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RecruitingNCT05874921uTRACTUpdated Sep 29, 2026

uTRACT Jelmyto Registry: A Registry of Patients With Upper Tract Urothelial Cancer (UTUC) Treated With Jelmyto

An observational study in Urothelial Carcinoma, Urothelial Carcinoma Recurrent and Urothelial Carcinoma Ureter, sponsored by UroGen Pharma Ltd.. Recruiting at 22 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-29.

Sponsored by UroGen Pharma Ltd. · Observational

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
450
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this registry is to evaluate real world experience and outcomes of patients with Upper Tract Urothelial Cancer (UTUC) treated with Jelmyto in the United States.

Read the detailed description

Patients may be enrolled prospectively, at the time of receiving Jelmyto, or after receiving Jelmyto for retrospective data capture and prospective follow up. Patients will be followed until 3 years after the first dose of Jelmyto or death.

Data will be captured to address specific clinical questions and data gaps related to real world use of Jelmyto.

Example clinical questions:

  1. How is Jelmyto used in the real world setting?
  2. What adverse events (AEs) and at what rates and time points are they observed in the real world setting?
  3. What is the disease volume before and after resection/ablation prior to treating with Jelmyto?
  4. Did the use of Jelmyto impact clinical decision making and management?
  5. What is the complete response (CR) rate, duration of response, and rate of progression, including subgroups of interest?
  6. What are the rates of, time to, and pathology at radical nephroureterectomy (RNU) by response to treatment and number of Jelmyto doses received?
  7. What are outcomes for non-responders or partial responders? What are the rates of surgical and therapeutic treatment options received following response assessment, including additional Jelmyto?
  8. What was the outcome of patients with solitary kidney and/or chronic kidney disease (CKD)? Did Jelmyto prevent dialysis by avoiding nephrectomy in solitary kidney or in patients with baseline CKD?
  9. What is the rate and timing of bladder cancer occurrence and/or recurrences?
02

Conditions studied

  • Urothelial Carcinoma
  • Urothelial Carcinoma Recurrent
  • Urothelial Carcinoma Ureter
  • Urothelial Carcinoma Ureter Recurrent
  • Urothelial Cancer of Renal Pelvis
  • Urothelial Carcinoma of the Renal Pelvis and Ureter
  • Carcinoma, Transitional Cell
  • Transitional Cell Carcinoma of Renal Pelvis

Keywords

  • Upper Tract Urothelial Cancer
  • UTUC
  • UGN-101
  • Mitomycin C
  • TCC
  • Ureteral
  • Upper Tract
  • Carcinoma
  • Kidney
  • Renal
  • Gel
  • Local
  • Prolonged Release
  • Slow Release
  • Kidney Sparing
  • Recurrence
  • Neoplasms by Histologic Type
  • Neoplasms
  • Urologic Neoplasms
  • Urogenital Neoplasms
  • Neoplasms by Site
  • Antibiotics, Antineoplastic
  • Antineoplastic Agents
  • Alkylating Agents
  • Nucleic Acid Synthesis Inhibitors
  • Enzyme Inhibitors
03

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with UTUC who have been treated, are currently undergoing treatment, or will be treated with JELMYTO.

Inclusion criteria

  • Adults >18 years old and capable of giving informed consent.
  • Diagnosis of UTUC.
  • Receipt of at least 1 dose of JELMYTO after FDA approval (15 Apr 2020).

Exclusion criteria

Exclusion Criteria:

  • Incapable of giving informed consent (e.g., incarcerated individuals, individuals with dementia).
  • Receipt of 1 or more doses of JELMYTO (also referred to as UGN-101 or Mitogel in clinical development) before FDA approval (on or before 15 Apr 2020).
  • Pregnancy or lactation.
  • Unable to comply with protocol requirements (for prospective data capture).
  • Any medical or mental condition(s) that makes participation in the Registry inadvisable in the opinion of the Investigator (for prospective data capture).
04

Study design

Observational model
Cohort
Time perspective
Other
Enrollment
450 participants (estimated)
Target follow-up
3 Years
Patient registry
Yes

Groups and cohorts

  • Jelmyto

    Patients with UTUC treated with Jelmyto

    Drug: Jelmyto (mitomycin) for pyelocalyceal solution

Interventions

  • DrugJelmyto (mitomycin) for pyelocalyceal solution

    The dose of Jelmyto to be instilled is 4 mg per mL via ureteral catheter or a nephrostomy tube, with total instillation volume based on volumetric measurements using pyelography, not to exceed 15 mL (60 mg of mitomycin). Instill Jelmyto once weekly for six weeks. For patients with a complete response 3 months after Jelmyto initiation, Jelmyto instillations may be administered once a month for a maximum of 11 additional instillations.

