Combination treatment for MTAP-deficient bladder cancer

Effective combination therapy for MTAP-deficient bladder carcinoma by targeting metabolic vulnerability and modulating tumor immune microenvironment

NIH-funded research University of Tx Md Anderson Can Ctr · NIH-11141637

Combining a drug that targets altered tumor metabolism with immune therapy for people whose bladder cancer has lost the MTAP gene.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Tx Md Anderson Can Ctr NIH-funded
Lab location1 site (Houston, United States)
Project IDNIH-11141637 on NIH RePORTER

What this research studies

This project focuses on people with metastatic or advanced bladder cancer whose tumors have a homozygous MTAP deletion. Researchers plan to pair drugs that exploit the tumor's altered adenine/metabolic pathway with immune checkpoint therapies to turn an immunologically 'cold' tumor into a more active one. They will study tumor samples and laboratory models to understand how accumulated MTA suppresses immune responses and to identify the best drug combinations. Promising combinations will be advanced toward clinical testing to see if they improve patient responses to immunotherapy.

Who could benefit from this research

Good fit: Ideal candidates are people with metastatic or advanced urothelial bladder cancer whose tumors show homozygous deletion of the MTAP gene (9p21 loss) and who are eligible for combination therapy trials.

Not a fit: Patients whose tumors retain MTAP, whose disease is driven by other dominant resistance mechanisms, or who cannot receive immunotherapy or experimental agents may not benefit from this approach.

Why it matters

Potential benefit: If successful, this could raise immunotherapy response rates and improve outcomes specifically for patients with MTAP-deficient bladder cancer.

How similar studies have performed: Immune checkpoint therapies have helped some bladder cancer patients and metabolic-targeting strategies show preclinical promise, but combining MTAP-directed metabolic targeting with immunotherapy for this specific subgroup is largely experimental.

Where this research is happening

Houston, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Bladder Cancer
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.