TheraRadar
Data updated: May 26, 2026

GEMTESA (vibegron)

Adrenergic beta3-Agonists Trial Activity: Stable 2 active trials
Urology Approved 2020-12-23

GEMTESA is indicated for the treatment of Overactive Bladder; Benign Prostatic Hyperplasia.

Source: FDA Label • SUMITOMO PHARMA AM • beta3-Adrenergic Agonist

How GEMTESA Works

Vibegron acts as a selective human beta-3 adrenergic receptor agonist. By activating these receptors, the medication induces relaxation of the detrusor smooth muscle during the bladder-filling phase. This mechanism increases functional bladder capacity, thereby reducing the clinical symptoms of urinary frequency and urgency.

Development Insights

Urovant Sciences GmbH conducting 6 trials (60%)
6 indications explored (Moderate)
overactive bladder (6 trials)
obesity (1 trials)
neurogenic detrusor overactivity (1 trials)
2
Indications
--
Phase 3 Trials
5
Years on Market

Details

Status
Prescription
First Approved
2020-12-23
Patent Cliff
2042

Pro Metrics

Patent cliff and revenue data

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Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: VIBEGRON

GEMTESA Approval History

2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
3 FDA actions from 2020 to 2024 · 1 indication expansions
Dec 2024 SUPPL
Efficacy
Oct 2024 SUPPL
Label · Labeling
Dec 2020 ORIGINAL
New Drug · Type 1 - New Molecular Entity

What GEMTESA Treats

2 indications

GEMTESA is approved for 2 conditions since its original approval in 2020. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Overactive Bladder
  • Benign Prostatic Hyperplasia
Source: FDA Label

GEMTESA Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

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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.

Drugs Similar to GEMTESA

3 of 20

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WAYLIS THERAP
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Clinical Trial Registry

10 trials
Trial Sponsor ID Phase Status Title
NCT06987383 VENTURA Brinkley.Vibegron R21AG091075 Ph 3 not yet recruiting Vibegron for ENergy Thinking and Resilience in Aging
NCT04103450 results posted URO-901-3006 2018-003136-72 Ph 3 completed Extension Study of Vibegron in Men With Overactive Bladder (OAB) Symptoms on Pharmacological Therapy for Benign Prostatic Hyperplasia
NCT03902080 results posted URO-901-3005 2018-003135-30 Ph 3 completed Study to Evaluate the Efficacy, Safety and Tolerability of Vibegron in Men With Overactive Bladder (OAB) Symptoms on Pharmacological Therapy for Benign Prostatic Hyperplasia (BPH)
NCT05491525 KANGUROO URO-901-3007 Ph 2, Ph 3 recruiting A Study of Vibegron in Pediatric Participants 2 Years to Less Than (<) 18 Years of Age With NDO and on CIC
NCT03806127 results posted URO-901-2001 Ph 2 completed Study to Evaluate the Efficacy and Safety of Vibegron Administered Orally for 12 Weeks to Women With Irritable Bowel Syndrome
NCT03583372 Empowur results posted RVT-901-3004 2017-003294-33 Ph 3 completed An Extension Study to Examine the Safety and Tolerability of a New Drug in Patients With Symptoms of Overactive Bladder (OAB).
NCT03492281 Empowur results posted RVT-901-3003 2017-003293-14 Ph 3 completed A Study to Examine the Safety and Efficacy of a New Drug in Patients With Symptoms of Overactive Bladder (OAB)
NCT01314872 results posted 4618-008 132241, 2010-022121-15 Ph 2 completed A Study of the Efficacy and Safety of Vibegron (MK-4618) in Participants With Overactive Bladder (OAB) (MK-4618-008)
NCT01500382 results posted 4618-004 Ph 1 terminated A Study of the Pharmacokinetics and Pharmacodynamics of Vibegron (MK-4618) in Women With Overactive Bladder (MK-4618-004)
NCT01737684 results posted 4618-013 Ph 1 completed A Single-Dose Study of the Pharmacokinetics of Vibegron (MK-4618) in Adults With Hepatic Insufficiency (MK-4618-013)
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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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.

GEMTESA FDA Label Details

Indications & Usage

FDA Label (PDF)

GEMTESA is indicated for the treatment of Overactive Bladder; Benign Prostatic Hyperplasia.

View full patent landscape →
5 OB patents · 4 families · 155 international docs across 47 countries

GEMTESA Patents & Exclusivity

Latest Patent: Jul 2042
Exclusivity: Dec 2027

Patents (5 active)

US12357636 Expires Jul 6, 2042
US12102638 Expires Mar 22, 2040
US8247415 Expires Dec 23, 2034
US12180219 Expires Mar 12, 2034
US8653260 Expires Apr 2, 2029

Exclusivity

I-955 Until Dec 2027
Source: FDA Orange Book

Pro Intelligence Preview

Deep insights for GEMTESA

Revenue Insights

  • Quarterly revenue tracking
  • Historical trend analysis

Patent Timeline

  • Cliff: 2042
  • 6 active patents

Trial Analysis

  • 10 total trials
  • Stage: Stable

Competitive Landscape

  • 20 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.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment