Atlantic Health System and Atlantic Center for Research Deliver New Chapter in Bladder Cancer Care - Report - MDSpire

Atlantic Health System and Atlantic Center for Research Deliver New Chapter in Bladder Cancer Care

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  • July 23, 2025

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Clinical Report: Atlantic Health System Advances Bladder Cancer Care

Overview

The FDA's approval of Zusduri™ (mitomycin) represents a significant advancement in the treatment of low-grade, intermediate-risk non-muscle invasive bladder cancer (NMIBC). Led by Dr. Sandip Prasad, the ENVISION phase 3 trial demonstrated high rates of complete response and disease-free survival, offering a non-surgical treatment option for patients.

Background

Bladder cancer is a prevalent malignancy in the U.S., with limited treatment options for patients suffering from recurrent, low-grade disease. Traditional management often involves repeated surgeries, which can disrupt patients' daily lives. The introduction of Zusduri™ provides a novel, bladder-sparing therapy that could transform the standard of care for this patient population.

Data Highlights

TrialComplete Response Rate at 3 MonthsMaintained Response at 12 Months
ENVISION78%79%

Key Findings

  • Zusduri™ is the first FDA-approved medication for recurrent low-grade, intermediate-risk NMIBC.
  • In the ENVISION trial, 78% of patients achieved a complete response at 3 months.
  • 79% of responders maintained their complete response for up to 12 months.
  • The treatment is administered intravesically as a reverse thermal gel, minimizing the need for surgery.
  • Safety profile primarily includes lower urinary tract symptoms, with serious adverse events being uncommon.

Clinical Implications

The approval of Zusduri™ provides healthcare providers with a new, non-surgical treatment option for patients with low-grade NMIBC, potentially improving patient quality of life. This therapy may also alleviate the burden on surgical resources, allowing for more efficient patient management.

Conclusion

The introduction of Zusduri™ marks a pivotal advancement in bladder cancer treatment, emphasizing the importance of innovative, patient-centered approaches in oncology care.

References

  1. U.S. FDA, UroGen Pharma, 2025 -- U.S. FDA Approves UroGen’s ZUSDURI™ (mitomycin) for Intravesical Solution as the First and Only Medication for Recurrent Low-Grade Intermediate-Risk Non-Muscle Invasive Bladder Cancer (LG-IR-NMIBC)
  2. American Urological Association (AUA), 2024 -- NMIBC Amendment
  3. The ASCO Post — Cleveland Clinic Cancer Center Oncologists Earn National Recognition as Institution Expands Staff
  4. atlantic health system — Bringing Advanced Photon Therapy Closer to Home at Atlantic Health Chilton Medical Center
  5. The ASCO Post — Association of Community Cancer Centers' 2013 Innovator Award Recipients Announced
  6. ASCO Post — TAP Homepage - The ASCO Post
  7. Bringing Advanced Photon Therapy Closer to Home at Atlantic Health Chilton Medical Center
  8. Cleveland Clinic Cancer Center Oncologists Earn National Recognition as Institution Expands Staff
  9. Any person or company accessing this guideline with the intent of using the guideline for promotional purposes must obtain a licensable copy.American Urological Association (AUA)/
  10. U.S. FDA Approves UroGen’s ZUSDURI™ (mitomycin) for Intravesical Solution as the First and Only Medication for Recurrent Low-Grade Intermediate-Risk Non-Muscle Invasive Bladder Cancer (LG-IR-NMIBC) | UroGen Pharma, Ltd

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