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APS001F + flucytosine + maltose is a combination investigational anti-cancer therapy. **APS001F** is a genetically engineered strain of *Bifidobacterium longum* designed to express the enzyme **cytosine deaminase (CD)**[1][3][5]. Upon intravenous administration, APS001F localizes and grows in hypoxic regions of solid tumors[1][3]. **Flucytosine (5-FC)** is administered; in the tumor, CD converts 5-FC into **5-fluorouracil (5-FU)**, a cytotoxic anti-tumor agent, thereby facilitating high local concentrations of 5-FU in tumors with limited systemic toxicity[1][3][5]. **Maltose** is given as a supplement to support the growth and viability of APS001F bacteria in vivo during treatment[5]. This combination is being developed primarily for the treatment of advanced and/or metastatic solid tumors resistant to other therapies and is currently in phase I/II clinical trials[2][5]. The combination shows both direct anti-tumor effects and immunomodulatory activities, altering the tumor microenvironment and enhancing the efficacy of immune checkpoint inhibition[3][5].
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