Mitomycins

Generic Name
Mitomycins
Brand Names
Jelmyto, Mitosol, Mutamycin
Drug Type
Small Molecule
Chemical Formula
C15H18N4O5
CAS Number
50-07-7
Unique Ingredient Identifier
50SG953SK6
Background

Mitomycin is an antineoplastic antibiotic first isolated by Japanese microbiologists in the 1950s from cultures of Streptomyces caespitosus. It is an alkylating agent that inhibits DNA synthesis (and, at higher concentrations, RNA and protein synthesis) by cross-linking the complementary strands of the DNA double helix. Few other antibiotics have been discov...

Indication

For treatment of malignant neoplasm of lip, oral cavity, pharynx, digestive organs, peritoneum, female breast, and urinary bladder. Also used as an adjunct to ab externo glaucoma surgery. Mitomycin is also indicated as a pyelocalyceal solution for the treatment of adults with low-grade upper tract urothelial cancer (LG-UTUC).

Associated Conditions
Anal Cancer, Bladder Cancer, Breast Cancer, Carcinoma of the Head and Neck, Cervical Cancer, Gastric Adenocarcinoma, Mesothelioma, Non-Small Cell Lung Cancer (NSCLC), Pancreatic Adenocarcinoma, Ab externo surgery Glaucoma, Low-grade Upper Tract Urothelial Cancer (LG-UTUC)
Associated Therapies
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onclive.com
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Filling Unmet Needs in SCAC Is Key as Incidence Rates Are Rising

Incidence of squamous cell anal carcinoma (SCAC) is rising; ASCO's 2024 guideline recommends concurrent chemoradiation with mitomycin-C and 5-fluorouracil or capecitabine. Retifanlimab, a checkpoint inhibitor, showed improved progression-free survival and overall survival in phase 3 trials, potentially becoming a new standard of care for SCAC. SCAC, primarily HPV-driven, remains a significant unmet medical need with no FDA-approved treatments for advanced disease.

UroGen reports long-term data from study of JELMYTO for LG-UTUC treatment

UroGen Pharma reports long-term follow-up study outcomes of JELMYTO (mitomycin) for pyelocalyceal solution, treating low-grade, upper tract urothelial cancer (LG-UTUC) in adults. 41 of 71 subjects achieved complete response, with median duration of response at 47.8 months. The JELMYTO uTRACT Registry is enrolling subjects to gather real-world data. 191 patients have been enrolled across 19 sites as of July 10.
targetedonc.com
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FGFR-Altered NMIBC Treatment Advances With TAR-210 Findings

TAR-210, an erdafitinib intravesical delivery system, showed early clinical activity in patients with FGFR-altered high- and intermediate-risk NMIBC. The 12-month recurrence-free survival rate was 90% in high-risk NMIBC patients, with only 2 recurrences out of 21. In intermediate-risk NMIBC patients, the 12-week complete response rate was 90%, with 86% of these responses ongoing at data cutoff. The system aims to reduce systemic toxicities while maintaining efficacy.
tipranks.com
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UroGen Pharma Reports Q3 Results and Drug Progress

Urogen Pharma reported Q3 2024 earnings, with FDA acceptance of UGN-102 NDA for non-muscle invasive bladder cancer, preparing for a 2025 launch. JELMYTO net sales rose to $25.2M, and $254.2M in cash/securities. Initiated Phase 3 trial for UGN-103 and received a patent allowance. Net loss of $23.7M due to increased R&D/administrative expenses. New CFO appointed, focusing on UGN-102 approval and $5B market opportunity.
markets.ft.com
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UroGen Pharma Reports 2024 Third Quarter Financial Results and Business Highlights

UroGen Pharma announces Q3 2024 financial results, including $25.2M in JELMYTO net product sales. The FDA accepted the New Drug Application for UGN-102 with a PDUFA target action date of June 13, 2025. UroGen reported $254.2M in cash, cash equivalents, and marketable securities as of September 30, 2024. A conference call and webcast will be held on November 6, 2024, at 10:00 AM ET.
dovepress.com
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A Novel Procedure for Treating Radial Keratotomy (RK) Induced Corneal

The article discusses the treatment of RK-induced corneal irregularity using the CREATE Protocol, which combines topographic guided ablation with epithelial compensation removal. The study reports a 69% reduction in higher-order aberrations and an 80.2% reduction in grouped aberrations, with 95% of patients achieving 20/40 vision or better post-operatively.
urotoday.com
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IBCN 2024: A Randomized Phase II Trial Comparing Single Dose Perioperative Instillation ...

A randomized phase II trial compared single-dose intravesical gemcitabine vs. mitomycin-C post-NMIBC resection, showing comparable recurrence rates, time to recurrence, and adverse effects. No recurrences in low-risk groups, comparable rates in intermediate and high-risk groups. Further follow-up needed for stronger results.
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