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BMS-986242 + nivolumab is a **combination therapy** consisting of BMS-986242, an **oral small molecule inhibitor of indoleamine 2,3-dioxygenase 1 (IDO1)**, and **nivolumab (Opdivo)**, a **monoclonal antibody targeting programmed death-1 (PD-1)**. BMS-986242 was designed for cancer immunotherapy, aiming to inhibit the immunosuppressive enzyme IDO1, which is implicated in tumor immune escape by catalyzing the conversion of tryptophan to kynurenine. Nivolumab blocks the PD-1 checkpoint on T cells, enhancing anti-tumor immune responses. This combination was investigated by Bristol Myers Squibb in clinical trials for various advanced cancers, hypothesizing synergistic effects by simultaneously overcoming two immune resistance mechanisms[1][3].
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