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Spero Therapeutics Announces Presentations on Tebipenem Hbr at IDWeek

Key Takeaway: Spero Therapeutics announced that it will present data on tebipenem HBr at IDWeek 2025. This investigational oral carbapenem antibiotic is aimed at treating complicated urinary tract infections, including pyelonephritis. The Phase 3 PIVOT-PO trial has shown positive results, meeting its primary endpoint. GSK, Spero's partner, plans to file for FDA approval in late 2025.
Price reaction · baseline $2.29 (2025-10-13 close) · hit pre-market · clean, no other SPRO news in the window
day 0 close · peak
+3.1%

Market Sentiment Analysis

POSITIVE FACTORS

  • Tebipenem HBr shows promise in treating complicated urinary tract infections.
  • The Phase 3 trial met its primary endpoint, indicating effectiveness.
  • Fast Track and QIDP designations from the FDA enhance its development prospects.

CONCERNS & RISKS

  • Regulatory delays and clinical trial challenges could impact progress.
  • Dependence on GSK for further development may pose risks.

BiopharmaWatch Analysis

From our catalyst data and publicly available data · not financial advice
Best trade, last catalyst
+8%
120-day peak, hindsight
Typical move
7.4%
average across 5 past catalysts
Cash runway
~28 mo
Minimal dilution risk
Lead asset
Tebipenem pivoxil hydrobromide
Phase 1 · Renal Impairment

