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GSK (NYSE: GSK) wins FDA nod for Blujepa to treat gonorrhoea patients

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GSK plc announced that the US FDA has approved a supplemental New Drug Application for Blujepa (gepotidacin) as an oral treatment option for uncomplicated urogenital gonorrhoea in adults and adolescents from 12 years of age who weigh at least 45 kg and have limited or no alternative options. This makes Blujepa the first drug from a new antibiotic class approved for gonorrhoea in more than three decades and offers an oral alternative to current injectable standard-of-care regimens.

The decision is based on the phase III EAGLE-1 trial, which showed gepotidacin was non-inferior to a combination of intramuscular ceftriaxone and oral azithromycin, with no serious drug-related adverse events and mainly mild to moderate gastrointestinal side effects. The approval builds on an earlier US authorization of gepotidacin for uncomplicated urinary tract infections, strengthening GSK’s infectious disease portfolio in an area of growing antimicrobial resistance.

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Insights

FDA approval of Blujepa for gonorrhoea meaningfully expands GSK’s first-in-class antibiotic franchise in a high-need infectious disease area.

The approval of Blujepa (gepotidacin) for uncomplicated urogenital gonorrhoea in patients 12 and older who lack good alternatives adds a second US indication to this first-in-class antibiotic. Gonorrhoea is highlighted by both the WHO and CDC as a priority, drug-resistant pathogen, and current US treatment depends on injectable antibiotics, so an oral option addresses a clear treatment gap rather than just marginally extending an existing product.

The label is supported by the phase III EAGLE-1 trial, where gepotidacin was non-inferior to standard combination therapy (intramuscular ceftriaxone plus oral azithromycin) and showed no serious drug-related adverse events, with mostly mild to moderate gastrointestinal reactions. Alongside prior phase III success in uUTI (EAGLE-2 and EAGLE-3), this establishes a substantial clinical evidence base that can underpin physician adoption in two common infection types.

Strategically, GSK strengthens its infectious disease portfolio in antimicrobial resistance, an area it explicitly targets, with US development support partly funded by BARDA and the US Department of Defense. Commercial and public health impact will depend on guideline incorporation and real-world use in patients with limited options, but the approval gives GSK a differentiated, proprietary asset in a high-burden sexually transmitted infection.

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
Form 6-K
 
REPORT OF FOREIGN PRIVATE ISSUER PURSUANT TO RULE 13a-16 OR 15d-16
UNDER THE SECURITIES EXCHANGE ACT OF 1934
 
 
 
For the month of December 2025
 
Commission File Number 001-15170
 
 
GSK plc
(Translation of registrant's name into English)
 
 
79 New Oxford Street, London, WC1A 1DG
(Address of principal executive office)
 
 
 
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.
 
Form 20-F . . . .X. . . . Form 40-F . . . . . . . .
 
 
 
Issued: 11 December 2025, London UK
 
Blujepa (gepotidacin) approved by US FDA as oral option for treatment of uncomplicated urogenital gonorrhoea (uGC)  
 
●     Blujepa is the first in a new antibiotic class for the treatment of gonorrhoea approved in over three decades[i]
●     Offers a new oral option for US patients with gonorrhoea currently relying on injectable treatments
●     Neisseria gonorrhoeae is a priority pathogen for the World Health Organization with significant need for new treatments[1]
 
 
GSK plc (LSE/NYSE: GSK) today announced that the US Food and Drug Administration (FDA) has approved a supplemental New Drug Application for gepotidacin as an oral option for adult and paediatric patients from 12 years of age weighing at least 45 kg who have limited or no alternative options for the treatment of uncomplicated urogenital gonorrhoea caused by susceptible strains of Neisseria gonorrhoeae (e.g., where standard of care is contraindicated, or where patients are intolerant or unwilling to use first line treatment). This milestone follows the US FDA approval of gepotidacin earlier this year as an oral treatment for female adult and paediatric patients 12 years of age and older (weighing ≥40 kg) with uncomplicated urinary tract infection (uUTI).[2]
 
Gonorrhoea is a common, sexually transmitted infection caused by Neisseria gonorrhoeae, which has been recognised by the World Health Organization as a priority pathogen1 and an urgent public health threat by the US Centers for Disease Control and Prevention (CDC).[3] It affects both men and women and if left untreated or inadequately treated, it can lead to infertility and other sexual and reproductive health complications. In 2023, there were over 600,000 cases of gonorrhoea reported in the United States according to the CDC, making it the second most commonly reported sexually transmitted infection in the country.[4] There is currently no licensed vaccine in the US for the prevention of gonorrhoea infections and the standard treatment relies on an injectable antibiotic.[5]
 
Tony Wood, Chief Scientific Officer, GSK, said: "We're proud to have delivered the first new class of antibiotics for gonorrhoea in over three decades and a new oral option for US patients. The ability of N. gonorrhoeae to develop resistance to currently available options, including standard of care, makes it important to expand the range of effective oral treatments".
 
