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UGN-102

Phase 3

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

Target and mechanism

Molecular targetmitomycin
Target classChemotherapy Agent
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials3
Total Enrollment311

FDA Designations

No designations recorded

Clinical trial landscape

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 chemotherapy agent being developed for the treatment of bladder cancer, specifically low-grade intermediate-risk non-muscle invasive bladder cancer (NMIBC). It is currently in Phase 3 clinical development and is not yet approved by regulatory authorities.

What does UGN-102 target?

UGN-102 targets mitomycin, 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. The drug is administered as an intravesical instillation, allowing localized treatment of the tumor.

Who makes UGN-102?

UGN-102 is being developed by UroGen Pharma Ltd., a biopharmaceutical company listed on NASDAQ under the ticker symbol URGN. The company is focused on developing treatments for urological cancers and specializes in innovative drug delivery technologies for bladder conditions.

What phase is UGN-102 in?

UGN-102 is in Phase 3 clinical development. It has completed a Phase 2b study and a Phase 3 feasibility study, and an additional Phase 3 single-arm study is currently active but not recruiting. The drug remains investigational and has not received FDA approval.

What clinical trials is UGN-102 in?

UGN-102 has been studied in three clinical trials. NCT03558503 is a completed Phase 2b study with 63 participants. NCT05136898 is a completed Phase 3 feasibility study with 8 participants. NCT05243550 is an active Phase 3 single-arm study with 240 participants, currently not recruiting.

Is UGN-102 the same as mitomycin?

UGN-102 is not the same as mitomycin, but it is a formulation that delivers mitomycin directly to the bladder. Mitomycin is the active chemotherapy agent in UGN-102, and the drug is designed to provide localized treatment for low-grade intermediate-risk non-muscle invasive bladder cancer.