30 billion doses of NSAIDs are taken in the U.S. every year, compromising gut health for tens of millions. Our engineered probiotic is being developed as a medical food for the targeted dietary management of NSAID-induced gastrointestinal enteropathy.
Discover Our ApproachOur gastrointestinal tract is lined by a complex barrier that helps maintain overall gut function. This barrier relies on healthy epithelial cells, mucus production, and a balanced gut microbiome.
Nonsteroidal anti-inflammatory drugs (NSAIDs) are among the most widely used medications worldwide. While effective for pain and inflammation, they can influence gut barrier function by affecting prostaglandin synthesis, mucosal defenses, intestinal permeability, and the gut microbiome.

First-generation probiotics were derived from food, supporting general gut health. The bioinformatics revolution gave rise to second-generation probiotics — strains linked to health benefits. However, their effects were largely associative, with limited testing in humans and unclear impact on specific diseases.
CTX-101 is an engineered probiotic formulated for the dietary management of NSAID-associated enteropathy, intended for use under medical supervision.

Justin is a co-founder and CEO of Concordance. He is a metabolic engineer and entrepreneur. During his time at Northeastern University, Justin developed the core technology and business strategy for Concordance. He received his Ph.D. in chemical engineering and founded and led the company since 2024.
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Andrew is a co-founder of Concordance. He has over a decade of business development experience in pharma at Abbvie, Perkin Elmer, and Inotiv. He is a second-time biotech founder (Grik Therapeutics). He leads Concordance's commercial efforts to bring our probiotics to market.
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Dr. Pimentel is Executive Director of the Medically Associated Science and Technology (MAST) Program at Cedars-Sinai, where he leads pioneering human clinical research on how gut microbes and their metabolites drive disease. His work established rifaximin as the first microbiome-targeted therapy for IBS, produced the first blood test for IBS based on its post-infectious origins, and identified the methanogen Methanobrevibacter smithii as a cause of constipation — discoveries that underpin modern microbiome medicine. He advises Concordance on clinical strategy.
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Gerardo is the co-founder and former CEO of Solarea Bio, where he led the development and launch of a commercial medical food probiotic for postmenopausal bone loss. He has been a microbial ecologist for 25 years, leading teams at Diversa Corporation, Synthetic Genomics, Indigo Ag., and Solarea Bio. He advises Concordance on commercial and regulatory strategy.
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Dr. Woolston is a co-founder of Concordance and an Associate Professor of Chemical Engineering at Northeastern University. He is an expert in synthetic biology and metabolic engineering with a focus on the gut microbiome, and has published over 50 scientific papers. He advises the company on gut-targeted microbial design and pathway optimization of engineered probiotics.
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Dr. Koppes is a co-founder of Concordance and an Associate Professor of Chemical Engineering at Northeastern University, focusing on human organ chip and in vivo models. He has authored dozens of publications in human organ modeling and bioengineering. He advises on translational strategy, preclinical validation, and use of human-relevant models.
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Calvin is a co-founder of Concordance. He has worked at Pyxis Oncology, KSQ Therapeutics, and Jounce Therapeutics on pre-clinical drug development bringing candidates from discovery through IND. He advises Concordance on pre-clinical development and CRO management.
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Concordance was recognized among top innovators at the prestigious SVB-Babson pitch competition.
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Concordance joins The Engine, MIT's tough tech venture accelerator, to advance its probiotic platform.
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Justin presented Concordance's vision for third-generation probiotics at the international summit.
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