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A **combination therapy** of recombinant human hyaluronidase PH20 (marketed as Chemophase), a recombinant enzyme that degrades hyaluronan in extracellular matrices, and **mitomycin** (mitomycin C), an anti-tumor antibiotic used as a chemotherapy agent. Recombinant human hyaluronidase PH20 improves the delivery and local penetration of mitomycin by breaking down hyaluronan barriers, potentially enhancing the efficacy of intravesically administered chemotherapy for **non-muscle-invasive (superficial) bladder cancer**. The combination is administered **intravesically (directly into the bladder)** after transurethral resection to target residual cancer cells, aiming to improve the anti-tumor activity and reduce recurrence rates. Development has been led by Halozyme Therapeutics, with Chemophase specifically developed for use with mitomycin in this indication[1][3][4].
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