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- by Eo, Yun-Ho May 08, 2026 01:15pm
The 'super antibiotic' Fetroja is entering the prescription lists of major general hospitals.According to industry sources, Fetroja (cefiderocol tosylate sulfate), Jeil Pharmaceutical’s treatment for multidrug-resistant Gram-negative bacterial infections, has passed the drug committees (DC) of tertiary general hospitals, including Samsung Medical Center and Seoul National University Hospital.Following its inclusion on the insurance reimbursement list last February, the drug is gradually expanding its prescribing area.Fetroja was approved in South Korea in February 2025 for the treatment of ▲complicated urinary tract infections, including pyelonephritis ▲hospital-acquired pneumonia, including ventilator-associated pneumonia.Developed by Shionogi, Fetroja is the world's first siderophore cephalosporin antibiotic. To overcome reduced efficacy caused by bacterial resistance mechanisms, it uses a unique mechanism of action: it binds to ferric iron. It is actively transported into the bacterial cell through the pathogen's own iron porin channels.Jeil Pharmaceutical secured the rights to develop and commercialize Fetroja in South Korea after signing an exclusive domestic supply agreement with Ping An-Shionogi in July 2022.Fetroja has demonstrated in vitro activity against various antimicrobial-resistant (AMR) pathogens, including Carbapenem-resistant Enterobacterales (CRE), Carbapenem-resistant Acinetobacter baumannii (CRAB), and Metallo-beta-lactamase (MBL)-producing Carbapenem-resistant Pseudomonas aeruginosa (CRPA).Meanwhile, Shionogi has a long history and expertise in developing treatments for infectious diseases. The company continues to conduct research and development, particularly in antibiotics, antivirals, and central nervous system (CNS) treatments, and maintains subsidiaries in Japan, the U.S., Europe, and China.Ping An-Shionogi was established as a joint venture between Japan's Shionogi and China's Ping An in 2020. Ping An-Shionogi obtained Asian rights to Fetroja. In December 2024, Shionogi acquired all of Ping An's shares, and Ping An was subsequently incorporated as a wholly owned subsidiary of Shionogi.