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Relmada Therapeutics Presents Positive Initial Phase 2 NDV-01 Data at AUA2025 90% of patients achieved high grade disease-free status at any time point with NDV-01, demonstrating strong proof-of-concept for sustained-rel

Key Takeaway: Relmada Therapeutics announced positive initial data from its Phase 2 study of NDV-01 at the AUA2025 meeting. The treatment demonstrated a remarkable 90% of patients achieving high-grade disease-free status, supporting its further development for non-muscle invasive bladder cancer (NMIBC). The study highlighted the favorable tolerability and promising clinical activity of NDV-01, particularly in patients unresponsive to previous BCG therapies. Additionally, the drug’s easy administration and potential for outpatient use could significantly enhance treatment approaches in NMIBC.
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POSITIVE FACTORS

  • 90% of patients achieved high-grade disease-free status following treatment
  • NDV-01 showed promising clinical activity in BCG-naive and BCG-unresponsive patients
  • Administration of NDV-01 is designed to simplify outpatient treatment for NMIBC
  • Well tolerated with no treatment-related adverse events greater than Grade 1

BiopharmaWatch Analysis

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Best trade, last catalyst
+97%
120-day peak, hindsight
Typical move
17.7%
average across 7 past catalysts
Cash runway
~68 mo
Minimal dilution risk
Lead asset
REL-1017
Phase 3 · Major Depressive Disorder

