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Cefepime + taniborbactam is an investigational intravenous combination antibiotic consisting of cefepime, a fourth-generation cephalosporin beta-lactam antibiotic, and taniborbactam (formerly VNRX-5133), a novel bicyclic boronate beta-lactamase inhibitor. Cefepime inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins. Taniborbactam inhibits both serine and metallo-beta-lactamases (Ambler classes A, B [NDM, VIM], C, and D), thereby protecting cefepime from enzymatic degradation by resistant bacteria. This combination is being developed primarily for the treatment of complicated urinary tract infections (cUTIs), including acute pyelonephritis, as well as hospital-acquired bacterial pneumonia and ventilator-associated bacterial pneumonia in adults. It targets serious infections caused by multidrug-resistant gram-negative bacteria such as carbapenem-resistant Enterobacterales (CRE) and multidrug-resistant Pseudomonas aeruginosa[1][2][3][4][5][8].
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