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KB174 is a Microbiome Metabolic Therapy (MMT) consisting of a novel mixture of synthetic oligosaccharides (glycans). Developed by Kaleido Biosciences, it was designed to selectively modulate the metabolic activity of the gut microbiome to reduce the production and systemic absorption of ammonia. The drug was primarily investigated for the treatment of hepatic encephalopathy in patients with well-compensated cirrhosis. By acting as a specific substrate for gut bacteria, KB174 promotes the utilization of nitrogen for bacterial growth rather than ammonia production. Development of KB174 was halted following Kaleido Biosciences' cessation of operations in 2022.
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