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Imfinzi Combination Snags FDA Approval for High-Risk Non-Muscle Invasive Bladder Cancer

The combination cut recurrence, progression or death risk by 32% in the POTOMAC trial and adds a new option beyond BCG alone.

  • On Thursday, the Food and Drug Administration approved AstraZeneca's immunotherapy Imfinzi in combination with Bacillus Calmette-Guérin for patients with BCG-naive, high-risk non-muscle-invasive bladder cancer .
  • High-Risk NMIBC patients face significant challenges, with over 31,000 individuals treated annually in the US experiencing frequent recurrence, progression, or bladder removal, creating urgent demand for effective alternatives to standard surgery and BCG alone.
  • The POTOMAC trial enrolled over 1,000 patients and demonstrated a 32% reduction in disease recurrence, progression, or death risk. Principal investigator Neal Shore of the Carolina Urologic Research Centre called it the "first advance" in high-risk NMIBC care in over three decades.
  • AstraZeneca views bladder cancer as a major commercial opportunity for Imfinzi, which saw first-quarter sales leap 30% to $1.7 billion this year, with the disease now a key driver for the company's growth.
  • The bladder cancer treatment market remains increasingly competitive, with rivals including MSD's Keytruda, ImmunityBio's Anktiva, Ferring's Adstiladrin, and Johnson & Johnson's Inlexzo. AstraZeneca recently reported positive VOLGA trial results in muscle-invasive bladder cancer, signaling further portfolio expansion.
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Business Wire broke the news in Crystal River, United States on Thursday, May 28, 2026.
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