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**APL-1202 + bacillus calmette-guerin** is a combination therapy investigated for **recurrent non-muscle invasive bladder cancer (NMIBC)**. **APL-1202** is an orally available small molecule inhibitor of methionine aminopeptidase 2 (**MetAP2**), possessing anti-angiogenic and anti-tumor properties. **Bacillus Calmette-Guerin** (BCG) is a live attenuated strain of *Mycobacterium bovis* administered intravesically as an immunotherapy to stimulate local immune responses against bladder cancer cells. This combination aims to enhance treatment outcomes in NMIBC by leveraging APL-1202's anti-tumor effects with BCG's established immune activation mechanisms[1][9]. - APL-1202 is being developed primarily by Asieris Pharmaceuticals. - BCG works chiefly by activating immune responses (involving T cells, NK cells, mast cells, and granulocytes), leading to anti-tumor activity in the bladder[2][4]. - The combination is administered as oral APL-1202 alongside intravesical BCG instillation[1][4]. - The therapy is in clinical trials for recurrent NMIBC.
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