Detailed Narrative
ZUSDURI Commercial Momentum
ZUSDURI generated $50.4 million in net product revenue, marking a 73% sequential growth, driven by expanding adoption across hospital and community practices. Activated accounts increased to 1,444, and unique prescribers grew to 452, with repeat prescribers nearly doubling to 204, now representing 45% of writers. Community practices account for 55% of utilization, targeting the estimated 70% addressable market, and open access is available across over 95% of covered lives, with reimbursement no longer a significant constraint.
JELMYTO Performance & IP Strengthening
JELMYTO maintained a stable demand profile, generating $22 million in revenue for the quarter, and is on track to meet its full-year guidance of $97 million to $101 million. The company strengthened its intellectual property by settling JELMYTO patent litigation with Teva, providing long-term commercial runway. Additionally, a new method of treatment patent for both ZUSDURI and UGN-103 was allowed, extending protection into July 2044, reinforcing the long-term commercial opportunity for the franchise.
Pipeline Advancement
The pipeline continues to advance with UGN-103 on track for NDA submission in Q3 2026, supported by Phase III UTOPIA trial data showing 94.5% 6-month duration of response. A Phase III trial for UGN-103 in high-grade NMIBC and adjuvant setting is planned for later this year and 2027, respectively. UGN-104's Phase III enrollment is expected to complete by year-end, and UGN-501, a next-generation oncolytic virus, will initiate Phase I development later this year following FDA IND clearance, leveraging its differentiated biology for direct tumor cell destruction and immunomodulatory effects.
Financial Strategy & Investment
Total revenue for the quarter was $72.5 million, significantly up from $24.2 million in Q2 2025. The company reported a net loss of $14.4 million, a substantial improvement from $49.9 million in the prior year. Operating expense guidance for FY26 was increased to $260 million to $270 million to accelerate investment in ZUSDURI commercial activities and pipeline development. Despite this, management remains confident that existing capital resources of $108 million will lead to profitability.
ZUSDURI Durability Data
Updated durability data from the Phase III ENVISION trial for ZUSDURI showed that 64.5% of patients who achieved a complete response remained disease-free at 36 months by Kaplan-Meier estimate. The median duration of response has not yet been reached at a median follow-up of 35.5 months. These data highlight ZUSDURI's potential to interrupt the cycle of repeated recurrences and surgeries in low-grade intermediate risk NMIBC patients, with similar results now observed in routine clinical practice.