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Nogapendekin alfa inbakicept + Bacillus Calmette-Guerin is a **fixed-dose combination medication** used for adults with **BCG-unresponsive non-muscle invasive bladder cancer (NMIBC) with carcinoma in situ**, with or without papillary tumors[1][4][6]. It combines nogapendekin alfa (a human IL-15N72D variant with enhanced activity and stability), inbakicept (an interleukin-15 receptor alpha subunit fused to IgG1 Fc), and Bacillus Calmette-Guerin. The core mechanism is potent **interleukin-15 receptor agonism**, which stimulates **CD8+ memory T cells** and **natural killer cells** in the bladder, enhancing local immune responses and synergizing with BCG's immunostimulatory anti-tumor effects[1][2][6]. Induction and maintenance therapy are administered by intravesical instillation.
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