# A New Class of Broad-Spectrum Antibacterial Agents to Treat Multi-Drug Resistant Pathogens

> **NIH NIH R44** · CURZA INC · 2024 · $1,000,000

## Abstract

Project Summary
Cūrza is developing the CZ-02 platform of broad-spectrum antibiotics as a new class focusing on multidrug-
resistant (MDR) Gram-negative pathogens that will also be efficacious against Gram-positive bacteria. CZ-02
antibacterials bind to a unique site on the bacterial ribosome that is not targeted by antibiotics available clinically
which is expected to limit cross-resistance to other antibiotics.
The initiation and subsequent development of the CZ-02 program represents a strong example for revisiting the
use of natural products in drug discovery which has fallen out of favor in Pharma. CZ-02s were inspired by the
natural product amicetin which selectively inhibits bacterial protein synthesis but suffers from limited antibacterial
activity and poor drug-like properties. Careful engineering of the natural product has produced CZ-02s with
exquisite selectivity for bacterial protein synthesis, potent antibacterial activity and excellent drug-like properties
that have demonstrated efficacy against MDR pathogens in multiple animal models of infection while sparing
mammalian cells from cytotoxicity.
The goal of this Direct-to-Phase II project is to develop a new antibacterial drug candidate that covers Gram-
negative pathogens found among Enterobacterales and the non-fermenters Acinetobacter baumanni and
Pseudomonas aeruginosa as well as Gram-positive pathogens. The initial clinical indication will be for treating
Urinary Tract Infections (UTIs), with other indications to follow (e.g. complicated intra-abdominal infections,
pneumonia, bacteremia). At the conclusion of this Phase II SBIR will be a pre-clinical development candidate
that is potent with broad spectrum activity that will be ready for Chemistry, Manufacturing and Controls (CMC)
and toxicology/safety pharmacology under Good Laboratory Practices (GLP).
Advancement of this antibacterial lead series will be accomplished by the following aims. Aim 1 will expand the
spectrum of activity for advanced leads that have shown efficacy in UTI animal models with MDR Gram-negative
pathogens. Curza’s proprietary model for producing potent and selective inhibitors of bacterial P-site protein
synthesis, in combination with a battery of biological/biochemical activity assays (biochemical, microbiological,
in vitro ADME-Tox), will be used for chemistry efforts to ensure compounds retain activity while expanding the
spectrum of addressable pathogens to include A. baumannii and P. aeruginosa. Aim 2 will define
pharmacokinetics (PK) while identifying the maximum tolerated dose and confirming efficacy by testing in thigh
infection models to select CZ-02s for evaluation in UTI models. A lead and backup drug candidate will be selected
in Aim 3 by evaluation in UTI models of antibiotic-resistant bacteria followed by non-GLP toxicology in rats to
nominate a lead and backup. Aim 4 will scale-up production (non-GLP) to support in vivo studies while Aim 5 will
establish the optimal dosing strategy from P...

## Key facts

- **NIH application ID:** 10892244
- **Project number:** 5R44AI170297-02
- **Recipient organization:** CURZA INC
- **Principal Investigator:** Paul Sebahar
- **Activity code:** R44 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $1,000,000
- **Award type:** 5
- **Project period:** 2023-07-21 → 2026-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10892244

## Citation

> US National Institutes of Health, RePORTER application 10892244, A New Class of Broad-Spectrum Antibacterial Agents to Treat Multi-Drug Resistant Pathogens (5R44AI170297-02). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10892244. Licensed CC0.

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