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Allogeneic faecal microbiota, pooled, is an investigational microbial therapy developed by Assistance Publique - Hôpitaux de Paris (AP-HP). It consists of a standardized preparation of fecal microbiota collected from multiple healthy allogeneic donors and pooled to increase microbial diversity and reduce donor-dependent variability. The therapy is primarily being evaluated for the treatment of primary sclerosing cholangitis (PSC) and inflammatory bowel disease (IBD), including ulcerative colitis. The mechanism of action involves the restoration of a healthy gut microbiome in patients with dysbiosis, which in turn modulates the mucosal immune system, displaces pathogenic bacteria, and potentially corrects metabolic imbalances, such as altered bile acid profiles, that contribute to the pathogenesis of chronic inflammatory and cholestatic liver diseases.
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