Drug intelligence / Profile preview

fecal microbiota transplantation + bezlotoxumab

Development stage
Preclinical
Lead developer
Merck
Modality
Bacterial Strains → Single Strain Products → Live Biotherapeutic Products → Microbiome Therapeutics, Yeast Strains → Single Strain Products → Live Biotherapeutic Products → Microbiome Therapeutics, Defined Consortia → Multi-strain Products → Live Biotherapeutic Products → Microbiome Therapeutics, Complex Communities → Multi-strain Products → Live Biotherapeutic Products → Microbiome Therapeutics, Fresh FMT → Fecal Microbiota Transplantation (FMT) → Microbiome Therapeutics, Frozen FMT → Fecal Microbiota Transplantation (FMT) → Microbiome Therapeutics, Genetically Modified Bacteria → Engineered Microbial Therapeutics → Microbiome Therapeutics, Synthetic Biology Platforms → Engineered Microbial Therapeutics → Microbiome Therapeutics, Microbial Metabolites → Microbiome-Derived Products → Microbiome Therapeutics, Microbial Proteins → Microbiome-Derived Products → Microbiome Therapeutics, Monoclonal Antibodies → Antibody-Based Therapeutics
Administration
Intravenous, Rectal, Oral, Nasogastric
01

Overview

This is a combination therapy consisting of fecal microbiota transplantation (FMT) and bezlotoxumab. FMT is a procedure in which processed stool from a healthy donor is introduced into the gastrointestinal tract of a patient, primarily to restore healthy gut flora and treat recurrent or refractory Clostridioides difficile infection (CDI). The mechanism involves repopulating the colon with beneficial bacteria to outcompete C. difficile and restore microbial balance[1][2][3]. Bezlotoxumab is a human monoclonal antibody that binds to and neutralizes C. difficile toxin B, thereby reducing recurrence of CDI by preventing toxin-mediated damage. This combination aims to both directly neutralize C. difficile toxins (bezlotoxumab) and restore gut microbial diversity (FMT), potentially providing synergistic benefit for patients at high risk for recurrent CDI.

Other names
FMT + bezlotoxumabfecal transplant + bezlotoxumab
02

Targets

TcdB (Clostridioides difficile large clostridial toxin family)

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