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UGN-102

Phase 3FDA approved

Bladder Cancer | Small molecule | Oncology |UroGen Pharma Ltd.|Trials Updated: May 11, 2026

UGN-102 development status

FDA approval on record Approved
Highest phase Phase 3
Registered trials 4 across 1 sponsor since Jun 2018

UGN-102 target and mechanism

Molecular targetmitomycin
ModalitySmall molecule

Also known as UGN-102 (mitomycin) for intravesical solution

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials3
Total Enrollment311

FDA Designations

No designations recorded

UGN-102 clinical trials

UGN-102 · 3 trials · 3 indications

Phase 3 2Phase 2 1
NCT05243550A Phase 3 Single-Arm Study of UGN-102 for Treatment of Low-Grade Intermediate-Risk Non-Muscle Invasive Bladder CancerBladder Cancer
ACTIVE NOT_RECRUITING240 Analytics
NCT05136898Feasibility of Home Instillation of UGN-102 for Treatment of Low-Grade (LG) Non-Muscle Invasive Bladder Cancer (NMIBC)Bladder Cancer
COMPLETED8 Analytics
PHASE3ACTIVE NOT_RECRUITING
A Phase 3 Single-Arm Study of UGN-102 for Treatment of Low-Grade Intermediate-Risk Non-Muscle Invasive Bladder Cancer
Bladder CancerUnlock trial analytics
PHASE3COMPLETED
Feasibility of Home Instillation of UGN-102 for Treatment of Low-Grade (LG) Non-Muscle Invasive Bladder Cancer (NMIBC)
Bladder CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Complete Response Rate (CRR)
3 months

CRR is defined as the percentage of patients who achieved a complete response (CR) at the 3-month Visit. A patient was considered a CR if there was no detectable disease in the bladder based on visual observation (white light cystoscopy), biopsy of remaining lesions (if applicable), and voiding urine cytology.

Number of Participants With Treatment-emergent Adverse Events (TEAEs), Serious TEAEs, TEAEs Leading to Discontinuation, and TEAEs of Special Interest.
Up to 3 months

The number of patients with each type of event will be summarized. TEAEs were defined as adverse events (AEs) that occurred on or after the day of the first instillation of UGN-102 or pre-treatment AEs that worsened during the study.

Number of Participants With Post-baseline Potentially Clinically Significant (PCS) Laboratory Values
Up to 3 months

PCS laboratory criteria were defined for the following parameters: Hematology * Hemoglobin \< 0.8 × lower limit of normal and \> 20% decrease from baseline or \> 1.3 × upper limit of normal (ULN) and \> 30% increase from baseline. * Leukocytes ≤ 2.8 or ≥ 16 × 10\^3/µL. * Lymphocytes \< 0.5 or \> 20 × 10\^3/µL. * Neutrophils \< 1.0 × 10\^3/µL. * Platelets \< 75 or ≥ 700 × 10\^3/µL. Chemistry * Creatinine \> 2.2 mg/dL. * Sodium ≤ 130 or \> 150 mEq/L. * Potassium \< 3.0 or \> 5.5 mEq/L. * Total bilirubin \> 1.5 × ULN. * Alanine aminotransferase (ALT) \> 3 × ULN. * Aspartate aminotransferase (AST) \> 3 × ULN. * Gamma glutamyl transferase \> 2.5 × ULN.

Composite Score for the Post-instillation Patient Questionnaire
Up to 5 weeks

Patients were asked to rate their experience receiving UGN-102 at home after each instillation was completed. A total of 5 domains (8 questions) were assessed: * Comfort (3 questions, possible range from 3 "least favorable" to 12 "most favorable"). * Safety/concerns (1 question, possible range from 1 "least favorable" to 4 "most favorable"). * Communication (2 questions, possible range from 2 "least favorable" to 8 "most favorable"). * Preference compared to office instillation (1 question, possible range from 1 "least favorable" to 4 "most favorable"). * Overall experience/satisfaction (1 question, possible range from 1 "least favorable" to 4 "most favorable"). A composite score (sum of all 8 question scores) was also calculated (possible range from 8 "least favorable" to 32 "most favorable").

