DIFICID (fidaxomicin) by Merck & Co. is 12. First approved in 2011.
Drug data last refreshed 9h ago · AI intelligence enriched 1w ago
DIFICID (fidaxomicin) is an oral macrolide antibacterial approved in 2011 for Clostridioides difficile infection (CDI), acting locally in the gastrointestinal tract with minimal systemic absorption. It works through bacterial RNA polymerase inhibition, with a main microbiologically active metabolite OP-1118 formed via hydrolysis. The drug demonstrates dose-dependent efficacy and is confined primarily to the GI tract where C. difficile resides.
Product approaching loss of exclusivity in 1.4 years; brand teams should focus on retention strategies and managed generic transition planning.
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 pharmaceutical professionals exposure to mature commercial execution and LOE management in a competitive infectious disease market. Roles are increasingly focused on defensive strategy, formulary retention, and orchestrating a transition to post-exclusivity competitive dynamics rather than growth innovation.