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Akkermansia muciniphila + infliximab is a combination therapy being evaluated for the treatment of active Crohn's disease. It consists of infliximab, a chimeric monoclonal antibody that targets and neutralizes tumor necrosis factor-alpha (TNF-alpha) to reduce systemic and local inflammation, and Akkermansia muciniphila, a next-generation probiotic bacterium. A. muciniphila is a mucin-degrading anaerobe that naturally inhabits the human gut and is associated with improved intestinal barrier integrity and immune homeostasis. The combination aims to leverage the potent anti-inflammatory effects of TNF-alpha inhibition alongside the microbiome-modulating and mucosal-healing properties of the probiotic to achieve superior clinical outcomes, specifically complete mucosal healing, compared to infliximab monotherapy. This specific regimen is currently being investigated in a Phase 4 trial sponsored by the Chinese Medical Association.
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