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UroGen Submits NDA for UGN-103, an Investigational Treatment of Recurrent LG-IR-NMIBC

  • UroGen Pharma Ltd. submitted a New Drug Application (NDA) to the FDA on August 17, 2026, for UGN-103 (mitomycin) to treat recurrent low-grade intermediate-risk non-muscle invasive bladder cancer (LG-IR-NMIBC).
  • UGN-103 is a next-generation formulation leveraging RTGel® technology, designed to offer streamlined manufacturing, simplified reconstitution, and an extended shelf-life compared to the existing approved product ZUSDURI.
  • The NDA is supported by Phase 3 UTOPIA trial data showing a 77.8% three-month complete response rate and a 94.5% six-month duration of response in 99 patients.
  • These clinical results from the UTOPIA trial align with the efficacy data observed in the pivotal ENVISION trial for ZUSDURI, though no formal cross-trial comparison was conducted.
  • UroGen holds a licensing agreement with medac, who supplies the lyophilized mitomycin formulation, while UroGen retains U.S. patents covering the RTGel technology combination expected to expire in July 2044.
  • ZUSDURI remains the first and only FDA-approved treatment for adults with recurrent LG-IR-NMIBC and utilizes a non-surgical intravesical delivery method via urinary catheter.
  • The UTOPIA trial administered 75 mg of UGN-103 weekly for six weeks in an outpatient setting, with the primary endpoint being the three-month complete response rate.
  • UroGen Pharma, headquartered in Princeton, NJ, with operations in Israel, continues to focus on developing innovative solutions for urothelial cancers using its proprietary sustained-release hydrogel platform.