FDA Approves Urothelial Cancer Therapy

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FDA has approved a UroGen Pharma NDA for Jelmyto (mitomycin gel), indicated for treating low-grade upper tract urothelial cancer (UTUC). FDA describes Jelmyto as an alkylating drug that “inhibits the transcription of DNA into RNA, stopping protein synthesis and taking away the cancer cell’s ability to multiply.”

 

Approval was based on data from a 71-person clinical trial in those with low-grade UTUC. “Efficacy of Jelmyto was evaluated using urine cytology (a test to look for abnormal cells in a patient's urine), ureteroscopy (an examination of the upper urinary tract) and biopsy (if warranted) three months following the initiation of therapy,” FDA says. The primary endpoint was complete response at three months, which was found in 41 patients (58%) following six treatments of Jelmyto administered weekly. Nineteen patients (46%) who experienced a complete response continued their complete response after 12 months.

 

Common side effects for patients taking Jelmyto, according to FDA, were ureteric obstruction, flank pain, urinary tract infection, hematuria, renal dysfunction, fatigue, nausea, abdominal pain, dysuria and vomiting. Patients with ureteric obstruction may need transient or long-term stents to relieve the obstruction, it says.

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