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MB310 is an investigational **oral live biotherapeutic product** from Microbiotica being developed for **ulcerative colitis**. It consists of a **defined consortium of eight live gut commensal bacterial strains** formulated as capsules and is intended as a **once-daily precision microbiome therapy** designed to induce long-term remission without immunosuppression. MB310 was derived from analysis of clinical and microbiome data from a **faecal microbiota transplantation** study in ulcerative colitis conducted with the **University of Adelaide**, where engrafting bacteria associated with clinical remission were identified and selected into the product. Preclinical data indicate that MB310 acts through multiple complementary mechanisms relevant to ulcerative colitis pathology, including **repair of the damaged gut epithelial barrier**, **modulation of inflammatory and immune-regulatory cytokine balance such as TNF and IL-10**, and **induction of regulatory T-cell responses**. Additional mechanistic work suggests individual strains may enhance barrier integrity through **nicotinic acid release**, **polyamine production**, and expression of a novel protein called **IZOR**. MB310 entered first-in-human clinical testing in the randomized, placebo-controlled, double-blind **Phase 1b COMPOSER-1** study in adults with active mild-to-moderate ulcerative colitis.
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