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Bladder CancerJanuary 2021Summary reviewed June 2026

What Researchers Found Testing Nadofaragene Firadenovec for BCG-Unresponsive Bladder Cancer

Scientists tested a gene therapy called nadofaragene firadenovec in people whose bladder cancer didn't respond to BCG treatment. About half of patients saw their cancer disappear within three months, and nearly half of those stayed cancer-free for a year.

What the trial was testing

The trial enrolled 157 patients with bladder cancer. The study was sponsored by Ferring Pharmaceuticals and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was a large trial designed to confirm whether the treatment works well enough for wider use. Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

53% of patients with carcinoma in situ had complete disappearance of cancer within three months.

The Lancet. Oncology · 2021 · NCT02773849

These findings — that had complete disappearance of carcinoma in situ within three months — were published in the The Lancet. Oncology and represent the headline result of the study.

Researchers tracked outcomes across 157 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with bladder cancer, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

This gene therapy is FDA-approved under the brand name ADSTILADRIN. It's an option for people with high-risk bladder cancer that didn't respond to BCG treatment and who want to avoid surgery. Talk to your urologist or oncologist about whether this treatment is right for you.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.