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

September 24, 2026 updated by: UroGen Pharma Ltd.

uTRACT Jelmyto Registry: A Multicenter, Prospective and Retrospective Registry to Evaluate Real World Experience and Outcomes of Patients With Upper Tract Urothelial Cancer (UTUC) Treated With Jelmyto

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.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

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?

Study Type

Observational

Enrollment (Estimated)

450

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

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

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

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

Description

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:

  • 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).

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: COHORT
  • Time Perspectives: OTHER

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Jelmyto

Patients with UTUC treated with Jelmyto

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.

Other Names:
  • UGN-101
  • Jelmyto

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Rate of No Evidence of Disease (NED) at first evaluation post-treatment (investigator assessment)
Time Frame: 3 months

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

3 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Durability of response at 12, 24, and 36 months in patients who achieve NED after primary treatment with JELMYTO.
Time Frame: 3 years

To evaluate response to JELMYTO treatment in the Registry population

3 years
Recurrence free survival after adjuvant treatment with JEMLYTO
Time Frame: 3 years

To evaluate response to JELMYTO treatment in the Registry population

3 years
Time to recurrence
Time Frame: 3 years

To evaluate response to JELMYTO treatment in the Registry population

3 years
Time to progression
Time Frame: 3 years

To evaluate response to JELMYTO treatment in the Registry population

3 years
Incidence of JELMYTO-related AEs
Time Frame: 3 years

To assess the safety of JELMYTO in the Registry population

3 years

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Yair Lotan, MD, UT Southwestern Medical Center at Dallas
  • Principal Investigator: Solomon Woldu, MD, UT Southwestern Medical Center at Dallas
  • Principal Investigator: Adam Feldman, MD, Massachusetts General Hospital

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

November 17, 2023

Primary Completion (Estimated)

October 1, 2027

Study Completion (Estimated)

October 1, 2030

Study Registration Dates

First Submitted

December 22, 2022

First Submitted That Met QC Criteria

May 22, 2023

First Posted (Actual)

May 25, 2023

Study Record Updates

Last Update Posted (Actual)

September 29, 2026

Last Update Submitted That Met QC Criteria

September 24, 2026

Last Verified

September 1, 2026

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

Yes

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.