TheraRadar
Data updated: May 26, 2026

ORBACTIV (oritavancin diphosphate)

Cytochrome P450 2C19 Inhibitors Trial Activity: Stable 2 active trials
Infectious Disease Approved 2014-08-06

Orbactiv treats adults with acute bacterial skin and skin structure infections. It helps patients fighting infections caused by Gram-positive microorganisms, including methicillin-resistant Staphylococcus aureus (MRSA) and certain Streptococcus and Enterococcus species. Healthcare providers use this medication to resolve proven or strongly suspected bacterial infections while helping to minimize the rise of drug-resistant bacteria.

Source: FDA Label • MELINTA THERAP • Lipoglycopeptide Antibacterial

How ORBACTIV Works

This medication works as a lipoglycopeptide antibacterial to combat specific Gram-positive bacteria. It targets susceptible isolates to clear infections in the skin and underlying skin structures.

Development Insights

The Medicines Company conducting 3 trials (30%)
12 indications explored (Broad Platform)
gram-positive bacterial infections (3 trials)
acute bacterial skin and skin structure infection (2 trials)
healthy (2 trials)
1
Indication
--
Phase 3 Trials
1
Priority Reviews
11
Years on Market

Details

Status
Prescription
First Approved
2014-08-06
Patent Cliff
2035

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Routes
INTRAVENOUS
Dosage Forms
POWDER

Companies

Active Ingredient: ORITAVANCIN DIPHOSPHATE

ORBACTIV Approval History

2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
8 FDA actions from 2014 to 2022
Jan 2022 SUPPL
Label · Labeling
Jul 2021 SUPPL
Label · Labeling
Dec 2019 SUPPL
Label · Labeling

What ORBACTIV Treats

1 indications

ORBACTIV is approved for 1 conditions since its original approval in 2014. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Bacterial Skin and Skin Structure Infections
Source: FDA Label

ORBACTIV Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

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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.

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Clinical Trial Registry

9 trials
Trial Sponsor ID Phase Status Title
NCT07550595 OSCAR OSCAR Ph 2 not yet recruiting Oritavancin for Treatment of Serious Cardiac Infections
NCT02134301 TMC-ORI-11-01 2013-005415-26 Ph 1 completed Open Label, Dose-finding, Pharmacokinetics, Safety and Tolerability Study of Oritavancin in Pediatric Participants With Suspected or Confirmed Bacterial Infections
NCT05599295 ML-ORI-201 2024-516385-10-00 Ph 2 completed Study to Evaluate the Safety of Intravenous Oritavancin for the Treatment of Children With Skin Infections
NCT05521880 AIM-STOP HP-00101580 Ph 4 terminated Anchoring Sequential Intermittent Long Acting Antimicrobials With Medication for Opioid Use Disorder (MOUD) for Invasive Infections Related to Opioid Use
NCT02925416 results posted MDCO-ORI-16-02 Ph 4 completed Safety of Either a Single or Two Intravenous Doses of Orbactiv in Participants With Acute Bacterial Skin and Skin Structure Infection
NCT02452918 results posted MDCO-ORI-14-03 Ph 4 completed A Study to Evaluate the Safety of a Single Intravenous (IV) Dose of Orbactiv (Oritavancin) in Participants on Chronic Warfarin Therapy Being Treated For Acute Bacterial Skin and Skin Structure Infection (ABSSSI)
NCT02471690 MDCO-ORI-15-01 Ph 1 completed Study to Evaluate the Safety, Tolerability and Pharmacokinetics of a New Formulation of Oritavancin in Healthy Volunteers
NCT02470702 MDCO-ORI-15-02 Ph 1 completed Multiple Oritavancin Doses on Safety, Tolerability, and Pharmacokinetics in Healthy Subjects
NCT02357524 MDCO-ORI-14-01 Ph 1 completed Oritavancin on the Results of Multiple Coagulation Tests in Healthy Volunteers
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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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.

ORBACTIV FDA Label Details

Indications & Usage

FDA Label (PDF)

ORBACTIV is indicated for the treatment of Bacterial Skin and Skin Structure Infections.

View full patent landscape →
4 OB patents · 3 families · 87 international docs across 21 countries

ORBACTIV Patents & Exclusivity

Latest Patent: Jul 2035

Patents (4 active)

US9649352 Expires Jul 16, 2035
US9682061 Expires Apr 26, 2030
US8420592 Expires Aug 29, 2029
US12514899 Expires Aug 29, 2029
Source: FDA Orange Book

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Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2035
  • 4 active patents

Trial Analysis

  • 10 total trials
  • Stage: Stable

Competitive Landscape

  • Competitor tracking
  • 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.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment