinical cure and microbiologic response) at Day 12 in the micro-MITT population


    • Clinical cure: resolution of uUTI symptoms and no new symptoms

    • Microbiological response: eradication of the baseline pathogen to < 103 CFU/mL in the urine

Micro-MITT population with baseline pathogens susceptible (MIC ≤ 8/4 μg/mL) to amoxicillin/clavulanate.1

Micro-MITT population included all patients who had at least 1 uropathogen isolated at baseline (≥ 105 CFU/mL) regardless of susceptibility to amoxicillin/clavulanate and received at least 1 dose of the study drug.1

CFU=colony-forming unit; MIC=minimum inhibitory concentration; Micro-MITT=microbiological modified intent-to-treat; po bid=by mouth twice daily.

Demonstrated clinical response
Proven efficacy against ciprofloxacin-resistant pathogens1,3
View SURE-1 data
ORLYNVAH safety was evaluated in more than 1900 patients
The majority of adverse events were mild1-3
Learn about safety
References:
  1. ORLYNVAH. Package insert. Iterum Therapeutics U.S. Limited: Chicago, IL; 2025.
  2. Puttagunta S, Aronin SI, Gupta J, Das AF, Gupta K, Dunne MW. Sulopenem versus amoxicillin/clavulanate for the treatment of uncomplicated urinary tract infection. NEJM Evid. 2025;4(7):EVIDoa2400414. doi:10.1056/EVIDoa2400414
  3. Dunne MW, Aronin SI, Das AF, et al. Sulopenem or ciprofloxacin for the treatment of uncomplicated urinary tract infections in women: a phase 3, randomized trial. Clin Infect Dis. 2023;76(1):66-77. doi:10.1093/cid/ciac738