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**MET-4** is an investigational, orally administered live microbial consortium developed by NuBiyota as a cultivated and standardized alternative to fecal microbiota transplantation. It comprises 30 individually cultured, lyophilized intestinal bacterial species originally isolated from a healthy donor and formulated in capsules. MET-4 is intended to restore or reshape gut microbial diversity and function, promote gastrointestinal microbial colonization and epithelial-barrier integrity, and potentially enhance systemic and antitumor immune responses to immune checkpoint inhibitors. It has been studied with immune checkpoint inhibitors in advanced solid tumors and with chemoradiotherapy in human papillomavirus-related locoregionally advanced oropharyngeal squamous cell carcinoma. ([cancer.gov](https://www.cancer.gov/publications/dictionaries/cancer-drug/def/microbial-ecosystem-therapeutics-4))
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