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UGN-301

Phase 1

Non-muscle Invasive Bladder Cancer | Small molecule | Oncology |UroGen Pharma Ltd.|Trials Updated: Jan 14, 2026

UGN-301 development status

Highest phase Phase 1
Registered trials 1 across 1 sponsor since May 2022

UGN-301 target and mechanism

Molecular targetCTLA4
Target classProtein
ModalitySmall molecule

Also known as UGN-301 (zalifrelimab) intravesical solution

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment51

FDA Designations

No designations recorded

UGN-301 clinical trials

UGN-301 · 1 trial · 6 indications

Phase 1 1
NCT05375903A Phase 1 Dose-escalation Study of UGN-301 in Patients With Recurrent Non-muscle Invasive Bladder Cancer (NMIBC)Non-muscle Invasive Bladder Cancer
COMPLETED51 Analytics
PHASE1COMPLETED
A Phase 1 Dose-escalation Study of UGN-301 in Patients With Recurrent Non-muscle Invasive Bladder Cancer (NMIBC)
Non-muscle Invasive Bladder CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Incidence of dose-limiting toxicities (DLTs) and treatment-emergent adverse events (TEAEs)
Up to 15 months

The number of patients with each type of event will be summarized.

Concentration of UGN-301 in blood and urine
6 weeks

Data will be summarized using descriptive statistics.

Complete response rate (CRR)
3 months

CRR is defined as the proportion of CIS patients who achieved CR at the Week 12 (3-month) Visit.

Recurrence-free survival (RFS) rate
3 months

RFS rate is defined as the proportion of patients with Ta/T1 disease who are recurrence-free at the Week 12 (3-month) Visit.

Secondary Endpoints

Presence of anti-drug antibodies (ADA) in serum
3 months
UGN-301 maximum serum concentration (Cmax) following single and repeat dose administration
6 weeks
UGN-301 area under the concentration-time curve (AUC) following single and repeat dose administration
6 weeks
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
UGN-301 monotherapy dose escalation (Arm A)EXPERIMENTALDose escalation of UGN-301 monotherapy in patients with recurrent NMIBC with high grade (HG) Ta and/or T1 disease and/or CIS or recurrent intermediate risk (IR) low grade (LG) Ta and/or T1 disease.
UGN-301 dose escalation + UGN-201 combination (Arm B)EXPERIMENTALDose escalation of UGN-301 in combination with a fixed dose of UGN-201 in patients with recurrent NMIBC with HG Ta and/or T1 disease and/or CIS.
UGN-301 dose escalation + gemcitabine combination (Arm C)EXPERIMENTALDose escalation of UGN-301 in combination with a fixed dose of gemcitabine in patients with recurrent NMIBC with HG Ta and/or T1 disease and/or CIS.

Interventions

NameTypeDescription
UGN-301DRUGInduction Period: Intravesical administration once weekly for 6 weeks. Optional Maintenance Period: Intravesical administration once every 3 months (at 6, 9, and 12 months after the start of treatment).
UGN-201DRUGInduction Period: Intravesical administration once weekly for 6 weeks. Optional Maintenance Period: Intravesical administration once every 3 months (at 6, 9, and 12 months after the start of treatment).
GemcitabineDRUGInduction Period: Intravesical administration once weekly for 6 weeks. Optional Maintenance Period: Intravesical administration once every 3 months (at 6, 9, and 12 months after the start of treatment).
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites13

Inclusion Criteria: 1. Able to give informed consent. 2. Arm A: Have confirmed recurrent NMIBC with HG Ta and/or T1 disease and/or CIS or recurrent IR LG Ta and/or T1 disease. Arm B: Have confirmed recurrent NMIBC with HG Ta and/or T1 disease and/or CIS. Arm C: Have confirmed recurrent NMIBC wi...

Countries:United StatesItalySpain
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Frequently asked questions about UGN-301

What is UGN-301?

UGN-301 is an investigational small molecule developed by UroGen Pharma Ltd. (ticker URGN) for non-muscle invasive bladder cancer, including carcinoma in situ of the bladder and recurrent urothelial carcinoma of the bladder. It is a Phase 1 candidate and has not been approved by the FDA.

What does UGN-301 target?

UGN-301 targets CTLA4, a protein receptor that acts as a checkpoint in immune regulation. By binding CTLA4, the drug is designed to modulate immune checkpoint activity in patients with non-muscle invasive bladder cancer. CTLA4 is a validated immuno-oncology target class.

Who is developing UGN-301?

UroGen Pharma Ltd., which trades under the ticker URGN, is developing UGN-301. The company sponsored the Phase 1 dose-escalation study of the drug in patients with recurrent non-muscle invasive bladder cancer.

What phase is UGN-301 in?

UGN-301 is in Phase 1 clinical development. Its single Phase 1 dose-escalation trial in recurrent non-muscle invasive bladder cancer has been completed, and the drug remains investigational. It has not been approved by the FDA for any indication.

What clinical trials is UGN-301 in?

UGN-301 has been studied in one Phase 1 trial, NCT05375903, titled a Phase 1 dose-escalation study of UGN-301 in patients with recurrent non-muscle invasive bladder cancer. The trial enrolled 51 patients across the United States, Italy, and Spain and is now completed.

What is UGN-301 used for in non-muscle invasive bladder cancer?

UGN-301 is being developed for non-muscle invasive bladder cancer, including carcinoma in situ of the bladder, bladder cancer, and recurrent urothelial carcinoma of the bladder. It is an investigational therapy in Phase 1 testing and is not approved for clinical use.