    Also known as: Jelmyto, UGN-101

05

What researchers measure

Primary outcomes

  1. Rate of No Evidence of Disease (NED) at first evaluation post-treatment (investigator assessment)

    To evaluate the tumor ablative effect of JELMYTO in the Registry population

    Time frame: 3 months

Secondary outcomes

  1. Durability of response at 12, 24, and 36 months in patients who achieve NED after primary treatment with JELMYTO.

    To evaluate response to JELMYTO treatment in the Registry population

    Time frame: 3 years

  2. Recurrence free survival after adjuvant treatment with JEMLYTO

    To evaluate response to JELMYTO treatment in the Registry population

    Time frame: 3 years

  3. Time to recurrence

    To evaluate response to JELMYTO treatment in the Registry population

    Time frame: 3 years

  4. Time to progression

    To evaluate response to JELMYTO treatment in the Registry population

    Time frame: 3 years

  5. Incidence of JELMYTO-related AEs

    To assess the safety of JELMYTO in the Registry population

    Time frame: 3 years

06

Study locations

22 of 22 sites recruiting
  • Providence St. Johns Health Center
    Santa Monica, California 90404, United States
    Recruiting
  • University of Florida
    Gainesville, Florida 32610, United States
    Recruiting
  • Mount Sinai Medical Center of Florida, Inc.
    Miami, Florida 33140, United States
    Recruiting
  • H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.
    Tampa, Florida 33612, United States
    Recruiting
  • Northwestern University
    Chicago, Illinois 60611, United States
    Recruiting
  • Indiana University
    Indianapolis, Indiana 46202, United States
    Recruiting
  • The State University of Iowa
    Iowa City, Iowa 52242, United States
    Recruiting
  • Chesapeake Urology
    Baltimore, Maryland 21204, United States
    Recruiting
  • Johns Hopkins Medical Center
    Baltimore, Maryland 21287, United States
    • Nirmish Singla, MD · Contact · 410-955-6100
    Recruiting
  • Mass General Brigham
    Boston, Massachusetts 02114, United States
    Recruiting
  • Brigham and Women's Hospital
    Boston, Massachusetts 02115, United States
    Recruiting
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
    Recruiting
  • University of Missouri
    Columbia, Missouri 65211, United States
    Recruiting
  • Rutgers
    New Brunswick, New Jersey 08903, United States
    Recruiting
  • The Feinstein Institutes for Medical Research
    Lake Success, New York 11042, United States
    Recruiting
  • NYU Grossman School of Medicine
    New York, New York 10016, United States
    Recruiting
  • SUNY Upstate
    Syracuse, New York 13210, United States
    Recruiting
  • The University of North Carolina Chapel Hill
    Chapel Hill, North Carolina 27599, United States
    Recruiting
  • Ohio State University
    Columbus, Ohio 43202, United States
    Recruiting
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
    Recruiting
  • UT Southwestern Medical Center
    Dallas, Texas 75390, United States
    Recruiting
  • The University of Texas M.D. Anderson Cancer Center
    Houston, Texas 77030, United States
    Recruiting
07

Registry details

Key details

Study ID
NCT05874921
Lead sponsor
UroGen Pharma Ltd.
Responsible party
Sponsor
First posted
May 25, 2023
Start date
Nov 17, 2023
Primary completion
Oct 2027 (estimated)
Completion
Oct 2030 (estimated)
Last update
Sep 29, 2026

Study contacts

Michael Louie, MD, MPH, MSc
Contact
registry@urogen.com
855-987-6436
Yair Lotan, MD
principal investigator · UT Southwestern Medical Center at Dallas
Adam Feldman, MD
principal investigator · Massachusetts General Hospital
Solomon Woldu, MD
principal investigator · UT Southwestern Medical Center at Dallas

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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