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A controlled-release, drug-device combination product designed to deliver gemcitabine directly into the bladder over an extended period. The system consists of a small, flexible tube-like device with a solid core of gemcitabine, a broad-spectrum antimetabolite and deoxycytidine analogue with antitumor activity. After placement in the bladder, it provides sustained local release of gemcitabine for up to 7 days. The mechanism involves cellular uptake of gemcitabine via nucleoside transporters; intracellular phosphorylation produces active metabolites that inhibit DNA synthesis and ribonucleotide reductase, leading to apoptosis in cancer cells. Developed primarily for high-risk non-muscle invasive bladder cancer (NMIBC), especially in patients unresponsive to BCG therapy[1][2][3][4][5][6].
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