FAQ

Recce’s pipeline is comprised of RECCE® 327 (R327), RECCE® 435 (R435), and RECCE® 529
(R529) – three patented, broad-spectrum, synthetic polymer anti-infectives with a unique
mechanism of action against hyper-mutation in bacteria.

Recce’s lead candidate, R327, is an intravenous (IV) and topical therapy developed for the treatment of serious and potentially life-threatening infections due to Gram-positive and Gram-negative bacteria, including their superbug forms.

R435 is an orally administered therapy for bacterial infections.

R529 is a new synthetic polymer formulation developed for viral indications.

Recce’s anti-infectives are designed to safely enter the body, identify, and treat an infection, and exit. R327’s novel mechanism of action has the potential to overcome antimicrobial resistance. R327 is attracted to the plasma membranes of pathogens via hydrophobic interactions, subsequently weakening microbial cell walls. Importantly, non-bacterial (eukaryotic) cells remain intact since they do not contain high internal pressures.

More information on our Mechanism of Action can be found here

Independent studies undertaken by leading experts in bacteria Mechanism of Action (MoA) analysis have identified R327 to have a multi-faceted MoA: R327 per­meabilizes cell membrane and enters the cell; R327 interrupts bacterial cellular en­ergetics via ATP synthesis; cellular division and non-dividing cell functions are disrupted; R327 is rapidly and irreversibly bactericidal.

The emergence of drug-resistant bacteria, commonly known as superbugs, is becoming increasingly challenging to healthcare systems worldwide by making common infections difficult or impossible to treat. The majority of life-threatening nosocomial (hospital-acquired) infections are caused by a group of six bacteria, collectively called ESKAPE pathogens, due to their propensity of ‘escaping’ the biocidal action of antibiotics.

The acronym ESKAPE stands for six different commonly found multi-drug resistant pathogens: Enterococcus faecium (E. faecium), Staphylococcus aureus (S. aureus), Klebsiella pneumoniae (K. pneumoniae), Acinetobacter baumannii (A. baumannii), Pseudomonas aeruginosa (P. aeruginosa) and Enterobacter species.

In preclinical studies, RECCE® 327 has shown to be a fast acting, broad-spectrum antibiotic effective against Gram-positive and Gram-negative bacterial pathogens, such as S. aureus, Escherichia coli (E. coli), P. aeruginosa, and Streptococcus pyogenes (S. pyogenes) with further testing underway for other pathogens.

RECCE® 435 has demonstrated efficacy against H. pylori in an independent study performed in rats. Further preclinical testing to be conducted.

In an in-vitro study, RECCE® 529 demonstrated concentration-dependent reductions in the SARS-CoV-2 (COVID-19) virus.

The presence of bacteria in the bloodstream can be harmful; therefore, RECCE® 327 is
administered intravenously to ensure it does not come into contact with beneficial bacteria
outside of the vasculature.

RECCE® 435 (R435), an oral formulation, is designed to kill the harmful bacteria in the upper
duodenum; when R435 reaches the lower intestine, it is no longer active and has no impact on
the gut microbiome.

Recce has its own manufacturing capabilities with a state-of-the-art facility in Sydney’s Macquarie Park. The automated manufacturing process takes approximately one hour, producing 500 doses per fully automated run with a 99.9% product yield. This in-house facility enables Recce to quickly and efficiently scale up production to meet the demand for clinical trials as the pipeline continues to advance.

Recce’s initial focus is on sepsis, a life-threatening inflammatory response to infection that has spread to the body for which no specific treatment options exist. Sepsis represents the costliest condition for hospitals to treat, accounting for more than $24B in U.S. hospital expenses annually with no approved treatment options at this time. By 2026, the sepsis and septic shock space is expected to be worth $5.9B USD.

A related subpopulation of sepsis patients suffer from urosepsis, which occurs when an untreated urinary tract infection (UTI) spreads to other organs and into the bloodstream. Although UTIs are most often effectively treated with antibiotics, E. coli strains, responsible for 90% of infections, have demonstrated resistance to the current standards of care. The UTI market is expected to reach $11.3B by 2027.

A diabetic foot Infections (DFI), an open sore or wound generally located on the bottom of the foot, is among the most common complications of diabetes, occurring in about 15% of patients. Several pathogens, such as S. aureus, Enterococcus, P. aeruginosa, and E. coli, typically cause DFU infections. The total medical cost for treating diabetic foot diseases in the U.S. is $9-13 billion per year.

Aggressive infection is the leading cause of death and morbidity of burn wound sufferers. The most relevant and dangerous of burn wound infections are those involving Staphylococcus aureus (S. aureus), a Gram-positive bacteria located on the skin and mucous membranes (most often the nasal area).

Influenza (flu) is a highly contagious acute respiratory infection caused by influenza viruses. There are three types of influenza viruses: A, B, and C. Influenza A, more serious than B and C, is the only type known to cause widespread outbreaks. The Centre for Disease Control (CDC) estimates influenza has resulted in 9 – 45 million infections annually in the U.S. since 2010. Bacterial sinusitis, a mild infection of the tissue lining the sinuses, affects 28.9 million people in the U.S. each year, making it one of the most common health problems. While it is usually treated in an outpatient setting, patients occasionally can develop severe complications and/or have recurrent sinusitis. 11.6% of adults in the U.S. are diagnosed with chronic sinusitis annually.Mycobacteroides abscessus (M. abscessus) is a species of rapidly growing multi-drug resistant nontuberculous mycobacteria that commonly causes chronic lung infection and skin and soft tissue infection. While it has a relatively low incidence rate (< 1/100,000), it is particularly prevalent and more difficult to treat in immunocompromised patients or patients with underlying lung diseases, such as cystic fibrosis. High five-year mortality rates of approximately 47% have been observed in strains that exhibit resistance to macrolides, a class of antibiotics. Hospital acquired infections are caused by deadly Gram-positive and Gram-negative bacteria known collectively as ‘ESKAPE’ pathogens, which are especially dangerous due to their multi- drug resistant properties. In an in vitro study, RECCE® 327 (R327) was shown to be 99.9% effective against the full suite of ESKAPE pathogens within hours of exposure.