Faecal microbiota transplant in Parkinson’s disease: pilot study to establish safety & tolerability.

Publication date: Jul 09, 2025

Emerging evidence suggests gut microbiota differences in Parkinson’s Disease (PD) may impact disease progression and treatment. Faecal Microbiota Transplantation (FMT) offers a potential therapeutic approach. We conducted an open-label pilot study to assess the safety, tolerability, and symptom impact of FMT in 12 patients with mild to moderate PD, administered via enema for 6 months. FMT was safe and well tolerated, causing only mild, transient gastrointestinal symptoms. While no significant motor symptom changes were observed, there was a trend toward reduced daily OFF time at 2 months. Whilst no sustained improvement in non-motor symptoms was found after 6 months, transient improvements in quality of life and non-motor scores were noted at 2 months; these gains regressed by study end. Overall, extended FMT therapy in PD appears safe and tolerable, with reduction in daily motor OFF time and self-reported non-motor symptoms that was not sustained throughout the 6-months of treatment.

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Concepts Keywords
Daily Faecal
Gastrointestinal Fmt
Microbiota Microbiota
Parkinson Mild
Pilot Months
Motor
Non
Parkinson
Pd
Pilot
Safety
Symptom
Symptoms
Tolerability
Treatment

Semantics

Type Source Name
disease MESH Parkinson’s disease
disease MESH disease progression
disease MESH synucleinopathy
disease MESH tremor
disease MESH pathogenesis
disease MESH dysbiosis
disease MESH Movement Disorders
disease MESH Gait
drug DRUGBANK Methionine
disease MESH Hypertension
disease MESH Depression
disease MESH Anxiety
drug DRUGBANK Nitazoxanide
drug DRUGBANK Coenzyme M
drug DRUGBANK Spinosad
drug DRUGBANK Isoxaflutole
disease MESH mild cognitive impairment

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