Responses to the Post-instillation Home Health Professional Questionnaire
Up to 5 weeks

Home health professionals (HHPs) were asked to share their experience administering UGN-102 at the patient's home after each instillation was completed. A total of 4 domains (4 questions) were assessed: * Comfort - Were you comfortable performing the instillation at this patient's home, yes (most favorable) or no (least favorable)? * Difficulty - Was it difficult to perform the instillation at this patient's home, yes (least favorable) or no (most favorable)? * Safety/concerns - Did you have any concerns performing the instillation in the home setting, yes (least favorable) or no (most favorable)? * Adequate support - Did you have sufficient support performing the instillation in the home setting, yes (most favorable) or no (least favorable)? The number of patients whose HHP had a "most favorable" response to all 4 questions is summarized for each home instillation.

Responses to End of Study Patient and Investigator Questionnaires
3 months

Patient recommendations regarding home instillation of UGN-102 were collected at the 3-month Visit or Early Termination Visit. Two questions were asked: * Will you recommend home instillations of UGN-102 for other patients with NMIBC, yes (most favorable) or no (least favorable)? * Will you recommend home instillations of UGN-102 instead of having transurethral resection of bladder tumor (TURBT) for other patients with NMIBC, yes (most favorable) or no (least favorable)? The number of patients who had a "most favorable" response is summarized by question. In addition, investigators were asked if the experience of having their patient receive instillations at home was less difficult (most favorable), more difficult (least favorable), or not different than having them receive instillations in the office. All responses are summarized.

Complete Response (CR) Rate for UGN-102 Treatment
3 months after the first instillation of UGN-102

To evaluate the tumor ablative effect of UGN-102 in patients with LG NMIBC. CR rate was defined as the percentage of patients with no detectable disease (NDD) as determined by cystoscopy, for cause biopsy, and urine cytology.

Secondary Endpoints

Duration of Response (DOR) in Patients Who Achieved CR at the 3-month Visit
Up to 60 months
Durable Complete Response (DCR) Rate in Patients Who Achieved CR at the 3-month Visit
Up to 60 months
Disease-free Survival (DFS) in Patients Who Achieved CR at the 3-month Visit
Up to 63 months
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
UGN-102EXPERIMENTALPatients will receive 6 once-weekly intravesical instillations of UGN-102 (75 mg mitomycin).

Interventions

NameTypeDescription
UGN-102DRUGUGN-102 consists of mitomycin and sterile hydrogel (a proprietary thermally responsive gel) that is used to reconstitute mitomycin before instillation. The reverse thermal properties of UGN-102 allow for local administration of mitomycin as a liquid under chilled conditions, with subsequent conversion to a semi-solid gel depot following instillation into the bladder.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites65

Inclusion Criteria: 1. Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the informed consent form and the protocol. 2. Patient who has LG-NMIBC (Ta) histologically confirmed by cold cup biopsy at Screening or within 8 weeks befor...

Countries:United StatesAustriaBulgariaEstoniaGeorgiaLatviaLithuaniaPolandSerbiaSpainIsrael
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Frequently asked questions about UGN-102

What is UGN-102 used for?

UGN-102 is an investigational small molecule being developed for bladder cancer, specifically for low-grade intermediate-risk non-muscle invasive bladder cancer (NMIBC) and low-grade NMIBC. It is currently in Phase 3 clinical development.

What does UGN-102 target?

UGN-102 targets mitomycin, which is a chemotherapy agent. It is designed to deliver mitomycin directly to the bladder for the treatment of low-grade intermediate-risk non-muscle invasive bladder cancer.

Who makes UGN-102?

UGN-102 is developed by UroGen Pharma Ltd., a biopharmaceutical company. The company's stock ticker is URGN.

What phase is UGN-102 in?

UGN-102 is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. It is being studied for the treatment of low-grade intermediate-risk non-muscle invasive bladder cancer.

What clinical trials is UGN-102 in?

UGN-102 has been studied in three clinical trials. The active Phase 3 trial is NCT05243550, a single-arm study in low-grade intermediate-risk NMIBC with 240 participants. Completed trials include NCT05136898, a feasibility study of home instillation, and NCT03558503, a Phase 2b study.

Is UGN-102 the same as mitomycin?

UGN-102 is not the same as mitomycin. UGN-102 is a formulation that delivers mitomycin directly into the bladder. It is designed to provide localized treatment for low-grade intermediate-risk non-muscle invasive bladder cancer.