The US application was based on positive results from the EAGLE-1 phase III trial which demonstrated that gepotidacin was non-inferior to standard of care combination treatment for gonorrhoea (intramuscular ceftriaxone plus oral azithromycin). The trial also supported the safety and tolerability profile of gepotidacin, with no serious drug related adverse events observed in either the gepotidacin or the comparator arm. The most common reported adverse reactions were mild to moderate gastrointestinal events.[6]
 
With this approval, gepotidacin is now available to US patients for the treatment of uncomplicated urogenital gonorrhoea when appropriate.
 
The development of gepotidacin has been funded in part with federal funds from the US Department of Health and Human Services, Administration for Strategic Preparedness and Response, Biomedical Advanced Research and Development Authority (BARDA), under Other Transaction Agreement number HHSO100201300011C based on its potential for use against secondary bacterial infections that may arise following chemical, biological, radiological, and nuclear (CBRN) incidents and with federal funds awarded by the US Department of Defense's Threat Reduction Agency under agreement number HDTRA1-07-9-0002.

About gepotidacin
Gepotidacin, discovered by GSK scientists, is a bactericidal, first-in-class triazaacenaphthylene antibiotic that inhibits bacterial DNA replication by a distinct binding site, a novel mechanism of action, and for most pathogens, provides well-balanced inhibition of two different Type II topoisomerase enzymes. This provides activity against Neisseria gonorrhoeae and most target uropathogens (such as Escherichia coli and Staphylococcus saprophyticus), including isolates resistant to current antibiotics. Due to this well-balanced inhibition for most pathogens, a single target-specific mutation may not significantly impact gepotidacin activity.
 
The updated US Prescribing Information will be available here.
 
About the EAGLE clinical programme
The EAGLE-1 trial (NCT04010539) is part of a comprehensive global phase III clinical programme for gepotidacin in adults and adolescents including:
EAGLE-1 (non-inferiority urogenital gonorrhoea trial) enrolled approximately 600 patients with uncomplicated urogenital gonorrhoea to compare the efficacy and safety of gepotidacin (oral, two doses of 3,000mg) to intramuscular ceftriaxone (500mg) plus oral azithromycin (1,000mg). The data were presented at the congress of the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) in April 2024[7] and published in The Lancet in April 2025.6
EAGLE-2 and EAGLE-3 (non-inferiority uUTI trials) enrolled approximately 3000 patients to compare the efficacy and safety of gepotidacin (1,500mg administered orally twice daily for five days) to nitrofurantoin (100mg administered orally twice daily for five days). The data were first presented at the European Congress of Clinical Microbiology and Infectious Diseases (ECCMID) in 2023[8] and published in The Lancet in February 2024.[9]
 
GSK in infectious diseases 
GSK has pioneered innovation in infectious diseases for over 70 years, and the Company's pipeline of medicines and vaccines is one of the largest and most diverse in the industry, with a goal of developing preventive and therapeutic treatments for multiple disease areas or diseases with high unmet needs globally. Our expertise and capabilities in infectious disease strongly position us to help prevent disease and mitigate the challenge of antimicrobial resistance (AMR).
 
About GSK
GSK is a global biopharma company with a purpose to unite science, technology, and talent to get ahead of disease together. Find out more at gsk.com.
 
 
GSK enquiries
 
 
 
Media:
Tim Foley
+44 (0) 20 8047 5502
(London)
 
Simon Moore
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(London)
 
Kathleen Quinn
+1 202 603 5003
(Washington DC)
 
Alison Hunt
+1 540 742 3391
(Washington DC)
 
 
 
 
Investor Relations:
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+44 (0) 7831 826525
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James Dodwell
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Mick Readey
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Steph Mountifield
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Sam Piper
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Jeff McLaughlin
+1 215 751 7002
(Philadelphia)
 
Frannie DeFranco
+1 215 751 3126
(Philadelphia)
 
 
Cautionary statement regarding forward-looking statements
GSK cautions investors that any forward-looking statements or projections made by GSK, including those made in this announcement, are subject to risks and uncertainties that may cause actual results to differ materially from those projected. Such factors include, but are not limited to, those described in the "Risk Factors" section in GSK's Annual Report on Form 20-F for 2024, and GSK's Q3 Results for 2025.
 