Full Press Release Details

Relmada Therapeutics Presents Positive Initial
Phase 2 NDV-01 Data at AUA2025
90% of patients achieved high grade disease-free
status at any time point with NDV-01, demonstrating strong proof-of-concept for sustained-release "GEM/DOCE" formulation*
NDV-01 showed promising clinical activity in
BCG-na ve and BCG-unresponsive patients, with favorable overall tolerability
Data to be reviewed at Investor
Event on April 28, 2025 at 4:30 PM ET
CORAL GABLES, FL, April 28, 2025 (GlobeNewswire)
-- Relmada Therapeutics, Inc. (Nasdaq: RLMD, "Relmada", "the Company"), a clinical-stage biotechnology company,
today announced that positive initial data from the Phase 2 study of NDV-01 showed that 90% of patients achieved high-grade disease-free
status at any time point following treatment, demonstrating strong clinical activity and supporting further development of NDV-01 for
the treatment of non-muscle invasive bladder cancer (NMIBC). The data were presented today at the American Urology Association
2025 (AUA2025) Annual Meeting with a data cutoff date of April 20, 2025. To register for the virtual Investor Event, click here.
Highlights of Phase 2 data presented at AUA2025:
Disease status at 6 months:
"I am impressed by these promising NDV-01
data reported at AUA2025. Gemcitabine and docetaxel (GEM/DOCE) have long shown clinical utility in NMIBC, but the complexity of administration
has limited their broader use," said Yair Lotan, MD, Professor of Urology and Chief of Urologic Oncology at UT Southwestern
Medical Center. "A formulation like NDV-01, which is designed to increase exposure to drug and simplify delivery and accessibility,
has the potential to significantly change how we manage patients with NMIBC in routine practice."
NDV-01 has the potential to become the class-leading therapy for NMIBC across a wide spectrum of patients," said Sergio
Traversa, CEO of Relmada. "The data presented at AUA2025 provide compelling proof-of-concept
for NDV-01 as a bladder-sparing therapy. With its strong responses and tolerability combined with an administration time of less than
10 minutes, NDV-01 represents a potentially significant advance in outpatient bladder cancer treatment. We are enthusiastic about advancing
this differentiated, ready-to-use GEM/DOCE formulation to improve patient outcomes and expand treatment options in NMIBC."
The treatment effect of NDV-01 was consistent
across all patient groups, demonstrating robust activity, regardless of prior BCG exposure (BCG-na ve and BCG-unresponsive) or disease
pathology (including CIS or Ta/T1 papillary).
NDV-01 was well tolerated, with no treatment related
adverse events greater than Grade 1. The most common treatment emergent adverse events (TEAEs) were urinary urgency, flank pain, and dysuria,
all of which were mild and transient, resolving in 24-28 hours. No patients discontinued treatment due to adverse events.
NDV-01 is an innovative, investigational
sustained-release formulation of two complementary chemotherapy agents, gemcitabine and docetaxel (GEM/DOCE). Designed for intravesical
administration, NDV-01 forms a soft matrix within the bladder, gradually releasing drug over 10 days without requiring anesthesia or
special equipment. NDV-01 is intended to simplify outpatient NMIBC treatment while maximizing local exposure, minimizing systemic toxicity,
and improving patient convenience.
NDV-01 is protected by patents that extend to
About the Phase 2 Study
The Phase 2 study (NCT06663137) is an open-label,
single-arm, single-center study evaluating the safety and efficacy of NDV-01 in patients with HG-NMIBC. Patients are treated with NDV-01
in a biweekly induction phase, follow by monthly maintenance for up to one year, with regular assessments via cystoscopy, cytology, and
biopsy, as indicated. The primary efficacy endpoints are safety and complete response rate (CRR at 12 months), and secondary efficacy
endpoints are duration of response (DOR) and event free survival (EFS).
More than 90% of the approximately 83,000 new
U.S. cases of urothelial cancer are estimated to be bladder cancer. For the overall bladder cancer population, 5-year survival ranges
from 70 to 96% of patients, moving to 6% for patients with advanced disease. Roughly 75% of bladder cancer cases are classified as non-muscle
invasive (NMIBC) and approximately 50% of cases are classified as high-grade disease, considered to have increased risk of progression
and recurrence. Sources indicate that NMIBC has a 50-75% recurrence rate (over seven years) and that the U.S. prevalence of NMIBC is approximately
The U.S. NMIBC market is estimated to be a multi-billion-dollar
opportunity. Global numbers are higher, in line with projections for significant growth due to the increasing incidence of bladder cancer
and the demand for effective, minimally invasive potential therapies like NDV-01. Approved treatment options remain limited (mainly the
immunotherapy, BCG, which has been supply constrained for some time), with high recurrence rates leading to frequent re-treatment and
progression. Other emerging programs include immunotherapy combinations, single agent chemotherapy formulations and targeted therapies.
NDV-01 stands out based on the large body of published data that support the efficacy of treatment with gemcitabine and docetaxel, its
ease of administration and potential for durability of action. Expansion beyond first-line treatment into use as a salvage treatment
or in other subgroups of NMIBC, including na ve patients, could further increase the opportunity for NDV-01.
About Relmada Therapeutics, Inc.
Relmada Therapeutics is a clinical-stage biotechnology
company committed to advancing innovative breakthrough therapies that have the potential to bring meaningful clinical benefits to targeted
patient populations.
Lead investigational program, NDV-01, for High-Grade
Non-Muscle Invasive Bladder Cancer, is being evaluated in a Phase 2 study. In addition, preparations are underway to advance sepranolone,
a Phase 2b-ready investigational program for compulsion-related disorders including Tourette's Syndrome and Prader-Willi Syndrome,
into further studies.
For more information, visit www.relmada.com.
Forward-Looking Statements:
The Private Securities Litigation Reform Act of
1995 provides a safe harbor for forward-looking statements made by us or on our behalf. This press release contains statements which constitute
"forward-looking statements" within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities
Exchange Act of 1934. Any statement that is not historical in nature is a forward-looking statement and may be identified by the use of
words and phrases such as "if", "may", "expects", "anticipates", "believes",
"will", "will likely result", "will continue", "plans to", "potential", "promising",
and similar expressions. These statements are based on management's current expectations and beliefs and are subject to a number
of risks, uncertainties and assumptions that could cause actual results to differ materially from those described in the forward-looking
statements, including potential for Phase 2 NDV-01 data to continue to deliver positive results supporting further development, potential
for clinical trials to deliver statistically and/or clinically significant evidence of efficacy and/or safety, failure of top-line results
to accurately reflect the complete results of a trial, failure of planned or ongoing preclinical and clinical studies to demonstrate expected
results, potential failure to secure FDA agreement on the regulatory path for sepranolone, and NDV-01, or that future sepranolone, or
NDV-01 clinical results will be acceptable to the FDA, failure to secure adequate sepranolone, or NDV-01 drug supply, and the other risk
factors described under the heading "Risk Factors" set forth in the Company's reports filed with the SEC from time to
time. No forward-looking statement can be guaranteed, and actual results may differ materially from those projected. Relmada undertakes
no obligation to publicly update any forward-looking statement, whether as a result of new information, future events, or otherwise. Readers
are cautioned that it is not possible to predict or identify all the risks, uncertainties and other factors that may affect future results
and that the risks described herein should not be a complete list.

Frequently Asked Questions

What percentage of patients achieved disease-free status with NDV-01?

90% of patients attained high-grade disease-free status during treatment.

What types of patients showed promising results with NDV-01?

NDV-01 demonstrated effectiveness in both BCG-naïve and BCG-unresponsive patients.

How is NDV-01 administered?

NDV-01 is administered intravesically, gradually releasing the drug for 10 days.

What are common side effects of NDV-01?

Common mild side effects included urinary urgency, flank pain, and dysuria.

When will more data about NDV-01 be reviewed?

Further data on NDV-01 will be discussed at the Investor Event on April 28, 2025.

Last updated: Apr 28, 2025