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FB-101 refers to two distinct investigational drugs in clinical development by different companies for unrelated indications: **1. FB-101 (1ST Biotherapeutics/Neuraly):** A small molecule c-Abl (Abelson tyrosine kinase) inhibitor being developed primarily for neurodegenerative diseases such as Parkinson's disease and amyotrophic lateral sclerosis (ALS). The drug is designed to block the activity of c-Abl, a protein implicated in the toxic buildup of alpha-synuclein aggregates in the brain—a hallmark of Parkinson’s pathology. Preclinical and early clinical data indicate that FB-101 crosses the blood-brain barrier and is well-tolerated in healthy volunteers[1][2][4][5]. It may also have activity against LRRK2 (Leucine-rich repeat serine/threonine-protein kinase 2), another target relevant to neurodegeneration[2]. **2. FB101 (Freya Biosciences):** A vaginal microbial immunotherapeutic developed by Freya Biosciences for women’s health indications, specifically targeting vaginal dysbiosis and potentially improving fertility outcomes such as IVF implantation success. This formulation consists of live Lactobacillus species intended to restore a healthy vaginal microbiome when administered intravaginally. Phase 1 results showed rapid resolution of dysbiosis with sustained engraftment of beneficial bacteria[6][9].
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