Registered in England & Wales:
No. 3888792
 
Registered Office:
79 New Oxford Street
London
WC1A 1DG
 
 
 
[i] The last new class of antibiotics approved for the treatment of GC was the Fluoroquinolone class-Ciprofloxacin, with US approval in 1987 (CIPROFLOXACIN TABLETS, for oral use Initial U.S. Approval: 1987)
 
 
 
[1] WHO. Bacterial priority pathogens list, 2024: Bacterial pathogens of public health importance to guide research, development and strategies to prevent and control antimicrobial resistance. Available at: https://www.who.int/publications/i/item/9789240093461 Last accessed: November 2025
[2] GSK. Blujepa approved by US FDA for treatment of uncomplicated urinary tract infections. Available at: https://www.gsk.com/en-gb/media/press-releases/blujepa-gepotidacin-approved-by-us-fda-for-treatment-of-uncomplicated-urinary-tract-infections/ Last accessed: November 2025
[3] CDC. Antibiotic Resistance Threats Report. Available at: https://www.cdc.gov/antimicrobial-resistance/media/pdfs/covid19-impact-report-508.pdf Last accessed: August 2025
[4] CDC. National Overview of STIs in 2023. Available at: https://www.cdc.gov/sti-statistics/annual/. Last accessed: November 2025
[5] CDC. STI treatment guideline. Available: https://www.cdc.gov/std/treatment-guidelines/default.htm Last accessed: November 2025
[6] Ross J, et al, "Oral gepotidacin for the treatment of uncomplicated urogenital gonorrhoea (EAGLE-1): a phase 3 randomised, open-label, non-inferiority, multicentre study" in The Lancet, 2025; 05:1608-20; https://doi.org/10.1016/ S0140-6736(25)00628-2
[7] GSK. EAGLE 1 phase III data show potential for gepotidacin as a new oral treatment option for uncomplicated urogenital gonorrhoea (GC) amid growing resistance to existing treatments. Available at: https://www.gsk.com/en-gb/media/press-releases/eagle-1-phase-iii-data-show-potential-for-gepotidacin-as-a-new-oral-treatment-option-for-uncomplicated-gc/ Last accessed: November 2025.
[8] GSK. Gepotidacin's positive phase III data shows potential to be the first in a new class of oral antibiotics for uncomplicated urinary tract infections in over 20 years. Available at: https://www.gsk.com/en-gb/media/press-releases/gepotidacin-s-positive-phase-iii-data-shows-potential-to-be-the-first-in-a-new-class-of-oral-antibiotics-for-uncomplicated-urinary-tract-infections/ Last accessed: November 2025.
[9] F.Wagenlehner et al, "Oral gepotidacin versus nitrofurantoin in patients with uncomplicated urinary tract infection (EAGLE-2 and EAGLE-3): two randomised, controlled, double-blind, double-dummy, phase 3, non-inferiority trials" in The Lancet, vol. 403, Issue 10428, 741-755, Feb 2024.
 
 
 
SIGNATURES
 
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorised.
 
GSK plc
 
(Registrant)
 
 
Date: December 11, 2025
 
 
 
 
By:/s/ VICTORIA WHYTE
--------------------------
 
 
 
Victoria Whyte
 
Authorised Signatory for and on
 
behalf of GSK plc

FAQ

What did GSK (GSK) announce regarding Blujepa (gepotidacin)?

GSK announced that the US FDA has approved a supplemental New Drug Application for Blujepa (gepotidacin) as an oral treatment option for uncomplicated urogenital gonorrhoea in adults and adolescents from 12 years of age who weigh at least 45 kg and have limited or no alternative options.

Why is the new Blujepa approval significant for GSK (GSK)?

The company states that Blujepa is the first in a new antibiotic class for gonorrhoea approved in more than three decades and offers a new oral option where standard injectable treatments may not be suitable, reinforcing GSK’s infectious disease and antimicrobial resistance strategy.

What clinical data supported the FDA decision on Blujepa for gonorrhoea?

The US approval is based on the phase III EAGLE-1 trial of around 600 patients, which showed gepotidacin was non-inferior to standard combination therapy with intramuscular ceftriaxone plus oral azithromycin, and reported no serious drug-related adverse events, with mainly mild to moderate gastrointestinal side effects.

Which patients are eligible for Blujepa under the new gonorrhoea indication?

Blujepa is indicated as an oral option for adult and paediatric patients from 12 years of age who weigh at least 45 kg and have limited or no alternative options for treating uncomplicated urogenital gonorrhoea caused by susceptible strains of Neisseria gonorrhoeae.

How does this approval relate to Blujepa’s previous indication for urinary tract infections?

Earlier in the year, gepotidacin was approved in the US as an oral treatment for uncomplicated urinary tract infection (uUTI) in female adults and paediatric patients 12 years and older weighing at least 40 kg. The new gonorrhoea indication broadens the drug’s approved uses across two common infections.

Did US government agencies support the development of Blujepa?

Yes. GSK notes that development of gepotidacin was funded in part by US federal agencies, including BARDA under an Other Transaction Agreement and the Department of Defense’s Threat Reduction Agency, reflecting interest in its potential use against secondary bacterial infections following CBRN incidents.

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