Core Viewpoint - Relmada Therapeutics has appointed Dr. Raj S. Pruthi as Chief Medical Officer-Urology to advance the development of NDV-01, a novel therapy for non-muscle invasive bladder cancer (NMIBC), with a Phase 3 trial expected to begin in the first half of 2026 [2][4]. Company Overview - Relmada Therapeutics is a clinical-stage biotechnology company focused on innovative therapies for oncology and central nervous system conditions [11]. - The lead program, NDV-01, is designed for the treatment of NMIBC and aims to address significant unmet medical needs in this area [11]. Appointment of Dr. Raj S. Pruthi - Dr. Pruthi brings over 25 years of experience in urologic oncology, clinical trials, and robotic surgery, having previously served as Chief Medical Officer at enGene Holdings Inc. and Global Medical Affairs leader at Johnson and Johnson [3][5]. - His expertise includes developing practice guidelines for NMIBC and executing global clinical studies for bladder cancer treatments [3][6]. NDV-01 Program - NDV-01 is a sustained-release formulation of gemcitabine and docetaxel, designed for intravesical administration, allowing for gradual drug release over 10 days [9]. - The formulation aims to enhance local exposure while minimizing systemic toxicity and is designed for in-office administration in under 10 minutes without the need for anesthesia [9]. - Positive initial Phase 2 data presented at the AUA 2025 indicated impressive response rates and favorable tolerability for NDV-01 [4][10]. Market Opportunity - NMIBC accounts for approximately 75% of all bladder cancer cases, with a high recurrence rate of 50-75% over seven years, indicating a significant market opportunity for effective treatments [10]. - With over 600,000 prevalent cases in the U.S. and limited treatment options, NDV-01 has the potential to serve as a frontline or salvage therapy across multiple NMIBC subtypes [10].

Core Insights - CG Oncology, Inc. announced positive results from the Phase 3 BOND-003 study of cretostimogene grenadenorepvec for high-risk non-muscle invasive bladder cancer (NMIBC) unresponsive to BCG treatment, presented at the 2025 American Urological Association Annual Meeting [1] Study Results - The study reported a 75.5% complete response (CR) rate at any time, with 34 confirmed CRs at 24 months and nine patients pending assessment as of March 14, 2025 [2] - The 12-month and 24-month CR rates were estimated at 50.7% and 42.3%, respectively, with a median duration of response (DOR) of 28 months [3] - 97.3% of patients were free from progression to muscle-invasive disease at 24 months [3] - In Cohort P, patients with BCG-unresponsive Ta/T1 disease without CIS showed an estimated 90.5% high-grade recurrence-free survival at 3 and 9 months [3] Safety Profile - A well-tolerated safety profile was observed, with no Grade 3 or greater treatment-related adverse events (TRAEs) or deaths reported among 110 highly pretreated patients [4] - Patients who experienced TRAEs had a median resolution time of one day, and 97.3% completed all expected treatments, indicating favorable adherence [4][5] Market Reaction - Following the announcement, CGON stock increased by 39.9%, reaching $31.30 [6]

Core Insights - The first results from Cohort 4 of the Phase 2b SunRISe-1 study indicate that TAR-200 shows strong disease-free survival rates and bladder preservation potential in patients with high-grade papillary bladder cancer [1][2][3] - Over 95% of patients demonstrated a progression-free survival rate at 9 months, highlighting the effectiveness of TAR-200 in a high-risk patient population [1][2] Company Overview - Janssen-Cilag International NV, a subsidiary of Johnson & Johnson, is focused on innovative treatments for bladder cancer, particularly targeting patients with BCG-unresponsive high-risk non-muscle-invasive bladder cancer (HR-NMIBC) [1][5] - The company aims to provide alternatives to radical cystectomy, which has been the standard treatment for HR-NMIBC patients for over 40 years [1][4] Product Details - TAR-200 is an investigational intravesical gemcitabine releasing system designed for sustained local release of gemcitabine into the bladder, offering a new approach to treating early-stage bladder cancer [3][4] - The product is administered in an outpatient setting without the need for anesthesia, allowing for a more convenient treatment option for patients [2][3] Clinical Study Insights - The interim analysis from Cohort 4 of the SunRISe-1 study reported disease-free survival rates of 85.3% at six months and 81.1% at nine months for patients treated with TAR-200 monotherapy [1][2] - A significant 94.2% of patients avoided radical cystectomy at a median follow-up of 12.8 months, indicating the potential of TAR-200 to provide durable disease control [1][2] Safety Profile - The safety profile of TAR-200 was consistent with previous studies, with most treatment-related adverse events being low grade and resolving quickly [2][3] - Common treatment-related adverse events included dysuria (40.4%), pollakiuria (30.8%), and urinary urgency (26.9%), with no treatment-related deaths reported [2][3]

Core Insights - The Phase 2b SunRISe-1 study results indicate that over 82% of patients with high-risk non-muscle invasive bladder cancer achieved a complete response (CR), with more than half remaining cancer-free for at least one year after treatment [1][2][3] - TAR-200, an intravesical gemcitabine releasing system, shows promise in transforming treatment outcomes for patients who are BCG-unresponsive and ineligible for radical cystectomy [1][2][3] Study Results - As of March 2025, 82.4% of the 85 enrolled patients achieved CR, with a 95% confidence interval of 72.6-89.8 [1] - 52.9% of responders maintained CR at one year, and the median duration of response was 25.8 months [1] - At 12 months, 86.6% of responders remained cystectomy-free [1] Treatment Tolerability - The treatment was well-tolerated, with 83.5% of patients experiencing mild treatment-related adverse events, primarily low-grade urinary symptoms [1] - Only 3.5% of patients discontinued treatment due to adverse events, and there were no treatment-related deaths [1] Clinical Significance - The results were presented at the 2025 American Urological Association Annual Meeting, highlighting the potential of TAR-200 to address significant unmet needs in bladder cancer treatment [1][2] - The study emphasizes the importance of patient quality of life, as TAR-200 is designed to fit into patients' lives without interrupting their daily activities [1][2] Background on Bladder Cancer - Bladder cancer is among the ten most common cancers globally, with limited treatment options available for patients who do not respond to initial BCG therapy [1][4] - High-risk non-muscle invasive bladder cancer (HR-NMIBC) accounts for 15-44% of NMIBC cases and is characterized by a high likelihood of recurrence and progression [4] About TAR-200 - TAR-200 is an investigational system designed for sustained local release of gemcitabine into the bladder, currently being evaluated in multiple clinical trials [2][3] - The ongoing Phase 2b SunRISe-1 study specifically targets patients with BCG-unresponsive HR-NMIBC [3]