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Dr. Stephen A. Boorjian on the safety and tolerability of nadofaragene firadenovec in BCG-unresponsive NMIBC

“One of the things that distinguishes this treatment is its patient and provider ease of delivery,” says Boorjian.

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      Stephen A. Boorjian, MD, professor of urology at Mayo Clinic, Rochester, MN, discusses the safety and tolerability of nadofaragene firadenovec in a pivotal phase 3 trial of patients with BCG-unresponsive non-muscle invasive bladder cancer

      Efficacy data from the trial showed that nadofaragene firadenovec achieved a complete response (CR) rate of 53.4% at 3 months in a subgroup of patients with carcinoma in situ with or without concomitant high-grade Ta or T1 disease. The 12-month CR rate was 24.3% and the median duration of CR was 9.69 months in these patients.

      The safety analysis included all 157 patients enrolled on the trial who received at least 1 dose of nadofaragene firadenovec. The most common grade 3 treatment-related adverse event (TRAE) was micturition urgency, which occurred in 2 patients. There were four other grade 3 TRAEs occurring in 1 patient each: bladder spasm, syncope, hypertension, and urinary incontinence. No grade 4 TRAEs were reported and there were no treatment-related deaths.

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