Full Press Release Details

CAMBRIDGE, Mass., Oct. 14, 2025 (GLOBE NEWSWIRE) --Spero Therapeutics, Inc. (Nasdaq: SPRO), a clinical-stage biopharmaceutical company focused on identifying and developing novel treatments for rare diseases and multi-drug resistant (MDR) bacterial infections, today announces presentations on tebipenem Hbr at the upcomingIDWeekannual meeting to take place Oct 19 – 22, 2025 in Atlanta, GA. Tebipenem Hbr is an investigational oral carbapenem being developed for the treatment of complicated urinary tract infection (cUTI), including pyelonephritis. The presentations are being made in collaboration with Spero’s development partner, GSK.
Oral Presentation
Title: Oral Tebipenem Pivoxil Hydrobromide versus Intravenous Imipenem-Cilastatin in Patients with Complicated Urinary Tract Infections or Acute Pyelonephritis: Efficacy and Safety Results from the Phase 3 PIVOT-PO study
Presenter: David K. Hong, Senior Vice President, Clinical Development at Spero
Session Title: Late Breaking Trial Results for Viral and Bacterial Infections
Date/ Time: Monday October 20, 2025, 1:45 PM - 3:00 PM Eastern Time
Location: B401-B402
Posters:
Titles: i. In Vitro Antibacterial Spectrum and Activity of Tebipenem Against Enterobacterales Clinical Isolates Causing Urinary Tract and Bloodstream Infections in the United States and United Kingdom in 2023-2024
ii. Activity of Tebipenem Against Enterobacterales, Including Molecularly Characterized Clinical Isolates Causing Urinary Tract and Bloodstream Infections from the United States in 2023
Time: Tuesday 21 October, 12:15 to 1:30 pm
Location: Poster Hall B4 to B5
About tebipenem HBrTebipenem HBr is an investigational oral carbapenem antibiotic being developed for the treatment of cUTI, including pyelonephritis, to help patients potentially reduce the duration of in-patient therapy. Spero granted GSK an exclusive license to commercialize tebipenem HBr in all territories, except certain Asian territories where Meiji holds development and commercialization rights. In May 2025, Spero and its development partner GSK announced that the Phase 3 PIVOT-PO trial met the primary endpoint of non-inferiority of tebipenem HBr compared to intravenous imipenem-cilastatin in hospitalized adult patients with cUTI, including pyelonephritis, on overall response (composite of clinical cure plus microbiological eradication) at the test-of-cure visit. Tebipenem HBr has received Qualified Infectious Disease Product (QIDP) and Fast Track designations from the FDA. GSK plans to work with U.S. regulatory authorities to include these data as part of a filing in 4Q 2025.
Government Agency Research SupportThe views expressed in this press release are those of the authors and may not reflect the official policy or position of the Department of the Army, Department of Defense, or the U.S. Government.
Tebipenem HBr Research SupportSelect tebipenem HBr studies have been funded in part with federal funds from the Department of Health and Human Services; Administration for Strategic Preparedness and Response; and Biomedical Advanced Research and Development Authority, under contract number HHSO100201800015C.
About Spero TherapeuticsSpero Therapeutics, headquartered in Cambridge, Massachusetts, is a clinical-stage biopharmaceutical company focused on identifying and developing novel treatments for rare diseases and MDR bacterial infections with high unmet need. For more information, visitwww.sperotherapeutics.com.
Forward Looking StatementsThis press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, including, without limitation, statements regarding the timing, progress and results of Spero's Phase 3 PIVOT-PO trial; the timing of a planned FDA filing in 2H 2025 for tebipenem HBr; the potential of tebipenem HBr to be the first oral carbapenem antibiotic for US patients with cUTI, including pyelonephritis, and to set a new standard of care; the potential receipt of milestone payments under Spero’s license and collaboration agreements; Spero’s anticipated cash runway; and the potential benefits of any of Spero’s current or future product candidates in treating patients. In some cases, forward-looking statements may be identified by terms such as "may," "will," "should," "expect," "plan," "aim," "anticipate," "could," "intent," "target," "project," "contemplate," "believe," "estimate," "predict," "potential" or "continue," the negative of these terms or other similar expressions. Any forward-looking statements in this press release are based on management’s current expectations and beliefs and are subject to a number of important risks, uncertainties and other factors that may cause actual results to differ materially from those indicated by such forward looking statements, including whether tebipenem HBr will advance through the clinical development process, or at all, taking into account the effects of possible regulatory delays, slower than anticipated patient enrollment, manufacturing challenges, clinical trial design and clinical outcomes; whether the results of such trials will warrant submission for approval from the FDA or equivalent foreign regulatory agencies; whether the FDA will ultimately approve tebipenem HBr and, if so, the timing of any such approval; whether the FDA will require any additional clinical data or place labeling restrictions on the use of tebipenem HBr that would delay approval and/or reduce the commercial prospects of tebipenem HBr; whether a successful commercial launch can be achieved and market acceptance of tebipenem HBr can be established; whether results obtained in preclinical studies and clinical trials will be indicative of results obtained in future clinical trials; Spero's reliance on third parties to manufacture, develop, and commercialize its product candidates, if approved, including, in the case of tebipenem HBr, Spero’s reliance on GSK pursuant to the exclusive GSK License Agreement to develop tebipenem HBr and GSK’s right thereunder to determine, in its sole discretion, whether to continue the PIVOT-PO trial or otherwise further develop tebipenem HBr; Spero's need for additional funding; the ability to commercialize Spero's product candidates, if approved; Spero's ability to retain key personnel; Spero's leadership transitions; whether Spero's cash resources will be sufficient to fund its continuing operations for the periods and/or trials anticipated; and other factors discussed in the "Risk Factors" set forth in filings that Spero periodically makes with the SEC. The forward-looking statements included in this press release represent Spero's views only as of the date hereof and should not be relied upon as representing its views as of any subsequent date. Except as required by law, Spero explicitly disclaims any obligation to update any forward-looking statements.

Investor Relations Contact:Shai Biran, PhDSpero TherapeuticsIR@Sperotherapeutics.comMedia Inquiries:media@sperotherapeutics.com

Frequently Asked Questions

What is tebipenem HBr?

Tebipenem HBr is an investigational oral carbapenem antibiotic for treating complicated urinary tract infections.

What were the results of the Phase 3 trial?

The Phase 3 PIVOT-PO trial met its primary endpoint of non-inferiority compared to intravenous imipenem-cilastatin.

When will Spero file for FDA approval?

Spero plans to file for FDA approval of tebipenem HBr in the fourth quarter of 2025.

Who is Spero's development partner?

Spero's development partner for tebipenem HBr is GSK.

What designations has tebipenem HBr received?

Tebipenem HBr has received Fast Track and Qualified Infectious Disease Product designations from the FDA.

Last updated: Oct 14, 2025