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Padcev

Enfortumab Vedotin

An intravenous targeted treatment for advanced urothelial (bladder) cancer.

Generic name
Enfortumab Vedotin
Brand name
Padcev
Marketed by
Astellas
First FDA approval
18 Dec 2019

Where Enfortumab Vedotin is approved

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Of the three regulators tracked here, the first to approve Enfortumab Vedotin was the US, on 18 Dec 2019. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
18 Dec 2019
Padcev
BLA761137 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
13 Apr 2022
Padcev
EMA product page
First centralised authorisation
CACanada (Health Canada)
29 Oct 2021
Padcev
Notice of Compliance 26950
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

What health systems spend on Enfortumab Vedotin

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ENNHS England
Not dispensed in the community in England in the last 12 months under this name
Net ingredient cost, community prescriptions
USUS Medicaid
$34.0m
6,055 prescriptions in 2025 · Padcev
+3% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Enfortumab Vedotin works

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  • Nectin-4 binding agent Binding agent
    Target: NECTIN4 nectin cell adhesion molecule 4
    ✓ In ChEMBL and the Guide to Pharmacology
  • Tubulin inhibitor Inhibitor
    Target: Tubulin
    ChEMBL only
Diseases it has been tested for in clinical trials, by furthest phase
  • CancerPhase 3
  • Urinary bladder cancerPhase 3
  • Urinary bladder carcinomaPhase 3
  • Urogenital neoplasmPhase 3
  • Adenoid cystic carcinomaPhase 2
  • Collecting duct carcinomaPhase 2
  • Colorectal cancerPhase 2
  • Endometrial carcinomaPhase 2
  • Head and neck cancerPhase 2
  • Hepatocellular carcinomaPhase 2
26 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL3301589, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 10738, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Enfortumab Vedotin

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NICE, which decides whether the NHS in England should fund new medicines, has published 2 technology appraisals of Enfortumab Vedotin. 2 are current, and 1 of these recommend it for at least some patients.

AppraisalNICE recommendationPublishedStatus
Enfortumab vedotin with pembrolizumab for untreated unresectable or metastatic urothelial cancer when platinum-based chemotherapy is suitable
NICE TA1097
Recommended11 Sep 2025Current
Enfortumab vedotin for previously treated locally advanced or metastatic urothelial cancer (terminated appraisal)
NICE TA797
Terminated (no company submission)15 Jun 2022Current

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Enfortumab Vedotin

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • IE
    Ireland: 2 products on the HPRA list
    Each product record links to the HPRA, which publishes the leaflet and SmPC.
  • EU
    European Union: Padcev
    EMA product information: package leaflet and summary of product characteristics in every EU language.
  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

What Padcev is used for

Enfortumab Vedotin (Padcev) is an intravenous targeted treatment for advanced urothelial (bladder) cancer. It belongs to the Nectin-4-directed antibody-drug conjugate class.

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 6 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.