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Orbactiv

Phase 4

Acute Bacterial Skin and Skin Structure Infection | Small molecule | Infectious Disease |CorMedix Inc.|Trials Updated: Dec 12, 2025

Orbactiv development status

Highest phase Phase 4 run by The Medicines Company (NCT02452918)
Phase scored for CRMDPhase 2
Registered trials 9 across 3 sponsors since May 2014

Orbactiv target and mechanism

ModalitySmall molecule

Also known as Oritavancin, Current Formulation of Oritavancin

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials3
Total Enrollment261

FDA Designations

No designations recorded

Orbactiv clinical trials

Orbactiv · 3 trials · 2 indications

Phase 2 1Phase 1 2
NCT05599295Study to Evaluate the Safety of Intravenous Oritavancin for the Treatment of Children With Skin InfectionsAcute Bacterial Skin and Skin Structure Infection
COMPLETED118 Analytics
PHASE2COMPLETED
Study to Evaluate the Safety of Intravenous Oritavancin for the Treatment of Children With Skin Infections
Acute Bacterial Skin and Skin Structure InfectionUnlock trial analytics

Study Endpoints

Primary Endpoints

Number of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)
Day 1 through Day 28
Relative Exposure of AUC of the New Formulation to the Approved Formulation
72 hours

Relative exposure of AUC of the new formulation to the approved formulation of oritavancin based on area under the plasma concentration-time curve from time zero to 72 hr (AUC0-72)

Pharmacokinetic Parameter (Area under the plasma concentration time-curve [AUC])
336 hours post infusion start time for Cohorts 1-4 and 168 hours for Cohort 5

PK parameters (AUC)

Secondary Endpoints

All-cause Mortality
Day 28
Number of Participants with a Clinical Response of Cure or Failure
Day 14 and Day 28
Area Under the Curve of Plasma Concentration (AUC) of Oritavancin
Day 1 (up to 168 hours after start of infusion)
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
OrbactivEXPERIMENTALOrbactiv will be infused at 15 milligrams/kilogram (mg/kg) over 3 hours for all participants and will not exceed a dose of 1200 mg.
KimyrsaEXPERIMENTALKimyrsa will be infused at 15 mg/kg over 3 hours for all participants and will not exceed a dose of 1200 mg.
Current Formulation of OritavancinACTIVE_COMPARATORThree single-use vials, each containing 400 mg (1200 mg total) of oritavancin diphosphate (as the free base) and the inactive component mannitol. Oritavancin vials will be reconstituted with SWFI and further diluted in D5W for a total volume of 1000 mL and infused intravenously over 3 hours.
OritavancinEXPERIMENTALSingle-dose IV Oritavancin Diphosphate

Interventions

NameTypeDescription
OrbactivDRUGSolution for IV infusion
KimyrsaDRUGSolution for IV infusion
Current Formulation of OritavancinDRUGCurrent formulation of oritavancin (3 hour infusion of 1200 mg in 1000 ml of D5W)
OritavancinDRUG -
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Eligibility Criteria

Age Range3 Months to 11 Years
SexALL
Healthy VolunteersNo
Study Sites23

Inclusion Criteria: 1. Male or female, 3 months to \<12 years of age at randomization 2. Diagnosis of at least 1 of the following ABSSSI infections (known or suspected to be caused by a gram-positive pathogen): 1. Wound infection: that is either traumatic or surgical in origin, defined as an in...

Countries:United StatesBulgariaGreeceLatviaLithuaniaPortugalRomaniaSpain
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Frequently asked questions about Orbactiv

What is Orbactiv used for?

Orbactiv is used for the treatment of Acute Bacterial Skin and Skin Structure Infection (ABSSSI). It is a small molecule being developed by CorMedix Inc. for this infectious disease indication. The drug is currently in clinical development and has been studied in pediatric patients with skin infections.

Who makes Orbactiv?

Orbactiv is being developed by CorMedix Inc., a biopharmaceutical company. CorMedix Inc. is publicly traded under the ticker symbol CRMD. The company is conducting clinical trials to evaluate the safety and efficacy of Orbactiv for the treatment of skin infections.

What phase is Orbactiv in?

Orbactiv is in Phase 2 clinical development. A Phase 2 clinical trial has been completed to evaluate the safety of intravenous oritavancin for the treatment of children with skin infections. The drug is investigational and has not been approved by regulatory authorities.

What clinical trials is Orbactiv in?

Orbactiv has been studied in one clinical trial with the identifier NCT05599295. This Phase 2 study evaluated the safety of intravenous oritavancin for the treatment of children with skin infections. The trial was completed and enrolled 118 participants across multiple countries including the United States, Bulgaria, Greece, Latvia, Lithuania, Portugal, Romania, and Spain.

Is Orbactiv the same as oritavancin?

Orbactiv is the brand name for the drug oritavancin. The clinical trial NCT05599295 specifically evaluated intravenous oritavancin for the treatment of children with skin infections. Oritavancin is the active pharmaceutical ingredient in Orbactiv, which is being developed by CorMedix Inc.

What is Orbactiv used for in Acute Bacterial Skin and Skin Structure Infection?

Orbactiv is being developed for the treatment of Acute Bacterial Skin and Skin Structure Infection (ABSSSI). In a completed Phase 2 clinical trial, the drug was evaluated for safety in children aged 3 months and older with skin infections. The study was controlled and enrolled 118 participants.