ORLYNVAH is available through an exclusive partnership with Alto Pharmacy

Demonstrated clinical response in the SURE-1 trial1,2

Proven efficacy against ciprofloxacin-resistant pathogens1*

Composite response

Proven efficacy in composite response against ciprofloxacin-resistant pathogens.Proven efficacy in composite response against ciprofloxacin-resistant pathogens.

Clinical cure

Proven efficacy in clinical cure against ciprofloxacin-resistant pathogens.Proven efficacy in clinical cure against ciprofloxacin-resistant pathogens.

Microbiological response

Proven efficacy in microbiological response against ciprofloxacin-resistant pathogens.Proven efficacy in microbiological response against ciprofloxacin-resistant pathogens.

In the ORLYNVAH clinical trial:

  • ORLYNVAH did not demonstrate efficacy in patients with ciprofloxacin-susceptible pathogens1

  • Clinical cure was similar across treatment groups in the patient population with ciprofloxacin-susceptible pathogens. However, there was a higher proportion of patients in the ORLYNVAH group with asymptomatic bacteriuria at the day 12 test-of-cure visit1,2

ORLYNVAH demonstrated superiority against gram-negative uropathogens resistant to ciprofloxacin in uUTIs1,2

Study design1,2

Trial 2 (SURE-1; NCT03354598) was a Phase 3, randomized, multinational, double-blind, double-dummy, controlled, non-inferiority study to compare ORLYNVAH (500 mg by mouth twice daily for five days) to ciprofloxacin (250 mg by mouth twice daily for three days) for the treatment of uUTIs in adult female patients.

Trial 2 study design comparing ORLYNVAH to ciprofloxacin in adult women with uUTIs.Trial 2 study design comparing ORLYNVAH to ciprofloxacin 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 nonsusceptible (MIC ≥ 2 μg/mL) to ciprofloxacin.1,2

Compared to ciprofloxacin group.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.1,2

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

Consistent clinical response
Demonstrated clinical efficacy against amoxicillin/clavulanate in a Phase 3 clinical trial1,3
Explore REASSURE 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. 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
  3. 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