Drug intelligence / Profile preview

Inersan + doxycycline

Development stage
Unknown
Lead developer
VSL Pharmaceuticals
Modality
Synthetic Biology Platforms → Engineered Microbial Therapeutics → Microbiome Therapeutics, Fresh FMT → Fecal Microbiota Transplantation (FMT) → Microbiome Therapeutics, Small Molecules, Yeast Strains → Single Strain Products → Live Biotherapeutic Products → Microbiome Therapeutics, Bacterial Strains → Single Strain Products → Live Biotherapeutic Products → Microbiome Therapeutics, Defined Consortia → Multi-strain Products → Live Biotherapeutic Products → Microbiome Therapeutics, Frozen FMT → Fecal Microbiota Transplantation (FMT) → Microbiome Therapeutics, Genetically Modified Bacteria → Engineered Microbial Therapeutics → Microbiome Therapeutics, Microbial Metabolites → Microbiome-Derived Products → Microbiome Therapeutics, Microbial Proteins → Microbiome-Derived Products → Microbiome Therapeutics, Complex Communities → Multi-strain Products → Live Biotherapeutic Products → Microbiome Therapeutics
Administration
Oral
01

Overview

**Inersan + doxycycline** is a co-administration regimen evaluated as an adjunct to scaling and root planing for periodontitis. It combines Inersan, an oral probiotic lozenge containing *Lactobacillus brevis* CD2, with oral doxycycline, a tetracycline antibiotic. The probiotic is intended to modulate the oral microbiome and periodontal inflammation through *L. brevis* CD2 activities including arginine deiminase production and antimicrobial effects, while doxycycline suppresses susceptible bacterial protein synthesis through the bacterial 30S ribosomal subunit and can inhibit matrix metalloproteinase activity. Clinical studies in aggressive periodontitis found improvement in periodontal measures across probiotic, doxycycline, and combination groups but did not demonstrate a clear synergistic advantage for the combination over either single intervention. A completed Phase 3 study evaluated Inersan and doxycycline in chronic periodontitis. ([pmc.ncbi.nlm.nih.gov](https://pmc.ncbi.nlm.nih.gov/articles/PMC3616592/))

Other names
doxycycline + InersanInersan + doxycyclineL. brevis CD2 + doxycyclineLactobacillus brevis CD2 + doxycycline
02

Targets

Bacterial RibosomeNOS1 (nNOS)

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