DIFICID (fidaxomicin) by Merck & Co. is 12. First approved in 2011.
Drug data last refreshed 5h ago · AI intelligence enriched 1w ago
DIFICID (fidaxomicin) is an oral macrolide antibacterial indicated for Clostridioides difficile infection (CDI). It acts locally in the gastrointestinal tract with minimal systemic absorption, exerting bactericidal activity through inhibition of bacterial RNA polymerase. The drug is metabolized to its active metabolite OP-1118, which contributes to therapeutic efficacy.
Product approaching loss of exclusivity in 1.6 years with stable Part D spending of $127M, indicating a mature franchise requiring transition planning and potential cost management strategies.
12.1 Mechanism of Action Fidaxomicin is an antibacterial drug [see ] . 12.2 Pharmacodynamics Fidaxomicin acts locally in the gastrointestinal tract on C. difficile . In a dose-ranging trial (N=48) of fidaxomicin using 50 mg, 100 mg, and 200 mg twice daily for 10 days, a dose-response relationship…
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Macrolide Antibacterial
Indication data is being enriched from DailyMed and FDA labeling. Check back soon for approved therapeutic uses.
STOP-CDI: Efficacy of Fecal Microbiota Transplantation vs Fidaxomicin vs Vancomycin in Treating and Preventing Relapse of Clostridioides Difficile Infection
Evaluation of Fidaxomicin in the Treatment of Clostridium Difficile Infection (CDI)
Fidaxomicin Versus Standard of Care Therapy in Solid Organ Transplant Recipients With Clostridium Difficile Infection
A Comparison of Fidaxomicin and Vancomycin in Patients With CDI Receiving Antibiotics for Concurrent Infections
Study to Evaluate the Pharmacokinetics of Fidaxomicin in Inflammatory Bowel Disease (IBD) Subjects With Clostridium Difficile Infection (CDI)
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Upgrade to Pro — $25/moPatent cliff in ~2 years — expect lifecycle management and generic defense hiring
$127M Medicare spend — this is a commercially significant brand
Working on DIFICID offers exposure to specialty pharma commercialization in infectious disease, with emphasis on healthcare provider relationships and payer navigation in a competitive market. As the product approaches LOE, career growth opportunities shift toward transition management, generic strategy, and organizational change management rather than launch execution.