Gemcitabine

(Inlexzo®)

Inlexzo®

Drug updated on 10/1/2025

Dosage FormIntravesical system (225 mg single dose)
Drug ClassNucleoside metabolic inhibitors
Ongoing and
Completed Studies
ClinicalTrials.gov

Indication

  • Indicated for the treatment of adult patients with Bacillus Calmette-Guérin (BCG)-unresponsive, non-muscle invasive bladder cancer (NMIBC) with carcinoma in situ (CIS) with or without papillary tumors

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Summary
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  • This summary is based on the review of one randomized controlled trial. [1]
  • In patients with Bacillus Calmette-Guerin (BCG)-unresponsive carcinoma in situ (CIS) with/without papillary disease: Complete response (CR) rates were 82.4% (95% confidence interval [CI], 72.6 to 89.8) with Inlexzo monotherapy, 67.9% (95% CI, 53.7 to 80.1) with Inlexzo plus cetrelimab, and 46.4% (95% CI, 27.5 to 66.1) with cetrelimab monotherapy.
  • In patients with BCG-unresponsive high-risk papillary disease-only non-muscle-invasive bladder cancer (NMIBC) receiving Inlexzo monotherapy: Disease-free survival (DFS) rates were 6-month 85.3 % (95 % CI, 71.6 to 92.7), 9-month 81.1 % (95 % CI, 66.7 to 89.7), and 12-month 70.2% (95% CI, 51.6 to 82.8).
  • In patients with BCG-unresponsive CIS with/without papillary disease treated with Inlexzo monotherapy: Median duration of response was 25.8 months (95% CI, 8.3 to not estimable).
  • BCG-unresponsive CIS with/without papillary disease: Grade >= 3 treatment-related adverse events (AEs) were 37.7% with Inlexzo plus cetrelimab, 12.9% with Inlexzo monotherapy, and 7.1% with cetrelimab monotherapy; serious treatment-related AEs were 15.1% with Inlexzo plus cetrelimab, 5.9% with Inlexzo monotherapy, and 3.6% with cetrelimab monotherapy.
  • BCG-unresponsive high-risk papillary disease-only NMIBC receiving Inlexzo monotherapy: Grade >= 3 treatment-related AEs were 13.5%; serious treatment-related AEs were 5.8%.

Product Monograph / Prescribing Information

Document TitleYearSource
Inlexzo (gemcitabine) Prescribing Information2025Janssen Biotech, Inc., Horsham, PA

Randomized Controlled Trials

Document TitleSex DistributionYearSource
TAR-200 for Bacillus Calmette-Guerin-Unresponsive High-Risk Non-Muscle-Invasive Bladder Cancer: Results From the Phase IIb SunRISe-1 Study
85Subjects
F: 20%
M: 80%
2025Journal of Clinical Oncology

Sex Distribution:

F:20%
M:80%
85Subjects

Year:

2025

Source:Journal of Clinical Oncology

Clinical Practice Guidelines

Document TitleYearSource
New Treatment Options for Non–Muscle-Invasive Bladder Cancer2025American Society of Clinical Oncology Publications