Your FIRST choice for patients with high-risk NMIBC after BCG


ADSTILADRIN is the FIRST and ONLY FDA-approved intravesical non-replicating gene therapy for high-risk NMIBC

See the Data

A Guideline-Recommended Treatment

Nadofaragene firadenovec-vncg (ADSTILADRIN) is a recommended treatment option in the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®)* and the AUA/SUO Guidelines1

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Localized, non-replicating gene therapy, offering a well-tolerated safety profile2,3

  • 75% of adverse reactions (ARs) were mild (grades 1 and 2) and resolved within 2 days
    • Serious ARs occurred in 11% of patients who received ADSTILADRIN
    • 0 grade 3 or 4 reactions
  • 2% of patients discontinued treatment due to ARs
Explore Safety
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Intravesical instillation
once every 3 months2

  • No Bacillus Calmette-Guérin (BCG) coadministration required
  • Seamless integration into your existing management of non–muscle-invasive bladder cancer (NMIBC), reducing the treatment burden
Explore Dosing
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Proven and durable complete responses (CRs)2,4,5

  • 51% of the carcinoma in situ cohort achieved CR by month 3 (after 1 instillation)
  • Of these patients, 25% remained free of high-grade recurrence at
    3 years

Confirmed coverage
and reimbursement6‡

Explore Efficacy
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Explore the Key Benefits

Neal Shore, MD, FACS, a clinician from the ADSTILADRIN clinical trials, discusses the efficacy, safety, and dosing benefits of ADSTILADRIN.

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*Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Bladder Cancer V.1.2024. © National Comprehensive Cancer Network, Inc. 2024. All rights reserved. Accessed January 31, 2024. To view the most recent and complete version of the guideline, go online to NCCN makes no warranties of any kind whatsoever regarding their content, use or application and disclaims any responsibility for their application or use in any way.

Based on patients (n=50) who achieved a CR; reflects period from the time CR was achieved.2

ADSTILADRIN has confirmed 99% coverage for commercial and government-insured patients.6

Abbreviations: AUA, American Urological Association; SUO, Society of Urologic Oncology.
NCCN, National Comprehensive Cancer Network® (NCCN®).

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References: 1. Holzbeierlein J, Bixler BR, Buckley DI, et al. Diagnosis and treatment of non-muscle invasive bladder cancer: AUA/SUO guideline: 2024 amendment. J Urol. 2024;211(4):533-538. doi:10.1097/JU.0000000000003846 2. ADSTILADRIN. Package insert. Ferring Pharmaceuticals, Inc; 2023. 3. Data on file. ADSTILADRIN CSR, Ferring Inc. Parsippany, NJ. 4. Boorjian SA, Alemozaffar M, Konety BR, et al. Intravesical nadofaragene firadenovec gene therapy for BCG-unresponsive non-muscle-invasive bladder cancer: a single-arm, open-label, repeat-dose clinical trial. Lancet Oncol. 2021;22(1):107-117. doi:10.1016/S1470-2045(20)30540-4 5. Boorjian SA, Narayan VM, Konety BR, et al. Efficacy of intravesical nadofaragene firadenovec for patients with BCG-unresponsive carcinoma in situ of the bladder: 36-month follow-up from a phase 3 trial. Presented at: 24th Annual Meeting of the Society of Urologic Oncology. November 28-December 1, 2023; Washington, DC. 6. Ferring Access Support benefits investigations for commercial and government-insured patients through March 15, 2024.

Important Safety Information


ADSTILADRIN is a non-replicating adenoviral vector-based gene therapy indicated for the treatment of adult patients with high-risk Bacillus Calmette-Guérin (BCG)-unresponsive non-muscle invasive bladder cancer (NMIBC) with carcinoma in situ (CIS) with or without papillary tumors.


CONTRAINDICATIONS: ADSTILADRIN is contraindicated in patients with prior hypersensitivity reactions to interferon alfa or to any component of the product.


  • Risk with delayed cystectomy: Delaying cystectomy in patients with BCG-unresponsive CIS could lead to development of muscle invasive or metastatic bladder cancer, which can be lethal. If patients with CIS do not have a complete response to treatment after 3 months or if CIS recurs, consider cystectomy.
  • Risk of disseminated adenovirus infection: Persons who are immunocompromised or immunodeficient may be at risk for disseminated infection from ADSTILADRIN due to low levels of replication-competent adenovirus. Avoid ADSTILADRIN exposure to immunocompromised or immunodeficient individuals.

DOSAGE AND ADMINISTRATION: Administer ADSTILADRIN by intravesical instillation only. ADSTILADRIN is not for intravenous use, topical use, or oral administration.

USE IN SPECIFIC POPULATIONS: Advise females of reproductive potential to use effective contraception during ADSTILADRIN treatment and for 6 months after the last dose. Advise male patients with female partners of reproductive potential to use effective contraception during ADSTILADRIN treatment and for 3 months after the last dose.

ADVERSE REACTIONS: The most common (>10%) adverse reactions, including laboratory abnormalities (>15%), were glucose increased, instillation site discharge, triglycerides increased, fatigue, bladder spasm, micturition (urination urgency), creatinine increased, hematuria (blood in urine), phosphate decreased, chills, pyrexia (fever), and dysuria (painful urination).

You are encouraged to report negative side effects of prescription drugs to FDA. Visit or call 1-800-332-10881-800-332-1088. You may also contact Ferring Pharmaceuticals at 1-888-FERRING1-888-FERRING.

Please see full Prescribing Information for ADSTILADRIN.

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Latest Updates


Effective April 1, 2024, ADSTILADRIN has established an average sales price (ASP) in accordance with the guidelines set forth by the Centers for Medicare & Medicaid Services Part B. This determination is a significant milestone for Ferring Uro-Oncology and represents our commitment to providing transparency and value to our customers.

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