Mitomycin pyelocalyceal solution (JELMYTO)
- Product / population
- Adult JELMYTO, pyelocalyceal instillation only; exact UroGen label.
- Renal measure
- GFR in mL/min as printed; no estimator specified in section 8.6
DailyMed page updated July 9, 2025. Page update differs from label revision. SPL XML and full original label not archived.
Renal dosing, restrictions and evidence limits
Avoid JELMYTO when GFR is below 30 mL/min; severe renal impairment lacks data. This is the pyelocalyceal product, not IV mitomycin or a bladder formulation. For adult low-grade upper-tract urothelial cancer, the label uses 4 mg/mL with volume determined by pyelography, up to 15 mL (60 mg), weekly for six weeks. This is not a renal-reduced regimen. Monitor kidney function and symptoms of ureteric obstruction; severity may require holding or permanently stopping treatment. Preparation, alkalinization and administration instructions must also be followed. The truncated RX page is not counted as a successful renal import; this separate DailyMed summary supplies the missing guidance.
Source: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=3d3d5053-5427-4a68-a40b-edb60699521e