Educational content on VJOncology is intended for healthcare professionals only. By visiting this website and accessing this information you confirm that you are a healthcare professional.

Share this video  

EAU 2026 | Phase I study of erda-iDRS, an erdafitinib intravesical drug-releasing system, in FGFRm NMIBC

Antoni Vilaseca, MD, Hospital Clínic de Barcelona, Barcelona, Spain, discusses the results of a first-in-human Phase I study of erda-iDRS, an intravesical drug releasing system that delivers erdafitinib directly into the bladder in patients non-muscle invasive bladder cancer (NMIBC) harboring FGFR alterations. Dr Vilaseca highlights that the treatment was well tolerated with minimal systemic toxicities and promising oncological results, including a disease-free survival rate of 83% at 12 months in high-risk non-muscle-invasive bladder cancer (NMIBC) patients and a complete response rate of 89% at six months in intermediate-risk NMIBC patients. This interview took place at the 41st Annual EAU Congress in London, UK.

These works are owned by Magdalen Medical Publishing (MMP) and are protected by copyright laws and treaties around the world. All rights are reserved.

Transcript

So this is the final analysis of the first in human Phase I study of the erda-iDRS which is an intravesical drug releasing system releasing erdafitinib for a period of three months into the bladder which is essentially a local erdafitinib. And we’re changing the device every three months for a period of one year. So the patient was under the same urine concentration of erdafitinib for one whole year...

So this is the final analysis of the first in human Phase I study of the erda-iDRS which is an intravesical drug releasing system releasing erdafitinib for a period of three months into the bladder which is essentially a local erdafitinib. And we’re changing the device every three months for a period of one year. So the patient was under the same urine concentration of erdafitinib for one whole year. In this phase one study, of course, we are looking at safety of the device, which it’s absolutely well tolerated. It had only some low-grade urinary tract symptoms mainly dysuria and some hematuria mainly. There were no systemic toxicities associated with oral erdafitinib like retinal toxicities or hyperphosphatemia which is one of the most advantageous things of this new releasing system into the bladder, and very few discontinuations because of adverse events. We were analyzing two different cohorts of patients. One is a high-risk NMIBC, so patients with BCG exposed, relapsed of the disease. We were doing a complete TURBT before starting the treatment, so it was like an adjuvant treatment after the TURBT. And with that, we saw that at one year, at 12 months, we had a disease-free survival that was of 83%. So a huge percentage of patients were free of disease at one year, with the median duration of the response of 20 months in a follow-up of 24 months. Then we have the other group of patients, the cohort three that was presented, which is intermediate-risk NMIBC. That means patients with history of only low-grade tumors, that they had a recurrence, and we were giving this new treatment as an adjuvant therapy. Actually, unresected tumors were necessary before starting the treatment. And with that, we see that at six months of treatment, 89% of the patients had a complete response into their bladder, with a median duration of the response of 18 months at a follow-up of 18 months. So the preliminary oncological results are also very good and promising.

Read more...