TheraRadar
Data updated: May 26, 2026

FETROJA (cefiderocol sulfate tosylate)

Priority Review Fast Track
Infectious Disease Approved 2019-11-14

FETROJA is indicated for the treatment of Complicated Urinary Tract Infection; Pyelonephritis; Hospital-Acquired Pneumonia; Ventilator-Associated Pneumonia.

Source: FDA Label • SHIONOGI

How FETROJA Works

Cefiderocol functions as a siderophore cephalosporin. It binds to extracellular ferric iron and is actively transported across the outer membrane of Gram-negative bacteria via bacterial iron transport channels (a "Trojan Horse" mechanism). This allows the drug to bypass traditional porin channels and achieve high concentrations in the periplasmic space, where it inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins (PBPs).

2
Indications
--
Phase 3 Trials
2
Priority Reviews
6
Years on Market

Details

Status
Prescription
First Approved
2019-11-14
Patent Cliff
2035

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Routes
INTRAVENOUS
Dosage Forms
POWDER

Companies

Active Ingredient: CEFIDEROCOL SULFATE TOSYLATE

FETROJA Approval History

2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
4 FDA actions from 2019 to 2025 · 1 indication expansions
Jun 2025 SUPPL
Label · Labeling
Nov 2021 SUPPL
Label · Labeling
Sep 2020 SUPPL Priority
Efficacy

What FETROJA Treats

4 indications

FETROJA is approved for 4 conditions since its original approval in 2019. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Complicated Urinary Tract Infection
  • Pyelonephritis
  • Hospital-Acquired Pneumonia
  • Ventilator-Associated Pneumonia
Source: FDA Label

FETROJA Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to FETROJA

3 of 13

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

RECARBRIO
CILASTATIN SODIUM
2 shared
Merck
Shared indications:
Complicated Urinary Tract InfectionPyelonephritis
VABOMERE
MEROPENEM
2 shared
REMPEX
Shared indications:
Complicated Urinary Tract InfectionPyelonephritis
ZEMDRI
PLAZOMICIN SULFATE
2 shared
Cipla
Shared indications:
Complicated Urinary Tract InfectionPyelonephritis
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Active Pipeline

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Key Completed Trials

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Trial Timeline

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

FETROJA FDA Label Details

Indications & Usage

FDA Label (PDF)

FETROJA is indicated for the treatment of Complicated Urinary Tract Infection; Pyelonephritis; Hospital-Acquired Pneumonia; Ventilator-Associated Pneumonia.

View full patent landscape →
3 OB patents · 3 families · 114 international docs across 39 countries

FETROJA Patents & Exclusivity

Latest Patent: Sep 2035
Exclusivity: Nov 2029

Patents (3 active)

US10004750 Expires Sep 3, 2035
US9949982 Expires Sep 3, 2035
US9238657 Expires Nov 14, 2033

Exclusivity

NCE Until Nov 2024
GAIN Until Nov 2029
Source: FDA Orange Book

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Revenue Insights

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Patent Timeline

  • Cliff: 2035
  • 5 active patents

Trial Analysis

  • Clinical trial tracking
  • Development stage analysis

Competitive Landscape

  • 13 similar drugs
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.