Real-world Evidence on Nadofaragene Firadenovec (Adstiladrin)

Published

July 22, 2025

Author

Lansbury Sinclair

Lansbury is an intelligence analyst focused on immunology. She tracks clinical and market developments across psoriasis, psoriatic arthritis, and lupus.

Recent studies evaluating real-world clinical outcomes for Nadofaragene Firadenovec, marketed as Adstiladrin, continue to reinforce its sustained effectiveness in managing BCG-resistant non-muscle invasive bladder cancer (NMIBC). Initially approved by the FDA in 2022, Adstiladrin uses gene therapy to stimulate the immune response against cancer cells within the bladder. Emerging real-world data demonstrate a complete response rate of around 51%, closely mirroring results reported during the controlled clinical trials. Additionally, durability outcomes at one year post-treatment consistently reach approximately 46%, signifying lasting therapeutic effectiveness. These findings are particularly significant because real-world clinical performance is crucial for validating a treatment’s long-term efficacy beyond tightly controlled trial settings. Such consistent and robust results underline Adstiladrin’s viability as an integral component of contemporary treatment strategies for patients who have exhausted other therapeutic options. Its favorable safety profile and effectiveness further support broad clinical adoption, enhancing patient confidence and clinician acceptance, and underscoring gene therapy’s potential as a mainstream treatment option in the management of NMIBC.

Citation: Scientific Archives, 2025. Available at: https://www.scientificarchives.com

Implication: Consistent real-world performance supports widespread clinical adoption.