TheraRadar
Data updated: May 26, 2026

CYSVIEW KIT (hexaminolevulinate hydrochloride)

Oncology Approved 2010-05-28

Cysview is an optical imaging agent indicated for the cystoscopic detection of bladder cancer, including carcinoma in situ (CIS). It is used in patients with known or suspected lesions based on prior cystoscopy, as well as those undergoing surveillance. Cysview is used as an adjunct to standard white light cystoscopy and must be used specifically with the Karl Storz D-Light C Photodynamic Diagnostic (PDD) system. It is not a replacement for random bladder biopsies or other standard diagnostic procedures.

Source: FDA Label • PHOTOCURE ASA

How CYSVIEW KIT Works

Cysview is an ester of the heme precursor aminolevulinic acid. After intravesical instillation, it enters the bladder mucosa and is converted intracellularly into photoactive porphyrins, primarily protoporphyrin IX (PpIX). These compounds accumulate preferentially in neoplastic cells compared to normal urothelium due to altered enzymatic activity. When excited by blue light (wavelengths 360–450 nm), the accumulated porphyrins fluoresce, causing tumors to appear bright red against a dark blue background. Of note, similar accumulation and fluorescence may also occur in inflamed cells, potentially affecting specificity.

2
Indications
--
Phase 3 Trials
2
Priority Reviews
15
Years on Market

Details

Status
Prescription
First Approved
2010-05-28
Patent Cliff
2038

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CYSVIEW KIT Approval History

2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
4 FDA actions from 2010 to 2018 · 1 indication expansions
Feb 2018 SUPPL Priority
Efficacy
Jul 2016 SUPPL Priority
Mfg · Manufacturing (CMC)
Nov 2012 SUPPL Priority
Mfg · Manufacturing (CMC)

What CYSVIEW KIT Treats

2 indications

CYSVIEW KIT is approved for 2 conditions since its original approval in 2010. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Bladder Cancer
  • Carcinoma In Situ
Source: FDA Label

CYSVIEW KIT Competitive Set

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

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Phase 3 candidates targeting molecules with no FDA-approved drug, in indications CYSVIEW KIT treats. First-in-class if their pivotal trials read out positive.

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Clinical Trial Registry

2 trials
Trial Sponsor ID Phase Status Title
NCT05600322 results posted PC B309/21 / YHCT-HEX-B1 Ph 3 completed Comparative Study of Hexvix Blue Light Cystoscopy and White Light Cystoscopy in the Detection of Bladder Cancer
NCT02560584 results posted PC B308/13 Ph 3 completed A Study of Blue Light Flexible Cystoscopy With Cysview in the Detection of Bladder Cancer in the Surveillance Setting
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Key Completed Trials

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

CYSVIEW KIT FDA Label Details

Indications & Usage

FDA Label (PDF)

CYSVIEW KIT is indicated for the treatment of Bladder Cancer; Carcinoma In Situ.

View full patent landscape →
3 OB patents · 2 families · 57 international docs across 21 countries

CYSVIEW KIT Patents & Exclusivity

Latest Patent: Jan 2038

Patents (3 active)

US11235168 Expires Jan 4, 2038
US10556010 Expires Dec 19, 2036
US11311620 Expires Dec 19, 2036
Source: FDA Orange Book

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Patent Timeline

  • Cliff: 2038
  • 3 active patents

Trial Analysis

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  • Development stage analysis

Competitive Landscape

  • 3 similar drugs
  • Same target/indication analysis
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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.