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Nadofaragene firadenovec: Drug information

Nadofaragene firadenovec: Drug information
For abbreviations, symbols, and age group definitions used in Lexicomp (show table)
Product Availability

Adstiladrin: FDA approved December 2022; anticipated availability in the second half of 2023.

Use: Labeled Indications

Bladder cancer: Treatment of high-risk Bacillus Calmette-Guérin (BCG)-unresponsive non-muscle invasive bladder cancer (NMIBC) with carcinoma in situ (CIS) with or without papillary tumors in adults.

Adverse Reactions

The following adverse drug reactions and incidences are derived from product labeling unless otherwise specified. Adverse reactions reported in adults.

>10%:

Endocrine & metabolic: Decreased serum phosphate (16%), increased serum glucose (38%), increased serum triglycerides (30%)

Genitourinary: Bladder spasm (20%), dysuria (16%), hematuria (17%), urinary urgency (19%)

Hematologic & oncologic: Decreased hemoglobin (16%; grades 3/4: <1%)

Local: Application-site discharge (33%)

Nervous system: Chills (16%), fatigue (24%)

Renal: Increased serum creatinine (17%)

Miscellaneous: Fever (15%)

1% to 10%:

Cardiovascular: Acute coronary syndrome (1%), atrial fibrillation (1%), coronary artery disease (1%), syncope (1%)

Endocrine & metabolic: Dehydration (1%), hypoglycemia (1%)

<1%:

Cardiovascular: Heart failure, pericarditis

Gastrointestinal: Choledocholithiasis

Infection: Sepsis

Nervous system: Brain edema

Frequency not defined: Genitourinary: Bladder neoplasm (benign)

Contraindications

Hypersensitivity to interferon alfa or any component of the formulation.

  1. Adstiladrin (nadofaragene firadenovac) [prescribing information]. Kuopio, Finland: Ferring Pharmaceuticals; December 2022.
Topic 140383 Version 2.0