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Antibacterial Therapies for Patients With an Unmet Medical Need for the Treatment of Serious Bacterial Diseases – Questions and Answers: Guidance for Industry

FinalCenter for Drug Evaluation and Research,Office of New Drugs06/26/2025

Description

The Food and Drug Administration (FDA or Agency) is announcing the availability of a final guidance for industry entitled “Antibacterial Therapies for Patients With an Unmet Medical Need for the Treatment of Serious Bacterial Diseases--Questions and Answers.”  This guidance assists in the clinical development of new antibacterial drugs to treat serious bacterial diseases in patients with unmet medical needs, including patients with a serious bacterial disease for which effective antibacterial drugs are limited or lacking.  This guidance finalizes the draft guidance entitled “Antibacterial Therapies for Patients With an Unmet Medical Need for the Treatment of Serious Bacterial Diseases--Questions and Answers (Revision 1)” issued on May 24, 2022.

Scope & Applicability

Product Classes

3
Antibacterial Therapies

Guidance for patients with an unmet medical need for the treatment of serious bacterial diseases

Antibacterial Drugs

drugs intended to treat serious bacterial infections in patients with unmet medical need; New antibacterial drugs that treat serious bacterial diseases in patients with an unmet medical need

Antibacterial Drug

Target product category for flexible development programs

Stakeholders

2
Sponsor

Entity responsible for submitting applications under section 524B

Sponsors

Assist sponsors in the nonclinical evaluation

Regulatory Context

Attributes

3
Minimum Inhibitory Concentration

MIC from a representative sample of target bacterial pathogens

Unmet Medical Need

Condition where patients lack treatment options

PK/PD index

metrics such as AUC/MIC, Cmax/MIC, or Time above MIC

Identified Hazards

Hazards

2
Antibacterial resistance

mechanisms of resistance to existing drugs

Nephrotoxicity

Serious adverse reaction limiting drug use

Related CFR Sections (5)

Related Warning Letters (10)

  • In Vivo Bioavailability-Bioequivalence Studies – Clinical

    Maria A. Carballosa, M.D.

    2025-12-23
  • Unapproved New Drug/Unlicensed Biological Product/Biologics License Application (BLA)

    Celularity, Inc

    2025-12-09
  • Sponsor/Investigator

    Verdure Sciences, Inc.

    2025-11-18
  • Clinical Investigator (Sponsor)

    Pamela K. Den Besten, DDS, MS

    2025-09-30
  • Clinical Investigator/Sponsor

    Ralph A. DeFronzo, M.D.

    2025-09-23
  • Clinical Investigator

    Shirish M. Gadgeel, M.D.

    2025-09-09
  • Clinical Investigator

    Mark J. Savant, M.D

    2025-07-15
  • Clinical Investigator

    Peter Michael, M.D.

    2025-07-01
  • Clinical Investigator (Sponsor)

    American Behavioral Research Institute, LLC

    2025-06-10
  • Bioresearch Monitoring Program

    Amy Lightner, MD

    2025-06-03

See Also (8)

Antibacterial Therapies for Patients With an Unmet Medical Need for the Treatment of Serious Bacterial Diseases – Questions and Answers: Guidance for Industry | Guideline Explorer | BioRegHub