Evidence map›Paper›PMID 35571974›Full record

ArticleMultiple sclerosis journal - experimental, translational and clinical

Fecal microbiota transplantation is safe and tolerable in patients with multiple sclerosis: A pilot randomized controlled trial.

Kait F Al, Laura J Craven, Shaeley Gibbons, Seema Nair Parvathy, Ana Christina Wing, Chantelle Graf, Kate A Parham, Steven M Kerfoot, Hannah Wilcox, Jeremy P Burton and 6 more

Open access · goldAbstract read
In one paragraph

Article in Multiple sclerosis journal - experimental, translational and clinical. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Pooled it
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  3. International journal of molecular sciences · 2024
    Pooled it
  4. Trial
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  6. Fecal Microbiota Transplantation BeyondJournal of Korean medical science · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 1 country.

Kait F Al
Laura J Craven
Shaeley GibbonsDepartment of Microbiology and Immunology, Western University, London, ON, Canada.
Seema Nair ParvathyDivision of Infectious Diseases, Western University, London, ON, Canada.
Ana Christina WingDepartment of Neurology, London Health Sciences Centre, London, ON, Canada.
Chantelle GrafDivision of Infectious Diseases, Western University, London, ON, Canada.
Kate A Parham
Steven M Kerfoot
Hannah WilcoxDepartment of Microbiology and Immunology, Western University, London, ON, Canada.
Jeremy P BurtonDepartment of Microbiology and Immunology, Western University, London, ON, Canada.
Marcelo Kremenchutzky
Sarah A Morrow
Courtney CasserlyDepartment of Neurology, London Health Sciences Centre, London, ON, Canada.
Jon MeddingsDivision of Gastroenterology, University of Calgary, Calgary, AB, Canada.
Manas SharmaDepartment of Radiology, Western University, London, ON, Canada.
Michael S SilvermanDepartment of Microbiology and Immunology, Western University, London, ON, Canada.ORCID https://orcid.org/0000-0002-0389-7656
Western University · CALondon Health Sciences Centre · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with MS have an altered gut microbiota compared to healthy individuals, as well as elevated small intestinal permeability, which may be contributing to the development and progression of the disease. Objective: We sought to investigate if fecal microbiota transplantation was safe and tolerable in MS patients and if it could improve abnormal intestinal permeability. Methods: Nine patients with MS were recruited and provided monthly FMTs for up to six months. The primary outcome investigated was change in peripheral blood cytokine concentrations. The secondary outcomes were gut microbiota composition, intestinal permeability, and safety (assessed with EDSS and MRI). Results: The study was terminated early and was subsequently underpowered to assess whether peripheral blood cytokines were altered following FMTs. FMTs were safe in this group of patients. Two of five patients had elevated small intestinal permeability at baseline that improved to normal values following FMTs. Significant, donor-specific, beneficial alterations to the MS patient gut microbiota were observed following FMT. Conclusion: FMT was safe and tolerable in this cohort of RRMS patients, may improve elevated small intestinal permeability, and has the potential to enrich for an MS-protective microbiota. Further studies with longer follow-up and larger sample sizes are required to determine if FMT is a suitable therapy for MS.

Indexed as

fecal microbiota transplantationintestinal permeabilitymicrobiomeMultiple sclerosis

Identifiers

PMID35571974
PMCPMC9102167
OpenAlexW4280501079

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.